Remote telesurgical mentoring: feasibility and efficacy

Autor: D. Png, L. R. Kavoussi, Francesco Micali, J. J. Bauer, Dan Stoianovici, Jay T. Bishoff, P. Goh, S. O'Kelley, Man Kay Li, Günter Janetschek, Benjamin R. Lee, Jeffrey A. Cadeddu, Salvatore Micali, Supoj Ratchanon, Pichai Bunyaratavej, Wichean Kamolpronwijit
Rok vydání: 2005
Předmět:
medicine.medical_specialty
Percutaneous
Computer science
medicine.medical_treatment
Telecommunication links
computer.software_genre
Nephrectomy
law.invention
Medical computing
Remote control
law
Remote robotic manipulation
medicine
Medical physics
Robotic arms
Tissue
Multimedia
Video conferencing
Varicocelectomy
Adrenalectomy
Percutaneous access of the kidney
Cholecystectomies
Manipulators
Remote control
Robotic arms
Surgery
Telecommunication links
Tissue
Video cameras
Video conferencing
Voice/data communication systems

Adrenalectomy
Cholecystectomies
Laparoscopic camera
Nephrectomy
Percutaneous access of the kidney
Remote robotic manipulation
Remote telesurgical mentoring
Telementoring
Varicocelectomy

Manipulators
Voice/data communication systems
Robot
Surgery
Laparoscopic camera
Remote telesurgical mentoring
Telementoring
Robotic arm
computer
Video cameras
Zdroj: HICSS
Scopus-Elsevier
Popis: We report our experience in performing telesurgically-mentored procedures from Baltimore, MD to Thailand, Austria, Italy and Singapore. We additionally report on a case of remote robotic manipulation using a robot designed for Percutaneons Access of the Kidney (PAKY). Telementoring was performed using a video teleconferencing platform including audio, video, real-time video telestration and remote control of the AESOP robotic arm that manipulates the laparoscopic camera. The international telementoring was achieved over 3- ISDN lines (384 Kilobytes/sec). The robotic arm and PAKY robot were controlled over a separate analog POTS line. Telecommunications links were successfully established to these remote locations that ranged in distance from approximately 4,500-11,000 miles. There was no perceptible impact of time delay on the surgical procedures. All procedures were successfully completed without additional complications. Multiple laparoscopic surgeries to include varicocelectomy (4), nephrectomy (4), adrenalectomy (1) and cholecystectomies (2) were demonstrated. Remote robotic percutaneous access to the kidney was successfully conducted within fifteen minutes from Baltimore, Maryland to Rome, Italy.
Databáze: OpenAIRE