机器人脊椎手术中螺丝位置不准确的危险因素:机器人为什么会犯错误,如何避免?
S Vidyadhara1,2, R Dinesh Iyer3, Abhishek Soni3
1Manipal Institute of Robotic Spine Surgery, Manipal Comprehensive Spine Care Centre, Manipal Hospital, Old Airport Road, Bangalore, 560017, India. vidya007@gmail.com.
Journal of robotic surgery
|October 11, 2025
概括
机器人脊椎手术显示了低的螺丝错位率 (0.39%),跳过错误最常见. 学习曲线在早期机器人案例中显著影响准确性.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 机器人辅助脊柱手术的采用正在增加.
- 关于机器人踏板螺丝放置的错误来源的研究是有限的.
研究的目的:
- 调查机器人辅助脚螺杆放置中的发生率,风险因素和手术内错误类型.
- 分析螺丝错位,并确定导致的因素.
主要方法:
- 对1060名接受机器人胸部和腰椎手术的患者 (5644个螺丝) 的回顾性分析.
- 使用术后O臂扫描来识别和分类螺丝错位.
- 评估风险因素,包括BMI,病理和手术方法.
主要成果:
- 在13名患者 (1.2%) 中,共发生了22次螺丝错位 (0.39%).
- 滑行是最常见的错误 (6例),其次是手臂移动 (4),患者移动 (2) 和注册错误 (1).
- 在最初的50个机器人案例中,22个错位中的12个发生在最初的50个机器人案例中,这表明学习曲线效应.
结论:
- 机器人系统提高了脚螺丝的精度,但容易出现错误.
- 通过仔细选择骨入口点,可以减轻滑动错误.
- 解决学习曲线和特定错误类型对于优化机器人脊椎手术结果至关重要.
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