在结肠直肠外科手术中提高外科医生的认知表现:叙述性审查
Alberto Patriti1, Paola Antonella Greco1, Alessio Pigazzi2
1Department of Surgery, Division of General and Oncologic Surgery, AST Pesaro-Urbino, Ospedale San Salvatore, Pesaro, Italy.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|February 9, 2026
概括
改善结直肠外科手术的结果需要结构化的决策,而不仅仅是技术技能. 人工智能 (AI) 支持的认知支持可以提高手术护理的一致性和可重现性.
科学领域:
- 手术认知和人工智能 手术认知和人工智能
- 在外科手术中的数字健康
背景情况:
- 结直肠外科手术的结果尽管采用了先进的技术,但却有所不同,这往往是由于非结构化的,基于经验的决策.
- 这种变化与认知过程有关,而不仅仅是技术技能.
研究的目的:
- 检查影响结直肠外科手术手术策略的认知因素.
- 评估人工智能 (AI) 支持的决策支持如何提高结直肠护理的一致性,可重现性和公平性.
主要方法:
- 一个混合叙事评论,综合了关于外科认知,自然决策和增强智能的文献.
- 从行为科学,数字健康和结直肠外科手术的观点的整合.
- 人工智能辅助对话 (ChatGPT-4o) 用于假设生成和语言改进,以人类监督准确性.
主要成果:
- 基于经验的决策在复杂的案例中容易产生偏见和变化.
- 认知增强工具显示出提高决策可靠性的潜力,但在实施方面面临挑战 (数据问题,标准化,采用).
- 机器人手术增强了技术执行,但需要与战略推理的认知工具进行整合.
结论:
- 在结直肠外科手术中实现战略一致性,需要朝着认知结构化的决策进行转变.
- 增强外科医生的判断力的智能,环境意识的支持系统对于可重复的,高质量的外科护理至关重要.
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