{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:57:01Z","timestamp":1792090621929,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Remote telesurgery allows surgeons to operate over a distance using robotic systems and advanced networks. This review aims to compare remote telesurgery with local minimally invasive surgery (MIS) regarding patient outcomes and system\u2010level outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A PRISMA\u2010compliant systematic review (PROSPERO CRD42023474196) searched six databases to 1 August 2025 for studies comparing remote telesurgery with local MIS in living patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 5737 records, one retrospective cohort met the criteria. It compared 5G\u2010enabled remote robotic pelvic fracture surgery (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a080) with local robotic surgery (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a080). Remote procedures had lower blood loss (20 vs. 50\u00a0mL) and shorter incisions (1.25 vs. 1.5\u00a0cm). Operative time did not significantly differ between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.177), and complications, hospital stay, and functional outcomes were similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Comparative data on telesurgery remain limited, and healthcare system benefits are unproven. Future studies should incorporate direct comparisons and systematically evaluate system\u2010level outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70224","type":"journal-article","created":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T02:54:59Z","timestamp":1786848899000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Remote Telesurgery Versus Local Minimally Invasive Surgery: A Systematic Review of the Comparative Evidence Base"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9893-8407","authenticated-orcid":false,"given":"Sara","family":"Ben Hmido","sequence":"first","affiliation":[{"name":"Department of Surgery Amsterdam University Medical Center Location Free University  Amsterdam the Netherlands"},{"name":"Cancer Center Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Houssam","family":"Abder Rahim","sequence":"additional","affiliation":[{"name":"Biomedical Engineering Technical University Delft  Delft the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1452-1769","authenticated-orcid":false,"given":"Faridi S","family":"van Etten\u2010Jamaludin","sequence":"additional","affiliation":[{"name":"Research Support Medical Library Amsterdam University Medical Center Location Academic Medical Center  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9398-8879","authenticated-orcid":false,"given":"Dirk","family":"Ubbink","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam University Medical Center Location Academic Medical Center  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8393-4946","authenticated-orcid":false,"given":"Frank","family":"Bloemers","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Amsterdam University Medical Center Location Academic Medical Center  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010009\u20100569\u20101"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701\u2010023\u201001801\u2010w"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.2716"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-3944(01)00658-7"},{"key":"e_1_2_8_6_1","article-title":"Surgeons Use PlayStation Controller for Long\u2010Distance Endoscopy in Groundbreaking Experiment","author":"Fox News","year":"2024","journal-title":"New York Post"},{"key":"e_1_2_8_7_1","unstructured":"J.Scheeres \u201cSurgeons Here Patient There\u201d (September 2001) https:\/\/www.wired.com\/2001\/09\/surgeons\u2010here\u2010patient\u2010there\/."},{"key":"e_1_2_8_8_1","volume-title":"Exclusive Look at Groundbreaking Remote Robotic Surgery: Patient Was in Africa","author":"Benadjaoud Y.","year":"2025"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2022.06.018"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.70027"},{"key":"e_1_2_8_11_1","unstructured":"Z.Zuo X.Tang W.Chen D.Jin W.Cao andY.Gou \u201cFive Patients Undergoing 5G Remote Robot\u2010Assisted Thoracoscopic Surgery\u201d https:\/\/doi.org\/10.7507\/1007\u20104848.202412026"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010025\u201002927\u20104"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.04.029"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010022\u201009074\u20104"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)60160\u2010X"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_8_17_1","unstructured":"PROSPERO [Internet]. 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