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First report: International proctoring of robotic colorectal surgery using TELEPRO®
Ruben Gregory Xavier1, Satoru Takayama2, Shoryu Takayama3
1Department of Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Surgery Today
|May 5, 2025
Summary
Teleproctoring enables remote guidance for robot-assisted minimally invasive surgery (RAMIS), overcoming traditional proctoring barriers. This study found TELEPRO® effective for international RAMIS colorectal surgery teleproctoring with no major issues.
Area of Science:
- Surgical Technology
- Medical Education
- Robotics in Medicine
Background:
- Traditional proctoring in robot-assisted minimally invasive surgery (RAMIS) faces logistical challenges like cost, travel, and time.
- Remote guidance is needed to facilitate training and standardize techniques in RAMIS.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of teleproctoring for RAMIS.
- To assess the performance of the TELEPRO® system in remote surgical guidance.
Main Methods:
- Utilized the TELEPRO® real-time telementoring system for remote proctoring during RAMIS.
- Leveraged shared internet access (SIA) for ultra-low-latency bidirectional communication.
- Conducted international teleproctoring for colorectal surgery procedures.
Main Results:
- The TELEPRO® system facilitated effective remote guidance during RAMIS.
- Shared internet access enabled low-latency communication, crucial for real-time mentoring.
- No major technical glitches were encountered during international teleproctoring sessions.
Conclusions:
- Teleproctoring, particularly using systems like TELEPRO®, offers a viable solution to traditional proctoring limitations in RAMIS.
- This technology can standardize surgical techniques and expand access to expert guidance globally.
- The system proved reliable for international remote proctoring in colorectal RAMIS.

