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Surgery Today
Published in: Surgery Today 2/2013

01-02-2013 | Review Article

The “tele” factor in surgery today and tomorrow: implications for surgical training and education

Authors: Pietro Gambadauro, Rafael Torrejón

Published in: Surgery Today | Issue 2/2013

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Abstract

New technological developments in the field of telecommunications have allowed a wide range of potentially novel surgical applications. The introduction of the World Wide Web in 1991 has been followed by a steep rise of the relevance of telemedicine, as it is witnessed in the latest scientific literature. There has been a consistent, positive trend in publications dealing, respectively, with telemedicine and the Internet. This article reviews telemedicine and other surgery-related innovations that benefit from telecommunication advances, and presents data from a quantitative bibliographic analysis. A number of applications, such as telementoring, teleproctoring and robotic telesurgery are described and their huge potentials are discussed. The integration between surgery and telecommunications could constitute one of the major achievements of modern medicine, and its safe integration into clinical practice should be a priority for modern surgeons.
Literature
1.
Magos A, Gambadauro P. Desktop search engines: a modern way to hand search in full text. Lancet. 2005;366(9481):203–4.PubMedCrossRef
2.
Gambadauro P, Magos A. Office 2.0: a web 2.0 tool for international collaborative research. Lancet. 2008;371(9627):1837–8.PubMedCrossRef
3.
Rosser JC, Wood M, Payne JH, Fullum TM, Lisehora GB, Rosser LE, Barcia PJ, Salvagi RS. Telementoring: a practical option in surgical training. Surg Endosc. 1997;11:852–5.PubMedCrossRef
4.
Rosser JC, Gabriel N, Herman B, Murayama M. Telementoring and Teleproctoring. Worl J Surg. 2001;25:1438–48.CrossRef
5.
Angood PB. Telemedicine, the Internet, and World Wide Web: overview, current status, and relevance to surgeons. World J Surg. 2001;25:1449–57.PubMed
6.
Society of American Gastrointestinal Endoscopic Surgeons. Guidelines for the surgical practice of telemedicine. Surg Endosc. 2000;14:975–9.CrossRef
7.
Go PMNYH, Payne JH, Satava RM, Rosser JC. Teleconferencing bridges two oceans and shrinks the surgical world. Surg Endosc. 1996;10:105–6.PubMedCrossRef
8.
Moore RG, Adams JB, Partin AW, Docimo SG, Kavoussi LR. Telementoring of laparoscopic procedures: initial clinical experience. Surg Endosc. 1996;10(2):107–10.PubMedCrossRef
9.
Marescaux J, Mutter D, Soler L, Vix M, Leroy J. The virtual university applied to telesurgery: from tele-education to tele-manipulation. Bull Acad Natl Med. 1999;183:509–21.PubMed
10.
Rosser JC, Wood M, Payne JH, Fullum TM, Lisehora GB, Rosser LE, et al. Telementoring. A practical option in surgical training. Surg Endosc. 1997;11(8):852–5.PubMedCrossRef
11.
Schulam PG, Docimo SG, Saleh W, Breitenbach C, Moore RG, Kavoussi L. Telesurgical mentoring. Initial clinical experience. Surg Endosc. 1997;11:1001–5.PubMedCrossRef
12.
Lee BR, Bishoff JT, Janetschek G, Bunyaratevej P, Kamolpronwijit W, Cadeddu JA, et al. A novel method of surgical instruction: international telementoring. World J Urol. 1998;16(6):367–70.PubMedCrossRef
13.
Cubano M, Poulose BK, Salamini MA, Stewart R, Antosek LE, Lentz R, et al. Long distance telementoring. A novel tool for laparoscopy aboard the USS Abraham Lincoln. Surg Endosc. 1999;13:673–8.PubMedCrossRef
14.
Lee BR, Png DJ, Liew L, Fabrizio M, Li MK, Jarrett JW, et al. Laparoscopic telesurgery between the United States and Singapore. Ann Acad Med Singapore. 2000;29:665–8.PubMed
15.
Bauer JJ, Lee BR, Bishoff JT, Janetschek G, Bunyaratevej P, Kamolpronwijit W, et al. International surgical telementoring using a robotic arm: our experience. Telemed J. 2000;6:25–31.CrossRef
16.
Micali S, Virgili G, Vannozzi E, Grassi N, Jarrett TW, Bauer JJ, et al. Feasibility of telementoring between Baltimore (USA) and Rome (Italy): the first five cases. J Endourol. 2000;14:493–6.PubMedCrossRef
17.
