Technical and ethical considerations in telesurgery

被引:13
|
作者
Patel, Vipul [1 ,2 ]
Saikali, Shady [1 ]
Moschovas, Marcio Covas [1 ,2 ]
Patel, Ela [3 ]
Satava, Richard [4 ]
Dasgupta, Prokar [5 ]
Dohler, Mischa [6 ]
Collins, Justin W. [7 ,8 ,9 ]
Albala, David [10 ,11 ]
Marescaux, Jacques [12 ]
机构
[1] AdventHealth Global Robot Inst, Celebration, FL 34747 USA
[2] Univ Cent Florida UCF, Orlando, FL USA
[3] Stanford Univ, Stanford, CA 94305 USA
[4] Univ Washington, Seattle, WA USA
[5] Kings Coll London, MRC Ctr Transplantat, Dept Urol, Kings Hlth Partners, London, England
[6] Ericsson Inc, Adv Technol Grp, Santa Clara, CA 95054 USA
[7] Univ Coll London Hosp, Dept Urooncol, London, England
[8] UCL, Res Dept Targeted Intervent, Div Surg & Intervent Sci, London, England
[9] CMR Surg, Cambridge, England
[10] Downstate Hlth Sci Univ, Syracuse, NY USA
[11] Crouse Hosp, Dept Urol, Syracuse, NY USA
[12] IRCAD, Res Inst Digest Canc, Strasbourg, France
关键词
Telesurgery; Robotic surgery; Remote surgery; Network structure; Latency; Ethical; Technical; 5G; SURGICAL ROBOTICS; SURGERY; TELEPRESENCE; TECHNOLOGY; HEALTH;
D O I
10.1007/s11701-023-01797-3
中图分类号
R61 [外科手术学];
学科分类号
摘要
Telesurgery, a cutting-edge field at the intersection of medicine and technology, holds immense promise for enhancing surgical capabilities, extending medical care, and improving patient outcomes. In this scenario, this article explores the landscape of technical and ethical considerations that highlight the advancement and adoption of telesurgery. Network considerations are crucial for ensuring seamless and low-latency communication between remote surgeons and robotic systems, while technical challenges encompass system reliability, latency reduction, and the integration of emerging technologies like artificial intelligence and 5G networks. Therefore, this article also explores the critical role of network infrastructure, highlighting the necessity for low-latency, high-bandwidth, secure and private connections to ensure patient safety and surgical precision. Moreover, ethical considerations in telesurgery include patient consent, data security, and the potential for remote surgical interventions to distance surgeons from their patients. Legal and regulatory frameworks require refinement to accommodate the unique aspects of telesurgery, including liability, licensure, and reimbursement. Our article presents a comprehensive analysis of the current state of telesurgery technology and its potential while critically examining the challenges that must be navigated for its widespread adoption.
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页数:16
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