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在机器人右侧大肠切除术期间的客观绩效指标根据外科医生的技能而有所不同.

Mishal Gillani¹, Manali Rupji², Terrah J Paul Olson¹

¹Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.

The Journal of surgical research

|September 6, 2024

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客观的绩效指标 (OPI) 可以在机器人右侧切除术期间区分外科医生的技能水平. 与新手相比,专家和中级外科医生表现出不同的运动模式,使客观的技能评估成为可能.

科学领域:

机器人手术机器人手术
外科手术技能的评估.
机器学习在医学中的应用

背景情况:

传统的外科医生评估是主观的,缺乏可扩展性.
目标绩效指标 (OPI) 利用机器学习在机器人手术期间获得可量化的指标.
OPIs提供了对外科医生的运动和机器人手臂运动学的客观见解.

研究的目的:

确定目标绩效指标 (OPI),以区分外科医生的技能水平.
在机器人右侧切除术 (RRC) 期间,比较专家 (EX),中级 (IM) 和初学者 (NV) 外科医生的OPI.

主要方法:

分析了25个机器人右切除术,从内镜视频中注释了461个手术步骤.
在两个EX外科医生,两个IM外科医生和八名NV外科医生中比较了OPI.
分析重点集中在关键的手术阶段:中腔剖析,血管脚绑定和肠道动员/准备.

主要成果:

与新手相比,专家和中级外科医生对多个机器人手臂的速度,加速度和冲动明显更高.
中级外科医生显示增加了手臂交换,主离合器使用和与相机相关的指标.
专家和中级外科医生都表现出比新手更长的路径长度和更大的手臂速度/加速.

关键词:

这是一个双控制台.目标绩效指标目标绩效指标右侧的小肠切除术.机器人机器人机器人机器人机器人机器人技能评估技能评估技能评估技能评估

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结论:

在RRC期间,特定的OPI有效地歧视专家,中级和初学者外科医生.
这项研究证明了使用OPI在RRC的客观和可扩展的外科医生技能分类中的可行性.