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Best practices in telesurgery: framework and recommendations from the society of robotic surgery (SRS) for safe and effective implementation

  • Vipul Patel
  • , Shady Saikali
  • , Louis Kavoussi
  • , Raymond Leveillee
  • , David Albala
  • , Eduardo Parra-Davila
  • , Travis Rogers
  • , Yu Ozawa
  • , Rohan Sharma
  • , Kenneth Palmer
  • , Jeff Marquinez
  • , Marcelo Orvieto
  • , Adnan Siddiqui
  • , Jacques Marescaux
  • , Ajit Sachdeva
  • , Riccardo Oliva
  • , Rafael Ferreira Coelho
  • , Bernardo Rocco
  • , Chiara Sighinolfi
  • , Martin Roche
  • Martin Martino, Sharona Ross, Andrew Hung, Antonello Forgione, Ghulam Abbas, Xu Zhang, Saad Aldousari, Younes Ahallal, Vanessa Alvarenga-Bezerr, Cathy Corder, Marcio Moschovas
  • AdventHealth Global Robotics Institute
  • Northwell Health System
  • Baptist Hospital Miami
  • SUNY Downstate Health Sciences University
  • Good Samaritan Medical Center-TENET Health
  • Clínica Alemana de Santiago
  • IRCAD Institut de Recherche contre les Cancers de l'Appareil Digestif
  • American College of Surgeons
  • Universidade de São Paulo
  • Fondazione Policlinico Universitario A. Gemelli IRCCS
  • Hospital for Special Surgery
  • Ascension St Vincent’s
  • AdventHealth Tampa
  • Cedars-Sinai Medical Center
  • Mon Health Heart and Vascular Center
  • General Hospital of People's Liberation Army
  • Sabah Al-Ahmad Urology Center
  • CHU de Nice
  • Hospital Israelita Albert Einstein

Research output: Contribution to journal › Review article › peer-review

18 Scopus citations

Abstract

This framework from the Society of Robotic Surgery offers best practices for safe, effective, and ethical telesurgery. It is based on a comprehensive literature review, Delphi consensus process, and an international meeting in Orlando, Florida, in February 2024, involving experts from a variety of domains including surgery, engineering, telecommunications, hospital administration, law, and regulatory affairs. Key areas covered include the global landscape and new models of remote surgical care, technological needs like connectivity and cybersecurity, safety standards, training and credentialing for surgical teams, and scalable implementation models. It also addresses legal and ethical issues, clinical indications, and regional and international regulatory comparisons. This framework aims to be a key reference for institutions, surgical societies, policymakers, and technology developers to promote safe, equitable, and sustainable telesurgery worldwide.

Original languageEnglish
Article number370
JournalJournal of Robotic Surgery
Volume19
Issue number1
DOIs
StatePublished - Dec 2025

Keywords

  • Best practices
  • Framework
  • Remote surgery
  • Robotic surgery
  • Telesurgery

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