微創手術(Minimal Invasive Surgery)乃全球外科手術發展的新主流，亦已被廣泛應用於多種外科手術中。對外科醫師來說，腹腔鏡手術已成為訓練的重要項目之一。然而目前以腹腔鏡手術模擬器培訓的方式仍有高成本的問題，實用性上也稍嫌不足。本研究內容主要是開發一低成本的腹腔鏡手術訓練系統。希望藉由此系統，使每位外科醫師能在最短的時間內有效提升腹腔鏡的手術技能並熟悉手術流程。未來對接受此類手術之病患能提供更有效、更安全之腹腔鏡手術。
本研究設計的腹腔鏡手術訓練系統，先針對器械操作的穩定度和夾取動作設計相關的訓練模組，主要功能包括虛擬實境訓練模組、夾取訓練模組、穩定度訓練模組、即時錄影功能、學習曲線記錄及3D視覺輔助功能。
本手術訓練系統，在醫院進行操作實驗，統計醫生的使用情形與結果，發現，本系統可以評估出主治醫師及新手醫生操作器械的能力差異。另外，在訓練成效上，我們讓10位無腹腔鏡手術經驗且未使用過本系統的使用者，連續操作4天，觀察其成長曲線，發現在穩定度訓練中整體平均穩定度指標提升48%，在夾取訓練中，整體平均執行時間縮短了49%，由此可證明本系統具有提升使用者操作器械技能的功用。

Minimally invasive surgery is the new mainstream of global development of surgical operation and has been widely used in a variety of surgical procedures. For surgeons, the laparoscopic surgery has become an important training program. However, the cost of laparoscopic surgery training simulator is still high, and practicability is also inadequate. The aim of this research is to develop a low-cost laparoscopic surgery training system. By using the system, every surgeon can enhance their laparoscopic surgery skills and familiar with the surgery procedures in the shortest training time. Therefore, they can provide more effective and safer laparoscopic surgery for patients in the future.
This research design the stability of instrument operation and gripping action-related module for the laparoscopic surgery training system, which includes a virtual reality training module, gripping training module, stability training module, real-time recording function, learning curve record function and 3D visual assistance.
We use the laparoscopic surgery training system to gather statistics of doctor's usage and evaluate the abilities of operating instrument between attending physician and novice doctors. Regarding to the training effectiveness, ten novice users operate the system for four days to observe the growing curve. According to experimental results, the enhancement of stability training and gripping training is 48% and 49%, respectively. The experimental results prove that the laparoscopic surgery training system can improve the skill of operating instrument.

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