Expanding access to high-quality surgical care in Africa: a landmark achievement in telesurgery.

IF 2.2 3区 医学 Q2 SURGERY
Marcio Covas Moschovas, Kenneth Palmer, Giovana Barani, Cathy Corder, Peter Carnegie, Timesh Dhanji, Ela Patel, Apolineo Paxi, Jacinta Chaves Figueiredo, Belmira Luís, Alberto Matos, Mischa Dohler, Vipul Patel
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Abstract

Telesurgery, the use of robotic technology and telecommunications to perform surgical procedures remotely, has emerged as a groundbreaking advancement in modern medicine. Since the landmark Lindbergh operation in 2001, where a surgeon in New York successfully operated on a patient in France, telesurgery has demonstrated its potential to overcome geographical barriers and improve access to specialized surgical care. Technological advancements in robotic platforms, high-speed networks, and secure data transmission have addressed many of the initial challenges, enabling safer and more precise remote operations. This study explores the feasibility of telesurgery and its implementation in resource-limited settings. A pioneering effort in Africa involved the successful completion of two radical prostatectomies via telesurgery in Angola using the MicroPort® MedBot robotic platform. These procedures, conducted with robust telecommunications infrastructure and skilled surgical teams, highlight the humanitarian potential of telesurgery to address healthcare disparities in underserved regions. Beyond clinical applications, telesurgery offers new opportunities for remote surgical training and mentorship, building local capacity in advanced techniques. The telesurgeries in Angola represent a promising step forward in the journey toward universal healthcare access. By demonstrating the feasibility and reliability of remote robotic surgery in Africa, this landmark achievement provides a template for similar initiatives in other low-resource regions worldwide.

扩大非洲高质量外科护理的可及性:远程手术的里程碑式成就。
远程手术是利用机器人技术和电信技术进行远程外科手术,是现代医学的一项突破性进展。自 2001 年具有里程碑意义的林德伯格手术(纽约的一名外科医生成功地为法国的一名病人实施了手术)以来,远程手术已经证明了其克服地域障碍和改善专业外科护理的潜力。机器人平台、高速网络和安全数据传输方面的技术进步已经解决了许多最初的难题,使远程手术更加安全和精确。本研究探讨了远程手术的可行性及其在资源有限环境中的实施情况。在非洲的一项开创性工作是在安哥拉使用 MicroPort® MedBot™ 机器人平台,通过远程手术成功完成了两例根治性前列腺切除术。这些手术是在强大的电信基础设施和熟练的手术团队的支持下进行的,凸显了远程手术在解决医疗服务不足地区的医疗差距方面的人道主义潜力。除临床应用外,远程手术还为远程外科培训和指导提供了新的机会,提高了当地掌握先进技术的能力。在安哥拉进行的远程手术是在普及医疗保健服务的道路上迈出的充满希望的一步。通过证明远程机器人手术在非洲的可行性和可靠性,这一里程碑式的成就为全球其他低资源地区的类似举措提供了范本。
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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
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