機器人輔助人工耳蝸電極置入之學習曲線與評估

// Learning Curve and Evaluation of Robotic Assistance for Cochlear Implant Electrode Insertion

前瞻性研究60例、3位術者評估機器人輔助耳蝸植入（恢復聽力）學習曲線｜機器人使用19.1→15.0分、準備12.5→9.2分；指數學習收斂≈16.3分，20–30例穩定｜插入與總手術時長無顯變，情境壓力下降、效率快速提升；結構化訓練與流程化下可安全推廣

// This prospective cohort study of 60 consecutive robotic-assisted cochlear implant insertions by three surgeons evaluated the learning curve after structured training using time metrics and SURG-TLX, analyzed with sequential grouping, CUSUM, and exponential decay modeling. Robot usage and preparation times fell significantly (robot use 19.1 → 15.0 min; prep 12.5 → 9.2 min), with a nonlinear exponential learning pattern reaching an asymptote of ~16.3 min and group-level stabilization by 20–30 cases. Insertion and total operation times were unchanged, situational stress decreased, and overall efficiency improved rapidly, supporting safe adoption with structured training and protocolized workflows.

Published 2026年9月18日