OBJECTIVE 目的

This review aims to provide an informed understanding of existing energy-based surgical cutting technologies and aerosol generating surgical procedures. We provide a perspective on the future innovation and research potential in this space for the benefit of surgeons, physicians, engineers and researchers alike.

本綜述旨在知情了解現有基于能量的外科切割技術和可生成氣溶膠的手術步驟。我們為外科醫生、內科醫生、工程師和研究人員等提供了未來創新和研究潛力的視角。

SUMMARY OF BACKGROUND DATA 背景資料摘要

Surgery is a treatment for many medical conditions, the success of which depends on surgical cutting instruments that enable surgeons to conduct surgical procedures for tissue cutting and manipulation. Energy-based surgical cutting tools improve accuracy and limit unnecessary destruction of healthy tissues and cells, but can generate surgical smoke and aerosols, which can be handled using surgical smoke evacuation technology.

外科手術是一種治療多種疾病的方法，其成功依賴于外科手術切割器械，使外科醫生能夠進行組織切割和操作的外科手術。基于能量的手術切割工具提高了準確性，并限制了對健康組織和細胞的不必要破壞，但會產生手術煙霧和氣溶膠，可以使用手術煙霧疏散技術來處理。

METHODS 方法

A narrative review was conducted to explore existing literature describing the history and development of energy-based surgical instruments, their mechanisms of action, aerosol generating medical procedures (AGMPs), surgical smoke and aerosols from AGMPs and the recommended mitigation strategies, as well as research on rapid biological tissue analysing devices to date.

對現有文獻進行了敘述性回顧，以探索描述基于能量的手術器械的歷史和發展、它們的作用機制、產生氣溶膠的醫學過程(AGMPs)、手術煙霧及來自AGMPs的氣溶膠、緩解策略的建議，以及迄今為止對生物組織快速分析設備的研究。

ConCLUSION 結論

Smoke evacuation technology may provide diagnostic information regarding tissue pathology, which could eliminate the health concerns and revolutionise surgical accuracy. However, further research into surgical smoke is required to quantify the measurable risk to health it poses, the cutting conditions under which it is generated and to develop advanced diagnostic approaches using this information.

煙霧疏散技術可提供組織病理診斷信息，消除健康隱患，革新手術準確性。然而，需要對手術煙霧進行進一步研究，以量化其對健康造成的可測量風險、產生煙霧的切割條件，并利用這些信息開發先進的診斷方法。