Comparison of skill training with robotic systems and traditional endoscopy: implications on training and adoption.
Identifieur interne : 001943 ( PubMed/Corpus ); précédent : 001942; suivant : 001944Comparison of skill training with robotic systems and traditional endoscopy: implications on training and adoption.
Auteurs : Hersh S. Maniar ; M Laurin Council ; Sandip M. Prasad ; Sunil M. Prasad ; Celeste Chu ; Ralph J. DamianoSource :
- The Journal of surgical research [ 0022-4804 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- education : General Surgery.
- Adult, Clinical Competence, Endoscopy, Female, Humans, Laparoscopy, Male, Robotics.
Abstract
Robotic systems are being used by an increasing number of surgeons. This environment is markedly different from that of traditional surgery and involves videoscopic guidance, remote surgical control, and the loss of haptic feedback. Defining how surgeons learn with these systems is necessary to establish training protocols for this technology. This study compared the learning curve for a robotic surgical system with that of traditional endoscopy in the performance of two standardized skill drills.
DOI: 10.1016/j.jss.2004.11.010
PubMed: 15836846
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pubmed:15836846Le document en format XML
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Prasad</name></author><author><name sortKey="Chu, Celeste" sort="Chu, Celeste" uniqKey="Chu C" first="Celeste" last="Chu">Celeste Chu</name></author><author><name sortKey="Damiano, Ralph J" sort="Damiano, Ralph J" uniqKey="Damiano R" first="Ralph J" last="Damiano">Ralph J. Damiano</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="doi">10.1016/j.jss.2004.11.010</idno><idno type="RBID">pubmed:15836846</idno><idno type="pmid">15836846</idno><idno type="wicri:Area/PubMed/Corpus">001943</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Comparison of skill training with robotic systems and traditional endoscopy: implications on training and adoption.</title><author><name sortKey="Maniar, Hersh S" sort="Maniar, Hersh S" uniqKey="Maniar H" first="Hersh S" last="Maniar">Hersh S. Maniar</name><affiliation><nlm:affiliation>Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Council, M Laurin" sort="Council, M Laurin" uniqKey="Council M" first="M Laurin" last="Council">M Laurin Council</name></author><author><name sortKey="Prasad, Sandip M" sort="Prasad, Sandip M" uniqKey="Prasad S" first="Sandip M" last="Prasad">Sandip M. Prasad</name></author><author><name sortKey="Prasad, Sunil M" sort="Prasad, Sunil M" uniqKey="Prasad S" first="Sunil M" last="Prasad">Sunil M. Prasad</name></author><author><name sortKey="Chu, Celeste" sort="Chu, Celeste" uniqKey="Chu C" first="Celeste" last="Chu">Celeste Chu</name></author><author><name sortKey="Damiano, Ralph J" sort="Damiano, Ralph J" uniqKey="Damiano R" first="Ralph J" last="Damiano">Ralph J. Damiano</name></author></analytic><series><title level="j">The Journal of surgical research</title><idno type="ISSN">0022-4804</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Clinical Competence</term><term>Endoscopy</term><term>Female</term><term>General Surgery (education)</term><term>Humans</term><term>Laparoscopy</term><term>Male</term><term>Robotics</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>General Surgery</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Clinical Competence</term><term>Endoscopy</term><term>Female</term><term>Humans</term><term>Laparoscopy</term><term>Male</term><term>Robotics</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Robotic systems are being used by an increasing number of surgeons. This environment is markedly different from that of traditional surgery and involves videoscopic guidance, remote surgical control, and the loss of haptic feedback. Defining how surgeons learn with these systems is necessary to establish training protocols for this technology. This study compared the learning curve for a robotic surgical system with that of traditional endoscopy in the performance of two standardized skill drills.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">15836846</PMID><DateCreated><Year>2005</Year><Month>04</Month><Day>19</Day></DateCreated><DateCompleted><Year>2005</Year><Month>06</Month><Day>02</Day></DateCompleted><DateRevised><Year>2008</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0022-4804</ISSN><JournalIssue CitedMedium="Print"><Volume>125</Volume><Issue>1</Issue><PubDate><Year>2005</Year><Month>May</Month><Day>1</Day></PubDate></JournalIssue><Title>The Journal of surgical research</Title><ISOAbbreviation>J. Surg. Res.</ISOAbbreviation></Journal><ArticleTitle>Comparison of skill training with robotic systems and traditional endoscopy: implications on training and adoption.</ArticleTitle><Pagination><MedlinePgn>23-9</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Robotic systems are being used by an increasing number of surgeons. This environment is markedly different from that of traditional surgery and involves videoscopic guidance, remote surgical control, and the loss of haptic feedback. Defining how surgeons learn with these systems is necessary to establish training protocols for this technology. This study compared the learning curve for a robotic surgical system with that of traditional endoscopy in the performance of two standardized skill drills.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty participants (average age 27 +/- 4 years, six females) repeated two standardized endoscopic dexterity and depth perception drills for 15 repetitions with the ZEUS robotic surgical system and manual endoscopic instruments (MAN). A score combining time and precision was given for each repetition. The learning curves and overall performance with and without robotic assistance were compared.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">For both MAN and ZEUS, improvements in performance were significantly greatest during the first five repetitions (P < 0.01, for both). Participants reached the training curve plateau faster with ZEUS than with conventional instruments (8th versus 10th for both drills). Using robotic assistance, dominant and non-dominant hand performance were statistically similar. The number of errors committed with ZEUS were significantly fewer for drill two (0.09 errors/repetition versus 0.24 errors/repetition, P = 0.002) compared to manual technique.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study demonstrated that training curves for conventional and robotic-assisted systems are remarkably similar. This should prove useful in the training and education of this new technology. This study further suggested that robotics may increase ambidexterity by improving non-dominant hand performance.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maniar</LastName><ForeName>Hersh S</ForeName><Initials>HS</Initials><AffiliationInfo><Affiliation>Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Council</LastName><ForeName>M Laurin</ForeName><Initials>ML</Initials></Author><Author ValidYN="Y"><LastName>Prasad</LastName><ForeName>Sandip M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Prasad</LastName><ForeName>Sunil M</ForeName><Initials>SM</Initials></Author><Author ValidYN="Y"><LastName>Chu</LastName><ForeName>Celeste</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Damiano</LastName><ForeName>Ralph J</ForeName><Initials>RJ</Initials><Suffix>Jr</Suffix></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2005</Year><Month>01</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Res</MedlineTA><NlmUniqueID>0376340</NlmUniqueID><ISSNLinking>0022-4804</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002983">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004724">Endoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013502">General Surgery</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000193">education</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D010535">Laparoscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012371">Robotics</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2004</Year><Month>6</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2004</Year><Month>11</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2004</Year><Month>11</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2005</Year><Month>1</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>4</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>6</Month><Day>3</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>4</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0022-4804(04)00678-X</ArticleId><ArticleId IdType="doi">10.1016/j.jss.2004.11.010</ArticleId><ArticleId IdType="pubmed">15836846</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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