Remote Surgeon Virtual Presence: A Novel Telementoring Method for Live Surgical Training

Din, Nizar; Chan, Clara C.; Cohen, Eyal; Iovieno, Alfonso; Dahan, Amit; Rootman, David S.; Litvin, Gilad

doi:10.1097/ico.0000000000002921

Cited by 13 publications

(18 citation statements)

References 21 publications

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“…Remote or rural areas often do not have stable network connections, and students in these areas may need hardware and information technology (IT) support to participate in online classes. Essentially, the widespread use of 5G telecommunications technology can solve these problems because it can provide high-quality and high-capacity transmission for live streaming and interaction ( 36 , 37 ). Second, the method imposes certain requirements on the information technology literacy of both students and teachers.…”

Section: Discussionmentioning

confidence: 99%

Application of problem-based learning combined with a virtual simulation training platform in clinical biochemistry teaching during the COVID-19 pandemic

Xie

Wang²,

Pang³

et al. 2022

Front. Med.

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BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has had a great impact on the traditional teaching mode (Lecture-based Learning, LBL) and laboratory teaching. To address this challenge, the researchers conducted online Problem-based learning (PBL) teaching and virtual simulation laboratory teaching through DingTalk, and evaluated the effectiveness of this method in teaching clinical biochemistry.MethodsWith the method of cluster sampling, the researchers randomly selected 60 students from two classes of the Class 2019 as the experimental group for this prospective experimental study. The theory class was taught online PBL through DingTalk, and experimental lectures were given by virtual simulation. After the experimental teaching, students were assessed for theory and operation. Self-administered questionnaires were administered through DingTalk. 65 students from our 2018 medical laboratory class were randomly selected as the control group, and offline LBL and traditional experimental teaching methods were used. Examination results were obtained through teaching portfolios.ResultsThe experimental group had significantly better examination scores in theoretical knowledge and experimental operational skills than the control group (87.45 ± 5.91 vs. 83.52 ± 9.94, P = 0.0095; 87.08 ± 12.42 vs. 80.18 ± 14.04, P = 0.0044). The results of the questionnaire survey revealed that the experimental group was more receptive to the DingTalk-PBL teaching method and virtual simulation laboratory teaching. Moreover, this hybrid teaching method was more effective in promoting basic knowledge understanding (95.0%, 57/60), facilitating the mastery of operational skills (93.3, 56/60), cultivating interest in learning (96.7%, 58/60), training clinical thinking (95.0%, 57/60), improving communication skills (95.0%, 57/60), and enhancing self-learning ability (91.7%, 55/60) and was more satisfying than traditional teaching method (all P < 0.05).ConclusionThe DingTalk-based PBL method combined with virtual simulation experiments was an effective and acceptable teaching strategy during the pandemic compared with the traditional teaching method.

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Section: Discussionmentioning

confidence: 99%

Application of problem-based learning combined with a virtual simulation training platform in clinical biochemistry teaching during the COVID-19 pandemic

Xie

Wang²,

Pang³

et al. 2022

Front. Med.

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“…Apart from requiring a stable and fast internet connection being the single drawback, all of the postoperative parameters of the surgical patients were the same between the differently mentored groups in almost all the included studies. In another comparative study of internet-based telementoring versus in-person telementoring, not only were the postoperative results the same between the two groups of mentees, but the mentors also showed a significant trend towards telementoring [27], while in some studies, mentees achieved better postoperative results when distance-mentored [43][44][45][46][47][48]. In a report on telementored trainees that performed bariatric surgery procedures, those that utilized Internet-based mentoring achieved fewer complications, shorter operative hours, as well as shorter hospitalization time [1].…”

Section: The Internet Of Telesurgery and Surgical Telementoringmentioning

confidence: 95%

“…While telesurgery describes the performance of a surgical operation by a remotely located surgeon, utilizing a network of devices with the aim of transferring the surgeon's haptic commands to a robotic surgery system, telementoring is the performance of live surgery on-site, with the live assistance of a more experienced surgeon, located off-site [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. In order to achieve the latter, a network of connected cameras, microphones, screens and computers is necessary [25][26][27][28][29][30][31]. A fundamental outline of the network and crosstalk required is depicted in Figure 1.…”

