Skip to main content
Log in

International transmission of uncompressed endoscopic surgery images via superfast broadband Internet connections

  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

Although telecommunication is increasing in popularity, poor-quality images sent through a narrowband network limit its use in the medical field.

Methods

Kyushu University Hospital in Japan and four hospitals in Korea were linked via superfast broadband Internet connection. The digital video transfer system, which can transmit digital videos without loss of image quality, was used, and the bandwidth was 30 Mbps per line.

Results

Of the 16 teleconferences conducted, 6 demonstrated real-time endoscopic surgery. In addition to the surgical images, preoperative diagnostic images, images of the operating room, and images of the staff in the conference room were transmitted to facilitate discussion. The network remained stable, and the sound delay was restricted to less than 0.3 s. In the other 10 teleconferences, recorded video images were used for discussion.

Conclusions

The authors have established a high-quality, practical teleconference system that is economical and easy to use in clinical practice. This system shows promise for remote education beyond geographic borders.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Akiyama T, Shimojo S, Nishio S, Kitatsuji Y, Peltier S, Hutton T, Lin F-P (2003) Telecontrol of ultra–high-voltage electron microscope over global IPv6 network. In: 2003 Symposium on Applications and the Internet Workshops. IEEE Computer Society Conference Publishing Services, Los Alamitos, pp 184–187

  2. Broderick TJ, Harnett BM, Doarn CR, Rodas EB, Merrell RC (2001) Real-time Internet connections: implications for surgical decision making in laparoscopy. Ann Surg 234: 165–171

    Article  PubMed  CAS  Google Scholar 

  3. Damore LJ II, Johnson JA, Dixon RS, Iverson MA, Ellison EC, Melvin WS (1999) Transmission of live laparoscopic surgery over the Internet2. Am J Surg 178: 415–417

    Article  PubMed  Google Scholar 

  4. DeBakey ME (1995) Telemedicine has now come of age. Telemed J 1: 3–4

    Google Scholar 

  5. Demartines N, Mutter D, Vix M, Leroy J, Glatz D, Rosel F, Harder F, Marescaux J (2000) Assessment of telemedicine in surgical education and patient care. Ann Surg 231: 282–291

    Article  PubMed  CAS  Google Scholar 

  6. Eadie LH, Seifalian AM, Davidson BR (2003) Telemedicine in surgery. Br J Surg 90: 647–658

    Article  PubMed  CAS  Google Scholar 

  7. Gandsas A, Altrudi R, Pleatman M, Silva Y (1998) Live interactive broadcast of laparoscopic surgery via the Internet. Surg Endosc 12: 252–255

    Article  PubMed  CAS  Google Scholar 

  8. Heatley DJ, Bell GD (2003) Telemedicine in gastrointestinal endoscopy. Endoscopy 35: 624–628

    Article  PubMed  CAS  Google Scholar 

  9. Kikuchi T, Fukuda S, Fukuzaki A, Nagaoka K, Tanaka K, Kenjo T, Harris DA (2004) DVTS-based remote laboratory across the Pacific over the gigabit network. IEEE Transact Educ 47: 26–32

    Article  Google Scholar 

  10. Malassagne B, Mutter D, Leroy J, Smith M, Soler L, Marescaux J (2001) Teleeducation in surgery: European Institute for Telesurgery experience. World J Surg 25: 1490–1494

    PubMed  CAS  Google Scholar 

  11. Ogawa A, Kobayashi K, Sugiura K, Nakamura O, Murai J (1999) Design and implementation of DV stream over Internet. In: Proc Internet Workshop IWS’99. IEEE Publications, New York, pp 255–260

  12. Rabenstein T, Maiss J, Naegele-Jackson S, Liebl K, Hengstenberg T, Radespiel-Troger M, Holleczek P, Hahn EG, Sackmann M (2002) Tele-endoscopy: influence of data compression, bandwidth, and simulated impairments on the usability of real-time digital video endoscopy transmissions for medical diagnoses. Endoscopy 34: 703–710

    Article  PubMed  CAS  Google Scholar 

  13. Rafiq A, Moore JA, Zhao X, Doarn CR, Merrell RC (2004) Digital video capture and synchronous consultation in open surgery. Ann Surg 239: 567–573

    Article  PubMed  Google Scholar 

  14. Shimizu S, Hahm JS, Kim YW, Park YJ, Lee JH, Youm SK, Okamura K, Nakashima N, Choi HS, Kang CH, Kawamoto M, Tanaka M (2003) Telemedicine with digital video transport system over the Korea–Japan Cable Network. J Kr Soc Med Info 9: S322–S326

    Google Scholar 

  15. Taniguchi E, Ohashi S (2000) Construction of a regional telementoring network for endoscopic surgery in Japan. IEEE Trans Inf Technol Biomed 4: 195–199

    Article  PubMed  CAS  Google Scholar 

  16. Wildi SM, Kim CY, Glenn TF, Mackey HA, Viator GE, Wallace MB, Hawes RH (2004) Tele-endoscopy: a way to provide diagnostic quality for remote populations. Gastrointest Endosc 59: 38–43

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors truly appreciate the entire engineering staff of Hanyang University, the National Cancer Center, Korea University, Ewha Women’s University, Seoul National University Bundang Hospital, Korea Advanced Research Network, and Kyushu Infocom Company for their expertise in network preparation.

This project was funded in part by the Core University Program of the Japan Society for the Promotion of Science and the Korea Science and Engineering Foundation, and by Kyushu University Interdisciplinary Programs in Education and Projects in Research Development.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Shimizu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shimizu, S., Nakashima, N., Okamura, K. et al. International transmission of uncompressed endoscopic surgery images via superfast broadband Internet connections. Surg Endosc 20, 167–170 (2006). https://doi.org/10.1007/s00464-005-0282-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-005-0282-7

Keywords

Navigation