Feasibility study of applying an online video communication system in tele-mentoring for guided robotic surgery

Abstract

　Although various types of surgeries have recently been performed using robotic surgery, experienced doctors who can provide guidance are few. The introduction of a tele-mentoring system under the guidance of experienced physicians can provide good medical care regardless of the location and is expected to improve patient outcome. However, many medical institutions are reluctant to introduce such systems owing to weak network systems and complicated procedures. Therefore, we devised a new online video guidance system using Zoom video communications that can be easily implemented by anybody. Additionally, we examined the feasibility of our new system in this study.

　In our hospital, five surgeries were performed using an internet connection with an experienced physician at a remote site sharing images identical to those of the surgeon through Zoom video communication.

　No line delays were observed and communication between the physicians was satisfactory. This system allows physicians to draw lines or letters on the shared screen through a Zoom video communications tool during the operation, which helps in verbal guidance. The robotic surgery was completed in all patients with safe outcomes.

　In conclusion, our new system is feasible and is expected to be a method of improving physicians' skills and providing high-quality medical care regardless of location.