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Related Experiment Video

Updated: May 23, 2025

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Enhancing Robotic Surgery Training and Reducing Remote Complications with Telesurgery Technology.

Marcio Covas Moschovas1,2, Shady Saikali1, Travis Rogers1

  • 1AdventHealth Global Robotics Institute, Kissimmee, FL, USA.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|March 19, 2025
PubMed
Summary

This study demonstrates the feasibility of transatlantic telesurgery, connecting surgeons in Orlando and Shanghai. The robust system enabled simultaneous operation and seamless control transfer, highlighting its potential for remote surgical assistance and training.

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Area of Science:

  • Robotic Surgery
  • Telesurgery
  • Medical Technology

Background:

  • Transatlantic telesurgery was previously shown to be feasible but faced technological and economic hurdles.
  • Limited implementation of telesurgery has been observed due to these challenges.
  • This study addresses the need for robust evaluation of long-distance telesurgery systems.

Purpose of the Study:

  • To illustrate a telesurgery connection over 13,000 km between Orlando, USA, and Shanghai, China.
  • To evaluate the connectivity and robotic system performance in a real-life telesurgery scenario.
  • To highlight the potential of telesurgery for improving surgical outcomes and robotic surgery training.

Main Methods:

  • A prospective telesurgery study was conducted on July 23rd-24th, 2024, using live porcine models.
  • Surgeons in Orlando and Shanghai operated simultaneously, sharing control of the MicroPort® MedBot™ telesurgery consoles.
  • Communication, real-time case discussion, and seamless control transfer were key components of the methodology.

Main Results:

  • The telesurgery system and connectivity performed optimally for several hours without malfunctions.
  • Median signal delay was consistently around 139 milliseconds across both study days.
  • Surgeons successfully switched console control multiple times, enabling real-time communication and collaboration.

Conclusions:

  • Telesurgery demonstrates practical potential for teleproctoring and remote assistance in complex procedures.
  • The study highlights the capability of telesurgery to enhance training and improve outcomes in robotic surgery.
  • Long-distance telesurgery systems are viable for advanced surgical applications and education.