Robotic pyeloplasty using internet protocol and satellite network-based telesurgery
Robotic pyeloplasty using internet protocol and satellite network-based telesurgery
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DOI：
10.1002/rcs.173
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发表时间：
2008-03-01
影响因子：
2.5
通讯作者：
Luke, P. P. W.
中科院分区：
文献类型：
--
作者：
Nguan, C. Y.;Morady, R.;Luke, P. P. W.
背景在北美，泌尿外科界已经将外科机器人技术应用于复杂的腹腔镜手术。复杂的长距离肾盂成形术的性能需要进一步调查之前，临床应用。方法腹腔镜机器人辅助肾盂成形术在猪模型的可行性进行了评估，使用宙斯机器人和互联网协议虚拟专用网络（IP-VPNe）和卫星链路。使用实时、IP-VPNe和卫星网络连接（各6例）进行了18例肾盂成形术。结果尽管网络延迟和抖动，它是可行的，以执行肾盂成形术的过程中没有显着损害的手术时间或手术结果相比，实时surgery.Conclusion复杂的任务，如机器人肾盂成形术的完成是可行的，使用陆线和卫星手术。然而，神经外科手术的临床相关性需要进一步评估。版权所有（C）2008约翰威利父子有限公司
Background In North America, the urological community has embraced surgical robotic technology in the performance of complex laparoscopic surgery. The performance of complex long-distance telesurgery requires further investigation prior to clinical application.Methods The feasibility of laparoscopic robot-assisted pyeloplasty in a porcine model was assessed using the Zeus robot and the internet protocol virtual private network (IP-VPNe) and satellite links. Eighteen pyeloplasty procedures were performed, using real-time, IP-VPNe and satellite network connection (six of each). Network and objective operative data were collected.Results Despite network delays and jitter, it was feasible to perform the pyeloplasty procedure without significant detriment in operative time or surgical results compared with real-time surgery.Conclusion The completion of complex tasks such as robotic pyeloplasty is feasible using both land-line and satellite telesurgery. However, the clinical relevance of telesurgery requires further assessment. Copyright (C) 2008 John Wiley & Sons, Ltd.