ClinicalTrials.gg
Not yet recruitingNCT07792109GTSPUpdated Aug 28, 2026

Implementation Of A Telesurgery Program At A Referral Center For Robotic Surgery

An interventional study of Robot-Assisted Telesurgery in Prostate Cancer and Colorectal Cancer, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Not yet recruiting at 3 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 337 studies in Prostatic Neoplasms with a site in Italy — 93 open to participants now, 140 under way, 35 of them phase 3. Prostatic Neoplasms · Italy.

Planned enrollment
230th of 242
25 · median 220
Started
2026
with 18 others
No phase
56 of 337
19 open now
Primary completion
2026-11
later than 54 of 139 live
Registered
331st of 337
by date

Among the 337 studies in Prostatic Neoplasms with a site in Italy, this one is the 230th largest by planned enrollment of the 242 interventional ones that give a count, is one of 19 that started in 2026, is one of 56 with no phase, reaches primary completion later than 54 of the 139 other live ones, and was the 331st registered.

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

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Open to participants now

93 of the 337 studies in Prostatic Neoplasms with a site in Italy are open now. Recruiting first, the newest first:

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A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 1,228 Prostatic Neoplasms studies recruiting now, 928 (76%) set no upper age limit and 76 (6%) stop at 75 or younger; 67 take children under 18; 82 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This prospective, single-center pilot cohort study aims to evaluate the feasibility and safety of implementing a robotic telesurgery program in a tertiary academic referral center. Adult patients scheduled for elective robotic procedures, like radical prostatectomy or colectomy . Surgical procedures will be performed using the Toumai robotic surgical system. During predefined operative steps, a remote console surgeon located at Gemelli Isola Hospital will perform selected surgical tasks, while the primary console surgeon, the patient, and the entire operating room team remain at Fondazione Policlinico Universitario Agostino Gemelli IRCCS. The local surgeon can immediately resume control of the robotic system whenever required. First objective is to assess the feasibility and safety of telesurgery by evaluating the rate of conversion from remote to local robotic surgery. Other objectives include assessment of network performance, technical reliability, perioperative outcomes, and user and patient satisfaction.

Read the detailed description

Telesurgery is an emerging application of robotic-assisted surgery that enables surgeons to perform selected operative tasks remotely through advanced robotic systems and secure telecommunication technologies. Recent advances in robotic platforms, high-speed network infrastructures, and low-latency connectivity have renewed interest in the clinical implementation of telesurgery. Nevertheless, its adoption in routine clinical practice remains limited because further evidence regarding technical feasibility, safety, organizational requirements, and reproducibility is needed.

Consecutive adult patients eligible for robot-assisted procedures will be enrolled over a three-month recruitment period.

All procedures will be performed at Fondazione Policlinico Universitario Agostino Gemelli IRCCS using the Toumai robotic surgical platform. The patient, bedside surgical team, and primary console surgeon will remain at the Gemelli Hospital throughout the procedure. During predefined surgical phases, a second console surgeon located at Gemelli Isola Hospital will remotely perform selected operative steps. A dedicated network infrastructure with redundant dark-fiber connections, encrypted communication, and predefined latency thresholds has been implemented to ensure secure and reliable data transmission. Whenever considered necessary because of technical issues or surgical judgment, the local console surgeon can immediately resume direct control of the robotic system according to predefined safety protocols.

The primary endpoint is the conversion rate from remote telesurgical control to local robotic surgery during the telesurgical phases of the operation. Secondary endpoints include assessment of technical performance, network latency and reliability, intraoperative and postoperative outcomes, device-related malfunctions, and user and patient satisfaction. The study is intended to generate clinical and organizational evidence supporting the safe implementation of robotic telesurgery in routine surgical practice.

03

Conditions studied

  • Prostate Cancer
  • Colorectal Cancer

Keywords

  • Robotic Surgery
  • Remote Surgery
  • Prostatectomy
  • Colectomy
  • Prostate Cancer
  • Colorectal Cancer
  • Feasibility
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥18 years.
  • (ASA) physical status I-II.
  • No significant comorbidities according to the Charlson Comorbidity Index.
  • No history of major abdominal surgery.
  • Scheduled for elective robot-assisted surgery.
  • Able to understand the study procedures and provide written .

Exclusion criteria

Exclusion Criteria:

  • Severe comorbidities that may interfere with study participation or surgical safety.
  • Severe bleeding or coagulation disorders, or ongoing treatments that significantly affect coagulation.
  • Inability to understand the study procedures or provide .
  • Unwillingness or inability to comply with the study protocol.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    Patients Undergoing Robotic Surgery With Remote Surgical Support

    Patients undergoing robot-assisted telesurgery, with the operating surgeon located at a remote hospital site while the patient undergoes the procedure at the referral center.

