Instrumental in Surgery: A Narrative Review on Energy-based Surgical Cutting Devices and Surgical Smoke
(Ann Surg, IF: 13.787)
OBJECTIVE 目的
This review aims to provide an informed understanding of existing energy-based surgical cutting technologies and aerosol generating surgical procedures. We provide a perspective on the future innovation and research potential in this space for the benefit of surgeons, physicians, engineers and researchers alike.
本綜述旨在知情了解現(xiàn)有基于能量的外科切割技術(shù)和可生成氣溶膠的手術(shù)步驟。我們?yōu)橥饪漆t(yī)生、內(nèi)科醫(yī)生、工程師和研究人員等提供了未來(lái)創(chuàng)新和研究潛力的視角。
SUMMARY OF BACKGROUND DATA 背景資料摘要
Surgery is a treatment for many medical conditions, the success of which depends on surgical cutting instruments that enable surgeons to conduct surgical procedures for tissue cutting and manipulation. Energy-based surgical cutting tools improve accuracy and limit unnecessary destruction of healthy tissues and cells, but can generate surgical smoke and aerosols, which can be handled using surgical smoke evacuation technology.
外科手術(shù)是一種治療多種疾病的方法，其成功依賴(lài)于外科手術(shù)切割器械，使外科醫(yī)生能夠進(jìn)行組織切割和操作的外科手術(shù)。基于能量的手術(shù)切割工具提高了準(zhǔn)確性，并限制了對(duì)健康組織和細(xì)胞的不必要破壞，但會(huì)產(chǎn)生手術(shù)煙霧和氣溶膠，可以使用手術(shù)煙霧疏散技術(shù)來(lái)處理。
METHODS 方法
A narrative review was conducted to explore existing literature describing the history and development of energy-based surgical instruments, their mechanisms of action, aerosol generating medical procedures (AGMPs), surgical smoke and aerosols from AGMPs and the recommended mitigation strategies, as well as research on rapid biological tissue analysing devices to date.
對(duì)現(xiàn)有文獻(xiàn)進(jìn)行了敘述性回顧，以探索描述基于能量的手術(shù)器械的歷史和發(fā)展、它們的作用機(jī)制、產(chǎn)生氣溶膠的醫(yī)學(xué)過(guò)程(AGMPs)、手術(shù)煙霧及來(lái)自AGMPs的氣溶膠、緩解策略的建議，以及迄今為止對(duì)生物組織快速分析設(shè)備的研究。
ConCLUSION 結(jié)論
Smoke evacuation technology may provide diagnostic information regarding tissue pathology, which could eliminate the health concerns and revolutionise surgical accuracy. However, further research into surgical smoke is required to quantify the measurable risk to health it poses, the cutting conditions under which it is generated and to develop advanced diagnostic approaches using this information.
煙霧疏散技術(shù)可提供組織病理診斷信息，消除健康隱患，革新手術(shù)準(zhǔn)確性。然而，需要對(duì)手術(shù)煙霧進(jìn)行進(jìn)一步研究，以量化其對(duì)健康造成的可測(cè)量風(fēng)險(xiǎn)、產(chǎn)生煙霧的切割條件，并利用這些信息開(kāi)發(fā)先進(jìn)的診斷方法。