Section: The Internet Of Telesurgery and Surgical Telementoringmentioning

confidence: 99%

“…In addition, telementoring has the potential of long-distance consultation with ior and specialized surgeons who can provide live assistance in the operation rather a simple preoperative consultation, or the costly option of transferring difficult to age cases in specialized units [15][16][17][18][19][20]. Systems that are developed for surgical telem oring in live surgery can also be expanded with an array of biosensors for physiolo parameter monitoring that is transmitted directly to the mentoring surgeon [27], allo for the complete monitoring of the surgical patient, rather than just the surgical p In addition, telementoring has the potential of long-distance consultation with senior and specialized surgeons who can provide live assistance in the operation rather than a simple preoperative consultation, or the costly option of transferring difficult to manage cases in specialized units [15][16][17][18][19][20]. Systems that are developed for surgical telementoring in live surgery can also be expanded with an array of biosensors for physiological parameter monitoring that is transmitted directly to the mentoring surgeon [27], allowing for the complete monitoring of the surgical patient, rather than just the surgical procedure.…”

Section: The Internet Of Telesurgery and Surgical Telementoringmentioning

confidence: 99%

“…Systems that are developed for surgical telem oring in live surgery can also be expanded with an array of biosensors for physiolo parameter monitoring that is transmitted directly to the mentoring surgeon [27], allo for the complete monitoring of the surgical patient, rather than just the surgical p In addition, telementoring has the potential of long-distance consultation with senior and specialized surgeons who can provide live assistance in the operation rather than a simple preoperative consultation, or the costly option of transferring difficult to manage cases in specialized units [15][16][17][18][19][20]. Systems that are developed for surgical telementoring in live surgery can also be expanded with an array of biosensors for physiological parameter monitoring that is transmitted directly to the mentoring surgeon [27], allowing for the complete monitoring of the surgical patient, rather than just the surgical procedure. Studies evaluating the satisfaction outcomes of surgical trainees whenever live proctoring from a distance was used reveal universally high satisfaction rates [18][19][20][21][22][23][24][25] that were common to both mentors and mentees.…”

Section: The Internet Of Telesurgery and Surgical Telementoringmentioning

confidence: 99%

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A Smarter Health through the Internet of Surgical Things

Mulita

Verras

Anagnostopoulos

et al. 2022

Sensors

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(1) Background: In the last few years, technological developments in the surgical field have been rapid and are continuously evolving. One of the most revolutionizing breakthroughs was the introduction of the IoT concept within surgical practice. Our systematic review aims to summarize the most important studies evaluating the IoT concept within surgical practice, focusing on Telesurgery and surgical Telementoring. (2) Methods: We conducted a systematic review of the current literature, focusing on the Internet of Surgical Things in Telesurgery and Telementoring. Forty-eight (48) studies were included in this review. As secondary research questions, we also included brief overviews of the use of IoT in image-guided surgery, and patient Telemonitoring, by systematically analyzing fourteen (14) and nineteen (19) studies, respectively. (3) Results: Data from 219 patients and 757 healthcare professionals were quantitively analyzed. Study designs were primarily observational or based on model development. Palpable advantages from the IoT incorporation mainly include less surgical hours, accessibility to high quality treatment, and safer and more effective surgical education. Despite the described technological advances, and proposed benefits of the systems presented, there are still identifiable gaps in the literature that need to be further explored in a systematic manner. (4) Conclusions: The use of the IoT concept within the surgery domain is a widely incorporated but less investigated concept. Advantages have become palpable over the past decade, yet further research is warranted.

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

et al. 2023

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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. Supplementary Information The online version contains supplementary material available at 10.1007/s00464-023-10061-6.

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Remote Surgeon Virtual Presence: A Novel Telementoring Method for Live Surgical Training

Cited by 13 publications

References 21 publications

Application of problem-based learning combined with a virtual simulation training platform in clinical biochemistry teaching during the COVID-19 pandemic

Application of problem-based learning combined with a virtual simulation training platform in clinical biochemistry teaching during the COVID-19 pandemic

A Smarter Health through the Internet of Surgical Things

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

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