Wierick Ann, Schulze André, Bodenstedt Sebastian, Speidel Stefanie, Distler Marius, Weitz Jürgen, Wagner Martin
Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Nationales Centrum für Tumorerkrankungen (NCT) Dresden, Dresden, Deutschland.
Chirurgie (Heidelb). 2024 Jun;95(6):429-435. doi: 10.1007/s00104-024-02058-1. Epub 2024 Mar 5.
At the central workplace of the surgeon the digitalization of the operating room has particular consequences for the surgical work. Starting with intraoperative cross-sectional imaging and sonography, through functional imaging, minimally invasive and robot-assisted surgery up to digital surgical and anesthesiological documentation, the vast majority of operating rooms are now at least partially digitalized. The increasing digitalization of the whole process chain enables not only for the collection but also the analysis of big data. Current research focuses on artificial intelligence for the analysis of intraoperative data as the prerequisite for assistance systems that support surgical decision making or warn of risks; however, these technologies raise new ethical questions for the surgical community that affect the core of surgical work.
在外科医生的核心工作场所,手术室的数字化对外科手术工作有着特殊影响。从术中横断面成像和超声检查开始,到功能成像、微创和机器人辅助手术,再到数字手术和麻醉记录,现在绝大多数手术室至少部分实现了数字化。整个流程链日益数字化不仅能够收集大数据,还能对其进行分析。当前的研究聚焦于利用人工智能分析术中数据,以此作为支持手术决策或风险预警辅助系统的前提条件;然而,这些技术给外科领域带来了新的伦理问题,影响到外科手术工作的核心。