Gambadauro P, Magos A. Digital video technology and surgical training. Eur Clin Obstet Gynaecol. 2007;3:31–4.CrossRef
18.
Hahm JS, Lee HL, Choi HS, Shimizu S. Telemedicine system using a high-speed network: past, present, and future. Gut Liver. 2009;3(4):247–51.PubMedCrossRef
19.
Gambadauro P, Magos A. NEST (network enhanced surgical training): a PC-based system for telementoring in gynaecological surgery. Eur J Obstet Gynecol Reprod Biol. 2008;139(2):222–5.PubMedCrossRef
20.
Notte D, Mimouna R, Cadiere GB, Bruyns, Degueldre M, Mols P. Human factor’s in telemedicine: training surgeons by telementoring. Lect Notes Comput Sci. 2009;5619:1033–41.CrossRef
21.
Gambadauro P, Chapman L, Makris A, Papalampros P, Polyzos D, Papadopoulos N, et al. Simulating telementoring using NEST (network enhanced surgical training) in an endoscopic skills laboratory. Gynecol Surg. 2006;3:S41.CrossRef
22.
23.
Sarker SK, Chang A, Vincent C, Darzi AW. Development of assessing generic and specific technical skills in laparoscopic surgery. Am J Surg. 2006;191:238–44.PubMedCrossRef
24.
Moorthy K, Muntz Y, Sarker SK, Darzi A. Objective assessment of technical skills in surgery. BMJ. 2003;327:1032–7.PubMedCrossRef
25.
Gambadauro P, Magos A. Digital video recordings for training, assessment, and revalidation of surgical skills. Surg Technol Int. 2010;20:36–9.PubMed
26.
Cheah WK, Lee B, Lenzi JE, Goh PM. Telesurgical laparoscopic cholecystectomy between two countries. Surg Endosc. 2000;14(11):1085.PubMed
27.
Marescaux J, Leroy J, Gagner M, Rubino F, Mutter D, Vix M, et al. Transatlantic robot-assisted telesurgery. Nature. 2001;413:379–80.PubMedCrossRef
28.
Pugin F, Bucher P, Morel P. History of robotic surgery: from AESOP® and ZEUS® to da Vinci®. J Visc Surg. 2011;148:e3–8.
29.
Yim GW, Kim SW, Nam EJ, Kim YT. Role of robot-assisted surgery in cervical cancer. Int J Gynecol Cancer. 2011;21(1):173–81.PubMedCrossRef
30.
Lehr EJ, Rodriguez E, Chitwood WR. Robotic cardiac surgery. Curr Opin Anaesthesiol. 2011;24(1):77–85.PubMedCrossRef
31.
van Dam P, Hauspy J, Verkinderen L, Trinh XB, van Dam PJ, Van Looy L, et al. Are costs of robot-assisted surgery warranted for gynecological procedures? Obstet Gynecol Int. 2011;2011:973830.PubMed
32.
Haidegger T, Sándor J, Benyó Z. Surgery in space: the future of robotic telesurgery. Surg Endosc. 2011;25(3):681–90.PubMedCrossRef
33.
Suzuki S, Suzuki N, Hattori A, Hayashibe M, Konishi K, Kakeji Y, et al. Tele-surgery simulation with a patient organ model for robotic surgery training. Int J Med Robot. 2005;1(4):80–8.PubMedCrossRef
34.
Suzuki S, Suzuki N, Hayashibe M, Hattori A, Konishi K, Kakeji Y, et al. Tele-surgical simulation system for training in the use of da Vinci surgery. Stud Health Technol Inform. 2005;111:543–8.PubMed
35.
Nguan C, Miller B, Patel R, Luke PP, Schlachta CM. Pre-clinical remote telesurgery trial of a da Vinci telesurgery prototype. Int J Med Robot. 2008;4(4):304–9.PubMedCrossRef
36.
Sterbis JR, Hanly EJ, Herman BC, Marohn MR, Broderick TJ, Shih SP, et al. Transcontinental telesurgical nephrectomy using the da Vinci robot in a porcine model. Urology. 2008;71(5):971–3.PubMedCrossRef
37.
38.
Ward JP, Gordon J, Field MJ, Lehmann HP. Communication and information technology in medical education. Lancet. 2001;10(357):792–6.CrossRef
39.
Khan N, Coppola W, Rayne T, Epstein O. Medical student access to multimedia devices: most have it, some don’t and what’s next? Inform Health Soc Care. 2009;34(2):100–5.PubMedCrossRef
40.
Gormley GJ, Collins K, Boohan M, Bickle IC, Stevenson M. Is there a place for e-learning in clinical skills? A survey of undergraduate medical students’ experiences and attitudes. Med Teach. 2009;31(1):e6–12.PubMedCrossRef
41.
Alvarez RS, Rodríguez JL, Alonso AC. Teaching surgery: new times, new methods. Cir Esp 2012;90:17–23.
42.
Kleinpell R, Ely EW, Williams G, Liolios A, Ward N, Tisherman SA. Web-based resources for critical care education. Crit Care Med. 2011;39(3):541–53.PubMedCrossRef
43.
Davies BS, Rafique J, Vincent TR, Fairclough J, Packer MH, Vincent R, et al. Mobile Medical Education (MoMEd)—how mobile information resources contribute to learning for undergraduate clinical students: a mixed methods study. BMC Med Educ. 2012;12(1):1–12.PubMedCrossRef
