Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai
ABSTRACT Introduction: We performed the first study exploring telesurgery's teleproctoring potential while performing long-distance procedures between Orlando (USA) and Shanghai (China) over a distance of 13,000 km. The objective was to evaluate telesurgery's performance and teaching pote...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2025-07-01
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000400404&lng=en&tlng=en |
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| author | Marcio Covas Moschovas Shady Saikali Travis Rogers Mischa Dohler Michael Mcdonald Ela Patel Jeffrey Marquinez Ahmed Gamal Jeffery Magnuson Vipul Patel |
| author_facet | Marcio Covas Moschovas Shady Saikali Travis Rogers Mischa Dohler Michael Mcdonald Ela Patel Jeffrey Marquinez Ahmed Gamal Jeffery Magnuson Vipul Patel |
| author_sort | Marcio Covas Moschovas |
| collection | DOAJ |
| description | ABSTRACT Introduction: We performed the first study exploring telesurgery's teleproctoring potential while performing long-distance procedures between Orlando (USA) and Shanghai (China) over a distance of 13,000 km. The objective was to evaluate telesurgery's performance and teaching potential using the MicroPort® MedBot™ robotic platform and fiber-optic technology in real-time collaboration during urologic procedures. Materials and Methods: We simulated a real-life scenario where surgeons could communicate and send mutual inputs during telesurgery cases. A prospective study using live porcine models was conducted on July 23–24, 2024. Surgeons in Orlando and Shanghai took turns controlling the robotic system, performing nephrectomies, pyeloplasties, and ureteroureterostomies while transferring control between locations. Latency and system performance were continuously monitored, and real-time communication between the surgeons was facilitated by fiber-optic technology. Results: Surgeons successfully completed numerous urologic procedures, including nephrectomies, pyeloplasties, and ureteroureterostomies, with seamless control transfers. Remote surgeons provided teleproctoring and assistance during the procedures. The robotic system operated without issues throughout the two-day study. The median latency was 139 milliseconds (range 137–216 ms) on the first day and 139 milliseconds (range 137–185 ms) on the second day. Conclusions: This study demonstrates the feasibility of long-distance telesurgery and highlights its potential to improve surgical outcomes, facilitate training, and offer remote assistance for complex cases. Telesurgery could play a significant role in expanding access to specialized care and enhancing robotic surgical training globally. |
| format | Article |
| id | doaj-art-79ddf2ca0aeb4bd8a0d048a4bd8ec5e4 |
| institution | Kabale University |
| issn | 1677-6119 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj-art-79ddf2ca0aeb4bd8a0d048a4bd8ec5e42025-08-20T03:33:14ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192025-07-0151410.1590/s1677-5538.ibju.2025.0083Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and ShanghaiMarcio Covas Moschovashttps://orcid.org/0000-0002-3290-7323Shady SaikaliTravis RogersMischa DohlerMichael McdonaldEla PatelJeffrey MarquinezAhmed GamalJeffery MagnusonVipul PatelABSTRACT Introduction: We performed the first study exploring telesurgery's teleproctoring potential while performing long-distance procedures between Orlando (USA) and Shanghai (China) over a distance of 13,000 km. The objective was to evaluate telesurgery's performance and teaching potential using the MicroPort® MedBot™ robotic platform and fiber-optic technology in real-time collaboration during urologic procedures. Materials and Methods: We simulated a real-life scenario where surgeons could communicate and send mutual inputs during telesurgery cases. A prospective study using live porcine models was conducted on July 23–24, 2024. Surgeons in Orlando and Shanghai took turns controlling the robotic system, performing nephrectomies, pyeloplasties, and ureteroureterostomies while transferring control between locations. Latency and system performance were continuously monitored, and real-time communication between the surgeons was facilitated by fiber-optic technology. Results: Surgeons successfully completed numerous urologic procedures, including nephrectomies, pyeloplasties, and ureteroureterostomies, with seamless control transfers. Remote surgeons provided teleproctoring and assistance during the procedures. The robotic system operated without issues throughout the two-day study. The median latency was 139 milliseconds (range 137–216 ms) on the first day and 139 milliseconds (range 137–185 ms) on the second day. Conclusions: This study demonstrates the feasibility of long-distance telesurgery and highlights its potential to improve surgical outcomes, facilitate training, and offer remote assistance for complex cases. Telesurgery could play a significant role in expanding access to specialized care and enhancing robotic surgical training globally.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000400404&lng=en&tlng=enRobotic Surgical ProceduresMinimally Invasive Surgical ProceduresProspective Studies |
| spellingShingle | Marcio Covas Moschovas Shady Saikali Travis Rogers Mischa Dohler Michael Mcdonald Ela Patel Jeffrey Marquinez Ahmed Gamal Jeffery Magnuson Vipul Patel Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai International Brazilian Journal of Urology Robotic Surgical Procedures Minimally Invasive Surgical Procedures Prospective Studies |
| title | Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai |
| title_full | Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai |
| title_fullStr | Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai |
| title_full_unstemmed | Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai |
| title_short | Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai |
| title_sort | exploring the teleproctoring potential of telesurgery the first remote procedures performed simultaneously between orlando and shanghai |
| topic | Robotic Surgical Procedures Minimally Invasive Surgical Procedures Prospective Studies |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382025000400404&lng=en&tlng=en |
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