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Related Experiment Video

Updated: Jun 9, 2026

Robotized Testing of Camera Positions to Determine Ideal Configuration for Stereo 3D Visualization of Open-Heart Surgery

Robotized Testing of Camera Positions to Determine Ideal Configuration for Stereo 3D Visualization of Open-Heart Surgery

Published on: August 12, 2021

Online Live Streaming System for Robotic Surgery With Bidirectional Discussion Through a Commentator: A

Yusuke Sagae¹, Koji Yamanoi¹, Akihito Horie^1,2

¹Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Asian Journal of Endoscopic Surgery

|April 27, 2025

Summary

A new live streaming system with a commentator enhances robot-assisted surgery education in Japan. This system improved surgical comprehension and bidirectional learning, overcoming previous restrictions.

Keywords:

bidirectional discussion live surgery robotic assistant surgery

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Published on: January 6, 2023

Area of Science:

Medical Education
Surgical Technology
Robotics

Background:

Live broadcasting of robot-assisted surgeries is a valuable educational tool.
Legal and safety concerns in Japan have limited live surgery adoption.
A novel system with a commentator addresses these limitations.

Purpose of the Study:

To introduce and evaluate a modified online live-streaming system for robot-assisted surgery education.
To assess the system's effectiveness in facilitating bidirectional discussions and improving surgical comprehension.
To overcome legal and safety barriers to live surgical broadcasting in Japan.

Main Methods:

A multi-institutional observational study using the Intuitive Telepresence system.
Broadcasting da Vinci robotic surgeries with a commentator facilitating real-time discussions.
Assessing usability, surgical comprehension, and discussion quality via a 5-point Likert scale questionnaire.

Main Results:

94.7% of participants reported positive experiences with bidirectional discussions.
The system effectively conveyed robotic instrument handling and anatomical understanding.
Video quality issues were resolved with stable internet, leading to 90% satisfaction in later sessions.

Conclusions:

The commentator-based live streaming system successfully enhanced bidirectional learning in robotic surgery.
The system improved robotic surgical education despite initial challenges.
Expansion of this live surgical broadcasting system across Japan is planned.