44.
Wiecha J, Barrie N. Collaborative online learning: a new approach to distance CME. Acad Med. 2002;77(9):928–9.PubMedCrossRef
45.
Butterworth K, Hayes B, Zimmerman M. Remote and rural: do mentors enhance the value of distance learning continuing medical education? Educ Health (Abingdon). 2011;24(3):539.
46.
Casebeer L, Allison J, Spettell CM. Designing tailored Web-based instruction to improve practicing physicians’ chlamydial screening rates. Acad Med. 2002;77(9):929.PubMedCrossRef
47.
Sargeant J, Curran V, Allen M, Jarvis-Selinger S, Ho K. Facilitating interpersonal interaction and learning online: linking theory and practice. J Contin Educ Health Prof. 2006;26(2):128–36.PubMedCrossRef
48.
Wong G, Greenhalgh T, Pawson R. Internet-based medical education: a realist review of what works, for whom and in what circumstances. BMC Med Educ. 2010;2(10):12.CrossRef
49.
Klock C, Gomes Rde P. Web conferencing systems: skype and MSN in telepathology. Diagn Pathol. 2008;3:S13.PubMedCrossRef
50.
Genzen JR, for the Education Committee of the Academy of Clinical Laboratory Physicians and Scientists. Pathology consultation on reporting of critical values. Am J Clin Pathol. 2011;135(4):505–13.PubMedCrossRef
51.
Rocha R, Vassallo J, Soares F, Miller K, Gobbi H. Digital slides: present status of a tool for consultation, teaching, and quality control in pathology. Pathol Res Pract. 2009;205(11):735–41.PubMedCrossRef
52.
Ewers R, Schicho K, Wagner A, Undt G, Seemann R, Figl M, et al. Seven years of clinical experience with teleconsultation in craniomaxillofacial surgery. J Oral Maxillofac Surg. 2005;63(10):1447–54.PubMedCrossRef
53.
Narenthiranathan NR, Adnan JS, Haspani MS. Tailoring teleconsultation to meet the current needs of neurosurgical services: a multimodality oriented neurosurgical consultation. Stud Health Technol Inform. 2010;161:112–21.PubMed
54.
Seemann R, Guevara G, Undt G, Ewers R, Schicho K. Clinical evaluation of tele-endoscopy using UMTS cellphones. Surg Endosc. 2010;24(11):2855–9.PubMedCrossRef
55.
Eranki V, Munt J, Lim MJ, Atkinson R. Consultation of orthopaedics cases using multimedia messaging services. Open Orthop J. 2010;23(4):164–8.CrossRef
56.
Zetterman CV, Sweitzer BJ, Webb B, Barak-Bernhagen MA, Boedeker BH. Validation of a virtual preoperative evaluation clinic: a pilot study. Stud Health Technol Inform. 2011;163:737–9.PubMed
57.
58.
Brahams D. The medicolegal implications of teleconsulting in the UK. J Telemed Telecare. 1995;1(4):196–201.PubMed
59.
60.
Shimizu S, Han HS, Okamura K, Yamaguchi K, Tanaka M. Live demonstration of surgery across international borders with uncompressed high-definition quality. HPB (Oxford). 2007;9(5):398–9.CrossRef
61.
Grech V, Muscat HA, Cassar B. Videoconferencing: live procedures during conferences—practical problems and solutions. J Vis Commun Med. 2009;32:53–4.PubMedCrossRef
62.
Hollick EJ, Allan BD. Live surgery: national survey of United Kingdom ophthalmologists. J Cataract Refract Surg. 2008;34(6):1029–32.PubMedCrossRef
63.
Augestad KM, Lindsetmo RO. Overcoming distance: video-conferencing as a clinical and educational tool among surgeons. World J Surg. 2009;33(7):1356–65.PubMedCrossRef
64.
Holland AJ, Soundappan SV, Oldmeadow W. Videoconferencing surgical tutorials: bridging the gap. ANZ J Surg. 2008;78(4):297–301.PubMedCrossRef
65.
Gul YA, Wan AC, Darzi A. Undergraduate surgical teaching utilizing telemedicine. Med Educ. 1999;33(8):596–9.PubMedCrossRef
66.
McIntyre TP, Monahan TS, Villegas L, Doyle J, Jones DB. Teleconferencing surgery enhances effective communication and enriches medical education. Surg Laparosc Endosc Percutan Tech. 2008;18(1):45–8.PubMedCrossRef
Metadata
Title
The “tele” factor in surgery today and tomorrow: implications for surgical training and education
Authors
Pietro Gambadauro
Rafael Torrejón
Publication date
01-02-2013
Publisher
Springer Japan
Published in
Surgery Today / Issue 2/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0267-9

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