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智慧医学时代微创外科的进展与展望

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经过近40年的发展,微创技术已被广泛应用于各类肿瘤根治术中,其安全性和有效性得到充分验证.随着相关医疗器械设备的不断更新迭代,手术的便捷性和精准度得到显著提升,微创外科的发展已步入高位平台期.随着信息技术的飞速发展,研究者已逐步进入智慧医学时代,人工智能等技术的融入将为微创外科的发展注入新的活力.笔者结合最前沿的研究动态,深入剖析人工智能在微创手术的术前评估规划、术中监测预警、术后综合管理等关键环节中发挥的独特作用.同时,笔者还探讨了如何利用这些创新技术进一步促进医疗教育改革,并对远程医疗服务的发展进行展望.在智慧医疗时代,微创外科的发展应遵循"大胆创新,小心实践"的原则,坚持"以人为本"的理念为指导.通过不断促进医工学科交叉合作,加速科技成果向临床转化,确保微创外科技术能够更好地服务于人民的健康福祉.
Advancements and prospects of minimally invasive surgery in the era of intelligent medicine
After nearly 40 years of development,minimally invasive techniques have been widely applied in curative surgeries for various types of tumors.The safety and efficacy of minimally invasive surgery has being fully validated.With the continuous iteration and updating of medical equipments,the convenience and precision of surgeries have been significantly enhanced,marking the advancement of minimally invasive surgery into a phase of high-level platform.With the rapid development of information technology,we have gradually entered the era of intelligent medicine,where the integration of technologies such as artificial intelligence will inject new vitality into the development of minimally invasive surgery.Combined with the latest research trends,the authors provide an in-depth analysis of how artificial intelligence plays a unique role in key aspects of minimally invasive surgery,including preoperative assessment and planning,intraoperative moni-toring and alerting,and comprehensive postoperative management.Additionally,the authors discuss how to utilize these innovative technologies to further promote reforms in medical education and prospects for the development of telemedicine service.In the era of intelligent medicine,the develop-ment of minimally invasive surgery should adhere to the principle of"bold innovation,cautious practice",guided by the concept of"patient-centeredness".By promoting interdisciplinary collabora-tion between medicine and engineering,accelerating the translation of scientific and technological achievements into clinical practice,we can ensure that minimally invasive surgical techniques better serve the health and well-being of the people.

TumorMinimally invasive surgerySurgical boboticsArtificial intelli-genceLaparoscopyEfficacySafety

郑民华、马君俊、戴可帆、李树春

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上海交通大学医学院附属瑞金医院普通外科 胃肠外科,上海市微创外科临床医学中心,上海 200025

肿瘤 微创外科 手术机器人 人工智能 腹腔镜检查 疗效 安全性

国家自然科学基金上海市经信委-创新医疗器械应用示范项目上海市经信委-创新医疗器械应用示范项目上海市经信委-创新医疗器械应用示范项目上海市经信委-创新医疗器械应用示范项目

8207261423SHS0300023SHS03000-0123SHS03000-0223SHS03000-03

2024

10.3760/cma.j.cn115610-20240318-00162

中华消化外科杂志
中华医学会

中华消化外科杂志

CSTPCD北大核心
影响因子：1.899
ISSN：1673-9752
年,卷(期)：2024.23(4)
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