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首页> 外文期刊>Neurosurgery >The genesis of neurosurgery and the evolution of the neurosurgical operative environment: part II--concepts for future development, 2003 and beyond.
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The genesis of neurosurgery and the evolution of the neurosurgical operative environment: part II--concepts for future development, 2003 and beyond.

机译：神经外科的起源和神经外科手术环境的演变：第二部分-未来发展的概念，2003年及以后。

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The future development of the neurosurgical operative environment is driven principally by concurrent development in science and technology. In the new millennium, these developments are taking on a Jules Verne quality, with the ability to construct and manipulate the human organism and its surroundings at the level of atoms and molecules seemingly at hand. Thus, an examination of currents in technology advancement from the neurosurgical perspective can provide insight into the evolution of the neurosurgical operative environment. In the future, the optimal design solution for the operative environment requirements of specialized neurosurgery may take the form of composites of venues that are currently mutually distinct. Advances in microfabrication technology and laser optical manipulators are expanding the scope and role of robotics, with novel opportunities for bionic integration. Assimilation of biosensor technology into the operative environment promises to provide neurosurgeons of the future witha vastly expanded set of physiological data, which will require concurrent simplification and optimization of analysis and presentation schemes to facilitate practical usefulness. Nanotechnology derivatives are shattering the maximum limits of resolution and magnification allowed by conventional microscopes. Furthermore, quantum computing and molecular electronics promise to greatly enhance computational power, allowing the emerging reality of simulation and virtual neurosurgery for rehearsal and training purposes. Progressive minimalism is evident throughout, leading ultimately to a paradigm shift as the nanoscale is approached. At the interface between the old and new technological paradigms, issues related to integration may dictate the ultimate emergence of the products of the new paradigm. Once initiated, however, history suggests that the process of change will proceed rapidly and dramatically, with the ultimate neurosurgical operative environment of the future being far more complex in functional capacity but strikingly simple in apparent form.
机译：神经外科手术环境的未来发展主要是由科学技术的同步发展所驱动。在新的千年中，这些发展具有儒勒·凡尔纳的品质，能够在似乎手握的原子和分子水平上构建和操纵人类有机体及其周围环境。因此，从神经外科的角度对技术进步的研究可以为神经外科手术环境的发展提供见识。将来，针对特殊神经外科手术环境要求的最佳设计解决方案可能采用目前彼此不同的场所组合的形式。微加工技术和激光光学操纵器的进步正在扩大机器人技术的范围和作用，并为仿生集成带来新的机遇。将生物传感器技术吸收到手术环境中，有望为未来的神经外科医师提供大量的生理数据集，这将需要同时简化和优化分析和展示方案，以促进实用性。纳米技术的衍生物正在打破传统显微镜所允许的最大分辨率和放大率极限。此外，量子计算和分子电子学有望大大提高计算能力，从而使模拟和虚拟神经外科的新兴现实可以用于演练和培训。渐进的极简主义在整个过程中都是显而易见的，最终随着纳米尺度的发展而导致范式的转变。在新技术范式和新技术范式之间的接口处，与集成相关的问题可能会决定新范式产品的最终出现。然而，一旦开始，历史表明，变革的过程将迅速而戏剧性地进行，未来的最终神经外科手术操作环境的功能将更加复杂，但其外观形式却非常简单。

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