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Special article
Available online 12 January 2024
DATA GOVERNANCE in digital surgery
Gobierno del dato en la cirugía digital
María Asunción Acosta-Mérida
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain
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Tables (3)
Table 1. Key elements of digital surgery (Adapted from Lam et al.3).
Table 2. The Vs of Big Data.
Table 3. Basic elements for an ethical platform (Adapted from Leslie27).
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Figures (1)
Abstract

Technological and computer advances have led to a “new era” of Surgery called Digital Surgery. In it, the management of information is the key. The development of Artificial Intelligence requires “Big Data” to create its algorithms. The use of digital technology for the systematic capture of data from the surgical process raises ethical issues of privacy, property, and consent. The use of these out-of-control data creates uncertainty and can be a source of mistrust and refusal by surgeons to allow its use, requiring a framework for the correct management of them. This paper exposes the current situation of Data Governance in Digital Surgery, the challenges posed and the lines of action necessary to resolve the areas of uncertainty that have arisen in the process, in which the surgeon must play a relevant role.

Keywords:
Data governance
Digital surgery
Big Data
Artificial intelligence
Machine learning
Data science
Robotic surgery
Resumen

Los avances tecnológicos e informáticos han conducido a una “nueva era” de la Cirugía denominada Cirugía Digital. En ella, el manejo de la información es clave. El desarrollo de la Inteligencia Artificial precisa del “Big Data” para crear sus algoritmos. La utilización de la tecnología digital para la captura sistemática de datos del proceso quirúrgico plantea problemas éticos de privacidad, propiedad y consentimiento. El empleo de estos datos fuera de control crea incertidumbre y puede ser una fuente de desconfianza y rechazo por parte de los cirujanos a permitir su utilización, siendo necesario un marco para el correcto manejo de los mismos. Este trabajo expone la situación actual de la Gobernanza del Dato en Cirugía Digital, los retos planteados y las líneas de acción necesarias para resolver las áreas de incertidumbre surgidas en el proceso, en el cual el cirujano ha de tener un papel relevante.

Palabras clave:
Gobernanza del dato
Gobierno del dato
Cirugía digital
Big Data
Inteligencia artificial
Aprendizaje automático
Ciencia de los datos
Cirugía robótica

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