Telementoring of laparoscopic procedures

Initial clinical experience

R. G. Moore, J. B. Adams, Alan Wayne Partin, S. G. Docimo, L. R. Kavoussi

Research output: Contribution to journalArticle

Abstract

Background: To assess the feasibility of telementoring, a clinical telepresence system was developed. Methods: Telementoring was attempted in 14 advanced and 9 basic urologic laparoscopic procedures. The remote surgeon located in a control room (>1,000 feet from operating room) supervised an inexperienced surgeon. Mentoring was accomplished with real-time video images, two-way audio communication, a robotic arm used to control the videoendoscope, and a telestrator. The patient outcome, complications, and operative time were assessed and compared to patients undergoing matched procedures in which the experienced surgeon was working side by side with the primary surgeon. Results: The overall telementoring success rate was 95.6% (22/23 cases) with no increase in complications. Telementoring of a laparoscopic radical nephrectomy failed secondary to improper positioning of the robotic arm. Operative times compared between telementored and traditionally mentored procedures were not statistically different for basic procedures but were longer for advanced cases. Conclusions: Telementoring of laparoscopic procedures is safe and feasible. Further clinical studies are needed prior to implementing telementoring in surgical training.

Original languageEnglish (US)
Pages (from-to)107-110
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume10
Issue number2
StatePublished - Feb 1996

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Robotics
Operative Time
Operating Rooms
Nephrectomy
Communication
Surgeons
Mentoring
Clinical Studies

Keywords

  • Laparoscopy
  • Telemedicine
  • Telementoring

ASJC Scopus subject areas

  • Surgery

Cite this

Telementoring of laparoscopic procedures : Initial clinical experience. / Moore, R. G.; Adams, J. B.; Partin, Alan Wayne; Docimo, S. G.; Kavoussi, L. R.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 10, No. 2, 02.1996, p. 107-110.

Research output: Contribution to journalArticle

Moore, R. G. ; Adams, J. B. ; Partin, Alan Wayne ; Docimo, S. G. ; Kavoussi, L. R. / Telementoring of laparoscopic procedures : Initial clinical experience. In: Surgical Endoscopy and Other Interventional Techniques. 1996 ; Vol. 10, No. 2. pp. 107-110.
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