远程手术系统性文献综述及未来发展方向。

IF 7.5 1区 医学 Q1 SURGERY Annals of surgery Pub Date : 2024-10-22 DOI:10.1097/SLA.0000000000006570
Sumeet Kumar Reddy, Shady Saikali, Ahmed Gamal, Marcio Covas Moschovas, Travis Rogers, Mischa Dohler, Jacques Marescaux, Vipul Patel
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引用次数: 0

摘要

目的:对有关远程手术的医学文献进行系统回顾,重点是确定在医学论文中搜索到的关键技术和非技术主题,并分析当前远程手术知识库中存在的差距:背景:从第一例成功的远程手术到现在已经有二十多年的时间了,从那时起,远程手术的技术和电信技术都有了长足的进步:方法:根据《系统综述和元分析首选报告项目》(PRISMA)声明完成了文献的系统综述。本系统综述的详细方案已在 PROSPERO(CRD42024511530)上注册:共有 102 篇独特的参考文献被分为五类:技术、网络安全、伦理、财务、监管考虑因素,以讨论关键主题。绝大多数参考文献与技术因素有关,这些因素证明了远程手术的可行性。非技术方面的考虑因素包括文献资料的匮乏和远程手术指导的缺乏,这似乎仍然是远程手术的主要障碍:远程手术带来了许多跨学科的挑战,包括重要的技术和非技术因素(如网络安全、伦理、财务和监管)。进一步的研究、利益相关者之间的合作、专家群体的协作以及制定全面的共识框架是广泛采用远程手术的必要步骤。
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Telesurgery a Systematic Literature Review and Future Directions.

Objective: To undertake a systematic review of the medical literature on telesurgery, with a key focus on identifying the key technical and non-technical themes searched in medical articles and to analyze gaps in the current knowledge base on telesurgery.

Background: It has now been over two decades since the first successful case of telesurgery and since this time there have been significant technological and telecommunications advancements.

Methods: A systematic review of the literature was completed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. Details of the protocol for this systematic review were registered on PROSPERO (CRD42024511530).

Results: In total, 102 unique references which were allocated into five categories; technical, cybersecurity, ethical, financial, regulatory considerations to discuss key themes. The vast majority of references were related to technical considerations which have demonstrated the feasibility of telesurgery. The non-technical considerations have a paucity of literature and a lack of guidance on telesurgery which appears to still be the major barriers to telesurgery.

Conclusions: Telesurgery presents many interdisciplinary challenges, encompassing both important technical and non-technical (such as cybersecurity, ethical, financial, and regulatory) considerations. Further research, collaboration between stakeholders, collaborative community of experts, and the development of comprehensive consensus frameworks are essential steps toward the widespread adoption of telesurgery.

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来源期刊
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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