Tele‐proctoring for minimally invasive surgery across Japan: An initial step toward a new approach to improving the disparity of surgical care and supporting surgical education

Autor: Ichiro Takemasa, Koichi Okuya, Kenji Okita, Emi Akizuki, Masaaki Miyo, Masayuki Ishii, Ryo Miura, Momoko Ichihara, Korai Takahiro, Eiji Oki, Mitsuhisa Takatsuki, Susumu Eguchi, Daisuke Ichikawa, Yuko Kitagawa, Yoshiharu Sakai, Masaki Mori
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Annals of Gastroenterological Surgery, Vol 8, Iss 2, Pp 356-364 (2024)
Druh dokumentu: article
ISSN: 2475-0328
DOI: 10.1002/ags3.12750
Popis: Abstract Aim The aim of this study was to verify the clinical feasibility of tele‐proctoring using our ultra‐low latency communication system with shared internet access. Methods Connections between two multiple remote locations at various distances were established through the TELEPRO® tele‐proctoring system. The server records the latency between the two locations for tele‐proctoring using the annotations. Questionnaires were administered to the surgeons, assistants, and medical staff. Respondents rated the quickness and quality of communication in terms of latency and disturbances in the audio, video, and usefulness of the live telestrations with annotation. Results Seven hospitals tele‐proctored with Sapporo Medical University between January 2021 and September 2022. The median latency of annotation between the two locations ranged from 24.5 to 48.5 ms. No major technological problems occurred, such as streaming interruption, loss of video or audio, poor resolution. The video encoding time was 10 ms, and its decoding time was 0.8 ms. The total latency positively correlated with the distance between two locations (R = 0.55, p
Databáze: Directory of Open Access Journals