Telesurgery With Miniature Robots to Leverage Surgical Expertise in Distributed Expeditionary Environments

Reichenbach, Mark; Frederick, Tom; Cubrich, Lou; Bircher, Walter G.; Bills, Nathan D.; Morien, Marsha; Farritor, Shane; Oleynikov, Dmitry

doi:10.7205/milmed-d-16-00176

Cited by 19 publications

(14 citation statements)

References 24 publications

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“…To overcome lack of such infrastructure in austere environments, designing mobile robotic surgical units can mitigate problems in hosting traditional robotic surgery platforms. 12 Secure and low-latency high speed network connection is important for telesurgery. 10 Time-lag is a concern in telesurgery which can compromise patients' safety by imposing inaccuracies and increase unnecessary surgery time.…”

Section: Probable Solutions To Challenges Faces In Developing Telesurgery In Lmicmentioning

confidence: 99%

Foreseeable challenges in developing telesurgery for low income and middle-income countries

Tamalvanan

2021

Int Surg J

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Advancement in tele surgery or long distance telerobotic surgery is an intriguing prospect achieve equitable reach of global surgical services. In realization of this dream there are multiple of challenges as to telesurgery establishment and operation in low-and middle-income countries (LMIC). As of current market status, telesurgery is costly and not practical for the austere settings in these countries. “Telesurgery for a truly global surgery” is a realisable dream for the fore coming future. Affordable robotic surgical platforms, assistance from manufacturing companies to establish robotic platforms, introduction of 5G networking technology, international collaboration to unify efforts in telesurgery, and secure networking framework for a hassle free telesurgery network; are few formidable suggestions for implementing telesurgery in a global scale.

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Section: Probable Solutions To Challenges Faces In Developing Telesurgery In Lmicmentioning

confidence: 99%

Foreseeable challenges in developing telesurgery for low income and middle-income countries

Tamalvanan

2021

Int Surg J

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“…The ability to offer complex minimally invasive surgery at a site remote from the patient offers the potential to bring a more advanced level of care in remote areas, potentially saving lives around the world. Not only can this type of technology help in humanitarian situations with limited access, the military has also pursued this type of technology to assist in emergency areas . This type of 'telecommunication' and 'telesurgery' can be applied in a wide variety of clinical scenarios allowing patients access to a skilled surgeon remotely.…”

Section: Historical Notesmentioning

confidence: 99%

Robotic surgery for gynecologic cancers: indications, techniques and controversies

Clair

Tewari

2020

J of Obstet and Gynaecol

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Minimally invasive surgery for gynecologic cancers is associated with fewer postoperative complications including less blood loss and quicker recovery time compared to traditional laparotomy. The robotic platform has allowed patients access to minimally invasive surgery due to its increased utilization by gynecologic oncologists. Many surgeons have embraced the robotic platform due to its technological advances over traditional laparoscopy including high-definition 3D optics, wristed instrumentation, camera stability and improved ergonomics. While robotic surgery continues as a mainstay in the management of gynecologic cancers, it remains controversial in regards to its cost effectiveness and more recently, its long-term impact on clinical and oncologic outcomes. A strong component of the justification of this surgical platform is based on extrapolated data from traditional laparoscopy despite limited prospective randomized trials for roboticassisted surgery. In this review, we highlight the use of robotic surgery in the management of gynecologic cancers in special populations: fertility sparing patients, the morbidly obese, the elderly, and patients with a favorable response to neoadjuvant chemotherapy.

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“…It provides ultra-low latency and mobile edge computing with network slicing and artificial intelligence. Mark Reichenbach et al [17] performed research on miniature robots for telesurgery in scattered expedition environment to leverage surgical proficiency. The authors conducted an experiment for testing the capability of the miniature surgical robots with off-the shelf wireless equipment.…”

Section: Existing Literaturementioning

confidence: 99%

Precision Improvement and Delay Reduction in Surgical Telerobotics

Manoharan

Ponraj

2019

JAICN

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The field of medicine is greatly benefited by telerobotic surgeries. It allows the surgeon to reach the patient remotely. Traditional surgical telerobotic techniques had several drawbacks mainly due to communication delay and lack of precision. Signal latency also causes significant delay in operations. This also causes the risk of increased human errors. The surgical workflow can be altered by the addition of features like self-correction and self-automation. In this paper, we reduce the delay in telerobotic surgery using supervisory control approach and apply a haptic feedback to regulate safety. Motion scaling technique is used to combat responses in delayed environment as well as to improve the accuracy of the system. Augmented reality, improved functional design, comfort and skills along with the ability to reach the patient remotely promotes the wide use of surgical telerobotics.

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Telesurgery With Miniature Robots to Leverage Surgical Expertise in Distributed Expeditionary Environments

Abstract: Wireless transmission of control signals has provided proof of concept and has exposed areas of the software that can be built upon to improve responsiveness. Wireless transmission of the video feed can be adequately performed with basic off-the-shelf components.

Cited by 19 publications

References 24 publications

Foreseeable challenges in developing telesurgery for low income and middle-income countries

Foreseeable challenges in developing telesurgery for low income and middle-income countries

Robotic surgery for gynecologic cancers: indications, techniques and controversies

Precision Improvement and Delay Reduction in Surgical Telerobotics

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