Evidence map›Paper›PMID 42213119›Full record

GuidelineSurgery today2026

Clinical practice guidelines for telesurgery, 2nd Edition : Committee for the Promotion of Remote Surgery Implementation, Japan Surgical Society.

Masaki Mori, Satoshi Hirano, Kenichi Hakamada, Eiji Oki, Takayuki Ito, Shigeo Urushidani, Ichiro Uyama, Masatoshi Eto, Yuma Ebihara, Yukihide Kanemitsu and 22 more

Abstract readPractice Guideline
In one paragraph

Guideline in Surgery today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

32 authors.

Masaki MoriTokai University School of Medicine, 143 Shimokasuya, Isehara City, Kanagawa, Japan. external@jssoc.or.jp.
Satoshi HiranoDepartment of Gastroenterological Surgery II, Division of Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Kenichi HakamadaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Hirosaki University, Hirosaki, Aomori, Japan.
Eiji OkiDepartment of Advanced Medicine and Innovative Technology, Kyushu University Hospital, Fukuoka, Japan.
Takayuki ItoNHK Foundation, Tokyo, Japan.
Shigeo UrushidaniInformation Systems Architecture Science Research Division, National Institute of Informatics, Tokyo, Japan.
Ichiro UyamaDepartment of Advanced Robotic and Endoscopic Surgery, Fujita Health University School of Medicine, Toyoake, Aichi, Japan.
Masatoshi EtoDepartment of Urology, Kyushu University Hospital, Fukuoka, Japan.
Yuma EbiharaDepartment of Gastroenterological Surgery II, Division of Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Yukihide KanemitsuDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Kenji KawashimaGraduate School of Information Science and Technology, The University of Tokyo, Tokyo, Japan.
Takahiro KannoRIVERFIELD Inc, Tokyo, Japan.
Masaru KitsuregawaNational Institute of Informatics, The University of Tokyo, Tokyo, Japan.
Yusuke KinugasaDepartment of Gastrointestinal Surgery, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Hiroaki KitatsujiMedicaroid Corporation, Hyogo, Japan.
Toshihiko SatoDepartment of Thoracic, Breast and Pediatric Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.
Fumiaki SatoA440 Inc, Tokyo, Japan.
Tomoki ShimokawaDepartment of Cardiovascular Surgery, School of Medicine, Teikyo University, Tokyo, Japan.
Hiroshi ShimamotoNHK Foundation, Tokyo, Japan.
Shuji TakiguchiDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Nagoya City University, Aichi, Japan.
Ichiro TakemasaOsaka International Medical & Science Center, Osaka, Japan.
Masanori TokunagaDepartment of Gastrointestinal Surgery, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Masaya NakauchiDepartment of Cardiovascular Surgery, School of Medicine, Teikyo University, Tokyo, Japan.
Hirokazu NoshiroDepartment of General and Gastroenterological Surgery, Saga University, Saga, Japan.
Masaki MandaiDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Koshi MimoriDepartment of Surgery, Kyushu University Beppu Hospital, Oita, Japan.
Hajime MorohashiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Hirosaki University, Hirosaki, Aomori, Japan.
Tomoharu YoshizumiDepartment of Gastroenterological and General Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Go WatanabeNew Heart Watanabe International Hospital, Tokyo, Japan.
Yoshiharu SakaiOsaka Red Cross Hospital, Osaka, Japan.
Norihiko IkedaDepartment of Surgery, Tokyo Medical University, Tokyo, Japan.
Akinobu TaketomiDepartment of Gastroenterological Surgery I, Division of Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent advances in surgical robotic systems, high-speed communication networks, and information processing technologies have made the clinical implementation of remote surgery increasingly feasible. Although pilot clinical applications have been initiated worldwide, the safe, ethical, and sustainable adoption of remote surgery requires comprehensive guidance that addresses not only technical considerations, but also clinical practice, legal responsibility, and organizational frameworks. In response to these needs, the Japan Surgical Society has developed the second edition of the Clinical Practice Guidelines for Telesurgery through a multidisciplinary, consensus-based process involving multiple surgical societies. This updated edition builds on validation and verification studies conducted since the publication of the first edition and places particular emphasis on practical implementation in real-world clinical settings, including telesurgical support and telementoring. The guidelines provide expanded, implementation-oriented recommendations covering surgeon and support staff qualifications, institutional requirements, communication network performance and cybersecurity standards, registry-based governance, and structured approaches to remote surgical mentoring. In addition, legal and ethical considerations are strengthened through the inclusion of representative informed consent documents and contractual frameworks. To enhance international applicability, content that is broadly relevant across jurisdictions is presented separately from elements specific to the Japanese regulatory environment. These guidelines aim to support the responsible global dissemination of telesurgery by promoting safety, transparency, and clinical effectiveness.

Indexed as

General SurgeryRobotic Surgical ProceduresSocieties, MedicalTelemedicineHumansInformed ConsentJapanMentoringCybersecurityGuidelinesRemote surgerySurgical educationSurgical robotsTelementoringTelesurgery

Identifiers

PMID42213119
PMCPMC13303464

What OpenQuestion holds

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LicenceCC BY
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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.