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Implementation of Robotic Telesurgery in Brazil: The First Experimental Remote Surgery Performed Between Two
Marcelo de Paula Loureiro1, Paolo Salvalaggio2, Mariano Palermo3,4
1Department of Surgery, Positivo University, Curitiba, Brazil.
This study demonstrates the first successful telesurgery between two Brazilian cities, proving its technical feasibility and safety for remote robotic procedures. This advance promises to expand access to specialized surgical care across Brazil.
Area of Science:
- Medical Robotics
- Surgical Technology
- Telemedicine
Background:
- Telesurgery enables remote surgical procedures using robotic systems.
- Brazil's first telesurgery occurred in 2000, but not between two distinct cities with advanced robotics.
- This study addresses the gap by performing telesurgery between two Brazilian cities.
Purpose of the Study:
- To report the first telesurgery conducted between two distinct Brazilian cities.
- To evaluate the feasibility and safety of using a state-of-the-art robotic system for remote surgery.
- To test high-performance fiber optic technology with 5G redundancy for telesurgery.
Main Methods:
- A prospective experimental study using a swine model (40 kg Sus scrofa).
- Connectivity established via high-speed fiber optic cable with 5G redundancy.
- Robotic cholecystectomy performed remotely with continuous monitoring of latency and connection quality.
Main Results:
- Telesurgery was successfully completed without any complications.
- Transmission delays were within acceptable limits for robotic surgery.
- Image quality and robotic command responsiveness remained stable throughout the procedure.
Conclusions:
- This marks a historic milestone, proving telesurgery between Brazilian cities is technically feasible and safe.
- The findings open avenues for improved access to specialized surgical care in remote Brazilian regions.
- This advancement could revolutionize medical expertise distribution in Brazil and Latin America.
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