Barriers to wider adoption of mobile telerobotic surgery: engineering, clinical and business challenges

A portable robotic telesurgery network could remove the geographic disparity of surgical care and provide expert surgical support for first responders to traumatic injury. This is particularly relevant to battlefield medicine where surgical intervention is currently not available to the most perilous fighting circumstances. Similar utility applies to the peacetime healthcare mission. The authors identify the potential advantage to healthcare from a mobile robotic telesurgery system and specify barriers to the employability and acceptance of such a system. The proposed research roadmap will describe a portable telesurgery system that represe government/industrial recognition and reward for excellent care provided by quality surgeons. The provision of expert surgical care improves the outcomes of surgical intervention by reducing errors. For example, during the common procedure of laparoscopic cholecystectomy, distributed telesurgical care could normalize surgical performance and limit major variance of surgeon outliers; such as reducing common bile duct injury to the very low rate seen with operation by proficient surgeons.