Robotic Telesurgery: Benefits Beyond Barriers
Abstract
Since the inception of robotic surgery in the 1980’s, there has been tremendous progress in this field, with the development of advanced machines. Developments in information technology has enabled surgeons to perform surgical procedures remotely on patients located in different geographic areas. This paper aims to study the current applications and latest advances in information technology related to robotic telesurgery. Literature search was conducted using PubMed. Articles describing the origin, implementation and latest developments in the field of robotic telesurgery were identified. Special focus was placed on studying the information technology required for setting up of a telesurgery system. Studies have shown that computer enhanced robotic telesurgery is a safe and effective treatment method for a variety of diseases. Researchers were successful in completing multiple telerobotic surgeries of the gastrointestinal tract with no significant complications or increase in postoperative stay. In addition to fiber optic networks, commercially available networks like Virtual Private Networks (VPNs) have also been used successfully for telesurgery.References
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2. Kwoh YS, Hou J, Jonckheere EA, et al. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng. 1988;35:153–161.
3. Harris SJ, Arambula-Cosio F, Mei Q, Hibberd RD, Davies BL, Wickham JE et al. The Probot--an active robot for prostate resection. Proc Inst Mech Eng H. 1997;211:317–25.
4. Marescaux J, Leroy J, Rubino F, Smith M, Vix M, Simone M, Mutter D. Transcontinental Robot-Assisted Remote Telesurgery: Feasibility and Potential Applications. Ann. Surg. 2002;235(4):487–492.
5. Xu S, Perez M, Yang K, Perrenot C, Felblinger J, Hubert J. Determination of the latency effects on surgical performance and the acceptable latency levels in telesurgery using the dV-Trainer simulator. Surg Endosc. 2014;28:2569–76.
6. Anvari M, Broderick T, Stein H, Chapman T, Ghodoussi M, Birch DW, Mckinley C, Trudeau P, Dutta S, Goldsmith CH. The impact of latency on surgical precision and task completion during robotic-assisted remote telepresence surgery. Comp Aided Surg. 2005;10:93–9.
7. Anvari M, McKinley C, Stein H. Establishment of the World’s First Telerobotic Remote Surgical Service for Provision of Advanced Laparoscopic Surgery in a Rural Community. Ann. Surg. 2005 Mar;241, 3:460–464.
8. Challacombe B, Patriciu A, Glass J, et al. A randomized controlled trial of human versus robotic and telerobotic access to the kidney as the first step in percutaneous nephrolithotomy. Comput Aided Surg. 2005;10:165–171.
9. Bruyère F1, Ayoub J, Arbeille P. Use of a telerobotic arm to perform ultrasound guidance during renal biopsy in transplant recipients: a preliminary study. J Endourol. 2011 Feb;25(2):231-4.
