ROBOT-ASSISTED VITREORETINAL SURGERY IMPROVES SURGICAL ACCURACY COMPARED WITH MANUAL SURGERY: A Randomized Trial in a Simulated Setting
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
ROBOT-ASSISTED VITREORETINAL SURGERY IMPROVES SURGICAL ACCURACY COMPARED WITH MANUAL SURGERY : A Randomized Trial in a Simulated Setting. / Forslund Jacobsen, Mads; Konge, Lars; Alberti, Mark; la Cour, Morten; Park, Yoon Soo; Thomsen, Ann Sofia Skou.
In: Retina, Vol. 40, No. 11, 2020, p. 2091-2098.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - ROBOT-ASSISTED VITREORETINAL SURGERY IMPROVES SURGICAL ACCURACY COMPARED WITH MANUAL SURGERY
T2 - A Randomized Trial in a Simulated Setting
AU - Forslund Jacobsen, Mads
AU - Konge, Lars
AU - Alberti, Mark
AU - la Cour, Morten
AU - Park, Yoon Soo
AU - Thomsen, Ann Sofia Skou
PY - 2020
Y1 - 2020
N2 - PURPOSE: To compare manual and robot-assisted vitreoretinal surgery using a virtual-reality surgical simulator. METHODS: Randomized controlled crossover study. Ten experienced vitreoretinal surgeons and 10 novice ophthalmic surgeons were included. The participants were randomized to start with either manual or robot-assisted surgery. Participants completed a test session consisting of three vitreoretinal modules on the Eyesi virtual-reality simulator. The automated metrics of performance supplied by the Eyesi simulator were used as outcome measures. Primary outcome measures were time with instruments inserted (seconds), instrument movement (mm), and tissue treatment (mm). RESULTS: Robot-assisted surgery was slower than manual surgery for both novices and vitreoretinal surgeons, 0.24 SD units (P = 0.024) and 0.73 SD units (P < 0.001), respectively. Robot-assisted surgery allowed for greater precision in novices and vitreoretinal surgeons, -0.96 SD units (P < 0.001) and -0.47 SD units (P < 0.001), respectively. Finally, novices using robot-assisted surgery inflicted less tissue damage when compared with that using manual surgery, -0.59 SD units (P = 0.009). CONCLUSION: At the cost of time, robot-assisted vitreoretinal surgery seems to improve precision and limit tissue damage compared with that of manual surgery. In particular, the performance of novice surgeons is enhanced with robot-assisted vitreoretinal surgery.
AB - PURPOSE: To compare manual and robot-assisted vitreoretinal surgery using a virtual-reality surgical simulator. METHODS: Randomized controlled crossover study. Ten experienced vitreoretinal surgeons and 10 novice ophthalmic surgeons were included. The participants were randomized to start with either manual or robot-assisted surgery. Participants completed a test session consisting of three vitreoretinal modules on the Eyesi virtual-reality simulator. The automated metrics of performance supplied by the Eyesi simulator were used as outcome measures. Primary outcome measures were time with instruments inserted (seconds), instrument movement (mm), and tissue treatment (mm). RESULTS: Robot-assisted surgery was slower than manual surgery for both novices and vitreoretinal surgeons, 0.24 SD units (P = 0.024) and 0.73 SD units (P < 0.001), respectively. Robot-assisted surgery allowed for greater precision in novices and vitreoretinal surgeons, -0.96 SD units (P < 0.001) and -0.47 SD units (P < 0.001), respectively. Finally, novices using robot-assisted surgery inflicted less tissue damage when compared with that using manual surgery, -0.59 SD units (P = 0.009). CONCLUSION: At the cost of time, robot-assisted vitreoretinal surgery seems to improve precision and limit tissue damage compared with that of manual surgery. In particular, the performance of novice surgeons is enhanced with robot-assisted vitreoretinal surgery.
U2 - 10.1097/IAE.0000000000002720
DO - 10.1097/IAE.0000000000002720
M3 - Journal article
C2 - 31842191
AN - SCOPUS:85087276385
VL - 40
SP - 2091
EP - 2098
JO - Retina
JF - Retina
SN - 0275-004X
IS - 11
ER -
ID: 258378245