Combining robot-assisted surgical system and 3D visualization system for teaching minimally invasive vitreoretinal surgery
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Li-Jun Shen and Jia Qu. The Affiliated Eye Hospital of Wenzhou Medical University, 618 Fengqi East Road, Hangzhou 310000, Zhejiang Province, China. slj@mail.eye.ac.cn; jia.qu@mail.eye.ac.cn

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Supported by the National Natural Science Foundation of China (No.81700884; No.81900910); Zhejiang Provincial Natural Science Foundation of China (No.LGF21H120005; No.LQ19H120003); Key Project jointly constructed by Zhejiang Province and Ministry (No.WKJ-ZJ-2037); Basic Scientific Research Project of Wenzhou (No.Y20210194).

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    Abstract:

    AIM: To investigate the feasibility of teaching minimally invasive vitreoretinal surgery with a robot-assisted surgical system and a three-dimensional (3D) visualization system. METHODS: Enucleated porcine eyes were established as an animal model for removing foreign bodies. Forty medical students were recruited to remove foreign bodies to compare the traditional microscope and the 3D system. One junior resident performed the surgical task with manual and robot-assisted operations on 20 porcine eyes for each group. One senior surgeon evaluated the retinal invasion by a graded injury degree. The learning curve for minimally invasive vitreoretinal surgery was described. RESULTS: Compared with the robot-assisted group, the injury degree was higher in the manual group. For the first ten surgeries, the manual and robot-assisted groups had injuries of 2.60±1.35 (4 to 0) and 1.80±1.62 (4 to 0), respectively. For the last ten surgeries, the injury degrees were 1.90±1.20 (3 to 0) and 0.80±0.42 (1 to 0). Considering the manual and robot-assisted groups together, 95%, 75% and 60% of the students considered surgical manipulation with the 3D visualization system to be more comfortable, easier and clearer, respectively. CONCLUSION: The robot-assisted surgical system and 3D visualization system may have value in teaching minimally invasive vitreoretinal surgery.

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Yi-Qi Chen, Dan Cheng, Lin Zhu, et al. Combining robot-assisted surgical system and 3D visualization system for teaching minimally invasive vitreoretinal surgery. Int J Ophthalmol, 2022,15(2):255-260

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Publication History
  • Received:July 07,2021
  • Revised:September 18,2021
  • Adopted:
  • Online: January 26,2022
  • Published: