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扩大非洲获得高质量外科护理的机会:远程手术的一项里程碑式成就。

Expanding access to high-quality surgical care in Africa: a landmark achievement in telesurgery.

作者信息

Moschovas Marcio Covas, Palmer Kenneth, Barani Giovana, Corder Cathy, Carnegie Peter, Dhanji Timesh, Patel Ela, Paxi Apolineo, Figueiredo Jacinta Chaves, Luís Belmira, Matos Alberto, Dohler Mischa, Patel Vipul

机构信息

AdventHealth Global Robotics Institute, Celebration, USA.

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

出版信息

J Robot Surg. 2025 Mar 24;19(1):124. doi: 10.1007/s11701-025-02292-7.

Abstract

Telesurgery, the use of robotic technology and telecommunications to perform surgical procedures remotely, has emerged as a groundbreaking advancement in modern medicine. Since the landmark Lindbergh operation in 2001, where a surgeon in New York successfully operated on a patient in France, telesurgery has demonstrated its potential to overcome geographical barriers and improve access to specialized surgical care. Technological advancements in robotic platforms, high-speed networks, and secure data transmission have addressed many of the initial challenges, enabling safer and more precise remote operations. This study explores the feasibility of telesurgery and its implementation in resource-limited settings. A pioneering effort in Africa involved the successful completion of two radical prostatectomies via telesurgery in Angola using the MicroPort MedBot robotic platform. These procedures, conducted with robust telecommunications infrastructure and skilled surgical teams, highlight the humanitarian potential of telesurgery to address healthcare disparities in underserved regions. Beyond clinical applications, telesurgery offers new opportunities for remote surgical training and mentorship, building local capacity in advanced techniques. The telesurgeries in Angola represent a promising step forward in the journey toward universal healthcare access. By demonstrating the feasibility and reliability of remote robotic surgery in Africa, this landmark achievement provides a template for similar initiatives in other low-resource regions worldwide.

摘要

远程手术,即利用机器人技术和电信技术远程进行外科手术,已成为现代医学中的一项突破性进展。自2001年具有里程碑意义的林德伯格手术(纽约的一名外科医生成功为法国的一名患者进行手术)以来,远程手术已展现出其克服地理障碍、改善获得专业外科护理机会的潜力。机器人平台、高速网络和安全数据传输方面的技术进步解决了许多最初的挑战,使更安全、更精确的远程手术成为可能。本研究探讨了远程手术在资源有限环境中的可行性及其实施情况。在非洲的一项开创性努力是,利用微创医疗机器人平台在安哥拉通过远程手术成功完成了两台前列腺癌根治术。这些手术在强大的电信基础设施和技术娴熟的手术团队支持下进行,凸显了远程手术在解决服务不足地区医疗差距方面的人道主义潜力。除了临床应用,远程手术还为远程手术培训和指导带来了新机遇,培养了先进技术方面的本地能力。安哥拉的远程手术是朝着普及医疗服务迈进的有希望的一步。通过展示非洲远程机器人手术的可行性和可靠性,这一具有里程碑意义的成就为全球其他资源匮乏地区的类似举措提供了范例。

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