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远程手术:在应对技术和管理挑战的同时,带来人道主义和手术效益。

Telesurgery: humanitarian and surgical benefits while navigating technologic and administrative challenges.

机构信息

AdventHealth Global Robotics Institute, Celebration, USA.

University of Central Florida (UCF), Orlando, USA.

出版信息

J Robot Surg. 2024 Nov 5;18(1):393. doi: 10.1007/s11701-024-02156-6.

Abstract

Telesurgery, the remote execution of surgical procedures through telecommunication and robotic systems, has witnessed substantial growth in recent years, promising to address global healthcare disparities and enhance surgical expertise. This paper explores the humanitarian and surgical benefits of telesurgery, emphasizing its potential to provide expert surgical care to underserved regions. Despite its transformative potential, telesurgery faces significant technologic challenges, including issues of data transmission, latency, and the need for advanced robotic platforms. The advent of 5G networks and innovative robotic systems provides a promising technological landscape, yet global disparities in 5G coverage remain a concern. Ethical considerations, ranging from preserving the surgeon-patient relationship to addressing patient vulnerability and conflicts of interest, are pivotal aspects that demand attention. The paper underscores the importance of clear regulatory frameworks and international collaboration to navigate legal complexities and ensure ethical standards. As telesurgery progresses, integrating artificial intelligence, augmented reality, and haptic feedback technologies holds promise for further advancements. Despite these challenges, telesurgery has the potential to achieve equitable access to expert surgical care; however, it requires a collective effort to overcome its intricate technologic and administrative hurdles.

摘要

远程手术,即通过远程通信和机器人系统进行的手术操作,近年来取得了显著的发展,有望解决全球医疗保健差距问题并提升手术专业水平。本文探讨了远程手术的人道主义和手术效益,强调了其为服务不足地区提供专业手术护理的潜力。尽管远程手术具有变革性的潜力,但它仍面临着重大的技术挑战,包括数据传输、延迟以及对先进机器人平台的需求等问题。5G 网络和创新机器人系统的出现为技术发展提供了广阔的前景,但全球 5G 覆盖范围的差异仍然是一个令人关注的问题。从维护医患关系到解决患者脆弱性和利益冲突等方面,涉及到一系列伦理问题,这些都是需要关注的关键方面。本文强调了明确的监管框架和国际合作的重要性,以应对法律复杂性并确保伦理标准。随着远程手术的发展,人工智能、增强现实和触觉反馈技术的整合有望实现进一步的发展。尽管存在这些挑战,但远程手术有可能实现公平获得专家手术护理的目标;然而,需要共同努力克服其复杂的技术和行政障碍。

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