Natali Rodriguez Peñaranda, Paweł Wisz, Jessica Vella, Elisabetta Pia Bilancia, Nicolas Carl, Edoardo Beatrici, Attilio Barretta, Alessio Guidotti, Francesco Cei, Pietro Pasquini, Salvatore Micali, Stefano Puliatti, Alexandre Mottrie, Niki Rashidian
{"title":"Surgical telementoring platforms for clinical care and training: a systematic review.","authors":"Natali Rodriguez Peñaranda, Paweł Wisz, Jessica Vella, Elisabetta Pia Bilancia, Nicolas Carl, Edoardo Beatrici, Attilio Barretta, Alessio Guidotti, Francesco Cei, Pietro Pasquini, Salvatore Micali, Stefano Puliatti, Alexandre Mottrie, Niki Rashidian","doi":"10.1080/13645706.2026.2734221","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Surgical telementoring enables remote, real-time expert guidance in clinical practice and surgical education. This systematic review evaluated telementoring platforms used in surgery and training, focusing on technical characteristics, applications, strengths, and limitations.</p><p><strong>Methods: </strong>PubMed/MEDLINE, Scopus, and Web of Science were searched for studies published from January 2015 to April 15, 2026, following PRISMA 2020. Eligible studies described surgical telementoring platforms with sufficient technical and application-related information. Findings were narratively synthesized into clinical practice, training/simulation, and immersive/augmented applications. Quality was assessed using the Mixed Methods Appraisal Tool. The review was registered in PROSPERO (CRD420261403771).</p><p><strong>Results: </strong>The search identified 672 records, 35 reports representing 34 independent studies from 18 countries were included. Most were feasibility, pilot, simulation, or early implementation studies. Platforms ranged from low-cost audiovisual systems to integrated immersive technologies. Clinical studies mainly demonstrated technical feasibility, while comparative evidence on patient outcomes and safety remained limited. Training studies reported improved procedural performance and learner confidence, while immersive systems showed potential for enhanced spatial guidance.</p><p><strong>Conclusions: </strong>Surgical telementoring is feasible across clinical and educational settings, but evidence regarding patient outcomes and comparative safety remains limited. Future research should prioritize standardized reporting, comparative clinical validation, governance frameworks, and integration into structured training pathways.</p>","PeriodicalId":18537,"journal":{"name":"Minimally Invasive Therapy & Allied Technologies","volume":" ","pages":"1-19"},"PeriodicalIF":1.8000,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minimally Invasive Therapy & Allied Technologies","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13645706.2026.2734221","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Surgical telementoring enables remote, real-time expert guidance in clinical practice and surgical education. This systematic review evaluated telementoring platforms used in surgery and training, focusing on technical characteristics, applications, strengths, and limitations.
Methods: PubMed/MEDLINE, Scopus, and Web of Science were searched for studies published from January 2015 to April 15, 2026, following PRISMA 2020. Eligible studies described surgical telementoring platforms with sufficient technical and application-related information. Findings were narratively synthesized into clinical practice, training/simulation, and immersive/augmented applications. Quality was assessed using the Mixed Methods Appraisal Tool. The review was registered in PROSPERO (CRD420261403771).
Results: The search identified 672 records, 35 reports representing 34 independent studies from 18 countries were included. Most were feasibility, pilot, simulation, or early implementation studies. Platforms ranged from low-cost audiovisual systems to integrated immersive technologies. Clinical studies mainly demonstrated technical feasibility, while comparative evidence on patient outcomes and safety remained limited. Training studies reported improved procedural performance and learner confidence, while immersive systems showed potential for enhanced spatial guidance.
Conclusions: Surgical telementoring is feasible across clinical and educational settings, but evidence regarding patient outcomes and comparative safety remains limited. Future research should prioritize standardized reporting, comparative clinical validation, governance frameworks, and integration into structured training pathways.
期刊介绍:
Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.