Robotic long-distance telementoring in neurosurgery
| Autor: | Ron Hill, David B. Clarke, Simon Walling, George Kolyvas, Ivar Mendez |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Intracranial Arteriovenous Malformations Male medicine.medical_specialty medicine.medical_treatment Neurosurgery Hospitals Community Pilot Projects Carotid endarterectomy Neurosurgical Procedures Resection Spinal Stenosis Computer Systems medicine Meningeal Neoplasms Humans Carotid Stenosis Craniotomy Aged Academic Medical Centers Endarterectomy Carotid Lumbar Vertebrae business.industry General surgery Surgical care Remote Consultation Mentors Laminectomy Supratentorial Neoplasms Arteriovenous malformation Glioma Robotics Middle Aged medicine.disease Temporal Lobe Surgery Female Neurology (clinical) business Meningioma Robotic arm Lumbar laminectomy |
| Zdroj: | Neurosurgery. 56(3) |
| ISSN: | 1524-4040 |
| Popis: | OBJECTIVE: To test the feasibility of long-distance telementoring in neurosurgery by providing subspecialized expertise in real time to another neurosurgeon performing a surgical procedure in a remote location. METHODS: A robotic telecollaboration system (Socrates; Computer Motion, Inc., Santa Barbara, CA) capable of controlling the movements of a robotic arm, of handling two-way video, and of audio communication as well as transmission of neuronavigational data from the remote operating room was used for the telementoring procedures. Four integrated services digital network lines with a total speed of transmission of 512 kilobytes per second provided telecommunications between a large academic center (Halifax, Nova Scotia) and a community-based center (Saint John, New Brunswick) located 400 km away. RESULTS: Long-distance telementoring was used in three craniotomies for brain tumors, a craniotomy for an arteriovenous malformation, a carotid endarterectomy, and a lumbar laminectomy. There were no surgical complications during the procedures, and all patients had uneventful outcomes. The neurosurgeons in the remote location believed that the input from the mentors was useful in all of the cases and was crucial in the removal of a mesial temporal lobe glioma and resection of an occipital arteriovenous malformation. CONCLUSION: Our initial experience with long-distance robotic-assisted telementoring in six cases indicates that telementoring is feasible, reliable, and safe. Although still in its infancy, telementoring has the potential to improve surgical care, to enhance neurosurgical training, and to have a major impact on the delivery of neurosurgical services throughout the world. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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