Feußner H, Wilhelm D
Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Straße 22, 81675, München, Deutschland.
Chirurg. 2016 Mar;87(3):189-94. doi: 10.1007/s00104-015-0145-2.
Surgery can only maintain its role in a highly competitive environment if results are continuously improved, accompanied by further reduction of the interventional trauma for patients and with justifiable costs. Significant impulse to achieve this goal was expected from minimally invasive surgery and, in particular, robotic surgery; however, a real breakthrough has not yet been achieved. Accordingly, the new strategic approach of cognitive surgery is required to optimize the provision of surgical treatment. A full scale integration of all modules utilized in the operating room (OR) into a comprehensive network and the development of systems with technical cognition are needed to upgrade the current technical environment passively controlled by the surgeon into an active collaborative support system (surgery 4.0). Only then can the true potential of minimally invasive surgery and robotic surgery be exploited.
只有不断改善手术效果，同时进一步减少患者的介入性创伤并控制合理成本，外科学才能在竞争激烈的环境中维持其地位。人们期望微创手术，尤其是机器人手术能为实现这一目标带来巨大推动；然而，尚未取得真正的突破。因此，需要采用认知手术的新战略方法来优化手术治疗的提供。需要将手术室（OR）中使用的所有模块全面集成到一个综合网络中，并开发具有技术认知能力的系统，以便将目前由外科医生被动控制的技术环境升级为主动协作支持系统（外科手术4.0）。只有这样，才能发挥微创手术和机器人手术的真正潜力。
