Surgical robot rise, steamed bread or trend?

Not long ago, the Master who swept the chess world was eventually certified as an "Alpha dog." For a time, various voices about artificial intelligence or pessimism or optimism exploded on the Internet. In fact, the application of artificial intelligence in the medical community is also very promising, such as the dazzling surgical robot Da Vinci. But the problem came: The safety factor of the robot is not high? The rise of surgical robots, in the end what impact on the medical community? Breaking taboos to break through the limitations Surgical robots are usually assembled from endoscopes (probe), knife and scissors instruments, miniature cameras, and joysticks. Currently, the da Vinci robot that has been in existence for only 10 years is the most successful and widely used surgical robot in the world, and represents the highest level of surgical robots today. Domestically, under the leadership of Academician Sun Yinghao of Changhai Hospital, Second Military Medical University, robots played a major role in urological surgery. The Changhai, Huashan, Zhongshan, and other hospitals used Da Vinci robots to perform more than 3,000 prostate cancer, kidney cancer, adrenal complex tumors, and bladder cancer surgery on patients. Surgical robots do not mean that robots will perform their own surgery. Put the camera and tools into the body through 4-5 micro-holes, the doctor just sits on the console, watching the enlarged picture to control the joystick-like manipulator, and control the manipulator arm. "The Da Vinci robot breaks the surgical taboo and breaks through the limitations of human eyes and human hands, making the surgical field more than ten times larger. At the same time, the seven-dimensional operation can also prevent the shaking of the hands." Deputy Director of Urology, Huashan Hospital, Fudan University Dr. Zhong Shan believes that the emergence of surgical robots has overcome the problems of long operation time and fatigue of doctors in traditional surgical procedures. There are also various risks. At present, there are about 60 Da Vinci robots in the country and 10 in Shanghai. In the United States, there are as many as 2,500 Da Vinci robots, and 90% of prostate cancer surgery is performed by robots. There are also risks associated with using robots for surgery. “There may be problems such as power outages, network failures, and mechanical failures during the operation, which will affect the progress of the operation.” Zhong Shan pointed out that this requires a complete emergency plan for each operation. In case of out of control, the doctor should immediately change the surgical plan to ensure the safety of the patient's surgery. “The accuracy of robotic surgery has been widely recognized, but it also faces a big challenge. The surgeon lacks the 'feel' of operation, which is tactile feedback.” According to Zhong Shan, this can only rely on experienced surgeons. Analyzing visual information to determine the force of the instrument on the tissue and other tissue characteristics also increases the uncertainty of the surgery. "However, this does not mean that it is more risky to use a robot to perform surgery." Zhong Shan said that most of the current operations using robots are high-risk and high-risk. The success or failure of surgery is related to the nature of the disease. The robot should not become a surgery. Failed scapegoat. Can not be used on a large scale? Robots are becoming more and more widespread. Will there be no need for doctors in the future? Zhong Shan shook his head: "The robot can not replace the doctor, it is not a panacea, and even more powerful robots still rely on doctors to operate, in case of out-of-control situations, still need experienced doctors to deal with." However, with the robot The advantages and disadvantages gradually revealed, but it means that the higher level of competition between doctors, which will increase the surgeon's access threshold, so that they are more outstanding in their own areas. In addition to being proficient in traditional surgeries, surgeons need to spend a lot of time learning how to "cooperate" with robots; at the same time, they must avoid "hands-on" because of the large number of robots used, and prevent the loss of "housekeeping skills."
Shen Zhoujun, director of urology at Huashan Hospital, introduced that as of the end of last year, a total of approximately 37,000 operations had been performed using surgical robots in the country. The use of robots was still in the “drinking period” and has not yet replaced “dinner”. Due to the technology and market monopoly of current surgical robot manufacturers, Da Vinci sells for about 20 million yuan. In order to ensure the use of performance, the sales arm of the machine can only be replaced ten times, but the price is as high as several. Ten thousand yuan. In addition, medical insurance can not cover the use of surgical robots, so each patient needs to pay tens of thousands of dollars. Therefore, surgical robots still do not reach the stage of large-scale use. It will be a trend for the development of surgical operations that even more controversial and questionable will be the wider service of human surgical robots. It has enough potential to change the existing surgical market model - doctors can perform remote surgery away from patients. Today, medical robots have received a lot of attention worldwide. The United States has set surgical treatment robots, prosthetic robots, rehabilitation robots, assistive robots for mental rehabilitation, personal care robots, and intelligent health monitoring systems as future research directions. However, in China, the autonomous R&D of medical robots started late and is still unable to keep pace with Europe and the United States. Yu Hongliu, director of the Institute of Rehabilitation Engineering and Technology, University of Shanghai for Science and Technology, said that currently domestic medical surgical robots are mostly in the stage of research and development or clinical trials. In the future, there will certainly be more varieties of medical robots born to better serve human health.

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