    Device: Robot-Assisted Telesurgery

Interventions

  • DeviceRobot-Assisted Telesurgery

    Robot-assisted telesurgery performed using the Toumai robotic surgical system. Patients undergo robotic surgery at Fondazione Policlinico Gemelli IRCCS. The surgical procedure is initiated and completed by the local surgical team, while one or more predefined surgical steps are performed remotely by a second console surgeon located at Isola Tiberina Hospital. At any time during the procedure, the local console surgeon can immediately resume control of the robotic system if required.

06

What researchers measure

Primary outcomes

  1. Conversion Rate from Remote to Local Robotic Surgery (%)

    Rate (%) of conversion from remote robotic surgery to completion of the procedure by the local console surgeon without further remote surgical involvement (due to unintended/urgent/emergency issues)

    Time frame: Intraoperatively

Secondary outcomes

  1. Rate of Intraoperative Adverse Events

    Occurrence and severity of intraoperative adverse events graded according to the Satava grading system and ICARUS classification.

    Time frame: Intraoperatively

  2. Postoperative Complications

    Postoperative complications graded according to the Clavien-Dindo classification.

    Time frame: Up to 30 post-operative days

  3. Network Latency (msec)

    Mean network latency recorded during the entire surgical procedure and during each surgical step.

    Time frame: Intraoperatively

  4. Rate of Technical Malfunctions

    Number and type of technical malfunctions, including alarms, collisions, and deviations from the planned surgical strategy.

    Time frame: Intraoperatively

  5. Length of Hospital Stay (day)

    Length of postoperative hospital stay.

    Time frame: Time (days) up to hospital discharge

07

Study locations

3 sites
  • Unita Operativa Complessa - Urologia - Fondazione Policlinico Universitario Agostino Gemelli IRCCS
    Roma, RM 00168, Italy
  • Unita Operativa Complessa di Ginecologia Oncologica e UOC Carcinoma Ovarico, IRCCS Gemelli
    Rome, Roma 00168, Italy
    • Anna Fagotti · Contact
    • Anna Fagotti · Sub investigator
  • Unita Oprativa Complessa Chirurgia Generale - IRCCS Fondazione Policlinico Gemelli , Roma
    Rome, Roma 00168, Italy
    • Sergio Alfieri · Contact
    • Sergio Alfieri · Sub investigator
08

