在机器人手术中提高性能的认知训练:对RCT的系统审查
Samy Castillo-Flores1, Andres A Abreu1, Patricia Viana2
1Department of Surgical Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
Journal of surgical education
|February 11, 2026
概括
认知训练 (CT) 在增强新手训练员机器人手术技能方面表现有前途,特别是通过心理排练技术. 然而,需要更多的研究来证实它在高级学习者和真正的外科设置中的有效性.
科学领域:
- 机器人手术 机器人手术
- 外科教育的外科教育
- 认知训练 认知训练 认知训练
背景情况:
- 机器人手术需要专门的技术技能.
- 认知训练 (CT) 可以提高外科手术的性能.
- 在机器人手术培训中CT的有效性正在调查中.
研究的目的:
- 评估认知训练 (CT) 与标准非认知训练在机器人手术模拟中的外科性能的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查.
- 研究通过搜索PubMed,Embase,ScienceDirect和PsycINFO来确定这些研究.
- 使用RoB 2工具评估了偏差风险.
主要成果:
- 在4个RCT中,CT在3个RCT中提高了技术技能,显示组织穿孔减少和优异的结节.
- 增强的心理排练改善了视觉空间能力,而基于计算机的CT却没有.
- 在NOTSS得分中没有观察到任何改善.
结论:
- 认知训练,特别是心理排练,可以提高新手学员的机器人手术模拟技能.
- 证据仅限于在模拟环境中进行的小型异构研究.
- 在高级学员和现实外科环境中CT的有效性仍然不确定.
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