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Related Experiment Videos

Telemedicine: teleproctored endoscopic sinus surgery.

Lawrence P A Burgess1, Mark J Syms, Michael R Holtel

  • 1Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii 96859-1000, USA. burgessL001@hawaii.rr.com

The Laryngoscope
|March 13, 2002
PubMed
Summary

Teleproctored endoscopic sinus surgery is safe and feasible for select cases, with a slight increase in operative time. This remote supervision method offers a positive learning experience for residents and can be further explored for surgical training.

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Area of Science:

  • Otolaryngology
  • Surgical Technology
  • Medical Education

Background:

  • Teleproctored surgery enables remote expert surgeon guidance.
  • Evaluating the safety and feasibility of teleproctored surgery is crucial for its adoption.
  • Traditional proctoring methods have limitations in reaching remote or training settings.

Purpose of the Study:

  • To assess the safety and feasibility of teleproctored endoscopic sinus surgery.
  • To compare teleproctored surgery with the current standard of care in a residency program.

Main Methods:

  • A prospective study comparing conventionally proctored and teleproctored endoscopic sinus surgery cases.
  • Faculty surgeons supervised remotely via audiovisual teleconferencing (VTC).
  • Outcomes were evaluated based on safety, feasibility, and operative time.

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Main Results:

  • No significant differences in surgical complexity or adverse events between groups.
  • Teleproctored cases showed a 16% increase in operative time (3.87 minutes longer per side).
  • Residents reported positive learning experiences; faculty noted safety but raised concerns about skills maintenance.

Conclusions:

  • Teleproctored endoscopic sinus surgery is safe for selected cases, with a manageable increase in time.
  • Further investigation into teleproctored surgery for remote sites and residency training is warranted.
  • Integrating telepresence into surgical residency curricula requires additional study.