References and documents

Publications

  • Reitano G, Tumminello A, Ghaffar U, Saggionetto G, Taverna A, Mangiacavallo F, Ahmed ME, Basourakos SP, Carletti F, Minardi D, Iafrate M, Morlacco A, Betto G, Karnes RJ, Moro FD, Zattoni F, Novara G. Perioperative, Oncological, and Functional Outcomes of New Multiport Robotic Platforms in Urology: A Systematic Review and Meta-analysis. Eur Urol Open Sci. 2025 Mar 3;74:44-70. doi: 10.1016/j.euros.2025.02.003. eCollection 2025 Apr. PubMed 40115596 ↗
  • Pokhrel G, Zheng H, Tao J, Cui J, Fan Y, Li Z, Dong B, Yu S, Zhang X. Assessing the Feasibility and Safety of the Toumai(R) Robotic System in Urologic Surgery: Initial Experience. J Endourol. 2024 Jun;38(6):552-558. doi: 10.1089/end.2024.0028. PubMed 38468506 ↗
  • Pokhrel G, Zheng H, Tao J, Fan Y, Liu Y, Dong B, Yu S, Zhang X. Evaluation of the Toumai robotic system in partial nephrectomy and key system features. Sci Rep. 2025 Apr 16;15(1):13046. doi: 10.1038/s41598-025-97124-x. PubMed 40240465 ↗
  • Rocco B, Patel V, Covas Moschovas M, Gaia G, Sighinolfi MC. Pre-clinical evaluation of telesurgery with the Toumai microport: the standpoint from multiplatform users. Minerva Urol Nephrol. 2024 Dec;76(6):671-673. doi: 10.23736/S2724-6051.24.06091-9. No abstract available. PubMed 39831852 ↗
  • Patel V, Collins JW, Marescaux J, Dohler M, Saikali S, Dasgupta P, Reddy S, Gamal A, Patel E, Rogers T, Siddiqui A, Breda A, Mottrie A, Hassan A, Hung A, Secord A, Rocco B, Pugh C, Sundaram C, Sighinolfi MC, Ellison EC, Davila EP, Wilson E, Balkhy H, Kaouk J, Liang C, Kavoussi LR, Roche M, Martino M, Anvari M, Sylla P, Coelho RF, Thomas R, Clayman R, Leveillee R, Estape R, Goldberg R, Madder R, Horgan S, Magnuson JS, Nathan S, Ross S, Costello A, Xu Z, Chauhan S, Redan J, Satava R, Miles B, Sachdeva AK, Moschovas MC. International multispecialty consensus statement and expert opinion of best practices in telesurgery. J Robot Surg. 2025 Apr 1;19(1):135. doi: 10.1007/s11701-025-02298-1. No abstract available. PubMed 40167848 ↗
  • Wu S, Wu N, Wang Y, Jing R, Wu Y, Yi S. 5G remote robotic-assisted transcervical thyroidectomy: the first case report in the world. BMC Surg. 2025 Apr 25;25(1):182. doi: 10.1186/s12893-025-02927-4. PubMed 40281540 ↗
  • Ferreira SV, Sugai MH, Nascimento GC, Souza AC Netto, Cabrini GC, Rodrigues FM, D'Avila CLR, Souza GF, Zerati RV, Zerati M Filho. Feasibility and Initial Outcomes of Telesurgery in Urology: a Systematic Review of the Literature. Int Braz J Urol. 2025 May-Jun;51(3):e20240494. doi: 10.1590/S1677-5538.IBJU.2024.0494. PubMed 40079922 ↗
  • Tian Y, Lv H, Jumai A, Tuerhong T, Zhuang L, Huang J, Li J, Lu P, Tao G, Yamauchi Y, Flores RM, Teng H, Chen T, Luo Q. Ultra-remote robot-assisted right upper lobectomy between the Shanghai and Kashi Prefectures: a case report. J Thorac Dis. 2024 Dec 31;16(12):8823-8830. doi: 10.21037/jtd-24-1605. Epub 2024 Dec 27. PubMed 39831214 ↗
  • Aldousari S, Almarzouq A, Hassan A, Shahin A, Bubishate S, Bahbahani B. The era of telesurgery: insights from ultra-long-distance Asia to Middle East human telesurgery robotic assisted radical prostatectomy. J Robot Surg. 2025 Mar 11;19(1):108. doi: 10.1007/s11701-025-02274-9. PubMed 40064737 ↗
  • Rocco B, Moschovas MC, Saikali S, Gaia G, Patel V, Sighinolfi MC. Insights from telesurgery expert conference on recent clinical experience and current status of remote surgery. J Robot Surg. 2024 Jun 4;18(1):240. doi: 10.1007/s11701-024-01984-w. PubMed 38833111 ↗
  • Moschovas MC, Dohler M, Patel V. Telesurgery: Challenges, Ethical Considerations, and Opportunities in the Robotic Surgery Era. Eur Urol Focus. 2025 Jan;11(1):40-42. doi: 10.1016/j.euf.2025.02.016. Epub 2025 Mar 3. PubMed 40037973 ↗
  • Moschovas MC, Saikali S, Dohler M, Patel E, Rogers T, Gamal A, Marquinez J, Patel V. Advancing Telesurgery Connectivity Between North and South America: the first Remote Surgery Conducted Between Orlando and Sao Paulo in Animal Models. Int Braz J Urol. 2025 Jan-Feb;51(1):e20240601. doi: 10.1590/S1677-5538.IBJU.2024.0601. No abstract available. PubMed 39556854 ↗
  • Moschovas MC, Palmer K, Barani G, Corder C, Carnegie P, Dhanji T, Patel E, Paxi A, Figueiredo JC, Luis B, Matos A, Dohler M, Patel V. Expanding access to high-quality surgical care in Africa: a landmark achievement in telesurgery. J Robot Surg. 2025 Mar 24;19(1):124. doi: 10.1007/s11701-025-02292-7. PubMed 40128381 ↗
  • Moschovas MC, Saikali S, Rogers T, Dohler M, Mcdonald M, Patel E, Marquinez J, Gamal A, Magnuson J, Patel V. Exploring the Teleproctoring Potential of Telesurgery: The First Remote Procedures Performed Simultaneously Between Orlando and Shanghai. Int Braz J Urol. 2025 Jul-Aug;51(4):e20250083. doi: 10.1590/S1677-5538.IBJU.2025.0083. PubMed 40112129 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2026; primary completion for Nov 2026, 3 months later.

Of 1,098 non-industry interventional studies with no phase under Prostatic Neoplasms, half reached primary completion within 43 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 86. This study's planned 3 months is below that.

Counting every sponsor, half of 1,155 studies reached it within 43 months; a quarter within 22 and three quarters within 84.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 5, 2026
First posted
Aug 28, 2026
StartEst.
Aug 20, 2026
Primary completionEst.
Nov 30, 2026
CompletionEst.
May 30, 2027
Last update
Aug 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07792109
Responsible party
Rocco Bernardo (Full Professor of urology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS) — Principal investigator
First posted
Aug 28, 2026
Start date
Aug 20, 2026 (estimated)
Primary completion
Nov 30, 2026 (estimated)
Completion
May 30, 2027 (estimated)
Last update
Aug 28, 2026

Study contacts

BERNARDO B ROCCO, MD
Contact
bernardomariacesare.rocco@policlinicogemelli.it
+393358306522
Maria Chiara MC Sighinolfi, md,phD
Contact
mariachiara.sighinolfi@policlinicogemelli.it
+393921329216
Bernardo Rocco
principal investigator · Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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