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Telemedicine in surgery.

L H Eadie1, A M Seifalian, B R Davidson

  • 1University Department of Surgery, Royal Free and University College School of Medicine, University College London and Royal Free Hospital NHS Trust, Pond Street, London NW3 2QG, UK.

The British Journal of Surgery
|June 17, 2003
PubMed
Summary
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Telemedicine is transforming surgical training and procedures, offering remote mentoring and operations. While promising, advancements in tactile feedback and technology are needed for widespread adoption of telesurgery.

Area of Science:

  • Surgical Technology
  • Medical Informatics
  • Telemedicine

Background:

  • Telemedicine is increasingly integrated into surgical training, enabling remote mentoring, proctoring, and teleconferencing.
  • Its application is expanding to encompass remote surgical procedures, highlighting a significant shift in surgical practice.

Purpose of the Study:

  • To conduct a systematic review of available telemedicine systems in surgery.
  • To critically appraise the application, potential, and limitations of these systems within the surgical field.

Main Methods:

  • Searches of Medline, Ovid, and the internet using keywords like 'telesurgery' and 'telemedicine and surgery'.
  • Inclusion of hand searches from two peer-reviewed telesurgery journals.

Main Results:

Related Experiment Videos

  • Telementoring and teleconferencing are widely used for surgical education.
  • Two clinical telesurgery systems have been trialed in various procedures (e.g., cholecystectomy, coronary artery bypass) with successful outcomes, though operating times were often prolonged.
  • The first long-distance telesurgery procedure was successfully performed in 2002.

Conclusions:

  • Telemedicine holds substantial potential to revolutionize surgical practice.
  • Improvements in telesurgical technology, including tactile feedback, instrumentation, and telecommunication speed, are necessary.
  • Clarification of legal, liability, and cost-benefit issues is essential for future integration.