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Titre du document / Document title

Robotic long-distance telementoring in neurosurgery

Auteur(s) / Author(s)

MENDEZ Ivar (1) ; HILL Ron (1) ; CLARKE David (1) ; KOLYVAS George (2) ; WALLING Simon (1) ; TESSLER Lee ; KELLY Patrick J. ; BROTCHI Jacques ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Division of Neurosurgery, Dalhousie University and Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, CANADA
(2) Department of Neurosurgery, Atlantic Health Sciences Corporation, Saint John Regional Hospital, Saint John, New Brunswick, CANADA

Résumé / Abstract

OBJECTIVE: To test the feasibility of long-distance telementoring in neurosurgery by providing subspecialized expertise in real time to another neurosurgeon performing a surgical procedure in a remote location. METHODS: A robotic telecollaboration system (Socrates; Computer Motion, Inc., Santa Barbara, CA) capable of controlling the movements of a robotic arm, of handling two-way video, and of audio communication as well as transmission of neuronavigational data from the remote operating room was used for the telementoring procedures. Four integrated services digital network lines with a total speed of transmission of 512 kilobytes per second provided telecommunications between a large academic center (Halifax, Nova Scotia) and a community-based center (Saint John, New Brunswick) located 400 km away. RESULTS: Long-distance telementoring was used in three craniotomies for brain tumors, a craniotomy for an arteriovenous malformation, a carotid endarterectomy, and a lumbar laminectomy. There were no surgical complications during the procedures, and all patients had uneventful outcomes. The neurosurgeons in the remote location believed that the input from the mentors was useful in all of the cases and was crucial in the removal of a mesial temporal lobe glioma and resection of an occipital arteriovenous malformation. CONCLUSION: Our initial experience with long-distance robotic-assisted telementoring in six cases indicates that telementoring is feasible, reliable, and safe. Although still in its infancy, telementoring has the potential to improve surgical care, to enhance neurosurgical training, and to have a major impact on the delivery of neurosurgical services throughout the world.

Revue / Journal Title

Neurosurgery    ISSN  0148-396X   CODEN NRSRDY 

Source / Source

2005, vol. 56, no3, pp. 434-440 [7 page(s) (article)] (32 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1977) (Revue)

Mots-clés anglais / English Keywords

Robotics

;

Surgery

;

Nervous system diseases

;

Mots-clés français / French Keywords

Robotique

;

Chirurgie

;

Système nerveux pathologie

;

Mots-clés espagnols / Spanish Keywords

Robótica

;

Cirugía

;

Sistema nervioso patología

;

Localisation / Location

INIST-CNRS, Cote INIST : 18396, 35400012506755.0020

Nº notice refdoc (ud4) : 16627363



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