The of Surgical Medicine Tele-Surgery The of Surgical Medicine Future

What Is Tele-Surgery? The “Journey” behind the surgery. Minimally Invasive vs. Standard The Pioneers Dr. Jacques Marescaux Dr. Michel Gagner

Minimally Invasive….HuH? Invasiveness relates to the degree in which a physician must open the body in order to perform the desired procedure. Minimally invasive operations require few punctures to the body. Courtesy : Heartport Inc

Has This Worked? Until now, such operations would have endangered patients because of communications delays. For 21/2 years, technicians from French telecom. group France Telecom worked to find a way to transmit a sharp image long-distance with almost no lag time -- and no chance of communications breaking down…

Costs & Value Although tele-surgery is an expensive form of surgery, the cost savings can outweigh the cost outlays in larger markets. Cost savings accrue both to hospitals and patients. Hospitals can save money by using specialists who are off-site, reducing the need for hospitals to staff individuals with all types of expertise full-time. Patients generate savings related to reduced lengths of stays in hospitals. Technology Benefits Impact

Limitations Surgeon’s loss of vision and touch Although tele-surgery has a great number of advantages, it also has its limitations: Surgeon’s loss of vision and touch Resistance of patients and surgeons Potentially prohibitive costs in areas of low-volume Transmission technology

Ethics Authorization and Competence Physician-Patient Relationship Certification requirements for remote doctors currently force them to be licensed in both the patient (local) nation and the remote equipment location. Physician-Patient Relationship Quality, Security, Safety System reliability, physician competence, and patient confidentiality are the responsibility of all parties and cannot be compromised

F.A.Q.’s Q: How many companies are making products for robotic surgery? Q: Is this equipment FDA approved? Q: Do robotic surgeries take longer than regular surgeries? Q: How much does the robotic surgery equipment cost? Q: How many surgeons are currently performing surgery using robotics?

Media Footage Actual Footage : Prostate Main Tele-Surgery : Gallbladder

Questions? C‘Mon Guys…..

Credits Michael Brenner 4 November 2002 Sources Include : Stanford Graduate School of Business's "Management in an Information Age"