手术室认知支持系统回顾。

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-02-01 Epub Date: 2023-12-05 DOI:10.1177/15533506231218962
Zhong Shi Zhang, Yun Wu, Bin Zheng
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引用次数: 0

摘要

背景:近年来,微创手术等众多创新而又具有挑战性的手术引入了大量新技术,增加了外科医生的认知负荷,并有可能分散他们的注意力。认知支持技术(CST)一直在不断发展,以减轻外科医生的认知负荷并最大限度地减少错误。尽管其需求巨大,但仍缺乏系统性的回顾:方法:检索截至 2021 年 5 月 21 日的文献。Pubmed、Web of Science 和 IEEExplore。其中包括旨在减轻外科医生认知负荷的研究。此外,优先考虑包含真实患者和真实外科医生的实验性试验的研究,但也包括模型和动物研究。评估的主要结果包括手术误差、解剖定位准确性、总手术时间和患者预后:结果:共纳入 37 项研究。总体而言,与传统方法相比,CST 的手术效果更好。大多数研究报告称错误率降低,效率提高。在准确性方面,大多数 CST 识别解剖标记的准确率超过 90%,误差率低于 5 毫米。大多数研究报告称手术时间有所缩短,但有些研究的结果在统计学上并不显著:讨论:CST 已被证明可减少外科医生的脑力劳动负荷。然而,目前 CST 的人体工学设计有限,阻碍了其在临床环境中的广泛应用。总体而言,在全面推广 CST 之前,需要更多实际患者的临床数据来提供具体证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Review of Cognitive Support Systems in the Operating Room.

Background: In recent years, numerous innovative yet challenging surgeries, such as minimally invasive procedures, have introduced an overwhelming amount of new technologies, increasing the cognitive load for surgeons and potentially diluting their attention. Cognitive support technologies (CSTs) have been in development to reduce surgeons' cognitive load and minimize errors. Despite its huge demands, it still lacks a systematic review.

Methods: Literature was searched up until May 21st, 2021. Pubmed, Web of Science, and IEEExplore. Studies that aimed at reducing the cognitive load of surgeons were included. Additionally, studies that contained an experimental trial with real patients and real surgeons were prioritized, although phantom and animal studies were also included. Major outcomes that were assessed included surgical error, anatomical localization accuracy, total procedural time, and patient outcome.

Results: A total of 37 studies were included. Overall, the implementation of CSTs had better surgical performance than the traditional methods. Most studies reported decreased error rate and increased efficiency. In terms of accuracy, most CSTs had over 90% accuracy in identifying anatomical markers with an error margin below 5 mm. Most studies reported a decrease in surgical time, although some were statistically insignificant.

Discussion: CSTs have been shown to reduce the mental workload of surgeons. However, the limited ergonomic design of current CSTs has hindered their widespread use in the clinical setting. Overall, more clinical data on actual patients is needed to provide concrete evidence before the ubiquitous implementation of CSTs.

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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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