Evidence map›Paper›PMID 41721057›Full record

SynthesisProstate cancer and prostatic diseases2026

Telesurgery in prostate cancer: a systematic review of clinical applications and future directions.

Boran Aksakal, Nicolas A Soputro, Abdulrahman Al-Bayati, Milagros Secin, Riccardo Autorino, Jihad Kaouk, Ruben Olivares

Abstract readSystematic Review
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Boran AksakalGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID http://orcid.org/0009-0006-9021-0213
Nicolas A SoputroGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
Abdulrahman Al-BayatiGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
Milagros SecinGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
Riccardo AutorinoGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
Jihad KaoukGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-7127-6069
Ruben OlivaresGlickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA. olivarr@ccf.org.ORCID http://orcid.org/0000-0002-4895-7106

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTelesurgery represents an emerging frontier in the surgical management of prostate cancer, offering innovative solutions to expand access to specialized care across geographic and institutional barriers. This systematic review aims to evaluate the feasibility, clinical outcomes, and technical considerations of telesurgical applications in the treatment of prostate cancer.

methodsA comprehensive literature search was conducted across MEDLINE (via PubMed), Embase, Scopus, and Web of Science in June 2025 to identify all consecutive clinical studies published from 2001 through June 2025 that involved telesurgical approaches for the management of clinically significant, localized prostate cancer. Eligible studies were screened and reviewed according to PRISMA guidelines, and a narrative synthesis was performed.

resultsA total of six studies met the inclusion criteria, demonstrating successful telesurgical procedures involving 7 patients, with six procedures pertaining to Robot-Assisted Radical Prostatectomy (RARP) and one case of High-Intensity Focused Ultrasound (HIFU) focal therapy. All procedures were completed successfully over distances ranging between 1 and 11,412 km. The most commonly utilized network infrastructure included 5 G wireless and wired fiber-optic broadband systems. With a round-trip latency ranging between 6 ms and 464 ms, no technical failures and no clinically meaningful delays perceived by the surgeons were reported.

conclusionsHerein, we demonstrated the feasibility and safety of radical and focal robotic telesurgical procedures for the management of prostate cancer. Despite its successes and benefits in democratizing patient care and surgical education, challenges surrounding its cost, regulatory frameworks, and standardization of care may continue to pose limitations, underscoring the need for further research and policy innovation.

Indexed as

ProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresTelemedicineHumansMaleUltrasound, High-Intensity Focused, Transrectal

Identifiers

PMID41721057
PMCPMC13623627

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.