Kalisman M, Kalisman A
Clin Plast Surg. 1986 Jul;13(3):529-43.
The entire face of modern medical and surgical practice is being significantly affected by the application of technologic developments to the practice of surgery--developments that will tie together such areas as information management and processing, robotics, communication networks, and computerized surgical equipment. The achievements in these areas will create a sophisticated, fully automatic system that will assist the plastic surgeon in many aspects of work, such as regular office activities, doctor-patient interaction, professional updating, communication, and even assistance during the operational process itself. It will be as simple as dialing a telephone today. When it is necessary to consult with other colleagues, a combined vocal and visual consulting network in other medical centers as well as consulting computerized expert systems will be available all day and night as part of the communication services. The plastic surgical expert systems will store valuable information, based on the knowledge of the best human experts, on any important subtopics and will be accessed in a very friendly way. This will be an invaluable tool for the residents in training, for emergency room work, and for just getting a second opinion, even for the more experienced practitioner. All the electronic mail, professional magazines, and any other required professional information will flow between central and personal retrieval systems. The doctor, at a desired time in the privacy and comfort of his or her own home or office, can read the mail, make required changes to suit his or her needs, and store, send back, or distribute information, all in a speedy and efficient manner. The simulation of a planned surgery will give the surgeon the ability to prepare and will prevent difficulties during complicated procedures through the luxury of a dry run, without any sequelae if certain expected outcomes fail to materialize. The preprogrammed control of sophisticated surgical equipment and the use of robotics would generate new operational possibilities for more complicated surgeries, which are now prevented owing to the surgeon's physical limitations. Information urgently required during the operation as a result of an unexpected situation will be available immediately from storage and retrieval systems, and real-time vocal and visual consulting with expert colleagues, often in remote locations, will bring the operations process itself to a new era.(ABSTRACT TRUNCATED AT 400 WORDS)
技术发展在外科手术实践中的应用正在显著影响现代医学和外科手术的全貌——这些发展将把信息管理与处理、机器人技术、通信网络和计算机化手术设备等领域联系在一起。这些领域的成就将创建一个复杂的全自动系统,该系统将在整形外科医生工作的许多方面提供协助,比如日常办公活动、医患互动、专业知识更新、沟通,甚至在手术过程本身中提供帮助。这将像如今拨打一个电话一样简单。当需要与其他同事会诊时,作为通信服务的一部分,其他医疗中心的可视语音会诊网络以及计算机化专家会诊系统将全天候可用。整形外科专家系统将基于最优秀人类专家的知识,存储关于任何重要子主题的有价值信息,并以非常便捷的方式进行访问。这对于正在接受培训的住院医生、急诊室工作以及即使是经验更丰富的从业者获取第二种意见而言,都将是一个非常宝贵的工具。所有电子邮件、专业杂志以及任何其他所需的专业信息都将在中央检索系统和个人检索系统之间流通。医生在自己家中或办公室私密且舒适的环境中,在期望的时间,可以阅读邮件、根据自身需求进行必要修改,并快速高效地存储、回复或分发信息。对计划中的手术进行模拟将使外科医生有能力做好准备,并通过预演避免复杂手术过程中出现困难,而且如果某些预期结果未能实现,也不会有任何后遗症。对复杂手术设备的预编程控制以及机器人技术的应用将为更复杂的手术创造新的操作可能性,而目前由于外科医生的身体限制,这些手术无法进行。手术过程中因意外情况急需的信息将可立即从存储和检索系统中获取,并且与专家同事(通常在偏远地区)进行实时可视语音会诊将使手术过程进入一个新时代。(摘要截选至400字)