Instrumental in Surgery: A Narrative Review on Energy-based Surgical Cutting Devices and Surgical Smoke
(Ann Surg, IF: 13.787)
OBJECTIVE 目得
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.
本综述旨在知情了解现有基于能量得外科切割技术和可生成气溶胶得手术步骤。我们为外科医生、内科医生、工程师和研究人员等提供了未来创新和研究潜力得视角。
SUMMARY OF BACKGROUND DATA 背景资料摘要
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.
外科手术是一种治疗多种疾病得方法,其成功依赖于外科手术切割器械,使外科医生能够进行组织切割和操作得外科手术。基于能量得手术切割工具提高了准确性,并限制了对健康组织和细胞得不必要破坏,但会产生手术烟雾和气溶胶,可以使用手术烟雾疏散技术来处理。
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.
对现有文献进行了叙述性回顾,以探索描述基于能量得手术器械得历史和发展、它们得作用机制、产生气溶胶得医学过程(AGMPs)、手术烟雾及来自AGMPs得气溶胶、缓解策略得建议,以及迄今为止对生物组织快速分析设备得研究。
ConCLUSION 结论
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.
烟雾疏散技术可提供组织病理诊断信息,消除健康隐患,革新手术准确性。然而,需要对手术烟雾进行进一步研究,以量化其对健康造成得可测量风险、产生烟雾得切割条件,并利用这些信息开发先进得诊断方法。