The sustainability of the surgical workforce, environmental pollution caused by disposable instruments, and the rising costs of medical care are pressing issues worldwide. This review explores sustainable surgical practices for laparoscopic surgery through the application of surgical AI systems and reusable energy devices. Surgical AI systems enable the precise real-time visualization of organ anatomy, enhance surgical accuracy, and support educational initiatives. The Reusable Energy Device Laparoscopic-Assisted Colectomy (RE-LAC) technique, which employs reusable energy devices, has the potential to reduce medical waste and costs while maintaining safety and quality standards. A comparative analysis of RE-LAC and conventional disposable devices showed no significant differences in operative time or blood loss, suggesting that RE-LAC may be a viable alternative for sustainable surgical practice. These approaches align with the Sustainable Development Goals, contributing to sustainable healthcare by improving workforce efficiency, reducing environmental impacts, and promoting economic feasibility. Further large-scale, multi-institutional studies are necessary to optimize their implementation and maximize their global impact.
手术人力资源的可持续性、一次性器械造成的环境污染以及医疗成本不断上升是全球面临的紧迫问题。本文通过应用手术人工智能系统和可重复使用能量设备,探讨腹腔镜手术的可持续实践方案。手术人工智能系统能够实现器官解剖结构的精准实时可视化,提升手术精确度,并支持教育培训项目。采用可重复使用能量设备的腹腔镜辅助结肠切除术技术,在保障安全与质量标准的同时,具有减少医疗废物和降低成本的潜力。对比分析显示,该技术与传统一次性器械在手术时间及出血量方面无显著差异,表明其可能成为可持续手术实践的可行替代方案。这些方法符合可持续发展目标,通过提升人力资源效率、减少环境影响并促进经济可行性,为可持续医疗体系作出贡献。未来需要开展大规模多机构研究以优化实施方案,最大化其全球影响力。