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Review
. 2024 Jan 17;18(1):40.
doi: 10.1007/s11701-023-01797-3.

Technical and ethical considerations in telesurgery

Vipul Patel  1   2 , Shady Saikali  3 , Marcio Covas Moschovas  1   2 , Ela Patel  4 , Richard Satava  5 , Prokar Dasgupta  6 , Mischa Dohler  7 , Justin W Collins  8   9   10 , David Albala  11   12 , Jacques Marescaux  13
Affiliations
Review

Technical and ethical considerations in telesurgery

Vipul Patel et al. J Robot Surg. .

Abstract

Telesurgery, a cutting-edge field at the intersection of medicine and technology, holds immense promise for enhancing surgical capabilities, extending medical care, and improving patient outcomes. In this scenario, this article explores the landscape of technical and ethical considerations that highlight the advancement and adoption of telesurgery. Network considerations are crucial for ensuring seamless and low-latency communication between remote surgeons and robotic systems, while technical challenges encompass system reliability, latency reduction, and the integration of emerging technologies like artificial intelligence and 5G networks. Therefore, this article also explores the critical role of network infrastructure, highlighting the necessity for low-latency, high-bandwidth, secure and private connections to ensure patient safety and surgical precision. Moreover, ethical considerations in telesurgery include patient consent, data security, and the potential for remote surgical interventions to distance surgeons from their patients. Legal and regulatory frameworks require refinement to accommodate the unique aspects of telesurgery, including liability, licensure, and reimbursement. Our article presents a comprehensive analysis of the current state of telesurgery technology and its potential while critically examining the challenges that must be navigated for its widespread adoption.

Keywords: 5G; Ethical; Latency; Network structure; Remote surgery; Robotic surgery; Technical; Telesurgery.

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References

    1. Marescaux J, Leroy J, Rubino F et al (2002) Transcontinental robot-assisted remote telesurgery: feasibility and potential applications. Ann Surg 235(4):487–492. https://doi.org/10.1097/00000658-200204000-00005 - DOI - PubMed - PMC
    1. Brower V (2002) The cutting edge in surgery: telesurgery has been shown to be feasible—now it has to be made economically viable. EMBO Rep 3(4):300–301. https://doi.org/10.1093/embo-reports/kvf083 - DOI - PubMed - PMC
    1. Navarro EM, Ramos Álvarez AN, Soler Anguiano FI (2022) A new telesurgery generation supported by 5G technology: benefits and future trends. Procedia Computer Science 200:31–38. https://doi.org/10.1016/j.procs.2022.01.202 - DOI
    1. Frenkel CH (2023) Telesurgery’s evolution during the robotic surgery renaissance and a systematic review of its ethical considerations. Surg Innov. https://doi.org/10.1177/15533506231169073 - DOI - PubMed
    1. Olejarczyk JP, Young M (2023) Patient rights and ethics. StatPearls Publishing, Petersburg

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