Remote telepresence surgery: the Canadian experience
Remote telepresence surgery: the Canadian experience
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DOI：
10.1007/s00464-006-9040-8
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发表时间：
2007-04-01
影响因子：
3.1
通讯作者：
Anvari, M.
中科院分区：
文献类型：
--
作者：
Anvari, M.
2003年2月28日，世界上第一个远程机器人手术服务在麦克马斯特大学附属教学医院圣约瑟夫医疗汉密尔顿和400公里外的社区医院北湾总医院之间建立。这项服务旨在为北湾的当地外科医生提供远程机器人手术和专家外科医生的协助，并提高当地提供的先进腹腔镜手术的范围和质量。两位外科医生合作进行了22例远程远程呈现手术，包括腹腔镜胃底折叠术、腹腔镜结肠切除术和腹腔镜腹股沟疝修补术。本文介绍了重要的经验教训，包括电信要求，缺乏触觉反馈的影响，外科医生的适应延迟，以及伦理和法医学问题。这是目前世界上最大的辅助机器人远程呈现手术（ARTS）临床经验，所吸取的经验教训将有助于指导外科机器人平台的未来设计和开发。它还将指导建立连接世界各中心的外科手术网络，以便快速安全地传播新的外科技术。
On 28 February 2003, the world's first telerobotic surgical service was established between St. Joseph's Healthcare Hamilton, a teaching hospital affiliated with McMaster University, and North Bay General Hospital, a community hospital 400 km away. The service was designed to provide telerobotic surgery and assistance by expert surgeons to local surgeons in North Bay, and to improve the range and quality of advanced laparoscopic surgeries offered locally. The two surgeons have collaboratively performed 22 remote telepresence surgeries including laparoscopic fundoplications, laparoscopic colon resections, and laparoscopic inguinal hernia repairs. This article describes the important lessons learned, including the telecommunication requirements, the impact from lack of haptic feedback, surgeons' adaptation to latency, and ethical and medicolegal issues. This is currently the largest clinical experience with assisted robotic telepresence surgery (ARTS) in the world, and the lessons learned will help guide the future design and development of telesurgical robotic platforms. It also will guide the establishment of telesurgical networks connecting various centers in the world, allowing for rapid and safe dissemination of new surgical techniques.