Malassagne B, Mutter D, Leroy J, Smith M, Soler L, Marescaux J
IRCAD/EITS Institut de Recherche sur les Cancers de l'Appareil digestif/European Institute for TeleSurgery, Hĵpitaux Universitaires BP 426, Strasbourg, France.
World J Surg. 2001 Nov;25(11):1490-4. doi: 10.1007/s00268-001-0135-z.
The information age is revolutionizing the practice and education of surgery. The use of video-conference systems through Integrated Service Digital Network (ISDN) teletransmission connects surgeons around the world without the limits of distance. Teleeducation, teleteaching, teletraining, telementoring, and teleaccreditation have been clearly demonstrated and are now common practice. Pre- and perioperative surgical advice may be obtained from expert networks. Patient data can be reconstructed as virtual tridimensional images analyzed by computers, and the surgical procedure can be simulated to obtain an optimal surgical decision. Finally, the use of the Internet will provide access to this information, whenever and wherever necessary, through dedicated websites. It remains to be adequately demonstrated that these means will allow improvement in patient care.
信息时代正在彻底改变外科手术的实践与教育。通过综合业务数字网（ISDN）远程传输使用视频会议系统，可让世界各地的外科医生不受距离限制地进行连接。远程教育、远程教学、远程培训、远程指导和远程认证已得到明确证实，如今已成为常见做法。术前和围手术期的外科建议可从专家网络获取。患者数据可重建为计算机分析的虚拟三维图像，并且可以模拟手术过程以获得最佳手术决策。最后，通过专用网站，无论何时何地，只要有需要，使用互联网就能获取这些信息。这些手段是否能改善患者护理还有待充分证明。
