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A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique

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Initial Experience of Telementoring Using the Intuitive Telepresence® Systems for Robot-Assisted Radical

Atsushi Yamamoto¹, Shuichi Morizane¹, Ryutaro Shimizu²

¹Division of Urology, Department of Surgery, Faculty of Medicine, Tottori University, Yonago, Japan.

Journal of Endourology

|March 11, 2026

Summary

Telementoring is a feasible method for training in robot-assisted radical prostatectomy (RARP) initial steps. This remote guidance approach showed safety and effectiveness in early RARP procedures, with further research needed for complex cases.

Keywords:

GEARS Intuitive Telepresence systems RARP telementoring

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Area of Science:

Robotic surgery
Surgical education
Medical technology

Background:

Access to experienced surgeons for robotic procedures is limited.
Telementoring offers remote guidance for surgical trainees.
Safety and efficacy of telementoring in robot-assisted radical prostatectomy (RARP) need evaluation.

Purpose of the Study:

To assess the safety and feasibility of telementoring in RARP.
To evaluate trainee performance during telementored RARP procedures.

Main Methods:

Prospective observational study of 23 RARP cases.
Utilized the Intuitive Telepresence platform® for telementoring.
Assessed performance using Global Evaluative Assessment of Robotic Skill (GEARS) and objective outcomes.

Main Results:

Telementoring was safely implemented in all RARP cases.
Minimal blood loss and no mentor console intervention were required.
Mentors achieved significantly higher GEARS scores than trainees, particularly in efficiency and force sensitivity.

Conclusions:

Telementoring is feasible for initial RARP steps using the Intuitive Telepresence platform.
Further studies are needed to assess telementoring for complex procedures and long-term outcomes.