Telemedicine in surgery
- 9 June 2003
- journal article
- review article
- Published by Oxford University Press (OUP) in British Journal of Surgery
- Vol. 90 (6), 647-658
- https://doi.org/10.1002/bjs.4168
Abstract
Background Telemedicine is influencing surgical training, allows mentoring, proctoring and teleconferencing, and is increasingly being applied to carry out remote surgical procedures. A systematic review of the telemedicine systems available, along with a critical appraisal of their application, potential and limitations in the surgical field, has been undertaken. Method Medline, Ovid and internet searches were carried out using the keywords ‘telesurgery’, ‘telepresence surgery’ and ‘telemedicine and surgery’, along with hand searches of the two peer-reviewed telesurgery journals. Results Telementoring and teleconferencing have been used widely for surgical teaching and training. Two clinical telesurgery systems are currently available and have been trialled in patients undergoing a variety of operations including cholecystectomy, coronary artery bypass, prostatectomy and gastroplasty. Most studies have reported successful outcomes but with prolonged operating times. In 2002 the first long-distance telesurgery procedure was successfully performed. Conclusion Telemedicine has huge potential to alter surgical practice but improvements are required in telesurgical technology with respect to tactile feedback, instrumentation, telecommunication speed and availability. Issues of liability, legislation, cost and benefit require clarification. The future of telemedicine in surgery may lie in facilitating complex minimally invasive techniques.This publication has 59 references indexed in Scilit:
- ROBOT ASSISTED LAPAROSCOPIC NEPHRECTOMYJournal of Urology, 2001
- Telesurgical Laparoscopic Radical ProstatectomyEuropean Urology, 2001
- Guidelines for the surgical practice of telemedicineSurgical Endoscopy, 2000
- Virtual Reality in TelemedicineTelemedicine and e-Health, 2000
- Investigations into Performance of Minimally Invasive Telesurgery with Feedback Time DelaysPRESENCE: Virtual and Augmented Reality, 2000
- International Surgical Telementoring Using a Robotic Arm: Our ExperienceTelemedicine Journal, 2000
- Telesurgical mentoringSurgical Endoscopy, 1997
- TelementoringSurgical Endoscopy, 1997
- Vascular applications of telepresence surgery: Initial feasibility studies in swineJournal of Vascular Surgery, 1996
- A telerobotic assistant for laparoscopic surgeryIEEE Engineering in Medicine and Biology Magazine, 1995