DEVELOPMENT OF TELE-ROBOTIC ENDOSURGERY AND IT'S CLINICAL APPLICATION

(1)We已经开发出具有光纤电路的远程导航腹腔镜手术。(2)In 1992年，我们成功地在腹腔镜肾上腺切除术中进行了远程指导手术。一位经验丰富的腹腔镜外科医生在大约100米外的控制室监督一位经验不足的外科医生。指导通过光纤电缆完成，该光纤电缆采用实时视频成像、双向音频通信、用于控制腹腔镜图像的OES Image Trac Video System^<TM>（Olympus medical systems，Tokyo，Japan）和电传打字机。在这种情况下，我们使用异步传输模式进行繁重的信号传输。（3）利用以太网宽带互联网协议，成功实现了远程导航腹腔镜根治术。每个房间都有相同的传输单元，通过100兆局域网电缆和路由器连接光纤电缆。内窥镜视图以及外科医生和主管的声音清晰传输，无时间延迟。监督员可以通过操作计算机鼠标从控制室移动腹腔镜视图。（4）最近，治疗手段从拯救生命转向考虑生活质量。因此，建立高科技的无创治疗，如内窥镜手术、远程导航手术、机器人手术等，是未来医学最重要和最紧迫的事情。

(1)We have developed tele-navigated laparoscopic surgery with light fiber circuit.(2)In 1992, we successfully performed tele-mentoring surgery during laparoscopic adrenalectomy. An experienced laparoscopic surgeon supervised a less experienced surgeon from a control room about 100 meters away. Mentoring was accomplished over a fiber optic cable employing real-time video imaging, two-way audio communication, OES Image Trac Video System^<TM> (Olympus medical systems, Tokyo, Japan) used to control the laparoscopic image, and a telestrator. In this case, we used asynchronous transfer mood for heavy signal transportation.(3)Finally, we succeeded tele-navigated laparoscopic radical prostatectomy by using Ethernet broadband Internet protocol. Each room has the same transporting units connected light fiber cable through 100 megabit LAN cable and rooter. Endoscopic view and the voice of surgeon and supervisor were clearly transported without time delay. Supervisor could move the laparoscopic view from the control room by handling the computer mouse.(4)Recently, treatment arms moves from life saving to considering the quality of life. Therefore, establishment of non-invasive treatment with high technology, such as endoscopic surgery, tele-navigated surgery, robotic surgery etc are the most important and urgent matter for future medicine.