A novel interface for the telementoring of robotic surgery.

摘要: Objective To prospectively evaluate the feasibility and safety of a novel, second-generation telementoring interface (Connect™; Intuitive Surgical Inc., Sunnyvale, CA, USA) for da Vinci robot. Materials Methods Robotic surgery trainees were mentored during portions robot-assisted prostatectomy renal cases. Cases assigned as traditional in-room mentoring or remote using Connect. While viewing two-dimensional, real-time video surgical field, mentors delivered verbal visual counsel, two-way audio telestration (drawing) capabilities. Perioperative technical data recorded. Trainee robotic performance was rated validated assessment tool by both trainees. The multi-factorial Likert-based survey. Mann–Whitney t-tests used to determine statistical differences. Results We enrolled 55 cases (29 in-room, 26 remote). variables operative time blood loss similar between Robotic skills showed no significant difference (P > 0.05). Mentors preferred over (P = 0.05); otherwise existed in evaluation interfaces. Remote wired (vs wireless) connections had lower latency better transfer (P = 0.005). Three 18 (17%) wireless sessions disrupted; one converted wired, continued after restarting Connect, third aborted. A bipolar injury colon occurred (3%) case; intraoperative injuries reported sessions. Conclusion In tightly controlled environment, Connect allows trainee surgeons be telementored safe effective manner while performing basic techniques. Significant steps remain prior widespread use this technology.