在机器人辅助中,自动化性能指标"控制台时间"告诉我们什么?
Kei Kobayashi1, Yizhan Guo1, Andrea Amabile1
1Division of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh and UPMC Heart and Vascular Institute, 200 Lothrop Street C-718, Pittsburgh, PA, 15213, USA.
Journal of robotic surgery
|December 1, 2025
概括
机器人辅助中门修复 (raMVR) 的控制台时间与程序复杂性和操作强度相关. 这种自动化指标可以预测手术强度,并有助于手术规划和结果评估.
科学领域:
- 心脏外科手术 心脏外科手术
- 机器人手术 机器人手术
- 医疗技术 医疗技术 医学技术
背景情况:
- 控制台时间是机器人心脏外科手术中的自动化性能指标 (APM).
- 它对心脏手术结果的预测价值尚未得到充分理解.
研究的目的:
- 为了评估与机器人辅助中门修复 (raMVR) 期间控制台时间相关的因素.
- 评估控制台时间与手术前,手术内和手术后结果之间的关系.
主要方法:
- 分析了150名raMVR患者的数据 (7/2021-12/2024).
- 从机器人系统日志中提取控制台时间和APM.
- 应用相关性分析,多变量线性回归和MANOVA.
主要成果:
- 平均控制台使用时间为123.2 ± 47.0分钟.
- 控制台时间与BMI相关,心肺绕道 (CPB) 时间,大动脉十字 (ACC) 时间和住院时间.
- 脱,ACC时间,CPB时间,复杂的修复技术和环状化等因素独立地预测了更长的控制台时间.
- 较高的控制台时间三角形与手术后结果较差有关,较低的三角形显示手术内输出管的可能性增加.
结论:
- 控制台时间是一种有价值的客观指标,反映了raMVR中的程序复杂性和操作强度.
- 它可以用于手术内评估,手术规划和早期预测机器人心脏手术程序的结果.
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