Shinohara Hisashi
Department of Gastroenterological Surgery, Hyogo Medical University, 11 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.
Surg Today. 2023 Nov;53(11):1219-1224. doi: 10.1007/s00595-022-02601-9. Epub 2022 Oct 3.
Recent advances in optical and robotic technologies have given surgeons high-definition eyes and precision hands that perform beyond human capabilities. This has expanded the scope of minimally invasive surgery and increased opportunities for surgery in high-risk situations; however, absolute surgical safety has not yet been achieved. Deficiencies in human performance are associated with surgical adverse events and advanced surgery places stress on surgeons and affect their concentration, causing not only novice surgeons with limited experience, but even skilled surgeons, to make misrecognition and decision-making errors. Therefore, the issue of "surgical comfort" for surgeons cannot be ignored. In recent years, artificial intelligence (AI), which is designed to mimic the function of the human brain, has been developed in various fields to assist humans. Computer vision, a visual assistive technology that uses AI, is being applied to surgery and will become available in the near future. AI-controlled robots cannot be expected to replace surgeons, because surgeons operate with higher brain functions that integrate all their abilities, including the senses of humanity, mission, and ethics. However, if there is a way to reduce the mental and physical burden on surgeons by utilizing AI technology, then it should not be ruled out.
光学和机器人技术的最新进展为外科医生赋予了高清的眼睛和精准的双手,其表现超越了人类的能力。这扩大了微创手术的范围,并增加了在高风险情况下进行手术的机会;然而,绝对的手术安全性尚未实现。人为失误与手术不良事件相关,而先进的手术给外科医生带来压力并影响他们的注意力,不仅导致经验有限的新手外科医生,甚至熟练的外科医生也会出现误认和决策错误。因此,外科医生的“手术舒适度”问题不容忽视。近年来,旨在模仿人脑功能的人工智能(AI)已在各个领域得到发展以辅助人类。计算机视觉作为一种使用AI的视觉辅助技术,正在被应用于手术中,并将在不久的将来投入使用。不能期望由AI控制的机器人取代外科医生,因为外科医生依靠更高层次的大脑功能进行操作,这些功能整合了他们所有的能力,包括人性、使命感和道德感。然而,如果有一种方法可以通过利用AI技术减轻外科医生的身心负担,那么这种方法不应被排除。