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远程手术在现代的可行性。

Feasibility of telesurgery in the modern era.

机构信息

Department of Radiology, 4352Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.

出版信息

Neuroradiol J. 2022 Aug;35(4):423-426. doi: 10.1177/19714009221083141. Epub 2022 Mar 27.

DOI:10.1177/19714009221083141
PMID:35341371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9437503/
Abstract

Telesurgery is not a foreign concept and dates to as early as the 1920s. The use of robots in medicine has had a very positive effect and improved outcomes with little to no adverse effects. Having global access to telemedicine and telesurgery during the COVID-19 pandemic and being able to provide top medical care to gravely ill and contagious patients without compromising the safety of the medical team would be a very big achievement. We explore the hurdles needed to make it a realistic goal and give recommendations to achieve it utilizing the major advancements that have occurred over the past few years in the fields of engineering, communication etc. The biggest issues needed to be addressed are of financial investment, legal concerns, and availability of high-speed uninterrupted data connections.

摘要

远程手术并不是一个新概念,它可以追溯到 20 世纪 20 年代。机器人在医学中的应用产生了非常积极的效果,改善了治疗效果,几乎没有不良反应。在 COVID-19 大流行期间,全球范围内能够获得远程医疗和远程手术,并能够为重病和传染性患者提供顶级医疗护理,而不会危及医疗团队的安全,这将是一个非常大的成就。我们探讨了实现这一目标所需克服的障碍,并提出了利用过去几年工程、通信等领域取得的重大进展来实现这一目标的建议。需要解决的最大问题是财务投资、法律问题以及高速不间断数据连接的可用性。

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Tele-robotics and artificial-intelligence in stroke care.中风护理中的远程机器人技术与人工智能
J Clin Neurosci. 2020 Sep;79:129-132. doi: 10.1016/j.jocn.2020.04.125. Epub 2020 Aug 5.
2
Employing augmented reality telesurgery for COVID-19 positive surgical patients.将增强现实远程手术应用于新冠肺炎阳性手术患者。
Br J Surg. 2020 Sep;107(10):e386-e387. doi: 10.1002/bjs.11827. Epub 2020 Jul 23.
3
Telerobotic Spinal Surgery Based on 5G Network: The First 12 Cases.基于5G网络的远程机器人脊柱手术:首批12例病例
Neurospine. 2020 Mar;17(1):114-120. doi: 10.14245/ns.1938454.227. Epub 2020 Mar 31.
4
Telerobotic stroke intervention: a novel solution to the care dissemination dilemma.远程机器人中风干预:解决护理传播困境的新方案。
J Neurosurg. 2019 Nov 29;132(3):971-978. doi: 10.3171/2019.8.JNS191739. Print 2020 Mar 1.
5
Telesurgery: Past, Present, and Future.远程手术:过去、现在与未来。
Cureus. 2018 May 31;10(5):e2716. doi: 10.7759/cureus.2716.
6
Demonstration of the Effectiveness of Augmented Reality Telesurgery in Complex Hand Reconstruction in Gaza.增强现实远程手术在加沙复杂手部重建中的有效性证明
Plast Reconstr Surg Glob Open. 2018 Mar 21;6(3):e1708. doi: 10.1097/GOX.0000000000001708. eCollection 2018 Mar.
7
Robotic surgery and malpractice.机器人手术与医疗事故
Turk J Urol. 2017 Dec;43(4):425-428. doi: 10.5152/tud.2017.59013. Epub 2017 Dec 1.
8
Malfunctions of robotic system in surgery: role and responsibility of surgeon in legal point of view.手术中机器人系统的故障:从法律角度看外科医生的作用和责任。
Open Med (Wars). 2016 Aug 2;11(1):286-291. doi: 10.1515/med-2016-0055. eCollection 2016.
9
Telemedicine in Surgery: What are the Opportunities and Hurdles to Realising the Potential?外科领域的远程医疗:实现其潜力的机遇与障碍有哪些?
Curr Urol Rep. 2015 Jul;16(7):43. doi: 10.1007/s11934-015-0522-x.
10
Telesurgery--an efficient interdisciplinary approach used to improve the health care system.远程手术——一种用于改善医疗保健系统的高效跨学科方法。
J Med Life. 2014;7 Spec No. 3(Spec Iss 3):137-41.