从远程手术的未来应用场景看发展中亟待解决的问题  

Problems to be solved in the development from the perspective of future application scenarios of telesurgery

作　　者：焦伟 李建民[2] 张昕 牛海涛[1] Jiao Wei;Li Jianmin;Zhang Xin;Niu Haitao(Department of Urology,Affiliated Hospital of Qingdao University,Qingdao 266013,China;School of Mechanical Engineering,Tianjin University,Tianjin 300072,China;Qingdao Branch of China Mobile Shandong Co.,Ltd,Qingdao 266071,China)

机构地区：[1]青岛大学附属医院泌尿外科,青岛266013 [2]天津大学机械工程学院,天津300072 [3]中国移动通信集团山东有限公司青岛分公司,青岛266071

出　　处：《中华外科杂志》2022年第5期436-440,共5页Chinese Journal of Surgery

基　　金：国家自然科学基金(52122501);山东省重大科技创新项目(2019JZZY021002);山东省泰山学者青年专家计划(tsqn20161077);青岛市民生科技计划(18-6-1-64-nsh)。

摘　　要：远程医疗融合了医学、通信、工程、信息等学科,是近年来热度极高的新兴交叉领域。随着远程通信技术及机器人手术系统的发展,远程手术作为远程医疗中的重要领域,受到越来越多的重视。作为传统手术的延伸,远程手术极大地扩宽了手术的内涵与理念,体现了外科技术的跨越式发展。尽管仍存在网络时延、机器人手术系统操作透明度、手术医师团队建设等问题有待优化,远程手术在国内已形成了多种创新的应用场景,取得了快速发展。当前我国医疗资源分布不均,国际上新冠肺炎疫情高发,远程手术发展过程中仍面临较多问题,需要积极探索解决方案。未来远程手术技术有望在医疗卫生工作重心下移、资源下沉中发挥重要作用。Telemedicine,which integrates medicine,communication,engineering,information and other disciplines,is a hot emerging cross field in recent years.With the development of telecommunication technology and surgical robot,telesurgery is regarded as the“crown pearl”in telemedicine and has attracted more and more attention.As an extension of traditional surgery,telesurgery greatly extends the connotation and concept of surgery and embodies the great leap forward development of surgical technology.Despite the current limitations such as network delay,transparency of remote robot operation and team construction of surgeons,telesurgery has still formed a variety of innovative application scenarios and achieved rapid development in China in recent years.In view of the uneven distribution of medical resources in China and the epidemic of COVID-19 in the world,this paper puts forward the possible problems and solutions in the development of telesurgery,and looks forward to the feasibility of telesurgery technology in process of shifting the focus of medical and health care down to the community level,channeling resources accordingly.

关 键 词：远程医学 外科手术 计算机通信网络 

分 类 号：R-05[医药卫生]