Jiao W, Li J M, Zhang X, Niu H T
Department of Urology, Affiliated Hospital of Qingdao University, Qingdao 266013, China.
School of Mechanical Engineering, Tianjin University, Tianjin 300072, China.
Zhonghua Wai Ke Za Zhi. 2022 May 1;60(5):436-440. doi: 10.3760/cma.j.cn112139-20211210-00589.
Telemedicine, which integrates medicine, communication, engineering, information and other disciplines, is a hot emerging cross field in recent years. With the development of telecommunication technology and surgical robot, telesurgery is regarded as the "crown pearl" in telemedicine and has attracted more and more attention. As an extension of traditional surgery, telesurgery greatly extends the connotation and concept of surgery and embodies the great leap forward development of surgical technology. Despite the current limitations such as network delay, transparency of remote robot operation and team construction of surgeons, telesurgery has still formed a variety of innovative application scenarios and achieved rapid development in China in recent years. In view of the uneven distribution of medical resources in China and the epidemic of COVID-19 in the world, this paper puts forward the possible problems and solutions in the development of telesurgery, and looks forward to the feasibility of telesurgery technology in process of shifting the focus of medical and health care down to the community level, channeling resources accordingly.
远程医疗融合了医学、通信、工程、信息等多学科，是近年来新兴的热门交叉领域。随着通信技术和手术机器人的发展，远程手术被视为远程医疗中的“皇冠明珠”，受到越来越多的关注。作为传统手术的延伸，远程手术极大地拓展了手术的内涵和概念，体现了手术技术的跨越式发展。尽管目前存在网络延迟、远程机器人操作透明度以及外科医生团队建设等局限性，但近年来远程手术在中国仍形成了多种创新应用场景并实现了快速发展。鉴于中国医疗资源分布不均以及全球新冠疫情的影响，本文提出了远程手术发展中可能存在的问题及解决方案，并展望了远程手术技术在将医疗卫生保健重点转移到社区层面并相应调配资源过程中的可行性。
