ArticleJournal of robotic surgery2025
The era of telesurgery: insights from ultra-long-distance Asia to Middle East human telesurgery robotic assisted radical prostatectomy.
Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07792109 (Implementation Of A Telesurgery Program At A Referral Center For Robotic Surgery), which is not on this map. Cited by 28 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Implementation Of A Telesurgery Program At A Referral Center For Robotic Surgery: Feasibility And Safety Evaluation - Gemelli TeleSurgery Program (GTSP)
Who cites it
28 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Telesurgery in prostate cancer: a systematic review of clinical applications and future directions.Prostate cancer and prostatic diseases · 2026Pooled it
- Tele-robot-assisted prostatectomy: the first systematic review and single-arm meta-analysis.Journal of robotic surgery · 2026Pooled it
- Remote Telesurgery Versus Local Minimally Invasive Surgery: A Systematic Review of the Comparative Evidence Base.The international journal of medical robotics + computer assisted surgery : MRCAS · 2026Pooled it
- Safety and feasibility of robotic telesurgery in urological procedures: a systematic review and meta-analysis of clinical data.Journal of robotic surgery · 2026Pooled it
- Evaluating the Toumai MT‑1000 for urologic surgery: a systematic review and single-arm meta-analysis with remote and on-site experiences.Journal of robotic surgery · 2025Pooled it
- 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 · 2026Trial
- Global research trends and hotspots of robot-assisted urological telesurgery: a bibliometric analysis.Journal of robotic surgery · 2026Article
- Tele-Robotic Surgery for Combat Casualty Care: Proof of Feasibility.Annals of surgery · 2026Article
- Under-insured, over-insured, but not properly insured: the structural liability-coverage gap in co-located robotic surgery and telesurgery.Journal of robotic surgery · 2026Review
- Global Adoption of Transcontinental Telesurgery: Are We There Yet?International journal of urology : official journal of the Japanese Urological Association · 2026Article
- Global research landscape, knowledge structure, and emerging frontiers of urological robotic telesurgery: a bibliometric and knowledge-mapping analysis.Journal of robotic surgery · 2026Review
- Clinical Recommendations for Remote Robotic Assisted Surgery From the CRSA 2025 International Consensus Conference.World journal of surgery · 2026Article
- Urological telesurgery after the first randomised trial: a scoping review and public implementation visibility audit.Journal of robotic surgery · 2026Article
- Early Postoperative Outcomes with the ToumaiCancers · 2026Article
- Establishing an international clinical framework for telesurgery: the first bidirectional transatlantic procedure across a world-record distance.Journal of robotic surgery · 2026Article
- The first total robotic-assisted lymphovenous anastomosis: prospects for innovation and future development.International journal of computer assisted radiology and surgery · 2026Article
- Liability in Telesurgery: Navigating Legal, Ethical, and Cross-Border Challenges in the Era of Global Surgical Care.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2026Review
- Predictors of adherence to surveillance cystoscopy for patients with non-muscle invasive bladder cancer.BJUI compass · 2026Article
- The evolution of radical prostatectomy: a scoping review on surgical techniques and integration of surgeon-assisting concepts into the surgical workflow.Frontiers in surgery · 2026Review
- Telerobotic surgery: a comprehensive two-decade evolution and the integration of emerging technologies.International journal of surgery (London, England) · 2026Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To show the feasibility of performing human telesurgery robotic-assisted radical prostatectomy (RARP) between two countries using low-latency ultra-long-distance connectivity. This study described the outcomes of performing RARP on a man in his 60's with localized intermediate-risk prostatic adenocarcinoma located in Kuwait City while the surgeon (SA) was approximately 7000 kilometers (Km) away at Toumai robotic surgical system (TRSS) headquarters in Shanghai. Operative and connectivity details were reported. RARP was performed in December 2024. There were no major clinical or technical problems encountered during the procedure. The average round-trip latency (RTL) was 181.4 milliseconds (ms) using fiber optic broadband network with 5G network as back-up. On the Shanghai end two wired broadband networks were employed as back-up to ensure patient safety. There was an experienced fellowship-trained robotic surgeon (AA) in the operating room in Kuwait capable of taking over in case of clinical or connectivity issues. There were no reported complications. The patient was discharged on postoperative day (POD) 2. Final pathology described Gleason score 7(3 + 4), ISUP 2, and negative surgical margins (pT2Nx). The catheter was removed on POD 9, and the patient was continent a week later. His serum prostate specific antigen (PSA) was undetectable seven weeks post-operatively. This study described the feasibility of human RARP telesurgery between two countries using low-latency, long-distance fiber optic broadband network with 5G network as back-up with successful clinical outcomes. There is a need to establish robust legal and regulatory framework to allow wider international expansion of 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.