International multispecialty consensus statement and expert opinion of best practices in telesurgery

Vipul Patel^{1

2}, Justin W Collins^{3

4}, Jacques Marescaux⁵, Mischa Dohler⁶, Shady Saikali¹, Prokar Dasgupta⁷, Sumeet Reddy¹, Ahmed Gamal¹, Ela Patel¹, Travis Rogers¹, Adnan Siddiqui⁸, Alberto Breda⁹, Alex Mottrie¹⁰, Ameer Hassan¹¹, Andrew Hung¹², Angeles Secord¹³, Bernardo Rocco¹⁴, Carla Pugh¹⁵, Chandru Sundaram¹⁶, Maria Chiara Sighinolfi¹⁴, E Christopher Ellison¹⁷, Eduardo Parra Davila¹⁸, Erik Wilson¹⁹, Husam Balkhy²⁰, Jihad Kaouk²¹, Cui Liang²², Louis R Kavoussi²³, Martin Roche²⁴, Martin Martino²⁵, Mehran Anvari²⁶, Patrice Sylla²⁷, Rafael Ferreira Coelho²⁸, Raju Thomas²⁹, Ralph Clayman³⁰, Raymond Leveillee³¹, Ricardo Estape³², Ross Goldberg³³, Ryan Madder³⁴, Santiago Horgan³⁵, J Scott Magnuson³⁶, Senthil Nathan³⁷, Sharona Ross³⁸, Anthony Costello³⁹, Zhang Xu⁴⁰, Sanket Chauhan⁴¹, Jay Redan^{2

36}, Richard Satava⁴², Brian Miles⁴³, Ajit K Sachdeva⁴⁴, Marcio Covas Moschovas^{45

46}

Affiliations

¹ AdventHealth Global Robotics Institute, Celebrations, FL, USA.
² University of Central Florida (UCF), Orlando, FL, USA.
³ Division of Surgery and Interventional Science, University College London, London, UK.
⁴ University College London Hospitals NHS Foundation Trust, London, UK.
⁵ IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
⁶ Advanced Technology Group, Ericsson Inc., Santa Clara, CA, USA.
⁷ King's College London, King's Health Partners, Responsible, AI, UK.
⁸ Department of Neurosurgery, SUNY University at Buffalo, Buffalo, NY, USA.
⁹ Department of Urology, Fundacio Puigvert, Barcelona, Spain.
¹⁰ Orsi Academy, Ghent, Belgium.
¹¹ Department of Neuroscience Valley Baptist Medical Center, Harlingen, TX, USA.
¹² Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
¹³ Duke University Medical Center, Durham, NC, USA.
¹⁴ ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
¹⁵ Stanford University, Stanford, CA, USA.
¹⁶ Indiana University School of Medicine, Indianapolis, IN, USA.
¹⁷ The Ohio State University, Columbus, OH, USA.
¹⁸ Hernia and Abdominal Wall Reconstruction, Good Samaritan Medical Center-TENET Health, West Palm Beach, FL, USA.
¹⁹ University of Texas Health Science Center, Houston, TX, USA.
²⁰ University of Chicago Medicine, Chicago, IL, USA.
²¹ Center for Robotic and Image Guided Surgery, Zegarac-Pollock Endowed Chair in Robotic Surgery, Vice Chair of Enterprise Surgical Operations, Cleveland Clinic, Cleveland, OH, USA.
²² Department of Urology, Civil Aviation General Hospital, Chaoyang District, Beijing, China.
²³ Northwell Health, New York, NY, USA.
²⁴ HSS, West Palm Beach, FL, USA.
²⁵ Ascension St Vincent's, Jacksonville, FL, USA.
²⁶ McMaster University, Hamilton, ON, Canada.
²⁷ Icahn School of Medicine at Mount Sinai, New York, NY, USA.
²⁸ University of São Paulo School of Medicine, Sao Paulo, Brazil.
²⁹ Tulane University, New Orleans, LA, USA.
³⁰ Department of Urology, University of California Irvine, Orange, CA, USA.
³¹ Bethesda Hospital, Baptist Health South Florida, Coral Gables, FL, USA.
³² HCA Florida Institute for Gynecologic Oncology, Miami, FL, USA.
³³ University of Miami Miller School of Medicine, Miami, FL, USA.
³⁴ Frederik Meijer Heart & Vascular Institute, Corewell Health West, Grand Rapids, MI, USA.
³⁵ University of California San Diego, San Diego, CA, USA.
³⁶ AdventHealth, Orlando, FL, USA.
³⁷ Cleveland Clinic, London, UK.
³⁸ AdventHealth, Tampa, FL, USA.
³⁹ The University of Melbourne, Melbourne, Australia.
⁴⁰ Department of Urology, Chinese People's Liberation Army General Hospital, Beijing, China.
⁴¹ Baylor University Medical Center, Dallas, TX, USA.
⁴² University of Washington, Seattle, WA, USA.
⁴³ Houston Methodist Hospital, Houston, TX, USA.
⁴⁴ Division of Education, American College of Surgeons, Chicago, IL, USA.
⁴⁵ AdventHealth Global Robotics Institute, Celebrations, FL, USA. marciourology@gmail.com.
⁴⁶ University of Central Florida (UCF), Orlando, FL, USA. marciourology@gmail.com.

PMID: 40167848
DOI: 10.1007/s11701-025-02298-1

International multispecialty consensus statement and expert opinion of best practices in telesurgery

Vipul Patel et al. J Robot Surg. 2025.

. 2025 Apr 1;19(1):135.

doi: 10.1007/s11701-025-02298-1.

