Minimally invasive and robotic surgery
Minimally invasive and robotic surgery
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DOI：
10.1001/jama.285.5.568
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发表时间：
2001-02-07
影响因子：
120.7
通讯作者：
Mack, MJ
中科院分区：
文献类型：
--
作者：
Mack, MJ
外科手术的进步集中在最大限度地减少外科手术的侵入性，因此某些手术发生了重大的范式转变，外科医生不再直接触摸或看到他们手术的结构。视频成像、内窥镜技术的进步。和仪器已经使得在许多外科专业中的许多手术从开放手术转换为内窥镜手术成为可能。计算机和机器人技术的使用有望通过对网络手术室的语音控制，增强灵活性以促进微尺度操作，以及开发虚拟模拟器训练器以提高学习新的复杂操作的能力来促进复杂的内窥镜手术。未来的研究将集中在通过自然孔的诊断和治疗方式，其中调查是在远程控制和导航下，使真正的“非侵入性”手术将成为现实。
Advances in surgery have focused on minimizing the invasiveness of surgical procedures, such that a significant paradigm shift has occurred for some procedures in which surgeons no longer directly touch or see the structures on which they operate. Advancements in video imaging, endoscope technology. and instrumentation have made it possible to convert many procedures in many surgical specialties from open surgeries to endoscopic ones. The use of computers and robotics promises to facilitate complex endoscopic procedures by virtue of voice control over the networked operating room, enhancement of dexterity to facilitate microscale operations, and development of virtual simulator trainers to enhance the ability to learn new complex operations. Future research will focus on delivery of diagnostic and therapeutic modalities through natural orifices in which investigation is under remote control and navigation, so that truly "noninvasive" surgery will be a reality.