Transcontinental telesurgical nephrectomy using the da Vinci robot in a porcine model.

Abstract
Robotic telesurgery has been demonstrated over long distances and offers theoretical benefits to urologic training and the care of patients in remote regions The multiple arms and three dimensional vision of the da Vinci robotic system provide a platform conducive to long distance telementoring and telesurgery Whereas prior telesurgical efforts have used dedicated lines for information transmission the public Internet offers a less expensive alternative It was the intent of this study to test the validity of using the da Vinci system in urologic telesurgery and to conduct telerobotic nephrectomies using the public Internet
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