Authors

Affiliations

¹ AdventHealth Global Robotics Institute, Celebrations, FL, USA.
² University of Central Florida (UCF), Orlando, FL, USA.
³ Division of Surgery and Interventional Science, University College London, London, UK.
⁴ University College London Hospitals NHS Foundation Trust, London, UK.
⁵ IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
⁶ Advanced Technology Group, Ericsson Inc., Santa Clara, CA, USA.
⁷ King's College London, King's Health Partners, Responsible, AI, UK.
⁸ Department of Neurosurgery, SUNY University at Buffalo, Buffalo, NY, USA.
⁹ Department of Urology, Fundacio Puigvert, Barcelona, Spain.
¹⁰ Orsi Academy, Ghent, Belgium.
¹¹ Department of Neuroscience Valley Baptist Medical Center, Harlingen, TX, USA.
¹² Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
¹³ Duke University Medical Center, Durham, NC, USA.
¹⁴ ASST Santi Paolo e Carlo, University of Milan, Milan, Italy.
¹⁵ Stanford University, Stanford, CA, USA.
¹⁶ Indiana University School of Medicine, Indianapolis, IN, USA.
¹⁷ The Ohio State University, Columbus, OH, USA.
¹⁸ Hernia and Abdominal Wall Reconstruction, Good Samaritan Medical Center-TENET Health, West Palm Beach, FL, USA.
¹⁹ University of Texas Health Science Center, Houston, TX, USA.
²⁰ University of Chicago Medicine, Chicago, IL, USA.
²¹ Center for Robotic and Image Guided Surgery, Zegarac-Pollock Endowed Chair in Robotic Surgery, Vice Chair of Enterprise Surgical Operations, Cleveland Clinic, Cleveland, OH, USA.
²² Department of Urology, Civil Aviation General Hospital, Chaoyang District, Beijing, China.
²³ Northwell Health, New York, NY, USA.
²⁴ HSS, West Palm Beach, FL, USA.
²⁵ Ascension St Vincent's, Jacksonville, FL, USA.
²⁶ McMaster University, Hamilton, ON, Canada.
²⁷ Icahn School of Medicine at Mount Sinai, New York, NY, USA.
²⁸ University of São Paulo School of Medicine, Sao Paulo, Brazil.
²⁹ Tulane University, New Orleans, LA, USA.
³⁰ Department of Urology, University of California Irvine, Orange, CA, USA.
³¹ Bethesda Hospital, Baptist Health South Florida, Coral Gables, FL, USA.
³² HCA Florida Institute for Gynecologic Oncology, Miami, FL, USA.
³³ University of Miami Miller School of Medicine, Miami, FL, USA.
³⁴ Frederik Meijer Heart & Vascular Institute, Corewell Health West, Grand Rapids, MI, USA.
³⁵ University of California San Diego, San Diego, CA, USA.
³⁶ AdventHealth, Orlando, FL, USA.
³⁷ Cleveland Clinic, London, UK.
³⁸ AdventHealth, Tampa, FL, USA.
³⁹ The University of Melbourne, Melbourne, Australia.
⁴⁰ Department of Urology, Chinese People's Liberation Army General Hospital, Beijing, China.
⁴¹ Baylor University Medical Center, Dallas, TX, USA.
⁴² University of Washington, Seattle, WA, USA.
⁴³ Houston Methodist Hospital, Houston, TX, USA.
⁴⁴ Division of Education, American College of Surgeons, Chicago, IL, USA.
⁴⁵ AdventHealth Global Robotics Institute, Celebrations, FL, USA. marciourology@gmail.com.
⁴⁶ University of Central Florida (UCF), Orlando, FL, USA. marciourology@gmail.com.

PMID: 40167848
DOI: 10.1007/s11701-025-02298-1

No abstract available

Keywords: Delphi consensus; Remote surgery; Robotic surgery; Telesurgery.

PubMed Disclaimer

Conflict of interest statement

Declarations. Conflict of interest: All authors have no conflicts of interest with the content of this study. Ajit K. Sachdeva, is a full-time employee of the American College of Surgeons and the opinions expressed in this article are those of the author and do not represent the official position of the American College of Surgeons. No conflict with any commercial entity to disclose. Prokar Dasgupta consults for Proximie, MysteryVibe, JivaAI, UKRI/EPSRC,and Recordati Foundation.

References

1. Meara JG, Leather AJM, Hagander L, Alkire BC, Alonso N, Ameh EA et al (2016) Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Int J Obstet Anesth 25:75–78 - DOI - PubMed
1. Doarn CR, Anvari M, Low T, Broderick TJ (2009) Evaluation of teleoperated surgical robots in an enclosed undersea environment. Telemedicine and e-Health 15(4):325–335 - DOI - PubMed
1. Panesar SS, Ashkan K (2018) Surgery in space. Br J Surg 105(10):1234–1243 - DOI - PubMed
1. Anvari M, McKinley C, Stein H (2005) Establishment of the world’s first telerobotic remote surgical service. Ann Surg 241(3):460–464 - DOI - PubMed - PMC
1. Moschovas MC, Patel V. 2024. Reply to Chang-Kun Mao, Tao Zhang, and Jun-Ting Li’s Letter to the Editor re: Vipul Patel, Jacques Marescaux, Marcio Covas Moschovas. The Humanitarian Impact of Telesurgery and Remote Surgery in Global Medicine. Eur Urol. In press. https://doi.org/10.1016/j.eururo.2024.04.029

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International multispecialty consensus statement and expert opinion of best practices in telesurgery

Affiliations

International multispecialty consensus statement and expert opinion of best practices in telesurgery

Authors

Affiliations

Conflict of interest statement

References

LinkOut - more resources

Full Text Sources