{"id":"https://openalex.org/W7140103541","doi":"https://doi.org/10.1016/j.urology.2026.03.024","title":"Clinical and Technical Outcomes of Transcontinental Urological Telesurgery: A Series of 11 Cases","display_name":"Clinical and Technical Outcomes of Transcontinental Urological Telesurgery: A Series of 11 Cases","publication_year":2026,"publication_date":"2026-03-23","ids":{"openalex":"https://openalex.org/W7140103541","doi":"https://doi.org/10.1016/j.urology.2026.03.024","pmid":"https://pubmed.ncbi.nlm.nih.gov/41881158"},"language":"en","primary_location":{"id":"doi:10.1016/j.urology.2026.03.024","doi":"https://doi.org/10.1016/j.urology.2026.03.024","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.urology.2026.03.024","pdf_url":null,"source":{"id":"https://openalex.org/S196979320","display_name":"Urology","issn_l":"0090-4295","issn":["0090-4295","1527-9995"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Urology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.urology.2026.03.024","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5058159827","display_name":"Saad A. Aldousari","orcid":"https://orcid.org/0000-0002-6045-5272","observed_orcids":["https://orcid.org/0000-0002-6045-5272"]},"institutions":[{"id":"https://openalex.org/I1343551460","display_name":"The University of Texas MD Anderson Cancer Center","ror":"https://ror.org/04twxam07","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1343551460"]},{"id":"https://openalex.org/I36721946","display_name":"Kuwait University","ror":"https://ror.org/021e5j056","country_code":"KW","type":"education","lineage":["https://openalex.org/I36721946"]}],"countries":["KW","US"],"is_corresponding":true,"raw_author_name":"Saad Aldousari","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait; Department of Surgery (Urology Division), Faculty of Medicine, Kuwait University,\u00a0Kuwait City,\u00a0Kuwait; Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address: saad.aldousari@gmail.com"],"raw_orcid":"https://orcid.org/0000-0002-6045-5272","affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait; Department of Surgery (Urology Division), Faculty of Medicine, Kuwait University,\u00a0Kuwait City,\u00a0Kuwait; Department of Urology, The University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address: saad.aldousari@gmail.com","institution_ids":["https://openalex.org/I1343551460","https://openalex.org/I36721946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089762808","display_name":"Ahmad N. Almarzouq","orcid":"https://orcid.org/0000-0003-4418-8271","observed_orcids":["https://orcid.org/0000-0003-4418-8271"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmad N. Almarzouq","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008688928","display_name":"Abdelrahman I. Eltafahny","orcid":"https://orcid.org/0009-0002-9174-1420","observed_orcids":["https://orcid.org/0009-0002-9174-1420"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abdelrahman Eltafahny","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119136096","display_name":"Saud Alhelal","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Saud Alhelal","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5146729802","display_name":"Abdelkareem Hassan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abdelkareem Hassan","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ahmed Shahin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmed Shahin","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092133767","display_name":"Abdulrahman Almazeedi","orcid":"https://orcid.org/0009-0007-9727-5711","observed_orcids":["https://orcid.org/0009-0007-9727-5711"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abdulrahman H. Almazeedi","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071084721","display_name":"Saleh Bubishate","orcid":"https://orcid.org/0000-0002-5741-8745","observed_orcids":["https://orcid.org/0000-0002-5741-8745"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Saleh Bubishate","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5116578006","display_name":"Basmah Bahbahani","orcid":"https://orcid.org/0009-0005-3148-8859","observed_orcids":["https://orcid.org/0009-0005-3148-8859"]},"institutions":[{"id":"https://openalex.org/I4210108420","display_name":"Kuwait Institute for Medical Specialization","ror":"https://ror.org/01tt4qx37","country_code":"KW","type":"facility","lineage":["https://openalex.org/I4210108420"]}],"countries":["KW"],"is_corresponding":false,"raw_author_name":"Basmah