Patient in Mumbai Surgeon in Shanghai, India’s first cross-border robotic surgery successful at Ambani Hospital

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Kokilaben Dhirubhai Ambani Hospital, Mumbai has achieved a historic national achievement by successfully performing India’s first International Remote Robotic Surgery. The surgery was performed on two patients in Mumbai, while the operating surgeon Dr TB Yuvaraja (Director – Group, Euro-Oncology and Robotic Surgery) was 5000 km away in Shanghai. After receiving approval from the Central Drugs Standard Control Organization, this is the first clinical application of the ‘Toumai’ remote robotic surgery system across the country’s borders in India. This achievement reflects the significant progress being made in the country’s remote surgery medical capabilities.

Procedure performed on two patients

This historic procedure was performed on two patients in Mumbai, in which ‘radical prostatectomy’ and ‘partial nephrectomy’ were successfully performed with the help of a robot. This complex urological surgery was performed remotely by an expert surgeon sitting more than 5000 kilometers away. This proves that remote robotics can be used safely, accurately and reliably for complex surgical medical procedures.

Both surgeries were performed remotely using the Toumai® system, the only robotic surgical platform currently approved by the US FDA study for tele-surgery. These procedures demonstrated real-time surgical control and high precision, leading to success even over great geographical distances, without compromising patient safety.

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Made possible by secure technology

These international surgeries are made possible by high-speed, stable data transmission and several secure technologies. The system ensured real-time surgical control with an ultra-low bidirectional latency of just 132 milliseconds, so the procedure was completed with the same precision, safety and reliability as in on-site robotic surgery. Very low latency enabled smooth movement of instruments during surgery, accurate dissection and reliable execution.

New ways were opened

The surgeries were performed remotely by Dr TB Yuvaraja, Director (Group) of Euro-Oncology and Robotic Surgery at Kokilaben Dhirubhai Ambani Hospital. He has previously performed more than 4100 robotic procedures. Commenting on this achievement, Dr TB Yuvaraja said, “Remote robotic surgery has the potential to completely transform access to high quality surgical care. Successful completion of these procedures in two major countries reinforces Kokilaben Dhirubhai Ambani Hospital’s commitment to innovation, safety and excellent patient care. This achievement opens up new avenues to provide world-class care across India and around the world.”

Great job done for the first time

The ‘Toumai®’ system performed exceptionally well during the process and its remote control worked very smoothly, accurately and stably. This allows surgeons to perform complex procedures with the same confidence and precision as in real robotic surgery. This milestone proves that remote robotic surgeries are not only feasible, but also safe and clinically effective. This major success signals the beginning of a new era of telesurgery in India, where geographical distance is no longer a barrier to accessing world-class surgical expertise and technology-based healthcare can reach patients at any time.

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A new definition was created

Kokilaben Dhirubhai, performing such a successful performance at the national level for the first time Ambani The hospital has taken a decisive step towards redefining surgical practice. By ensuring successful surgery from a distance of over 5,000 km, the ‘Taumai®’ system has set a new standard for remote and smart surgery. The success of both these procedures not only validates the potential of telesurgery but also provides valuable clinical experience for the future development of remote healthcare systems in India and around the world.

First hospital in India

Kokilaben Dhirubhai Ambani Hospital CEO and Executive Director Dr. Santosh Shetty said, “It is a matter of pride for our hospital and the Indian healthcare sector to become the first hospital in India to successfully perform transcutaneous remote robotic surgery after CDSCO approved the Toumai® system. This historic achievement further reinforces Kokilaben Dhirubhai Ambani Hospital’s leadership in adopting cutting-edge medical technology and shaping the future of surgical care in India.” He added, “By combining advanced robotics with a secure digital infrastructure, the hospital has demonstrated that expert surgical expertise can be delivered to different parts of the world without compromising outcomes. This achievement reflects our long-term commitment to innovation, patient safety and clinical excellence. This opens up new possibilities for increasing access to advanced surgical care, particularly benefitting patients in remote and underserved areas.”

The successful implementation of these procedures was made possible by coordination and collaboration between the multi-disciplinary clinical team at Kokilaben Dhirubhai Ambani Hospital, including full-time specialists, hospital staff, technical associates and engineering teams in Mumbai and Shanghai. Their coordinated efforts ensured seamless connectivity, strict security protocols and flawless clinical execution.