开创外科手术的未来。
Inventing the future of surgery.
作者信息
Marescaux Jacques, Diana Michele
机构信息
IRCAD, Institute for Research Against Cancer of Digestive System, 1 Place de l'Hôpital, 67091, Strasbourg, France,
出版信息
World J Surg. 2015 Mar;39(3):615-22. doi: 10.1007/s00268-014-2879-2.
Surgical innovation relies on patient safety and quality of life, which require a drastic iatrogenic impact reduction. A parallel development toward less invasive approaches has occurred in the field of surgery, interventional radiology, and endoscopy. Minimally invasive techniques provide unquestionable benefits to patients in terms of postoperative outcome. However, those techniques are not intuitive, and extensive training is required to overcome the inherent challenges and to be proficient and consequently to achieve a steep learning curve. Technologies have been developed by computer science and robotics departments, which might improve minimally invasive techniques. A new concept of cyber therapies is emerging through the development of computer and robotic sciences aiming at human-machine integration. Additionally, the convergence of surgery, endoscopy, and interventional radiology toward a hybrid therapeutic modality, namely image-guided minimally invasive procedures, holds promises insofar as they could well maximize benefits in terms of efficacy and iatrogenic impact. In the present manuscript, the mainstays of these new paradigm developments are briefly outlined in light of our experience and vision of the future.
手术创新依赖于患者安全和生活质量,这需要大幅减少医源性影响。在外科手术、介入放射学和内窥镜检查领域,已经出现了向侵入性更小的方法发展的并行趋势。微创技术在术后结果方面为患者带来了毋庸置疑的益处。然而,这些技术并不直观,需要进行大量培训以克服内在挑战并达到熟练程度,从而实现陡峭的学习曲线。计算机科学和机器人技术部门已经开发出一些技术,可能会改进微创技术。通过计算机和机器人科学的发展,一种旨在实现人机整合的网络治疗新概念正在兴起。此外,外科手术、内窥镜检查和介入放射学向一种混合治疗模式(即图像引导的微创程序)的融合,有望在疗效和医源性影响方面充分实现效益最大化。在本手稿中,根据我们的经验和对未来的展望,简要概述了这些新范式发展的主要内容。