Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery

Burkett, Linda; Duvvuri, Umamaheswar; Bonidie, Michael

doi:10.1007/s11701-021-01280-x

Cited by 13 publications

(9 citation statements)

References 19 publications

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“…When discussing the prospects of IoT applications within surgical theaters, there are two key concepts in existence to keep in mind: telesurgery, and telementoring. 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].…”

Section: The Internet Of Telesurgery and Surgical Telementoringmentioning

confidence: 99%

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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Section: The Internet Of Telesurgery and Surgical Telementoringmentioning

confidence: 99%

A Smarter Health through the Internet of Surgical Things

Mulita

Verras

Anagnostopoulos

et al. 2022

Sensors

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“…Другая камера с робота, при помощи которого выполняется операция, дает возможность получить полное изображение операционного поля. Таким образом, опытный хирург может наблюдать за действиями обучающегося и контролировать процесс за счет двусторонней аудио-и видеосвязи [21].…”

Section: забор биоматериалаunclassified

“…Электронные медицинские системы Электронные медицинские карты Стандартизированные патологоанатомические заключения [17] Единая терминология [16] Забор биоматериала Камеры для сьемки операционного стола и операционного поля [21] Видеофиксация эндоскопических вмешательств [23] Интеграция фото и видео с историями болезни [22] Дополнительные методы визуализации при хирургических вмешательствах [26] Стандартизированные протоколы выполнения биопсии [32] Биопсийные карты [34] Подготовка биоматериала Протоколы фиксации материала [37] Стандартизированная подготовка биопсийных образцов [40] Системы идентификации [42] Транспортировка Чек-листы [44] Новые методы сохранения тканей [46] Макроскопия Фото-и видеофиксация макроскопического исследования тканей с сохранением в электронной системе медицинского учреждения [50] Пробоподготовка Автоматизация проводки и заливки в парафин [54] Автоматизированные микротомы [56] Устройства для автоматизирвоанной окраски [98] Автоматизированное покрытие (coverslipping) микропрепарата [61] Идентификация материала с помощью штрихкодов с интеграцией с метаданными о пациенте [65,66] Полноформатное сканирование стекол (WSI)…”

Section: выставление показаний к проведению патоморфологического иссл...unclassified

Digital transformation of the pathological service as a way to improve the quality of medical care.

Lebedev¹,

Shaderkin²,

Tertychny³

et al. 2022

RJTEH

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Introduction. Pathology plays an essential and important role in diagnostic and choosing patients’ management strategies. The aim of our analytical article is to review opportunities of digital technologies applying to pathology with a focus on converges with clinical disciplines. Materials and methods. The search was conducted on Medline and Pubmed database and websites of laboratory equipment developers. Results. The emergence of a new direction – ‘digital pathology’, underlines a high interest of professional society in this theme. Nowadays there are enough solutions for each part of pathological workflow which provides development of fully digitalized pathological laboratories. In this article we present opportunities and perspectives of business-process organization from statements of objectives for pathologist, tissue collection, laboratory study to multidisciplinary analysis for further patients’ management based on opportunities of information technologies. Conclusion. Digital pathology is a transfer of all pathological routine workflow on digital platform which allows to unite efforts of clinicians, pathologists, public health organizers and patients. Separated blocks, which should constitute a united digital pathological platform, already exist and effort and time are required for full consolidation of all stages of pathological research.

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“…The realization of tele-proctoring within tele-medicine would provide the following benefits [6][7][8] : (1) correcting the disparity in surgical skills between facilities and promoting the standardization of surgery; (2) increasing the spread of minimally invasive surgery internationally, especially in countries with limited medical industries;…”

Section: Introductionmentioning

confidence: 99%

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

Takemasa,

Okuya,

Okita

et al. 2023

Annals of Gastroent Surgery

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AimThe aim of this study was to verify the clinical feasibility of tele‐proctoring using our ultra‐low latency communication system with shared internet access.MethodsConnections 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.ResultsSeven 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 < 0.01). The quality of communication regarding latency, disturbance, and surgical education with intraoperative annotative instructions showed similar trends, with perfectly fine being the most common response. No significant differences in surgical quality, educational effect, or social impact were observed between the latency ≥30 and <30 ms groups for whether the size of latency affects surgical education.ConclusionThe feasibility of the tele‐proctoring system is expected to be a sustainable approach to help education for young surgeons and surgical supports in rural areas, thereby reducing disparities in health care.

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Surgeon satisfaction and outcomes of tele-proctoring for robotic gynecologic surgery

Cited by 13 publications

References 19 publications

A Smarter Health through the Internet of Surgical Things

A Smarter Health through the Internet of Surgical Things

Digital transformation of the pathological service as a way to improve the quality of medical care.

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

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