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外科手术与可持续发展的进展：人工智能系统和可重复使用设备在腹腔镜结直肠癌手术中的应用

Advances in Surgery and Sustainability: The Use of AI Systems and Reusable Devices in Laparoscopic Colorectal Surgery.

作者信息

Iwai Takuma, Shinji Seiichi, Yamada Takeshi, Uehara Kay, Matsuda Akihisa, Yokoyama Yasuyuki, Takahashi Goro, Miyasaka Toshimitsu, Matsui Takanori, Yoshida Hiroshi

机构信息

Department of Gastroenterological Surgery, Nippon Medical School, Tokyo 113-8602, Japan.

出版信息

Cancers (Basel). 2025 Feb 24;17(5):761. doi: 10.3390/cancers17050761.

DOI:10.3390/cancers17050761
PMID:40075609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11899609/
Abstract

The sustainability of the surgical workforce, environmental pollution caused by disposable instruments, and the rising costs of medical care are pressing issues worldwide. This review explores sustainable surgical practices for laparoscopic surgery through the application of surgical AI systems and reusable energy devices. Surgical AI systems enable the precise real-time visualization of organ anatomy, enhance surgical accuracy, and support educational initiatives. The Reusable Energy Device Laparoscopic-Assisted Colectomy (RE-LAC) technique, which employs reusable energy devices, has the potential to reduce medical waste and costs while maintaining safety and quality standards. A comparative analysis of RE-LAC and conventional disposable devices showed no significant differences in operative time or blood loss, suggesting that RE-LAC may be a viable alternative for sustainable surgical practice. These approaches align with the Sustainable Development Goals, contributing to sustainable healthcare by improving workforce efficiency, reducing environmental impacts, and promoting economic feasibility. Further large-scale, multi-institutional studies are necessary to optimize their implementation and maximize their global impact.

摘要

外科手术人力的可持续性、一次性器械造成的环境污染以及医疗成本的不断上升是全球面临的紧迫问题。本综述通过应用手术人工智能系统和可重复使用的能量设备，探索腹腔镜手术的可持续手术实践。手术人工智能系统能够实现器官解剖结构的精确实时可视化，提高手术准确性，并支持教育倡议。采用可重复使用能量设备的可重复使用能量设备腹腔镜辅助结肠切除术（RE-LAC）技术，有可能在保持安全和质量标准的同时减少医疗废物和成本。对RE-LAC与传统一次性设备的比较分析表明，手术时间或失血量无显著差异，这表明RE-LAC可能是可持续手术实践的可行替代方案。这些方法符合可持续发展目标，通过提高人力效率、减少环境影响和促进经济可行性，为可持续医疗保健做出贡献。需要进一步开展大规模、多机构研究，以优化其实施并最大限度地扩大其全球影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/643eb5f829fb/cancers-17-00761-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/ae33306ee98e/cancers-17-00761-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/0b2b41b61585/cancers-17-00761-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/db0be309471d/cancers-17-00761-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/fa4e2ed1a75a/cancers-17-00761-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/13d084b3c2a7/cancers-17-00761-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/f2f6a46b03c8/cancers-17-00761-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/643eb5f829fb/cancers-17-00761-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/ae33306ee98e/cancers-17-00761-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/0b2b41b61585/cancers-17-00761-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/db0be309471d/cancers-17-00761-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/fa4e2ed1a75a/cancers-17-00761-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/13d084b3c2a7/cancers-17-00761-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/f2f6a46b03c8/cancers-17-00761-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8325/11899609/643eb5f829fb/cancers-17-00761-g007.jpg

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