Operating From a Distance: Robotic Vocal Cord 5G Telesurgery on a Cadaver
Authors: Alperen Acemoglu, Giorgio Peretti, Matteo Trimarchi, Juljana Hysenbelli, Jan Krieglstein, Andre Geraldes, Nikhil Deshpande, Pierre Marie Vincent Ceysens, Darwin Gordon Caldwell, Marco Delsanto, Ottavia Barboni, Tommaso Vio, Sabrina Baggioni, Alessandro Vinciguerra, Alberto Sanna, Elettra Oleari, Andrea Luigi Camillo Carobbio, Luca Guastini, Francesco Mora, Leonardo S. Mattos
Journal: Annals of Internal Medicine (2020)

Letters1 December 2020Operating From a Distance: Robotic Vocal Cord 5G Telesurgery on a CadaverAlperen Acemoglu, PhD, Giorgio Peretti, MD, Matteo Trimarchi, MD, Juljana Hysenbelli, MS, Jan Krieglstein, MS, Andre Geraldes, PhD, Nikhil Deshpande, PhD, Pierre Marie Vincent Ceysens, MS, Darwin Gordon Caldwell, PhD, Marco Delsanto, MS, Ottavia Barboni, MM, Tommaso Vio, MS, Sabrina Baggioni, MM, Alessandro Vinciguerra, MD, Alberto Sanna, Elettra Oleari, Andrea Luigi Camillo Carobbio, MD, Luca Guastini, MD, Francesco Mora, MD, and Leonardo S. Mattos, PhDAlperen Acemoglu, PhDIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.), Giorgio Peretti, MDUniversity of Genoa – IRCCS San Martino Hospital, Genoa, Italy (G.P., A.L.C., L.G., F.M.), Matteo Trimarchi, MDUniversity Vita Salute Milano – IRCCS San Raffaele Hospital, Milan, Italy (M.T., A.V., A.S., E.O.), Juljana Hysenbelli, MSVodafone Italia, Milan, Italy (J.H., M.D., O.B., T.V., S.B.), Jan Krieglstein, MSIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.), Andre Geraldes, PhDIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.), Nikhil Deshpande, PhDIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.), Pierre Marie Vincent Ceysens, MSIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.), Darwin Gordon Caldwell, PhDIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.), Marco Delsanto, MSVodafone Italia, Milan, Italy (J.H., M.D., O.B., T.V., S.B.), Ottavia Barboni, MMVodafone Italia, Milan, Italy (J.H., M.D., O.B., T.V., S.B.), Tommaso Vio, MSVodafone Italia, Milan, Italy (J.H., M.D., O.B., T.V., S.B.), Sabrina Baggioni, MMVodafone Italia, Milan, Italy (J.H., M.D., O.B., T.V., S.B.), Alessandro Vinciguerra, MDUniversity Vita Salute Milano – IRCCS San Raffaele Hospital, Milan, Italy (M.T., A.V., A.S., E.O.), Alberto SannaUniversity Vita Salute Milano – IRCCS San Raffaele Hospital, Milan, Italy (M.T., A.V., A.S., E.O.), Elettra OleariUniversity Vita Salute Milano – IRCCS San Raffaele Hospital, Milan, Italy (M.T., A.V., A.S., E.O.), Andrea Luigi Camillo Carobbio, MDUniversity of Genoa – IRCCS San Martino Hospital, Genoa, Italy (G.P., A.L.C., L.G., F.M.), Luca Guastini, MDUniversity of Genoa – IRCCS San Martino Hospital, Genoa, Italy (G.P., A.L.C., L.G., F.M.), Francesco Mora, MDUniversity of Genoa – IRCCS San Martino Hospital, Genoa, Italy (G.P., A.L.C., L.G., F.M.), and Leonardo S. Mattos, PhDIstituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M20-0418 Annals Author Insight Video - Operating From a Distance: Robotic Vocal Cord 5G Telesurgery on a Cadaver This video offers additional insight into the article, "Operating From a Distance: Robotic Vocal Cord 5G Telesurgery on a Cadaver." (Duration 1:53) SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The first telesurgery involving a human patient was done in 2001 (1). The patient, located in Strasbourg, France, had a laparoscopic cholecystectomy done by a surgeon in New York. This pioneering experience showed the potential of telehealth technology, but safe, reliable reproduction of this feat proved problematic for many years because of the limited availability of surgical robots and the lack of fast and reliable network connections. Now, however, surgical