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<p>Recent advances in surgical robotic systems, high-speed communication networks, and information processing technologies have made the clinical implementation of remote surgery increasingly feasible. Although pilot clinical applications have been initiated worldwide, the safe, ethical, and sustainable adoption of remote surgery requires comprehensive guidance that addresses not only technical considerations, but also clinical practice, legal responsibility, and organizational frameworks. In response to these needs, the Japan Surgical Society has developed the second edition of the Clinical Practice Guidelines for Telesurgery through a multidisciplinary, consensus-based process involving multiple surgical societies. This updated edition builds on validation and verification studies conducted since the publication of the first edition and places particular emphasis on practical implementation in real-world clinical settings, including telesurgical support and telementoring. The guidelines provide expanded, implementation-oriented recommendations covering surgeon and support staff qualifications, institutional requirements, communication network performance and cybersecurity standards, registry-based governance, and structured approaches to remote surgical mentoring. In addition, legal and ethical considerations are strengthened through the inclusion of representative informed consent documents and contractual frameworks. To enhance international applicability, content that is broadly relevant across jurisdictions is presented separately from elements specific to the Japanese regulatory environment. These guidelines aim to support the responsible global dissemination of telesurgery by promoting safety, transparency, and clinical effectiveness.</p>

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Clinical practice guidelines for telesurgery, 2nd Edition

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月29日

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  • Masaki Mori,
  • Satoshi Hirano,
  • Kenichi Hakamada,
  • Eiji Oki,
  • Takayuki Ito,
  • Shigeo Urushidani,
  • Ichiro Uyama,
  • Masatoshi Eto,
  • Yuma Ebihara,
  • Yukihide Kanemitsu,
  • Kenji Kawashima,
  • Takahiro Kanno,
  • Masaru Kitsuregawa,
  • Yusuke Kinugasa,
  • Hiroaki Kitatsuji,
  • Toshihiko Sato,
  • Fumiaki Sato,
  • Tomoki Shimokawa,
  • Hiroshi Shimamoto,
  • Shuji Takiguchi,
  • Ichiro Takemasa,
  • Masanori Tokunaga,
  • Masaya Nakauchi,
  • Hirokazu Noshiro,
  • Masaki Mandai,
  • Koshi Mimori,
  • Hajime Morohashi,
  • Tomoharu Yoshizumi,
  • Go Watanabe,
  • Yoshiharu Sakai,
  • Norihiko Ikeda,
  • Akinobu Taketomi

摘要

Recent advances in surgical robotic systems, high-speed communication networks, and information processing technologies have made the clinical implementation of remote surgery increasingly feasible. Although pilot clinical applications have been initiated worldwide, the safe, ethical, and sustainable adoption of remote surgery requires comprehensive guidance that addresses not only technical considerations, but also clinical practice, legal responsibility, and organizational frameworks. In response to these needs, the Japan Surgical Society has developed the second edition of the Clinical Practice Guidelines for Telesurgery through a multidisciplinary, consensus-based process involving multiple surgical societies. This updated edition builds on validation and verification studies conducted since the publication of the first edition and places particular emphasis on practical implementation in real-world clinical settings, including telesurgical support and telementoring. The guidelines provide expanded, implementation-oriented recommendations covering surgeon and support staff qualifications, institutional requirements, communication network performance and cybersecurity standards, registry-based governance, and structured approaches to remote surgical mentoring. In addition, legal and ethical considerations are strengthened through the inclusion of representative informed consent documents and contractual frameworks. To enhance international applicability, content that is broadly relevant across jurisdictions is presented separately from elements specific to the Japanese regulatory environment. These guidelines aim to support the responsible global dissemination of telesurgery by promoting safety, transparency, and clinical effectiveness.