Evidence map›Paper›PMID 39502103›Full record

ArticleEuropean urology open science2024

Expanding Surgical Frontiers Across the Pacific Ocean: Insights from the First Telesurgery Procedures Connecting Orlando with Shanghai in Animal Models.

Vipul Patel, Mischa Dohler, Jacques Marescaux, Shady Saikali, Ahmed Gamal, Sumeet Reddy, Travis Rogers, Evan Patel, Riccardo Oliva, Richard Satava and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in European urology open science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07130708 (Advancing Humanitarian Healthcare), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 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.

NCT07130708 narecruitingnot on this mapstarted 2025, after this paper: background citation

Advancing Humanitarian Healthcare: Exploring the Potential of Robotic Telesurgery in Remote Settings - A Multicentric Prospective Study

TypeinterventionalSponsorAdventHealthRan2025 to 2033Enrolled10ConditionsProstate Carcinoma, Prostate DiseaseArmsTelesurgery utilizing Microport Medbot Robotic Platform
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Safety and feasibility of robot-assisted remote radical gastrectomy for gastric cancer based on 5G communication technology (FUTURE-04): a prospective, single-arm clinical trial.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Trial
  5. Design and Evaluation of a Teleoperated Robotic System for ERCP Cannulation.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Telesurgery across continents: a scoping review.Journal of robotic surgery · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Enhancing Robotic Surgery Training and Reducing Remote Complications with Telesurgery Technology.International braz j urol : official journal of the Brazilian Society of Urology
    Article
  19. Article
  20. Article
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

11 authors.

Vipul PatelAdventHealth Global Robotics Institute, Kissimmee, FL, USA.
Mischa DohlerAdvanced Technology Group, Ericsson Inc, Santa Clara, CA, USA.
Jacques MarescauxIRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
Shady SaikaliAdventHealth Global Robotics Institute, Kissimmee, FL, USA.
Ahmed GamalAdventHealth Global Robotics Institute, Kissimmee, FL, USA.
Sumeet ReddyAdventHealth Global Robotics Institute, Kissimmee, FL, USA.
Travis RogersAdventHealth Global Robotics Institute, Kissimmee, FL, USA.
Evan PatelAdventHealth Global Robotics Institute, Kissimmee, FL, USA.
Riccardo OlivaIRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
Richard SatavaUniversity of Washington, Seattle, WA, USA.
Marcio Covas MoschovasAdventHealth Global Robotics Institute, Kissimmee, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Telesurgery is as a promising solution to support and deliver advanced health care services to underserved areas. The primary endpoint of our study was to prove the concept of low-latency long-distance connectivity and to describe the feasibility of remote surgery. Methods: A prospective study was conducted from February 29 to March 1, 2024, in live animal models (porcine) connecting surgeons from Orlando (USA) to the animal laboratory in Shanghai (China) using 5G and Wi-Fi connections, in combination with continental and transpacific fiber. We performed ten radical nephrectomies and two partial nephrectomies in five animals using the MicroPort MedBot robotic platform. Intraoperative and telesurgery connection variables were reported with a descriptive statistical analysis. Key findings and limitations: No complications or conversions were reported. The mean animal weight was 38.2 (35-40) kg, the mean operative time was 32.7 (21-45) min, and the mean blood loss was 23.3 (20-30) ml. The mean latency was 296 (±50) ms. Findings from animal studies may not always translate directly to human outcomes. Conclusions and clinical implications: We described the feasibility of transpacific low-latency telesurgery in live porcine models with no intraoperative complications. Achieving optimal low-latency connectivity via telecommunication networks was essential for effectively performing the surgical procedures. However, we still need further investigation to achieve even lower latencies for human trials. We found that long-distance telesurgery is safe and feasible in animal models. However, it is a complex practice, and we still need further studies before translating these results to human trials. Patient summary: Our research has demonstrated the feasibility of low-latency long-distance telesurgery in live animal models. However, this type of telesurgery is a complex procedure, and further work is needed to translate these results to human trials.

Indexed as

Remote surgeryRobotic surgeryTelesurgery

Identifiers

PMID39502103
PMCPMC11536033

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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.