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Artificial interfaces ('AI') in surgery: Historic development, current status and program implementation in the public health sector

机译：手术中的人工接口（“ AI”）：公共卫生部门的历史发展，现状和计划实施

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The past two decades have seen considerable advances in the application of artificial interfaces (AI) in surgery. Several have been developed including AESOP (Automated Endoscopic System for Optimal Positioning), Zeus and the Da Vinci Surgical System (DVSS). Whilst each has advantages DVSS is being used increasingly across multiple surgical specialities. These developments generate many challenges in an era where the emphasis is increasingly on safer and cost-effective surgery. Whilst the role of DVSS is firmly established in urologic and gynaecologic surgery, the role of DVSS in gastrointestinal surgery is evolving. Recent data indicate that it is at least as oncologically effective, whilst providing numerous benefits (e.g. reduced conversion and complication rates) over traditional laparoscopic approaches. The increasing adoption of AI/DVSS worldwide places institutes and health sectors under increasing pressure to adopt and develop such programs. This article provides (1) an update on the current status of AI in surgery in general and in colorectal surgery and (2) an appraisal of the cost implications of the establishment and implementation of AI/DVSS-based provisions in the public health sector. The numerous challenges faced generate many opportunities in the implementation of present and future surgical technologies.
机译：在过去的二十年中，人工接口（AI）在外科手术中的应用取得了长足的进步。已经开发了几种，包括AESOP（用于最佳定位的自动内窥镜系统），Zeus和达芬奇手术系统（DVSS）。尽管每种都有优点，但DVSS已在多个外科专科领域越来越多地使用。在当今时代越来越重视更安全，更具成本效益的手术的时代，这些发展带来了许多挑战。尽管DVSS在泌尿科和妇科外科手术中的作用已得到牢固确立，但DVSS在胃肠道手术中的作用正在发展。最新数据表明，与传统的腹腔镜方法相比，它至少在肿瘤学上同样有效，同时具有许多好处（例如降低了转化率和并发症发生率）。 AI / DVSS在全球范围内的采用率越来越高，使机构和卫生部门在采用和开发此类程序方面面临越来越大的压力。本文提供（1）在一般外科手术和结直肠外科手术中AI的现状的最新信息，以及（2）在公共卫生部门中建立和实施基于AI / DVSS的规定所产生的成本影响评估。面临的众多挑战为实施当前和未来的外科技术带来了许多机会。

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