Technische und digitale Weiterentwicklung in der laparoskopischen/offenen Chirurgie

Abstract

Technological innovations have initiated a fundamental change in invasive therapeutic approaches which has led to a welcome reduction of surgical trauma but was also associated with a declining role of conventional surgery. Active utilization of future technological developments is decisive to promote new therapeutic strategies and to avoid a further loss of importance of surgery. This includes individualized preoperative therapy planning as well as intraoperative diagnostic work-up and navigation and the use of new functional intelligent implants. The working environment "surgical operating room" has to be refurbished into an integrated cooperating functional system. The impact of new technological developments is particularly obvious in minimally invasive surgery. There is a clear tendency towards further reduction in trauma in the surgical access. The incision will become smaller and the number of ports will be further reduced, with the aim of ultimately having just one port (monoport surgery) or even via natural access routes (scarless surgery). Among others, improved visualization including, e.g. autostereoscopy, digital image processing and intelligent support systems, which are able to assist in a cooperative way, will enable these goals to be achieved.

The next step: intelligent digital assistance for clinical operating rooms

“…Furthermore, the surgeon as well as the whole surgery team must not be disturbed by the usage of complex interfaces. Therefore, the human-computer interface has to be designed simple and intuitive [8]. Thus, any graphical and gesture-based systems are not well suited for this purpose.…”