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变革性手术:用于精准、降低风险和创新的人工智能与机器人技术。

Revolutionizing surgery: AI and robotics for precision, risk reduction, and innovation.

作者信息

Wah Jack Ng Kok

机构信息

Multimedia University, Cyberjaya, Malaysia.

出版信息

J Robot Surg. 2025 Jan 7;19(1):47. doi: 10.1007/s11701-024-02205-0.

Abstract

Artificial intelligence and robotics are revolutionizing surgical practices by enhancing precision, efficiency, and patient outcomes. With global healthcare systems increasingly adopting AI-driven technologies, the integration of robotics in surgery addresses critical challenges such as surgical accuracy, minimally invasive techniques, and healthcare accessibility. However, disparities in access and ethical concerns regarding automation persist globally, necessitating a balanced discourse on these advancements. The primary objective of the review is to explore the intersection of AI and robotic technologies in surgical practices, highlighting key innovations, their impact on precision medicine, and future trajectories. The novelty of the review lies in synthesizing findings across diverse surgical specialties, including urology, plastic surgery, ophthalmology, and pediatric surgery, to provide a comprehensive understanding of AI's transformative role. The systematic review evaluates the integration of AI and robotics in surgery, synthesizing studies published in 2024. It follows PRISMA guidelines for study selection, data extraction, and synthesis. The review assesses surgical specialties, AI technologies, and outcomes like accuracy, recovery, and complications, ensuring methodological rigor and transparency. The findings indicate substantial advancements in AI-driven surgical systems, improving decision-making, reducing surgical errors, and facilitating personalized treatment strategies. Notable breakthroughs include AI-enhanced imaging, real-time data analysis, and automated robotic instruments, which collectively improve procedural efficiency and patient safety. The discussion emphasizes the critical implications of these innovations, particularly in advancing minimally invasive techniques and expanding surgical capabilities in complex procedures. However, challenges such as cost, ethical considerations, and the need for rigorous training protocols are highlighted as barriers to widespread adoption. The review underscores the implications for policymakers, healthcare institutions, and technology developers to address these barriers and promote equitable access to AI-driven surgical solutions. Limitations include the reliance on recent studies, necessitating long-term evaluations of clinical outcomes. Future research should focus on integrating AI with emerging technologies like augmented reality, fostering interdisciplinary collaboration, and addressing socio-ethical dimensions to fully realize the potential of AI in surgical advancements.

摘要

人工智能和机器人技术正在通过提高精准度、效率和改善患者治疗效果来彻底改变外科手术实践。随着全球医疗保健系统越来越多地采用人工智能驱动的技术,机器人技术在手术中的整合解决了诸如手术准确性、微创技术和医疗可及性等关键挑战。然而,在全球范围内,自动化在获取方面的差距和伦理问题依然存在,因此有必要就这些进展进行平衡的讨论。本综述的主要目的是探讨人工智能和机器人技术在外科手术实践中的交叉点,突出关键创新、它们对精准医学的影响以及未来发展轨迹。本综述的新颖之处在于综合了包括泌尿外科、整形外科、眼科和小儿外科等不同外科专业的研究结果,以全面了解人工智能的变革性作用。该系统综述评估了2024年发表的关于人工智能和机器人技术在手术中整合的研究。它遵循PRISMA指南进行研究选择、数据提取和综合分析。该综述评估了外科专业、人工智能技术以及诸如准确性、恢复情况和并发症等结果,确保方法的严谨性和透明度。研究结果表明,人工智能驱动的手术系统取得了重大进展,改善了决策制定、减少了手术失误并促进了个性化治疗策略。显著的突破包括人工智能增强成像、实时数据分析和自动化机器人器械,这些共同提高了手术效率和患者安全性。讨论强调了这些创新的关键影响,特别是在推进微创技术和扩大复杂手术的手术能力方面。然而,成本、伦理考量以及对严格培训方案的需求等挑战被突出为广泛采用的障碍。该综述强调了政策制定者、医疗机构和技术开发者应对这些障碍并促进公平获取人工智能驱动的手术解决方案的重要性。局限性包括对近期研究的依赖,因此需要对临床结果进行长期评估。未来的研究应专注于将人工智能与增强现实等新兴技术整合,促进跨学科合作,并解决社会伦理层面的问题,以充分实现人工智能在手术进步中的潜力。

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