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远程手术的最佳实践:机器人外科学会(SRS)关于安全有效实施的框架与建议

Best practices in telesurgery: framework and recommendations from the society of robotic surgery (SRS) for safe and effective implementation.

作者信息

Patel Vipul, Saikali Shady, Kavoussi Louis, Leveillee Raymond, Albala David, Parra-Davila Eduardo, Rogers Travis, Ozawa Yu, Sharma Rohan, Palmer Kenneth, Marquinez Jeff, Orvieto Marcelo, Siddiqui Adnan, Marescaux Jacques, Sachdeva Ajit, Oliva Riccardo, Coelho Rafael Ferreira, Rocco Bernardo, Sighinolfi Chiara, Roche Martin, Martino Martin, Ross Sharona, Hung Andrew, Forgione Antonello, Abbas Ghulam, Zhang Xu, Aldousari Saad, Ahallal Younes, Alvarenga-Bezerr Vanessa, Corder Cathy, Moschovas Marcio

机构信息

AdventHealth Global Robotics Institute, Kissimmee, FL, USA.

Northwell Health, New York, NY, USA.

出版信息

J Robot Surg. 2025 Jul 11;19(1):370. doi: 10.1007/s11701-025-02523-x.

DOI:10.1007/s11701-025-02523-x
PMID:40643832
Abstract

This framework from the Society of Robotic Surgery offers best practices for safe, effective, and ethical telesurgery. It is based on a comprehensive literature review, Delphi consensus process, and an international meeting in Orlando, Florida, in February 2024, involving experts from a variety of domains including surgery, engineering, telecommunications, hospital administration, law, and regulatory affairs. Key areas covered include the global landscape and new models of remote surgical care, technological needs like connectivity and cybersecurity, safety standards, training and credentialing for surgical teams, and scalable implementation models. It also addresses legal and ethical issues, clinical indications, and regional and international regulatory comparisons. This framework aims to be a key reference for institutions, surgical societies, policymakers, and technology developers to promote safe, equitable, and sustainable telesurgery worldwide.

摘要

机器人外科学会的这一框架提供了安全、有效且符合道德规范的远程手术最佳实践。它基于全面的文献综述、德尔菲共识程序以及2024年2月在佛罗里达州奥兰多举行的一次国际会议,参会专家来自包括外科、工程、电信、医院管理、法律和监管事务等多个领域。涵盖的关键领域包括全球远程手术护理格局和新模式、连接性和网络安全等技术需求、安全标准、手术团队的培训和资质认证以及可扩展的实施模式。它还涉及法律和伦理问题、临床适应症以及区域和国际监管比较。该框架旨在成为各机构、外科学会、政策制定者和技术开发者的关键参考,以在全球范围内推广安全、公平且可持续的远程手术。

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The legal and ethical considerations in cross-border telesurgical procedures.跨境远程手术程序中的法律和伦理考量。
Ann Med Surg (Lond). 2025 May 12;87(6):3660-3672. doi: 10.1097/MS9.0000000000003344. eCollection 2025 Jun.
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Robotics, artificial intelligence, telepresence, and telesurgery: The future of urology.机器人技术、人工智能、远程临场感和远程手术:泌尿外科的未来。
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Telesurgery: current status and strategies for latency reduction.远程手术:现状与减少延迟的策略
J Robot Surg. 2025 Apr 12;19(1):153. doi: 10.1007/s11701-025-02333-1.
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Advancing Telesurgery Connectivity Between North and South America: the first Remote Surgery Conducted Between Orlando and São Paulo in Animal Models.推进北美和南美之间的远程手术连接:在动物模型中首次在奥兰多和圣保罗之间进行的远程手术。
Int Braz J Urol. 2025 Jan-Feb;51(1). doi: 10.1590/S1677-5538.IBJU.2024.0601.
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Empowering Patients Through Digital Health Literacy and Access to Electronic Medical Records (EMRs) in the Developing World.通过数字健康素养和在发展中世界获取电子病历增强患者能力。
Cureus. 2024 Apr 3;16(4):e57527. doi: 10.7759/cureus.57527. eCollection 2024 Apr.
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