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Telesurgery: current status and strategies for latency reduction.
Zainab Yusufali Motiwala1, Arusha Desai2, Rahul Bisht2
1JNMCH, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Journal of Robotic Surgery
|April 12, 2025
Summary
Latency in telesurgery, the remote use of robotic systems, hinders precision and safety. Solutions like AI and advanced networks are crucial for reducing this delay and improving patient care.
Area of Science:
- Robotics
- Surgical Technology
- Telecommunications
Background:
- Telesurgery enables remote robotic-assisted surgery, expanding access to specialized care.
- Latency, or data transmission delay, is a critical challenge impacting telesurgery's precision and safety.
Purpose of the Study:
- To review current challenges and emerging solutions for reducing latency in telesurgery.
- To identify strategies for enhancing precision, dexterity, and patient safety in remote surgical procedures.
Main Methods:
- A comprehensive literature review was conducted across PubMed, Embase, Google Scholar, and Cochrane Library.
- Articles focusing on telesurgery, latency, network infrastructure, AI, and cybersecurity were synthesized for a narrative review.
Main Results:
- Latency significantly affects telesurgical performance, with an ideal threshold below 200 ms for optimal precision and safety.
- Factors contributing to latency include network infrastructure, geographic barriers, and hardware/software limitations.
Conclusions:
- Ultra-low latency 6G networks, quantum computing, and artificial intelligence show promise for improving telesurgical performance.
- Addressing ethical, legal, and cybersecurity concerns is essential for the widespread adoption of telesurgery.

