Using virtual reality to maintain surgical skills during periods of robotic surgery inactivity.

作者: Loredana M. Guseila , Archana Saranathan , Eric L. Jenison , Karen M. Gil , John J. Elias

DOI: 10.1007/S11701-014-0465-0

关键词:

摘要: Periodic practice is needed for newly trained robotic surgeons to maintain skills during periods of inactivity. The current study was performed determine whether virtual skill maintenance can serve as an adequate substitute on a surgical robot. Eleven residents with no prior training were level proficiency inanimate models, including needle driving pad, running suture and ring placement rocking peg board. After reaching proficiency, each resident tested complex tissue closure task. For the next 8 weeks, only activity biweekly maintenance. task twice robot, followed by evaluation models used reach proficiency. Repeated-measures statistical analyses compare between three trials final test at week 0 other models. Time complete more than 20 % lower second weeks two (p < 0.05). Residents maintained their driving, but times board increased 0.01). Virtual shows promise maintaining skills. Following warm-up period, some may actually improve practice, retention selective, so further improvements are needed.

参考文章(28)
Ning Zhang, Baran D. Sumer, Transoral Robotic Surgery: Simulation-Based Standardized Training Archives of Otolaryngology-head & Neck Surgery. ,vol. 139, pp. 1111- 1117 ,(2013) , 10.1001/JAMAOTO.2013.4720
Michelle A. Lerner, Mikias Ayalew, William J. Peine, Chandru P. Sundaram, Does training on a virtual reality robotic simulator improve performance on the da Vinci surgical system Journal of Endourology. ,vol. 24, pp. 467- 472 ,(2010) , 10.1089/END.2009.0190
Genevieve Dulan, Robert V. Rege, Deborah C. Hogg, Kristine M. Gilberg-Fisher, Nabeel A. Arain, Seifu T. Tesfay, Daniel J. Scott, Proficiency-based training for robotic surgery: construct validity, workload, and expert levels for nine inanimate exercises Surgical Endoscopy and Other Interventional Techniques. ,vol. 26, pp. 1516- 1521 ,(2012) , 10.1007/S00464-011-2102-6
Rajesh Kumar, Amod Jog, Balazs Vagvolgyi, Hiep Nguyen, Gregory Hager, Chi Chiung Grace Chen, David Yuh, Objective measures for longitudinal assessment of robotic surgery training. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 143, pp. 528- 534 ,(2012) , 10.1016/J.JTCVS.2011.11.002
Christine M. Vaccaro, Catrina C. Crisp, Angela N. Fellner, Christopher Jackson, Steven D. Kleeman, James Pavelka, Robotic Virtual Reality Simulation Plus Standard Robotic Orientation Versus Standard Robotic Orientation Alone Female Pelvic Medicine & Reconstructive Surgery. ,vol. 19, pp. 266- 270 ,(2013) , 10.1097/SPV.0B013E3182A09101
Thomas S Lendvay, Pasquale Casale, Robert Sweet, Craig Peters, None, Initial validation of a virtual-reality robotic simulator. Journal of Robotic Surgery. ,vol. 2, pp. 145- 149 ,(2008) , 10.1007/S11701-008-0099-1
Amanjot S. Sethi, William J. Peine, Yousef Mohammadi, Chandru P. Sundaram, Validation of a novel virtual reality robotic simulator. Journal of Endourology. ,vol. 23, pp. 503- 508 ,(2009) , 10.1089/END.2008.0250
Jason Y. Lee, Phillip Mucksavage, David C. Kerbl, Victor B. Huynh, Mohamed Etafy, Elspeth M. McDougall, Validation Study of a Virtual Reality Robotic Simulator—Role as an Assessment Tool? Journal of Urology. ,vol. 187, pp. 998- 1002 ,(2012) , 10.1016/J.JURO.2011.10.160
Genevieve Dulan, Robert V. Rege, Deborah C. Hogg, Kristine M. Gilberg-Fisher, Nabeel A. Arain, Seifu T. Tesfay, Daniel J. Scott, Developing a comprehensive, proficiency-based training program for robotic surgery. Surgery. ,vol. 152, pp. 477- 488 ,(2012) , 10.1016/J.SURG.2012.07.028
Timothy N. Judkins, Dmitry Oleynikov, Nick Stergiou, Objective evaluation of expert and novice performance during robotic surgical training tasks Surgical Endoscopy and Other Interventional Techniques. ,vol. 23, pp. 590- 597 ,(2009) , 10.1007/S00464-008-9933-9