We have located links that may give you full text access.
Comparison of robot-assisted vitreoretinal surgery and manual surgery in different preclinical settings: a randomized trial.
Annals of Translational Medicine 2022 November
BACKGROUND: Progress in the field of surgical robotics has the potential to allow surgeons to reduce the limitations of human hands and has substantially improved the dexterity and accuracy of surgery. This study aimed to compare robot-assisted vitreoretinal surgery with manual surgery in a simulated setting involving donor porcine eyes.
METHODS: A randomized controlled trial was conducted involving 10 experienced vitreoretinal experts and 10 residents. Participants were randomized to start with either manual or robot-assisted surgery (n=5 in each group). Participants completed 3 tests consisting of 2 vitreoretinal modules on a virtual-reality simulator and microcannulation in donor porcine eyes. The primary outcome measures were as follows: test completion time, surgical accuracy and tremor control provided by the simulator, and the feasibility of microcannulation in donor porcine eyes.
RESULTS: Robot-assisted surgery supported better accuracy and tremor control than manual surgery for vitreoretinal experts (P=0.028 and P=0.002, respectively) and residents (P=0.025 and P<0.001, respectively). Residents improved their microcannulation performance with the assistance of the robot (P=0.038) to a level comparable to that of experts (P=0.49). Robot-assisted surgery was less time-efficient than manual surgery for both residents (P<0.001) and vitreoretinal experts (P<0.001).
CONCLUSIONS: Compared with manual surgery, robot-assisted vitreoretinal surgery improves the stability of instrument handling and the accuracy of surgery. Robot-assisted surgeries have the potential to shorten the learning curve for residents and improve surgical performance.
METHODS: A randomized controlled trial was conducted involving 10 experienced vitreoretinal experts and 10 residents. Participants were randomized to start with either manual or robot-assisted surgery (n=5 in each group). Participants completed 3 tests consisting of 2 vitreoretinal modules on a virtual-reality simulator and microcannulation in donor porcine eyes. The primary outcome measures were as follows: test completion time, surgical accuracy and tremor control provided by the simulator, and the feasibility of microcannulation in donor porcine eyes.
RESULTS: Robot-assisted surgery supported better accuracy and tremor control than manual surgery for vitreoretinal experts (P=0.028 and P=0.002, respectively) and residents (P=0.025 and P<0.001, respectively). Residents improved their microcannulation performance with the assistance of the robot (P=0.038) to a level comparable to that of experts (P=0.49). Robot-assisted surgery was less time-efficient than manual surgery for both residents (P<0.001) and vitreoretinal experts (P<0.001).
CONCLUSIONS: Compared with manual surgery, robot-assisted vitreoretinal surgery improves the stability of instrument handling and the accuracy of surgery. Robot-assisted surgeries have the potential to shorten the learning curve for residents and improve surgical performance.
Full text links
Related Resources
Trending Papers
Systemic lupus erythematosus.Lancet 2024 April 18
Should renin-angiotensin system inhibitors be held prior to major surgery?British Journal of Anaesthesia 2024 May
Autoimmune Hemolytic Anemias: Classifications, Pathophysiology, Diagnoses and Management.International Journal of Molecular Sciences 2024 April 13
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app