扩大机器人手术规模:机器人在结直肠外科手术中的角色,责任和挑战
D P Harji1,2, H Mohan3,4, R Coates5
1Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Manchester, UK. deena_harji@hotmail.com.
Journal of robotic surgery
|June 13, 2025
概括
机器人检查器对于在结直肠手术中推进机器人辅助手术 (RAS) 是至关重要的. 这项研究突出了他们培训和支持方面的重大差距,强调需要标准化指导方针,以确保外科培训的质量和安全.
科学领域:
- 手术技术 手术技术
- 医学教育 医学教育
- 结肠直肠手术 结肠直肠手术
背景情况:
- 机器人辅助手术 (RAS) 在结直肠手术中的采用正在增加.
- 机器人检查器对于训练外科医生使用RAS技术至关重要.
- 对于检查员培训,角色和挑战的理解有限.
研究的目的:
- 探索机器人结直肠手术检查员的经验,挑战和培训方法.
- 确定目前的实践和机器人监督的改进领域.
- 为机器人外科培训师提供更好的支持系统的开发提供信息.
主要方法:
- 在英国和爱尔兰,利用焦点小组与经验丰富的机器人结直肠手术检查员进行了定性研究.
- 使用NVivo软件对焦点组数据进行主题分析.
- 包括十名专家机器人外科医生,主要使用Intuitive Surgical®平台.
主要成果:
- 出现了八个相互关联的主题:检查员的选择,责任,培训,认证,挑战,行业伙伴关系,新技术和支持网络.
- 超过60%的参与者接受了超过6年的培训,并且是大量的检查员.
- 在目前的机器人检查员培训框架和支持系统中发现了重大差距.
结论:
- 机器人监控对于RAS的广泛采用至关重要.
- 标准化指导方针和专业支持结构对于一致,高质量和安全的机器人手术培训至关重要.
- 解决发现的差距将提高机器人代理的有效性和可持续性.
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