Wang Yulun, Buehler Martin, Farritor Shane, Fong Yuman, Kijewski Mike, Miller Brian, Peine Bill, Whitney Blair, Yramategui Mike, Bernard Jordana
Sovato, Santa Barbara, California, USA.
Johnson & Johnson, Santa Clara, California, USA.
World J Surg. 2025 Jul;49(7):1708-1721. doi: 10.1002/wjs.12653. Epub 2025 Jun 28.
Remote robotic-assisted surgery and procedures offer significant potential to enhance access to surgical expertise, optimize patient outcomes, improve healthcare efficiency, reduce costs, and increase patient and provider satisfaction, aligning with the quintuple aim. By mitigating geographic barriers, addressing surgical deserts, and reducing travel burdens for surgeons, patients, and their families, remote robotic-assisted surgery and procedures can substantially expand access to high-quality health care. The safe and effective implementation of remote procedures depends on the availability of robust, surgical-grade networks, reliable connectivity, and comprehensive cybersecurity measures to protect patient data. Seamless integration among remote-enabled robotic system interfaces, telepresence technologies, and facility-level infrastructure is essential to ensure operational reliability and procedural success. These technical guidelines define the fundamental technical requirements to support the design, implementation, and scaling of safe, effective, and interoperable remote robotic-assisted surgical and procedural programs. As the field evolves, guidelines will be updated to reflect technological advancements, specifications, and emerging best practices. Complementary clinical and operational practice guidelines will work synergistically with technical guidelines to support the global expansion and market adoption of remote programs.
远程机器人辅助手术及操作具有显著潜力，有助于增加获得外科专业知识的机会、优化患者治疗效果、提高医疗效率、降低成本并提升患者和医疗服务提供者的满意度，符合“五重目标”。通过消除地理障碍、解决手术服务匮乏地区的问题以及减轻外科医生、患者及其家属的出行负担，远程机器人辅助手术及操作可大幅扩大获得高质量医疗服务的机会。远程手术的安全有效实施依赖于强大的手术级网络、可靠的连接以及保护患者数据的全面网络安全措施。支持远程功能的机器人系统接口、远程呈现技术和机构层面基础设施之间的无缝集成对于确保操作可靠性和手术成功至关重要。这些技术指南定义了支持安全、有效且可互操作的远程机器人辅助手术及操作项目的设计、实施和扩展的基本技术要求。随着该领域的发展，指南将不断更新，以反映技术进步、规范和新出现的最佳实践。补充性的临床和操作实践指南将与技术指南协同发挥作用，以支持远程项目在全球的推广和市场应用。
