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Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study

Although robotic telesurgery is growing in popularity, the benefits of telesurgery compared to local surgery are unclear. This study aimed to evaluate the performance of robotic tele-cholecystectomy with a commercial line using the Saroa(™) (Riverfield, Inc., Tokyo, Japan) system. The operation room...

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Autores principales: Ebihara, Yuma, Hirano, Satoshi, Takano, Hironobu, Kanno, Takahiro, Kawashima, Kenji, Morohashi, Hajime, Oki, Eiji, Hakamada, Kenichi, Urushidani, Shigeo, Mori, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer London 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9813464/
https://www.ncbi.nlm.nih.gov/pubmed/36602754
http://dx.doi.org/10.1007/s11701-023-01522-0
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author Ebihara, Yuma
Hirano, Satoshi
Takano, Hironobu
Kanno, Takahiro
Kawashima, Kenji
Morohashi, Hajime
Oki, Eiji
Hakamada, Kenichi
Urushidani, Shigeo
Mori, Masaki
author_facet Ebihara, Yuma
Hirano, Satoshi
Takano, Hironobu
Kanno, Takahiro
Kawashima, Kenji
Morohashi, Hajime
Oki, Eiji
Hakamada, Kenichi
Urushidani, Shigeo
Mori, Masaki
author_sort Ebihara, Yuma
collection PubMed
description Although robotic telesurgery is growing in popularity, the benefits of telesurgery compared to local surgery are unclear. This study aimed to evaluate the performance of robotic tele-cholecystectomy with a commercial line using the Saroa(™) (Riverfield, Inc., Tokyo, Japan) system. The operation rooms of the Hokkaido University Hospital and Kushiro City General Hospital were connected using a best effort-type line (1 Gbps), with a distance of 250 km between the two hospitals. In this experimental single-blind randomized crossover trial, eight expert robotic surgeons performed robotic cholecystectomy in an artificial organ model using the Saroa(™) system and were randomized to begin with either local surgery or telesurgery. All surgeons were assessed on task completion time, total path length of the right- and left- hand forceps and camera, Global Evaluative Assessment of Robotic Skills (GEARS), Global Operative Assessment of Laparoscopic Skills (GOALS), and System and Piper Fatigue Scale-12 (PFS-12). In all experiments, the communication environment was stable and the mean communication delay was 8 ms (3–31 ms). All tele-cholecystectomies were performed safely. There was no significant difference in completion time (P = 0.495), score of GEARS (P = 0.258), GOALS (P = 0.180), or PFS-12 (P = 0.528) between local surgery and telesurgery. The total path of the forceps tended to be longer in tele-cholecystectomy, particularly with significantly longer left-hand forceps total path length (P = 0.041). Robotic tele-cholecystectomy using a commercial line can be performed safely as same as local robotic surgery, but the total path of the left-hand forceps was prolonged in robotic tele-cholecystectomy due to overshoot. Therefore, a solution for overshooting will be required in the future.
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spelling pubmed-98134642023-01-05 Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study Ebihara, Yuma Hirano, Satoshi Takano, Hironobu Kanno, Takahiro Kawashima, Kenji Morohashi, Hajime Oki, Eiji Hakamada, Kenichi Urushidani, Shigeo Mori, Masaki J Robot Surg Research Although robotic telesurgery is growing in popularity, the benefits of telesurgery compared to local surgery are unclear. This study aimed to evaluate the performance of robotic tele-cholecystectomy with a commercial line using the Saroa(™) (Riverfield, Inc., Tokyo, Japan) system. The operation rooms of the Hokkaido University Hospital and Kushiro City General Hospital were connected using a best effort-type line (1 Gbps), with a distance of 250 km between the two hospitals. In this experimental single-blind randomized crossover trial, eight expert robotic surgeons performed robotic cholecystectomy in an artificial organ model using the Saroa(™) system and were randomized to begin with either local surgery or telesurgery. All surgeons were assessed on task completion time, total path length of the right- and left- hand forceps and camera, Global Evaluative Assessment of Robotic Skills (GEARS), Global Operative Assessment of Laparoscopic Skills (GOALS), and System and Piper Fatigue Scale-12 (PFS-12). In all experiments, the communication environment was stable and the mean communication delay was 8 ms (3–31 ms). All tele-cholecystectomies were performed safely. There was no significant difference in completion time (P = 0.495), score of GEARS (P = 0.258), GOALS (P = 0.180), or PFS-12 (P = 0.528) between local surgery and telesurgery. The total path of the forceps tended to be longer in tele-cholecystectomy, particularly with significantly longer left-hand forceps total path length (P = 0.041). Robotic tele-cholecystectomy using a commercial line can be performed safely as same as local robotic surgery, but the total path of the left-hand forceps was prolonged in robotic tele-cholecystectomy due to overshoot. Therefore, a solution for overshooting will be required in the future. Springer London 2023-01-05 2023 /pmc/articles/PMC9813464/ /pubmed/36602754 http://dx.doi.org/10.1007/s11701-023-01522-0 Text en © The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Research
Ebihara, Yuma
Hirano, Satoshi
Takano, Hironobu
Kanno, Takahiro
Kawashima, Kenji
Morohashi, Hajime
Oki, Eiji
Hakamada, Kenichi
Urushidani, Shigeo
Mori, Masaki
Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
title Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
title_full Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
title_fullStr Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
title_full_unstemmed Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
title_short Technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
title_sort technical evaluation of robotic tele-cholecystectomy: a randomized single-blind controlled pilot study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9813464/
https://www.ncbi.nlm.nih.gov/pubmed/36602754
http://dx.doi.org/10.1007/s11701-023-01522-0
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