目的对机器学习在医疗和公共卫生研究中的应用方向进行梳理,为制定相应政策和策略提供科学依据。方法通过Citespace科研文献可视化工具对Web of Science数据库有关机器学习在医疗和公共卫生中应用的2014篇文献进行聚类,找到当今的研究...目的对机器学习在医疗和公共卫生研究中的应用方向进行梳理,为制定相应政策和策略提供科学依据。方法通过Citespace科研文献可视化工具对Web of Science数据库有关机器学习在医疗和公共卫生中应用的2014篇文献进行聚类,找到当今的研究热点。结果机器学习在医疗和公共卫生中的应用主要为辅助诊疗、监测和预防疾病、机器人辅助手术、药物警戒和研发以及医疗体系质量管理5个方向。结论机器学习在医疗和公共卫生相关研究中具有较强的适用性和十分广阔的应用前景,在机器学习模型的帮助下根据医学相关数据做出的诊断和决策,不仅能够为个人带来健康,更有助于国家战略的实现。未来在打破医疗数据孤岛以及机器学习的医学伦理等方向可进一步加强探索。展开更多
In an effort to minimize the limitations of laparoscopy,a robotic surgery system was introduced,but its role for gastric cancer is still unclear.The objective of this article is to assess the current status of robotic...In an effort to minimize the limitations of laparoscopy,a robotic surgery system was introduced,but its role for gastric cancer is still unclear.The objective of this article is to assess the current status of robotic surgery for gastric cancer and to predict future prospects.Although the current study was limited by its small number of patients and retrospective nature,robot-assisted gastrectomy with lymphadenectomy for the treatment of gastric cancer is a feasible and safe procedure for experienced laparoscopic surgeons.Most studies have reported satisfactory results for postoperative short-term coutcomes,such as:postoperative oral feeding,gas out,hospital stay and complications,compared with laparoscopic surgery;the difference is a longer operation time.However,robotic surgery showed a shallow learning curve compared with the familarity of conventional open surgery;after the accumulation of several cases,robotic surgery could be expected to result in a similar operation time.Robotic-assisted gastrectomy can expand the indications of minimally invasive surgery to include advanced gastric cancer by improving the ability to perform lymphadenectomy.Moreover," total" robotic gastrectomy can be facilitated using a robotsewing technique and gastric submucosal tumors near the gastroesophageal junction or pylorus can be resected safely by this novel technique.In conclusion,robotassisted gastrectomy may offer a good alternative to conventional open or laparoscopic surgery for gastric cancer,provided that long-term oncologic outcomes can be confirmed.展开更多
文摘目的对机器学习在医疗和公共卫生研究中的应用方向进行梳理,为制定相应政策和策略提供科学依据。方法通过Citespace科研文献可视化工具对Web of Science数据库有关机器学习在医疗和公共卫生中应用的2014篇文献进行聚类,找到当今的研究热点。结果机器学习在医疗和公共卫生中的应用主要为辅助诊疗、监测和预防疾病、机器人辅助手术、药物警戒和研发以及医疗体系质量管理5个方向。结论机器学习在医疗和公共卫生相关研究中具有较强的适用性和十分广阔的应用前景,在机器学习模型的帮助下根据医学相关数据做出的诊断和决策,不仅能够为个人带来健康,更有助于国家战略的实现。未来在打破医疗数据孤岛以及机器学习的医学伦理等方向可进一步加强探索。
基金Supported by A grant from the National R & D Program for Cancer Control,Ministry of Health and Welfare,Republic of Korea(1020410)
文摘In an effort to minimize the limitations of laparoscopy,a robotic surgery system was introduced,but its role for gastric cancer is still unclear.The objective of this article is to assess the current status of robotic surgery for gastric cancer and to predict future prospects.Although the current study was limited by its small number of patients and retrospective nature,robot-assisted gastrectomy with lymphadenectomy for the treatment of gastric cancer is a feasible and safe procedure for experienced laparoscopic surgeons.Most studies have reported satisfactory results for postoperative short-term coutcomes,such as:postoperative oral feeding,gas out,hospital stay and complications,compared with laparoscopic surgery;the difference is a longer operation time.However,robotic surgery showed a shallow learning curve compared with the familarity of conventional open surgery;after the accumulation of several cases,robotic surgery could be expected to result in a similar operation time.Robotic-assisted gastrectomy can expand the indications of minimally invasive surgery to include advanced gastric cancer by improving the ability to perform lymphadenectomy.Moreover," total" robotic gastrectomy can be facilitated using a robotsewing technique and gastric submucosal tumors near the gastroesophageal junction or pylorus can be resected safely by this novel technique.In conclusion,robotassisted gastrectomy may offer a good alternative to conventional open or laparoscopic surgery for gastric cancer,provided that long-term oncologic outcomes can be confirmed.
