远程手术:在应对技术和行政挑战的同时,实现人道主义和外科手术的效益。

IF 2.2 3区 医学 Q2 SURGERY Journal of Robotic Surgery Pub Date : 2024-11-05 DOI:10.1007/s11701-024-02156-6
Shady Saikali, Marcio Covas Moschovas, Ahmed Gamal, Sumeet Reddy, Travis Rogers, Vipul Patel
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引用次数: 0

摘要

远程手术是指通过远程通信和机器人系统远程实施外科手术。近年来,远程手术取得了长足的发展,有望解决全球医疗保健不均衡的问题,并提高外科手术的专业水平。本文探讨了远程手术在人道主义和外科手术方面的益处,强调了其为服务不足地区提供专业外科护理的潜力。尽管远程手术具有变革潜力,但它面临着巨大的技术挑战,包括数据传输、延迟以及对先进机器人平台的需求等问题。5G 网络和创新型机器人系统的出现提供了一个充满希望的技术前景,但全球 5G 覆盖范围的差异仍然令人担忧。从维护外科医生与患者的关系到解决患者的脆弱性和利益冲突等伦理考虑因素,都是需要关注的关键方面。本文强调了明确的监管框架和国际合作对于驾驭复杂的法律问题和确保道德标准的重要性。随着远程手术的发展,整合人工智能、增强现实和触觉反馈技术有望取得进一步的进步。尽管存在这些挑战,远程手术仍有可能实现公平获得专家外科护理的目标;然而,它需要集体努力来克服错综复杂的技术和管理障碍。
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Telesurgery: humanitarian and surgical benefits while navigating technologic and administrative challenges.

Telesurgery, the remote execution of surgical procedures through telecommunication and robotic systems, has witnessed substantial growth in recent years, promising to address global healthcare disparities and enhance surgical expertise. This paper explores the humanitarian and surgical benefits of telesurgery, emphasizing its potential to provide expert surgical care to underserved regions. Despite its transformative potential, telesurgery faces significant technologic challenges, including issues of data transmission, latency, and the need for advanced robotic platforms. The advent of 5G networks and innovative robotic systems provides a promising technological landscape, yet global disparities in 5G coverage remain a concern. Ethical considerations, ranging from preserving the surgeon-patient relationship to addressing patient vulnerability and conflicts of interest, are pivotal aspects that demand attention. The paper underscores the importance of clear regulatory frameworks and international collaboration to navigate legal complexities and ensure ethical standards. As telesurgery progresses, integrating artificial intelligence, augmented reality, and haptic feedback technologies holds promise for further advancements. Despite these challenges, telesurgery has the potential to achieve equitable access to expert surgical care; however, it requires a collective effort to overcome its intricate technologic and administrative hurdles.

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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
期刊最新文献
Correction: Body mass index influence on short-term perioperative results in robotic-assisted laparoscopic partial nephrectomy: a comprehensive systematic review and meta-analysis. KangDuo surgical robot versus da Vinci robotic system in urologic surgery: a systematic review and meta-analysis. Risk factors for urinary retention after robot-assisted radical cystectomy with orthotopic neobladder diversion: a multicenter study. Single-port robotic versus single-incision laparoscopic cholecystectomy in patients with BMI ≥ 25 kg/m2: a systematic review and meta-analysis. The crucial role of 5G, 6G, and fiber in robotic telesurgery.
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