PDF(Pubmed)
Abstract：
UNASSIGNED: Epiretinal membranes (ERM) pose a common challenge in vitreoretinal pathology, often causing vision impairment in older adults. The Preceyes Surgical System (PSS) supports the surgical removal of ERM through robot-assisted membrane peeling (RA-MP). This study compares surgical times and iatrogenic hemorrhages between manual membrane peeling (MMP) and RA-MP using PSS.
UNASSIGNED: Nine patients underwent RA-MP with PSS, whereas 16 patients (18 eyes) underwent MMP for comparative analysis. Surgical durations were categorized into RA-MP, manual forceps utilization in PSS surgeries (mRA-MP), and traditional MMP. Cumulative manual manipulation duration (cMMP), instrument grasps, and intraoperative hemorrhages were statistically analyzed using the Mann-Whitney U test.
UNASSIGNED: RA-MP showed significantly longer peeling times compared to MMP (P < 0.001). Flap initiation grasps were similar between methods (P = 0.86), RA-MP demonstrated a significant reduction in peeling grasps (P = 0.01) and mean grasps per minute (P < 0.001). Although RA-MP resulted in fewer hemorrhages, the difference did not reach statistical significance relative to MMP (P = 0.08).
UNASSIGNED: Although RA-MP tended to extend surgical time, it offered advantages in reducing tissue trauma and intraoperative hemorrhages. Further research is needed to explore the learning curve for novice surgeons and evaluate the safety profile of RA-MP.
UNASSIGNED: RA-MP may offer potential advantages over manual surgery, particularly in terms of reduced tissue trauma and intraoperative hemorrhages. Despite its longer duration compared with manual techniques, RA-MP may lead to fewer grasping maneuvers and lower rates of hemorrhages, thereby enhancing the safety and precision of vitreoretinal surgeries.
UNASSIGNED: Nine patients underwent RA-MP with PSS, whereas 16 patients (18 eyes) underwent MMP for comparative analysis. Surgical durations were categorized into RA-MP, manual forceps utilization in PSS surgeries (mRA-MP), and traditional MMP. Cumulative manual manipulation duration (cMMP), instrument grasps, and intraoperative hemorrhages were statistically analyzed using the Mann-Whitney U test.
UNASSIGNED: RA-MP showed significantly longer peeling times compared to MMP (P < 0.001). Flap initiation grasps were similar between methods (P = 0.86), RA-MP demonstrated a significant reduction in peeling grasps (P = 0.01) and mean grasps per minute (P < 0.001). Although RA-MP resulted in fewer hemorrhages, the difference did not reach statistical significance relative to MMP (P = 0.08).
UNASSIGNED: Although RA-MP tended to extend surgical time, it offered advantages in reducing tissue trauma and intraoperative hemorrhages. Further research is needed to explore the learning curve for novice surgeons and evaluate the safety profile of RA-MP.
UNASSIGNED: RA-MP may offer potential advantages over manual surgery, particularly in terms of reduced tissue trauma and intraoperative hemorrhages. Despite its longer duration compared with manual techniques, RA-MP may lead to fewer grasping maneuvers and lower rates of hemorrhages, thereby enhancing the safety and precision of vitreoretinal surgeries.
摘要：
■视网膜前膜（ERM）在玻璃体视网膜病理学中提出了共同的挑战，经常导致老年人视力障碍。预眼手术系统（PSS）支持通过机器人辅助膜剥离（RA-MP）手术去除ERM。这项研究比较了使用PSS进行手动膜剥离（MMP）和RA-MP之间的手术时间和医源性出血。
■9例患者接受RA-MP和PSS，而16例患者（18只眼）接受了MMP进行比较分析。手术持续时间分为RA-MP，手动钳在PSS手术中的使用（mRA-MP），传统的MMP。累积手动操作持续时间(cMMP)，仪表夹具,术中出血采用Mann-WhitneyU检验进行统计学分析。
■与MMP相比，RA-MP显示出明显更长的剥离时间（P<0.001）。方法之间的皮瓣起始抓握相似（P=0.86），RA-MP显示出剥离抓取(P=0.01)和平均每分钟抓取(P<0.001)的显著减少。虽然RA-MP导致较少的出血，与MMP相比,差异无统计学意义(P=0.08).
■尽管RA-MP倾向于延长手术时间，它在减少组织创伤和术中出血方面具有优势。需要进一步的研究来探索新手外科医生的学习曲线并评估RA-MP的安全性。
■RA-MP可能比手动手术具有潜在的优势，特别是在减少组织创伤和术中出血方面。尽管与手动技术相比，其持续时间更长，RA-MP可能导致更少的抓握动作和更低的出血率，从而提高玻璃体视网膜手术的安全性和精确性。
■9例患者接受RA-MP和PSS，而16例患者（18只眼）接受了MMP进行比较分析。手术持续时间分为RA-MP，手动钳在PSS手术中的使用（mRA-MP），传统的MMP。累积手动操作持续时间(cMMP)，仪表夹具,术中出血采用Mann-WhitneyU检验进行统计学分析。
■与MMP相比，RA-MP显示出明显更长的剥离时间（P<0.001）。方法之间的皮瓣起始抓握相似（P=0.86），RA-MP显示出剥离抓取(P=0.01)和平均每分钟抓取(P<0.001)的显著减少。虽然RA-MP导致较少的出血，与MMP相比,差异无统计学意义(P=0.08).
■尽管RA-MP倾向于延长手术时间，它在减少组织创伤和术中出血方面具有优势。需要进一步的研究来探索新手外科医生的学习曲线并评估RA-MP的安全性。
■RA-MP可能比手动手术具有潜在的优势，特别是在减少组织创伤和术中出血方面。尽管与手动技术相比，其持续时间更长，RA-MP可能导致更少的抓握动作和更低的出血率，从而提高玻璃体视网膜手术的安全性和精确性。
