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Surgeon workload and motion efficiency with robot and human laparoscopic camera control.

机译:借助机器人和人类腹腔镜摄像机控制来控制外科医生的工作量和运动效率。

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BACKGROUND: Surgeons are now being assisted by robotic systems in a wide range of laparoscopic procedures. Some reports have suggested that robot-assisted camera control (RACC) may be superior to a human driver in terms of quality of view and directional precision, as well as long-term cost savings. Therefore, we setout to investigate the impact of RACC of surgeon motion efficiency. METHODS: Twenty pigs were randomized to undergo a standardized laparoscopic Nissen fundoplication with either a human or RACC system, the AESOP 2000. All procedures were performed by the same surgical fellow. Time was recorded for dissection and suture phases. Inertial motion sensors were used to monitor both the surgeon's hands and the camera. Digitized data were analyzed to produce summary measures related to overall motion. RESULTS: The operative times were slightly longer with RACC (mean 80.2 +/- 20.6 vs 73.1 +/- 15.4 min, not significant). With regard to operative times and surgeon motion measures, the only statistically significant differences were for setup and breakdown times, which contributed <15% to the total time for the procedure. CONCLUSION: In terms of impact on surgeon motion efficiency and operative time under normal surgical conditions, RACC is essentially the same as an expert human driver. However, careful planning and structuring of the surgical suite may yield some small gains in operative time.
机译:背景技术:现在,机器人系统在各种腹腔镜手术中都为外科医生提供了帮助。一些报告表明,在视野质量和方向精度以及长期节省成本方面,机器人辅助摄像头控制(RACC)可能优于人类驾驶员。因此,我们着手研究RACC对外科医生运动效率的影响。方法:将20头猪随机分为人或RACC系统AESOP 2000进行标准化的腹腔镜Nissen胃底折叠术。所有操作均由同一位外科医师进行。记录解剖和缝合阶段的时间。惯性运动传感器用于监视外科医生的手和摄像头。分析数字化数据以产生与整体运动有关的汇总度量。结果:RACC的手术时间略长(平均80.2 +/- 20.6 vs 73.1 +/- 15.4分钟,不显着)。关于手术时间和外科医生的运动措施,唯一的统计上显着差异是建立时间和故障时间,这对手术总时间的贡献少于15%。结论:就对正常手术条件下外科医生运动效率和手术时间的影响而言,RACC与专家级驾驶员基本相同。但是,对手术室进行仔细的计划和结构设计可能会在手术时间上带来一些小的收获。

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