Evidence map›Paper›PMID 35546642›Full record

ArticleSurgery today2022

Tele-assessment of bandwidth limitation for remote robotics surgery.

Yuma Ebihara, Eiji Oki, Satoshi Hirano, Hironobu Takano, Mitsuhiko Ota, Hajime Morohashi, Kenichi Hakamada, Shigeo Urushidani, Masaki Mori

Abstract read
In one paragraph

Article in Surgery today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
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  12. Revolutionary Advances of Robotic Surgery in Urology Field.Juntendo Iji zasshi = Juntendo medical journal · 2024
    Review
  13. Article
  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yuma EbiharaCommittee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.
Eiji OkiCommittee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.
Satoshi HiranoCommittee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan. satto@med.hokudai.ac.jp.
Hironobu TakanoDepartment of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, North 15 West 7, Kita-ku, Sapporo, Hokkaido, 0608638, Japan.
Mitsuhiko OtaDepartment of Surgery and Science, Kyushu University, Fukuoka, Japan.
Hajime MorohashiCommittee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.
Kenichi HakamadaCommittee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.
Shigeo UrushidaniThe National Institute of Informatics, Tokyo, Japan.
Masaki MoriCommittee for Promotion of Remote Surgery Implementation, Japan Surgical Society, Tokyo, Japan.

Funding

the Japan Agency for Medical Research and Development 21hs0122001h0002
6 · The paper itself

Abstract

purposeWe investigated the communication bandwidth (CB) limitation for remote robotics surgery (RRS) using hinotori™ (Medicaroid, Kobe, Japan).

methodsThe operating rooms of the Hokkaido University Hospital and Kyushu University Hospital were connected using the Science Information NETwork (SINET). The minimum required CB for the RRS was verified by decreasing the CB from 500 to 100 Mbps. Ten surgeons were tested on a task (intracorporeal suturing) at different levels of video compression (VC) (VC1: 120 Mbps, VC2: 40 Mbps, VC3: 20 Mbps) with the minimum required CB, and assessed based on the task completion time, Global Evaluative Assessment of Robotic Skills (GEARS), and System and Piper Fatigue Scale-12 (PFS-12).

resultsPacket loss was observed at 3-7% and image degradation was observed at 145 Mbps CB. The task performance with VC1 was significantly worse than that with VC2 and VC3 according to the task completion time (VC1 vs VC2, P = 0.032; VC1 vs. VC3, P = 0.032), GEARS (VC1 vs VC2; P = 0.029, VC1 vs VC3; P = 0.031), and PFS-12 (VC1 vs. VC2; P = 0.032, VC1 vs. VC3; P = 0.032) with 145 Mbps.

conclusionOur findings provide evidence that RRS using hinotori™ requires a CB ≥ 150 Mbps. We also found that when there is insufficient CB, RRS can be continued by compressing the image.

Indexed as

RoboticsRobotic Surgical ProceduresSurgeonsClinical CompetenceHumansJapanSuturesCommunication delayPacket lossRemote robotics surgeryRobotic surgery

Identifiers

PMID35546642
PMCPMC9095415

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.