ArticleSurgery today2026
Impact of data compression and security devices on telesurgery systems.
Article in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed, 3 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
- Clinical practice guidelines for telesurgery, 2nd Edition : Committee for the Promotion of Remote Surgery Implementation, Japan Surgical Society.Surgery today · 2026Guideline
- Effectiveness of haptic feedback during local and remote robotic surgery: single-blind cadaveric study.Journal of robotic surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
purposeTo evaluate the feasibility of secure telesurgery by assessing the impact of image compression and cybersecurity devices on surgical performance and data transmission.
methodsTelesurgical procedures using the hinotori™ surgical robot were performed remotely between Hirosaki and Goshogawara, which are 30 km apart, over a secure line provided by NTT East. Image compression was tested at 120, 80, 60, 40, and 20 Mbps. A surgical specialist operated on artificial organ models. Simulated cyberattacks were introduced to assess the performance of security devices.
resultsEven at 20 Mbps, there was no significant loss in operability or image quality. Security devices detected simulated attacks and permitted essential robot communications. No visual distortion or operational issues occurred, and only a small delay of ≤ 2 min was introduced. The transmission control protocol (TCP) error rates remained low, with or without security devices (0.00-0.04%).
conclusionSecurity implementation enables safe telesurgery by detecting cyber threats without impairing surgical performance. This finding supports the practical development of economically and technologically viable telesurgical systems.
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What OpenQuestion holds
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.