Long distance telementoring - A novel tool for laparoscopy aboard the USS Abraham Lincoln

被引:59
作者
Cubano, M [1 ]
Poulose, BK [1 ]
Talamini, MA [1 ]
Stewart, R [1 ]
Antosek, LE [1 ]
Lentz, R [1 ]
Nibe, R [1 ]
Kutka, MF [1 ]
Mendoza-Sagaon, M [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21287 USA
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1999年 / 13卷 / 07期
关键词
medical communications; teleconferencing; teleconsultation; telemedicine; telementoring;
D O I
10.1007/s004649901071
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: As general surgeons perform a growing number of laparoscopic operations in increasingly specialized environments, the ability to obtain expert advice during procedures becomes more important. Technological advances in Video and computer communications are enabling surgeons to procure expertise quickly and efficiently. In this article, we present laparoscopic procedures completed through an intercontinental telementoring system and the first telementored laparoscopic procedures performed aboard a naval vessel. Methods: Video, voice, and data streams were linked between the USS Abraham Lincoln Aircraft Carrier Battlegroup cruising the Pacific Ocean and locations in Maryland and California, creating the Battlegroup Telemedicine (BGTM) system. Three modes of BGTM communication were used: intraship, ship to ship, and ship to shore. Results: Five laparoscopic inguinal hernia repairs were completed aboard the Lincoln under telementoring guidance from land-based surgeons thousands of miles away. In addition, the BGTM system proved invaluable in obtaining timely expertise on a wide variety of surgical and medical problems that would otherwise have required a shore visit. Conclusions: Successful intercontinental laparoscopic telementoring aboard a naval vessel was accomplished using "off-the-shelf" components. In many instances, the high risk and cost of transporting patients to land-based facilities was averted because of the BGTM system. Also, the relationship between the on-site and telementoring surgeon was critical to the success of this experiment. Long-distance telementoring is an invaluable tool in providing instantly available expertise during laparoscopic procedures.
引用
收藏
页码:673 / 678
页数:6
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