Bahbahani","raw_affiliation_strings":["Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait; Urology Faculty, Kuwait Institute for Medical Specialization, Kuwait City, Kuwait"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery (Urology Unit), Sabah Al-Ahmad Urology Center,\u00a0Kuwait City, Kuwait; Urology Faculty, Kuwait Institute for Medical Specialization, Kuwait City, Kuwait","institution_ids":["https://openalex.org/I4210108420"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5058159827"],"corresponding_institution_ids":["https://openalex.org/I1343551460","https://openalex.org/I36721946"],"apc_list":{"value":3200,"currency":"USD","value_usd":3200},"apc_paid":{"value":3200,"currency":"USD","value_usd":3200},"fwci":11.0884,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.98567615,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"213","issue":null,"first_page":"121","last_page":"127"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11687","display_name":"Teleoperation and Haptic Systems","score":0.40549999475479126,"subfield":{"id":"https://openalex.org/subfields/2210","display_name":"Mechanical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11687","display_name":"Teleoperation and Haptic Systems","score":0.40549999475479126,"subfield":{"id":"https://openalex.org/subfields/2210","display_name":"Mechanical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.36230000853538513,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.10520000010728836,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/telesurgery","display_name":"telesurgery","score":0.7950000166893005},{"id":"https://openalex.org/keywords/robotic-surgery","display_name":"robotic surgery","score":0.6759999990463257},{"id":"https://openalex.org/keywords/urological-surgery","display_name":"urologic surgery","score":0.7360000014305115},{"id":"https://openalex.org/keywords/radical-prostatectomy","display_name":"radical prostatectomy","score":0.878000020980835},{"id":"https://openalex.org/keywords/nephrectomy","display_name":"nephrectomy","score":0.9039999842643738},{"id":"https://openalex.org/keywords/nephroureterectomy","display_name":"nephroureterectomy","score":0.9760000109672546},{"id":"https://openalex.org/keywords/prostatectomy","display_name":"prostatectomy","score":0.7049999833106995},{"id":"https://openalex.org/keywords/5g","display_name":"5G","score":0.7509999871253967}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9693999886512756},{"id":"https://openalex.org/C143724316","wikidata":"https://www.wikidata.org/wiki/Q312468","display_name":"Series (stratigraphy)","level":2,"score":0.5882999897003174},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.42149999737739563},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.33799999952316284},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.33149999380111694},{"id":"https://openalex.org/C2780593257","wikidata":"https://www.wikidata.org/wiki/Q7900883","display_name":"Urologic disease","level":3,"score":0.30880001187324524},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2865999937057495},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2775999903678894},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2718999981880188},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.26919999718666077},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.2565000057220459}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011468","descriptor_name":"Prostatectomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D013520","descriptor_name":"Urologic Surgical Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D065287","descriptor_name":"Robotic Surgical Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.urology.2026.03.024","doi":"https://doi.org/10.1016/j.urology.2026.03.024","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.urology.2026.03.024","pdf_url":null,"source":{"id":"https://openalex.org/S196979320","display_name":"Urology","issn_l":"0090-4295","issn":["0090-4295","1527-9995"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Urology","raw_type":"journal-article"},{"id":"pmid:41881158","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41881158","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Urology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.urology.2026.03.024","doi":"https://doi.org/10.1016/j.urology.2026.03.024","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.urology.2026.03.024","pdf_url":null,"source":{"id":"https://openalex.org/S196979320","display_name":"Urology","issn_l":"0090-4295","issn":["0090-4295","1527-9995"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-2","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Urology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W2007769540","https://openalex.org/W3023234179","https://openalex.org/W3048712513","https://openalex.org/W3123783255","https://openalex.org/W3132632009","https://openalex.org/W4390946273","https://openalex.org/W4397043324","https://openalex.org/W4399326710","https://openalex.org/W4403597977","https://openalex.org/W4404529972","https://openalex.org/W4408304708","https://openalex.org/W4408578759","https://openalex.org/W4408724895","https://openalex.org/W4408846190","https://openalex.org/W4409086397","https://openalex.org/W4410818905","https://openalex.org/W4412184225","https://openalex.org/W4412785938","https://openalex.org/W4414167389"],"related_works":["https://openalex.org/W4412785938","https://openalex.org/W4408304708","https://openalex.org/W4408468389","https://openalex.org/W4408724895","https://openalex.org/W7146986756","https://openalex.org/W4412166168","https://openalex.org/W4411980299","https://openalex.org/W4408649286","https://openalex.org/W4410818905","https://openalex.org/W4284991571"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"report":[2],"the":[3,80,91,94,98,103,193],"clinical":[4,143,213],"and":[5,16,45,117,124,134,139,157,162,176,214,226,235],"technical":[6,145,215],"outcomes":[7,216],"of":[8,21,28,182,205,217,233,244],"ultra-long-distance,":[9],"transcontinental":[10],"human":[11,220,245],"telesurgeries":[12,76],"across":[13],"multiple":[14],"countries":[15,225],"continents":[17],"using":[18],"a":[19,63,199,230],"variety":[20],"major":[22,170],"urological":[23],"procedures.":[24],"METHODS:":[25],"A":[26,49],"total":[27],"14":[29,88],"patients":[30,99,178,234],"underwent":[31],"telesurgery":[32],"from":[33,85,90,110,114,119],"December":[34],"2024":[35],"to":[36,87,93,240],"November":[37],"2025.":[38],"Three":[39],"were":[40,47,77,100,148,159,174],"done":[41],"locally":[42],"in":[43,79,101,192,196,203],"Kuwait":[44,197],"so":[46],"excluded.":[48],"dedicated":[50],"fiber-optic":[51],"broadband":[52],"network":[53,61],"was":[54,190],"primarily":[55],"used":[56],"for":[57,154],"connection,":[58],"with":[59,198,229],"5G":[60],"as":[62],"backup.":[64],"RESULTS:":[65],"Eleven":[66],"(male,":[67],"n":[68,72],"=":[69,73],"10;":[70],"female,":[71],"1)":[74],"robotic":[75,187],"included":[78,130],"study.":[81],"The":[82,150],"follow-up":[83,237],"ranged":[84],"3":[86],"months":[89],"first":[92],"last":[95,167],"case.":[96],"While":[97],"Kuwait,":[102],"remote":[104],"surgeon":[105,188],"(SA)":[106],"conducted":[107],"8":[108],"procedures":[109],"Shanghai":[111],"(China),":[112],"2":[113],"Strasbourg":[115],"(France),":[116],"1":[118],"Muscat":[120],"(Oman),":[121],"7000,":[122],"5000,":[123],"1590":[125],"km":[126],"away,":[127],"respectively.":[128,165],"Procedures":[129],"radical":[131,135,137],"prostatectomies,":[132],"partial":[133],"nephrectomies,":[136],"nephroureterectomy,":[138],"simple":[140],"prostatectomy.":[141],"No":[142],"or":[144,171],"adverse":[146],"events":[147],"encountered.":[149],"average":[151],"round-trip":[152],"latencies":[153],"Shanghai-Kuwait,":[155],"Strasbourg-Kuwait,":[156],"Muscat-Kuwait":[158],"166.6,":[160],"103,":[161],"46":[163],"ms,":[164],"At":[166],"follow-up,":[168],"no":[169,180],"minor":[172],"complications":[173],"recorded,":[175],"all":[177],"had":[179],"evidence":[181],"disease":[183],"recurrence.":[184],"An":[185],"experienced":[186],"(ANA)":[189],"present":[191],"operating":[194],"room":[195],"clear":[200],"take-over":[201],"plan":[202],"case":[204],"emergencies.":[206],"CONCLUSION:":[207],"This":[208],"study":[209],"demonstrated":[210],"promising":[211],"short-term":[212],"11":[218],"cross-border":[219],"telesurgeries,":[221],"involving":[222],"4":[223],"different":[224],"continents.":[227],"Studies":[228],"larger":[231],"number":[232],"longer":[236],"are":[238],"warranted":[239],"allow":[241],"safe":[242],"implementation":[243],"telesurgery.":[246]},"counts_by_year":[{"year":2026,"cited_by_count":7}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-03-24T00:00:00"}