OBJECTIVE: To develop a Web-based audiovisual telementoring system for robot-assisted radical prostatectomy (RARP) and to assess the utility of this system. METHODS: A telementoring system for RARP, consisting of a 3-dimensional high-definition view of the operating field, overview of the operating room, annotation function, and 2-channel audio feed with bidirectional connectivity between 2 institutions, was developed. The outcome of RARP performed for the initial 30 patients by 2 surgeons with telementoring was compared with that for 2 surgeons who received direct mentoring. RESULTS: This system was shown to function properly with an acceptable latency. There were no significant differences in several parameters reflecting surgical outcomes, including the operating time, complication rate, early continence status, and positive margin rate between the telementoring and direct mentoring groups. CONCLUSION: These findings suggest the usefulness of the telementoring system for promoting the spread of precise surgical techniques associated with RARP. To our knowledge, this is the first report concerning telementoring for robot-assisted surgery.
OBJECTIVE: To develop a Web-based audiovisual telementoring system for robot-assisted radical prostatectomy (RARP) and to assess the utility of this system. METHODS: A telementoring system for RARP, consisting of a 3-dimensional high-definition view of the operating field, overview of the operating room, annotation function, and 2-channel audio feed with bidirectional connectivity between 2 institutions, was developed. The outcome of RARP performed for the initial 30 patients by 2 surgeons with telementoring was compared with that for 2 surgeons who received direct mentoring. RESULTS: This system was shown to function properly with an acceptable latency. There were no significant differences in several parameters reflecting surgical outcomes, including the operating time, complication rate, early continence status, and positive margin rate between the telementoring and direct mentoring groups. CONCLUSION: These findings suggest the usefulness of the telementoring system for promoting the spread of precise surgical techniques associated with RARP. To our knowledge, this is the first report concerning telementoring for robot-assisted surgery.
Authors: Daniel H Shin; Leonard Dalag; Raed A Azhar; Michael Santomauro; Raj Satkunasivam; Charles Metcalfe; Matthew Dunn; Andre Berger; Hooman Djaladat; Mike Nguyen; Mihir M Desai; Monish Aron; Inderbir S Gill; Andrew J Hung Journal: BJU Int Date: 2015-03-17 Impact factor: 5.969
Authors: Justin W Collins; Ahmed Ghazi; Danail Stoyanov; Andrew Hung; Mark Coleman; Tom Cecil; Anders Ericsson; Mehran Anvari; Yulun Wang; Yanick Beaulieu; Nadine Haram; Ashwin Sridhar; Jacques Marescaux; Michele Diana; Hani J Marcus; Jeffrey Levy; Prokar Dasgupta; Dimitrios Stefanidis; Martin Martino; Richard Feins; Vipul Patel; Mark Slack; Richard M Satava; John D Kelly Journal: Eur Urol Open Sci Date: 2020-11-06