ArticleSurgical endoscopy2023
Telesurgery and telesurgical support using a double-surgeon cockpit system allowing manipulation from two locations.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Clinical practice guidelines for telesurgery, 2nd Edition : Committee for the Promotion of Remote Surgery Implementation, Japan Surgical Society.Surgery today · 2026Guideline
- Clinical practice guidelines for telesurgery 2022 : Committee for the promotion of remote surgery implementation, Japan Surgical Society.Surgery today · 2024Guideline
- Real-world evaluation of low-earth-orbit satellite communication for surgical telementoring: implications for future robotic surgery.Journal of robotic surgery · 2026Article
- Regional differences for the risk of in-hospital mortality after pancreaticoduodenectomy: a cross-sectional study analyzing data from a Japanese nationwide database including 86,339 patients.Journal of gastroenterology · 2026Article
- Artificial intelligence and machine learning in robotic, teleoperated, and remote surgery: a bibliometric and knowledge mapping analysis (2015-2025).Journal of robotic surgery · 2026Review
- "5G wireless + wired network"-based multi-console robotic telesurgery: adaptability to complex surgical procedures and diverse network infrastructures-a case report.Translational andrology and urology · 2026Article
- Impact of data compression and security devices on telesurgery systems.Surgery today · 2026Article
- Toward safe clinical deployment of remote robotic surgery in Japan: five-year validation of the hinotori™ system using 5G wireless communication.International journal of clinical oncology · 2025Review
- Tele-robot-assisted minimally invasive esophagectomy using a double-surgeon cockpit on a cadaver.Surgery today · 2025Article
- Evaluating the efficacy of telesurgery with dual console SSI Mantra Surgical Robotic System: experiment on animal model and clinical trials.Journal of robotic surgery · 2024Article
- Effects of communication delay in the dual cockpit remote robotic surgery system.Surgery today · 2024Article
- Ensuring communication redundancy and establishing a telementoring system for robotic telesurgery using multiple communication lines.Journal of robotic surgery · 2024Article
- Surgical education through integration of robotic telesurgical technology and AI.Annals of gastroenterological surgery · 2023Article
Corrections and comments
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Authors and funding
26 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough several studies on telesurgery have been reported globally, a clinically applicable technique has not yet been developed. As part of a telesurgical study series conducted by the Japan Surgical Society, this study describes the first application of a double-surgeon cockpit system to telesurgery.
methodsSurgeon cockpits were installed at a local site and a remote site 140 km away. Three healthy pigs weighing between 26 and 29 kg were selected for surgery. Non-specialized surgeons performed emergency hemostasis, cholecystectomy, and renal vein ligation with remote assistance using the double-surgeon cockpits and specialized surgeons performed actual telesurgery. Additionally, the impact of adding internet protocol security (IPsec) encryption to the internet protocol-virtual private network (IP-VPN) line on communication was evaluated to address clinical security concerns.
resultsThe average time required for remote emergency hemostasis with the double-surgeon cockpit system was 10.64 s. A non-specialized surgeon could safely perform cholecystectomy or renal vein ligation with remote assistance. Global Evaluative Assessment of Robotic Skills and System Usability Scale scores were higher for telesurgical support-assisted surgery by a non-specialized surgeon using the double-surgeon cockpits than for telesurgery performed by a specialized surgeon without the double-cockpit system. Adding IPsec encryption to the IP-VPN did not have a significant impact on communication.
conclusionTelesurgical support through our double-surgeon cockpit system is feasible as first step toward clinical telesurgery.
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Registered trials
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.