远程机器人辅助腹腔镜妇科手术的伦理审视与人文考量

Ethical and Humanistic Reflections on the Use of Remote Robotic Laparoscopic Surgery in Gynecology

摘要

远程机器人辅助腹腔镜手术作为现代妇科学的前沿演进方向，在突破地理限制、优化资源配置的同时，其“去在场化”特征亦引发了深层的伦理挑战与哲学省思。本文立足于远程技术在妇科手术领域中的应用实际，首先从技术参数的伦理角度出发，探讨了网络延迟对妇科盆腔精细解剖安全的影响。其次，分析了远程场景下由主刀医生、现场助手、设备厂商及通信服务商构成的责任链条重构，厘清多元主体的法律责任边界。在此基础上，从医生和患者双重角度出发，审视技术光环下的责任感知与焦虑情绪，以及患者在技术中介化过程中的期待与担忧。为应对上述挑战，本文提出建立“技术-人文双闸”伦理审批制度，并强调坚守医学人文精神的重要性，以推动远程手术在技术与人文的融合中健康发展。

Abstract

As a pioneering development in modern gynecology, telerobotic laparoscopic surgery overcomes geographical barriers and optimizes resource allocation. However, its inherent "de-presence" has also raised significant ethical challenges and philosophical questions. Based on the practical application of remote technologies in gynecological surgery, this study first examines how network latency affects the safety of delicate pelvic anatomical dissections, considering the "ethicization" of technical parameters. Next, it analyzes the reconstruction of the responsibility chain – including the lead surgeon, on-site assistants, equipment manufacturers, and telecommunication providers – while clarifying the boundaries of legal liability among these stakeholders. Additionally, from the perspectives of both clinicians and patients, this paper discusses the heightened professional responsibility and cognitive anxiety under the "technological halo," as well as patients' expectations and concerns about their bodies being mediated by technology. To address these challenges, the study proposes establishing a "Techno-Humanistic Dual-Gate" ethical review system and emphasizes the importance of upholding the spirit of medical humanities. These measures aim to ensure that telerobotic surgery develops in a healthy manner by integrating technological precision with humanistic care.

关键词

远程机器人手术 / 妇科学 / 伦理阈值 / 责任重构 / 医学人文 / 技术座架

Key words

Telerobotic surgery / Gynecology / Ethical threshold / Reconstruction of responsibility / Medical humanities / Technological enframing

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