The role of telementoring and telerobotic assistance in the provision of laparoscopic colorectal surgery in rural areas

Sebajang, Herawaty; Trudeau, Patrick; Dougall, Al; Hegge, Susan; McKinley, Craig; Anvari, Mehran

doi:10.1007/s00464-005-0260-0

Cited by 89 publications

(52 citation statements)

References 32 publications

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“…These 21 articles were obtained and read in full. Of these, five [20,21,26,29,33] were excluded because they did not contain sufficient information to extract details on surgeries for diverticular disease, six [16,17,19,23,28,31] were excluded because they reviewed techniques without providing patient data, one [15] was excluded because the Automated Endoscopic System for Optimal Positioning, Computer Motion TM (AESOP) robotic device was used, and one [18] was excluded because it dealt with surgeries in animals. Thus, eight studies involving use of the da Vinci Ò device remained eligible for this review [13,14,22,24,25,27,30,32].…”

Section: Operative Techniquementioning

confidence: 99%

Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature

Ragupathi¹,

Ramos-Valadez²,

Patel³

et al. 2010

Surg Endosc

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Section: Operative Techniquementioning

confidence: 99%

Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature

Ragupathi¹,

Ramos-Valadez²,

Patel³

et al. 2010

Surg Endosc

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“…Furthermore, operating far from the field of operation enables a more rapid exchange of surgeons. Modern communication systems and telemonitoring have made it possible to exchange information over a large distance (42). In addition to saving resources and reducing costs, it is possible to work more effectively and provide better patient care.…”

Section: Application In Complex Situationsmentioning

confidence: 99%

Robotic surgery in gynecology

Alkatout

Mettler

Maass

et al. 2016

J Turkish German Gynecol Assoc

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Review 224 Robotic surgery in gynecologyRobotic surgery is a dynamic development for minimally invasive procedures. The specialty of gynecology consistently offers new opportunities for innovative surgical techniques and the advancement of existing therapy approaches (Figure 1). Ever since the American FDA granted approval of the Da Vinci operation robot for gynecological operations in 2005, about three million robotic operations have been performed worldwide. 3500 Da Vinci systems are currently in use: 586 of these in Europe and 77 in Germany (4 th quarter of 2015). According to the figures of Intuitive Surgical, about 600,000 interventions were performed on a worldwide basis in the year 2014, of which 50% were performed in gynecology, approximately 30% in urology, and about 20% in general and chest surgeries. In 2011, the proportion of robotic hysterectomies performed for benign indications in the USA was as high as 27% (1). Currently, we have experience in robotic surgery for the majority of gynecological operations and fields of application. The known advantages of minimally invasive surgery, such as less blood loss, shorter durations of hospital stay, and lower patient morbidity compared to open procedures, have been observed here as well. Better exposure of the operating field by 3D technology and the extension of surgical instruments to 7 degrees of freedom permit the use of minimally invasive surgery, even for complex indications. Robot-assisted manipulation of the instruments permits tremor-free handling and reduces work fatigue for the surgeon, which is very advantageous for the surgeon as well as the patient in long and complex interventions. The possibility of working simultaneously on two parallel consoles shortens the learning curve, reduces complication rates, and facilitates the training of surgeons (2). The advancement of robotic surgery in terms of the Da Vinci Xi permits the variable use of optics in all four trocars (paraaortic lymphadenectomy, omentectomy, or interdisciplinary surgery in the upper abdomen can be performed without re-docking) and ensures markedly greater flexibility due to the optimized geometry of the so-called patient cart. Robotic surgery has been criticized for the fact that it requires the use of larger trocars compared to conventional laparoscopy, and is therefore associated with more numerous and larger cosmetic scars; this is avoided by the smaller trocars now used in robotic surgery (3). The development of the single-site systems signifies further new options for the gynecological surgeon (Figure 2). For instance, freedom of movement is now maximized by the introduction of one or more additional working trocars (4, 5). The low level of postoperative pain appears to be another advantage. It is accompanied by a lesser need for analgesics and even shorter hospital stays compared to traditional laparoscopic surgery. One explanation could be the fact that the abdominal wall need not be used as a counter bearing. The absence of irritation and the advantage of tissue protec...

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“…Since this study was performed, however, considerable advances have been made in robotic platforms, endoscopic instrumentation, and wireless communications. A great deal of experience and success with robotic surgical operations have been achieved with urologic, cardiac, and complex gastrointestinal procedures [5][6][7][8][9][10], including transforming these towards more of a true telesurgical model, where the operator manipulates the surgical robot remotely from its location.…”

Section: Introductionmentioning

confidence: 99%

“…There is currently an ever-increasing demand on thoracic surgical expertise in urban trauma centers to manage these often complex and challenging trauma patients, and the lack of availability of surgical expertise in remote areas can often increase the morbidity and mortality of thoracic trauma patients. The ability to provide this specialty care at a distance is an intriguing option that is becoming realized in a variety of surgical subspecialities, including colorectal and urologic surgery [5,7]. The role of a minimally invasive approach to diagnosing and managing stable thoracic trauma has been established by a variety of authors [11,12,[20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Telesurgical evaluation of stable thoracic trauma patients: a feasibility study

Bhatia

Bottoni

Malthaner

2011

Eur J Trauma Emerg Surg

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The role of telementoring and telerobotic assistance in the provision of laparoscopic colorectal surgery in rural areas

Abstract: Telementoring and remote telerobotic assistance are excellent tools for supporting community surgeons and providing patients better access to advanced surgical care.

Cited by 89 publications

References 32 publications

Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature

Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature

Robotic surgery in gynecology

Telesurgical evaluation of stable thoracic trauma patients: a feasibility study

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