robots are becoming increasingly common and accepted in operating rooms, and the next generation of mobile networks (5G) is quickly becoming a reality, bringing ultrafast, stable, and reliable transmission ...References1. Marescaux J. [Code name: "Lindbergh operation"] [Editorial]. Ann Chir. 2002;127:2-4. [PMID: 11833301] CrossrefMedlineGoogle Scholar2. Lacy AM, Bravo R, Otero-Piñeiro AM, et al. 5G-assisted telementored surgery. Br J Surg. 2019;106:1576-1579. [PMID: 31483054] CrossrefMedlineGoogle Scholar3. Jell A, Vogel T, Ostler D, et al. 5th-generation mobile communication: data highway for surgery 4.0. Surg Technol Int. 2019;35:36-42. [PMID: 31694061] MedlineGoogle Scholar4. Remacle M, Van Haverbeke C, Eckel H, et al. Proposal for revision of the European Laryngological Society classification of endoscopic cordectomies. Eur Arch Otorhinolaryngol. 2007;264:499-504. [PMID: 17377801] CrossrefMedlineGoogle Scholar5. Acemoglu A, Deshpande N, Lee J, et al. Proceedings of the 19th International Conference on Advanced Robotics, Belo Horizonte, Brazil, 2–6 December 2019. Institute of Electrical and Electronics Engineers; 2019:641-6. Google Scholar Author, Article, and Disclosure InformationAffiliations: Istituto Italiano di Tecnologia, Genoa, Italy (A.A., J.K., A.G., N.D., P.M.C., D.G.C., L.S.M.)University of Genoa – IRCCS San Martino Hospital, Genoa, Italy (G.P., A.L.C., L.G., F.M.)University Vita Salute Milano – IRCCS San Raffaele Hospital, Milan, Italy (M.T., A.V., A.S., E.O.)Vodafone Italia, Milan, Italy (J.H., M.D., O.B., T.V., S.B.)Financial Support: This research was not funded by any specific grant and did not involve any type of reimbursement. All partners worked with their own internal resources.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M20-0418.Corresponding Author: Leonardo S. Mattos, PhD, Istituto Italiano di Tecnologia, Via Morego 30, Genoa, 16163 Italy; e-mail, leonardo.[email protected]it.This article was published at Annals.org on 14 July 2020. PreviousarticleNextarticle Advertisement Annals Author Insight Video - Operating From a Distance: Robotic Vocal Cord 5G Telesurgery on a Cadaver This video offers additional insight into the article, "Operating From a Distance: Robotic Vocal Cord 5G Telesurgery on a Cadaver." (Duration 1:53) FiguresReferencesRelatedDetails Metrics Cited byVR-Based Immersive Service Management in B5G Mobile Systems: A UAV Command and Control Use CaseRemote orthopedic robotic surgery: make fracture treatment no longer limited by geographyReview of the development and prospect of telemedicineGastroenterology in the Metaverse: The dawn of a new era?A Smarter Health through the Internet of Surgical ThingsRemote telesurgery in humans: a systematic reviewApplication of deterministic networking for reducing network delay in urological telesurgery: A retrospective studyCommunication Requirements in 5G-Enabled Healthcare Applications: Review and ConsiderationsThe Role of Virtual Reality, Telesurgery, and Teleproctoring in Robotic SurgeryEthical and Legal Challenges of Telemedicine Implementation in Rural AreasEducational value of surgical telementoring5G mobile communication applications for surgery: An overview of the latest literatureTechnology and TelemedicineTechnology and Telemedicine5G Robotic Telesurgery: Remote Transoral Laser Microsurgeries on a Cadaver 1 December 2020Volume 173, Issue 11Page: 940-941KeywordsComputersDisclosureHealth economicsMean effective concentrationMedical servicesPatient advocacyResearch laboratoriesSurgeonsSurgeryTelemedicine ePublished: 14 July 2020 Issue Published: 1 December 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. 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