Department of Clinical Medicine, Faculty of Health Sciences - University of Tromsø, Tromsø, Norway.
Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Surg Endosc. 2019 Mar;33(3):684-690. doi: 10.1007/s00464-018-06631-8. Epub 2019 Jan 7.
Recent advances in telecommunication technology and video conferencing systems have opened a new avenue for surgical instruction called "surgical telementoring." This report from the Technology Working Group of the SAGES Project 6 Summit reviews the telementoring technology that currently exists and proposes recommendations for minimum technology requirements and future technology development. While also providing insight in regulatory considerations, this review offers what prospective surgical telementoring participants need to know about the underlying technology with a specific focus on safety, reliability, transmission quality, ease of use, and cost.
Content experts from around the world, in minimally invasive surgery, surgical mentoring and telementoring, surgical education, business development, healthcare innovation, and regulation were invited to attend a 2-day summit in Los Angeles, USA to outline the current state of surgical telementoring and chart the challenges and opportunities going forward. This article summarizes the discussion, conclusions, and recommendation of the technology group with regard to telementoring technology.
This article reviews the technical requirements which can be divided into the following categories: (1) safety, (2) reliability, (3) transmission quality, (4) ease of use, and (5) cost.
Telementoring applications are technology driven. Given the pace of change of technology, guiding principles in technology design and selection are warranted (Table 4). Telementoring technologies require two basic components, video capturing and display devices at the transmitting and receiving end, and a telecommunication link between them. Many additional features can be added to this basic setup including multiple cameras or video sources, remote camera zoom and pan, recording and storage of videos and images, and telestration capabilities to mention just a few. In general, the cost of these technologies is feature driven. The education framework for each specific application should determine the need for these features (Schlachta in Surg Endosc https://doi.org/10.1007/s00464-016-4988-5 ).
最近电信技术和视频会议系统的进步为名为“手术远程指导”的外科教学开辟了新途径。来自 SAGES 项目 6 峰会技术工作组的这份报告回顾了现有的远程指导技术，并提出了最低技术要求和未来技术发展的建议。虽然本报告还提供了监管方面的考虑因素，但它为潜在的手术远程指导参与者提供了有关基础技术的必要知识，重点介绍了安全性、可靠性、传输质量、易用性和成本。
微创外科、外科指导和远程指导、外科教育、业务发展、医疗保健创新和监管领域的全球内容专家应邀参加了在美国洛杉矶举行的为期两天的峰会，以概述当前的外科远程指导现状，并规划未来的挑战和机遇。本文总结了技术小组关于远程指导技术的讨论、结论和建议。
本文回顾了技术要求，可分为以下几类：（1）安全性；（2）可靠性；（3）传输质量；（4）易用性；（5）成本。
远程指导应用程序是由技术驱动的。鉴于技术变化的速度，有必要指导技术设计和选择的原则（表 4）。远程指导技术需要两个基本组件，即发送端和接收端的视频捕获和显示设备，以及它们之间的电信链路。除了这一基本设置之外，还可以添加许多其他功能，包括多个摄像头或视频源、远程摄像头缩放和平移、视频和图像的录制和存储以及远程标注功能等。一般来说，这些技术的成本取决于功能。每个特定应用的教育框架应确定对这些功能的需求（Slaghtha 在 Surg Endosc https://doi.org/10.1007/s00464-016-4988-5）。
