Anvari Mehran
McMaster University, 8th Floor, Mary Grace Wing, 50 Charlton Ave. E, L8N 4A6, Hamilton, Ontario, Canada.
World J Surg. 2007 Aug;31(8):1545-50. doi: 10.1007/s00268-007-9076-5. Epub 2007 May 30.
Dissemination of new surgical knowledge, skills, and techniques across the wide spectrum of practicing surgeons in the community is often difficult and slow. This is even more problematic in countries such as Canada, where geographic distances separate a large portion of community surgeons from the large teaching centers. As an example, the penetration of advanced minimally invasive techniques in Canada has been severely hampered by the inability to provide adequate training opportunities and support for community surgeons, many of whom live in remote regions of the country. In an attempt to overcome the barriers that exist, the Centre for Minimal Access Surgery (CMAS) at McMaster University has been using broadband Internet and telecommunication systems to provide distance training and mentoring to community surgeons living in remote northern communities of Canada. This article describes our experience with telementoring and robot-assisted remote telepresence surgery and assisting, between a teaching hospital in Hamilton and two community hospitals in northern Ontario and Quebec.
在广大社区执业外科医生中传播新的外科知识、技能和技术往往困难且缓慢。在加拿大这样的国家，问题更为突出，因为地理距离使很大一部分社区外科医生与大型教学中心相隔甚远。例如，在加拿大，由于无法为社区外科医生提供足够的培训机会和支持，先进的微创技术的普及受到严重阻碍，其中许多社区外科医生生活在该国偏远地区。为了克服现存的障碍，麦克马斯特大学的微创外科中心（CMAS）一直在利用宽带互联网和电信系统为居住在加拿大北部偏远社区的社区外科医生提供远程培训和指导。本文介绍了我们在汉密尔顿的一家教学医院与安大略省北部和魁北克省的两家社区医院之间进行远程指导以及机器人辅助远程临场手术和协助的经验。
