title: International surgical telementoring: our initial experience.
abstract: BACKGROUND
  Telesurgical laparoscopic telementoring has successfully been implemented between the Johns Hopkins Bayview Medical Center and the Johns Hopkins Hospital in 27 prior operations. In this previously reported series, telerobotic mentoring was achieved between two institutions 3.5 miles away. We report our experience in performing two international surgical telementoring operations.
  
  
  OBJECTIVE
  To determine the clinical utility of international surgical telementoring during laparoscopic surgical procedures.
  
  
  METHODS
  A laparoscopic adrenalectomy was telementored between Innsbruck, Austria (5,083 miles) and Baltimore, MD. As well, a laparoscopic varicocelectomy was telementored between Bangkok, Thailand and Baltimore, MD (10,880 miles) both over three ISDN lines (384 kbps) with an approximate 1 sec delay.
  
  
  RESULTS
  Both procedures were successfully accomplished with an uneventful postoperative course.
  
  
  CONCLUSIONS
  International telementoring is a viable method of instructing less experienced laparoscopic surgeons through potentially complex laparoscopic procedures, as well as potentially improving patient access to specialty care.
authors: Department of Urology, Brady Urological Institute, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
authors: B R
authors: BR
authors: Lee
authors: J A
authors: JA
authors: Caddedu
authors: G
authors: G
authors: Janetschek
authors: P
authors: P
authors: Schulam
authors: S G
authors: SG
authors: Docimo
authors: R G
authors: RG
authors: Moore
authors: A W
authors: AW
authors: Partin
authors: L R
authors: LR
authors: Kavoussi
mesh_terms: D000315:Adrenalectomy; D013502:General Surgery / Q000193:education*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D012371:Robotics; D017216:Telemedicine / Q000379:methods*; D014646:Varicocele / Q000601:surgery