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                          Telesurgery                PDA Robotics
                          Dr.  Louis  Kavoussi  uses  the  Internet  to  lend  expertise  to  operating
                          rooms all over the world.
                          With the help of the Internet and telecommunications technology, this
                          doctor  in  Baltimore,  Maryland  can  operate  on  patients  all  over  the
                          world without leaving his home office. Working from home using a PC
                          and four ISDN lines, Dr. Kavoussi of Johns Hopkins Bayview Medical
                          Center controls robotic surgical tools and cameras remotely, and can
                          transmit and view images in real time.
                          During surgery, Kavoussi can view either the operating room or inside
                          the patient. He can also give surgeons written assistance and operate a
                          device that burns and seals tissue, as well as control robots that hold
                          cameras or place needles in the patient’s body.
                          “Our applications have been used specifically for what’s called mini-
                          mal  invasive  surgery,”  said  Kavoussi.  “Examples  of  that  are  laparo-
                          scopies,  putting  a  little  tube  in  the  stomach  to  look  around;
                          arthroscopy, looking at knee joints; and thoracoscopy, looking at the
                          chest.”


                          Operations of the Future
                          With  the  help  of  high-speed  data  lines  and  advanced  robotics,  sur-
                          geons  will  eventually  be  able  to  perform  and  complete  operations
                          remotely from anywhere in the world.
                          “There is no doubt in my mind that this is the way surgical care is per-
                          formed in the future,” Kavoussi said.
                          Doctors in New York took telemedicine one step further when they
                          used a dedicated fiber-optic line and a remote-control robot to remove
                          the  gall  bladder  of  a  patient  in  an  operating  room  in  France—more
                          than 4,000 miles away.

                          Telesurgery  may  also  be  employed  during  future  space  exploration.
                          Traveling  to  Mars  and  back  may  take  three  or  more  years,  during
                          which time astronauts may need access to medical and surgical care.

                          The da Vinci Robotic System.   The da Vinci Surgical System is inte-
                          gral to the operating room and supports the entire surgical team. The


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