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Author Spotlight: Revolutionizing Remote Surgery with Augmented Reality and Robotics for Enhanced Precision and Accessibility

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Dynamic Augmented Reality Cues for Telementoring in Minimally Invasive Surgeries: Scoping Review.

Hawa Hamza¹, Omar M Aboumarzouk¹, Abdulla Al-Ansari¹

¹Department of Surgery, Hamad Medical Corporation, Doha, Qatar.

Journal of Medical Internet Research

|February 3, 2025

Summary

Telementoring with dynamic augmented reality (AR) cues improves minimally invasive surgery (MIS) outcomes, showing comparable results to traditional guidance methods. Further trials are needed to confirm clinical benefits.

Keywords:

PRISMA augmented reality communication dynamic visual cue laparoscopic minimally invasive surgery patient outcomes robotics scoping review surgeons technologies telemedicine telementoring teleproctoring

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Area of Science:

Medical Technology
Surgical Innovation
Human-Computer Interaction

Background:

Telementoring systems enhance remote surgical guidance during minimally invasive surgery (MIS).
Dynamic augmented reality (AR) cues, such as virtual overlays of gestures and tools, are increasingly integrated into these systems.
Effective comprehension of AR cues is vital for both surgical training and live procedures.

Purpose of the Study:

To review existing telementoring technologies utilizing dynamic AR cues in MIS.
To analyze MIS procedures, telementoring systems, AR cue types, and technology evaluations.
To assess technical aspects, user perceptions, skill acquisition, and patient outcomes.

Main Methods:

A scoping review was conducted across major scientific databases (PubMed, Web of Science, Scopus, IEEE Xplore, ACM Digital Library).
Search terms included "telementoring," "minimally invasive surgery," and "augmented reality."
Included studies focused on telementoring with dynamic AR cues in laparoscopic and robot-assisted MIS.

Main Results:

Twenty-one articles were included, focusing primarily on laparoscopic suturing with synthetic phantoms.
Hand gestures and surgical tools were the most common dynamic AR cues.
Outcomes were mainly evaluated through skills gained and user perception, with analytical studies comparing against various control methods.

Conclusions:

Telementoring with dynamic AR cues generally yields positive outcomes in MIS.
Performance was comparable to conventional methods like audio cues and in-person guidance in some instances.
Further randomized controlled trials are necessary to validate the clinical benefits of these technologies.