Transcontinental telesurgical nephrectomy using the da Vinci robot in a porcine model.

摘要: OBJECTIVES Robotic telesurgery has been demonstrated over long distances and offers theoretical benefits to urologic training the care of patients in remote regions. The multiple arms three-dimensional vision da Vinci robotic system provide a platform conducive long-distance telementoring telesurgery. Whereas prior telesurgical efforts have used dedicated lines for information transmission, public Internet less expensive alternative. It was intent this study test validity using telesurgery, conduct telerobotic nephrectomies Internet. METHODS We performed four right porcine models system. Telementoring approaches were used, with resident surgeons operating console adjacent swine, while attending simultaneously operated second at 1300 2400 miles from room. RESULTS All procedures both successful. Round-trip delays 450 900 ms demonstrated. Blood loss minimal, there no intraoperative complications. CONCLUSIONS This represents first use Surgical System successful nephrectomy an animal model.