使用基于视频的RA-CUSUMUM进行机器人体内单结肠直肠解剖的技术能力评估
Shih-Feng Huang1, Yung-Lin Tan1, Chao-Wen Hsu1,2
1Division of Colorectal Surgery, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1 RD, Kaohsiung City, 81346, Taiwan.
International journal of colorectal disease
|January 26, 2026
概括
这项研究评估了结直肠外科手术中机器人体内单接解 (RiSSA) 的学习曲线. 技术能力稳定在17例左右,但学习后仍可能出现并发症.
科学领域:
- 最少侵入性的手术
- 外科教育的外科教育
- 机器人手术 机器人手术
背景情况:
- 机器人体内单合解剖 (RiSSA) 是一个复杂的程序.
- 评估学习曲线对于外科培训和患者安全至关重要.
研究的目的:
- 通过风险调整累计总和 (RA-CUSUM) 分析评估RiSSA的学习曲线.
- 根据标准化的程序间隔,确定RISSA的熟练度里程碑.
主要方法:
- 追溯分析36名接受RiSSA的机器人左侧结直肠切除的患者.
- 对8个手术内时间点的注释,以定义纯粹的RiSSA间隔和钱包 suture时间.
- 应用RA-CUSUM分析来追踪技术技能的获得.
主要成果:
- 在第17个案例 (程序流) 和第11个案例 (接技巧) 中观察到RiSSA学习的拐点.
- 控制台时间和RiSSA间隔的显著改善在曲后被注意到.
- 在学习阶段晚期发生了两个主要并发症 (Clavien-Dindo等级≥III).
结论:
- RiSSA表现出明确的学习轨迹,技术效率稳定在17个案例左右.
- 技术能力并不能消除程序并发症的风险.
- 纯RiSSA间隔是评估机器人结直肠外科手术中解剖手术能力的一个有价值的指标.
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