Telesurgery and telesurgical support using a double-surgeon cockpit system allowing manipulation from two locations.

Autor: Oki E; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan. oki.eiji.857@m.kyushu-u.ac.jp.; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan. oki.eiji.857@m.kyushu-u.ac.jp., Ota M; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Nakanoko T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Tanaka Y; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Toyota S; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Hu Q; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Nakaji Y; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Nakanishi R; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Ando K; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Kimura Y; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Hisamatsu Y; Department of Surgery, Kyushu University Beppu Hospital, Beppu, Japan., Mimori K; Department of Surgery, Kyushu University Beppu Hospital, Beppu, Japan., Takahashi Y; Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan., Morohashi H; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan., Kanno T; Riverfield Inc., Tokyo, Japan., Tadano K; Riverfield Inc., Tokyo, Japan.; Laboratory for Future Interdisciplinary Research of Science and Technology, Tokyo Institute of Technology, Yokohama, Japan., Kawashima K; Riverfield Inc., Tokyo, Japan.; Department of Information Physics and Computing School of Information Science and Technology, The University of Tokyo, Tokyo, Japan., Takano H; Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan., Ebihara Y; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan., Shiota M; Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Inokuchi J; Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Eto M; Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Yoshizumi T; Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-Ku, Fukuoka, 812-8582, Japan., Hakamada K; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan., Hirano S; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, Sapporo, Japan., Mori M; Committee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.; Tokai University School of Medicine, Isehara, Japan.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2023 Aug; Vol. 37 (8), pp. 6071-6078. Date of Electronic Publication: 2023 May 01.
DOI: 10.1007/s00464-023-10061-6
Abstrakt: Background: Although several studies on telesurgery have been reported globally, a clinically applicable technique has not yet been developed. As part of a telesurgical study series conducted by the Japan Surgical Society, this study describes the first application of a double-surgeon cockpit system to telesurgery.
Methods: Surgeon cockpits were installed at a local site and a remote site 140 km away. Three healthy pigs weighing between 26 and 29 kg were selected for surgery. Non-specialized surgeons performed emergency hemostasis, cholecystectomy, and renal vein ligation with remote assistance using the double-surgeon cockpits and specialized surgeons performed actual telesurgery. Additionally, the impact of adding internet protocol security (IPsec) encryption to the internet protocol-virtual private network (IP-VPN) line on communication was evaluated to address clinical security concerns.
Results: The average time required for remote emergency hemostasis with the double-surgeon cockpit system was 10.64 s. A non-specialized surgeon could safely perform cholecystectomy or renal vein ligation with remote assistance. Global Evaluative Assessment of Robotic Skills and System Usability Scale scores were higher for telesurgical support-assisted surgery by a non-specialized surgeon using the double-surgeon cockpits than for telesurgery performed by a specialized surgeon without the double-cockpit system. Adding IPsec encryption to the IP-VPN did not have a significant impact on communication.
Conclusion: Telesurgical support through our double-surgeon cockpit system is feasible as first step toward clinical telesurgery.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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