# Rectal Cancer — GCMD Library living collection

Everything in the library about rectal cancer — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 58 cited statements

## Episodes
### Evidence & Research
- [Best of the Best Gen Surg - How Far is Too Far Cost-effectiveness Analysis of Regionalized Rectal Cancer Surgery - Dr. Leeds](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858) — video · 12:26 · [machine version](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858.md)

### In-Depth Reviews
- [Colon Cancer with Conor Delaney](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443) — podcast · 26:50 · [machine version](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443.md)

### Emerging & Future Directions
- [Surgical telementoring-emerging technologies: Comparative Technology in...](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966) — video · 30:18 · [machine version](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966.md)

## Chapters
- [0:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=0) Introduction to Project 6 and surgical telementoring context (Ep 1)
- [4:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=240) Telestration and data security as critical features (Ep 1)
- [7:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=420) Skype for Business platform review (Ep 1)
- [10:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=600) Remote desktop software platforms (Ep 1)
- [14:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=840) On-site collaboration platform (Ep 1)
- [16:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=960) 2014 Cleveland basement testing and Norway telementoring (Ep 1)
- [18:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1080) Upsurge, OR Network, and STAR platforms (Ep 1)
- [20:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1200) Low-cost Indian system and platform selection criteria (Ep 1)
- [21:48](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1308) Connor Delaney's perspective on telementoring future and challenges (Ep 1)
- [26:45](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1605) Audience questions and Brian's definition of surgical telementoring (Ep 1)
- [0:00](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=0) Introduction and Serrated Adenomas in Colonoscopy (Ep 2)
- [3:03](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=183) Rectal Cancer Location and Surgical Margins (Ep 2)
- [7:00](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=420) Rectal Cancer Staging with MRI and Circumferential Resection Margin (Ep 2)
- [11:33](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=693) Neoadjuvant Therapy Indications and Transanal Resection (Ep 2)
- [15:58](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=958) ESD vs Full-Thickness Excision for Rectal Lesions (Ep 2)
- [17:18](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1038) Sigmoid and Colon Cancer Surgical Principles (Ep 2)
- [21:22](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1282) Right Hemicolectomy Technique and Anastomosis (Ep 2)
- [24:12](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1452) Genetic Assessment and Hereditary Cancer Syndromes (Ep 2)
- [0:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=0) Introduction and poll results (Ep 3)
- [1:04](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=64) Presentation of cost-effectiveness analysis of regionalized rectal cancer surgery (Ep 3)
- [5:29](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=329) Discussion of model assumptions and mechanisms of benefit (Ep 3)
- [8:52](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=532) Impact of technology costs and surgeon-level versus institution-level regionalization (Ep 3)
- [10:41](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=641) De-regionalization and technology-enabled decentralized care (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- Colonoscopy is still the best test for colon cancer detection, finding the vast majority of cancers and polyps, though not perfect. — Conor Delaney (clinical) [Ep 2 · 1:16](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=76)
- Serrated adenomas (previously misclassified as hyperplastic polyps, particularly large ones in the right colon) have genetic predisposition, tie into family cancer syndromes, and carry very high cancer risk. — Conor Delaney (clinical) [Ep 2 · 2:05](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=125)
- Finding serrated adenomas requires family assessment for hereditary cancer syndromes and may necessitate changes in colonoscopy frequency and family member screening. — Conor Delaney (guideline) [Ep 2 · 2:42](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=162)
- Serrated polyps can be flat and difficult to visualize; retroflexion in the cecum is increasingly used because they are often on the inferior or superior side of folds. — Conor Delaney (clinical) [Ep 2 · 3:27](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=207)
- For rectal cancer, distal margin requirements are 5 cm if achievable, 2 cm if necessary, and 1 cm for very low tumors as long as they are not poorly differentiated. — Conor Delaney (clinical) [Ep 2 · 6:13](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=373)
- The measurement '6 centimeters from the anal verge' varies significantly by patient body habitus and can represent different anatomical locations (anorectal ring vs. near dentate line). — Conor Delaney (clinical) [Ep 2 · 7:25](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=445)
- Distant staging for rectal cancer is best performed with CT abdomen (for liver metastases) and CT chest (replacing chest X-ray per current guidelines). — Conor Delaney (guideline) [Ep 2 · 9:31](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=571)
- MRI has become the standard for local staging of rectal cancer, with high-resolution, high-Tesla magnets using standardized protocols developed by Bill Heald and Gina Brown at the Royal Marsden. — Conor Delaney (clinical) [Ep 2 · 9:50](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=590)
- MRI is 90 to mid-90s percent accurate for T-staging and high 80s to 90% accurate for nodal staging of rectal cancer. — Conor Delaney (clinical) [Ep 2 · 13:37](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=817)
- Endoscopic ultrasound is only about 70% accurate for predicting nodal involvement in rectal cancer and is much more operator-dependent than MRI. — Conor Delaney (clinical) [Ep 2 · 13:56](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=836)
- MRI is particularly good at distinguishing T3 and T4 tumors and assessing circumferential resection margins, though less accurate at distinguishing T1 from T2. — Conor Delaney (clinical) [Ep 2 · 10:27](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=627)
- Historical local recurrence rates for rectal cancer from good institutions were 20–38%, with some series up to 50%. — Conor Delaney (epidemiological) [Ep 2 · 10:51](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=651)
- With optimized surgery and imaging, local recurrence rates for rectal cancer should now be under 10%; Cleveland Clinic's rate over the last 10 years was about 3%. — Conor Delaney (epidemiological) [Ep 2 · 11:04](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=664)
- Circumferential resection margin is the most important margin (or many think more important than distal margin) for preventing local recurrence in rectal cancer. — Conor Delaney (clinical) [Ep 2 · 10:39](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=639)
- Total mesorectal excision (TME) can be performed with about 5 mL of blood loss because it follows a bloodless embryological plane; bleeding indicates wrong plane unless deliberately outside TME plane. — Conor Delaney (clinical) [Ep 2 · 12:24](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=744)
- Neoadjuvant therapy for rectal cancer is indicated for T3 tumors (outside the rectal wall) or node-positive disease. — Conor Delaney (guideline) [Ep 2 · 12:54](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=774)
- Stage 1 rectal cancer (node-negative, T1 or T2), particularly in the upper third of the rectum, does not require neoadjuvant therapy. — Conor Delaney (guideline) [Ep 2 · 13:18](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=798)
- Short-course radiation (5×5 Gy over 5 days, surgery 1–2 weeks later) is commonly used in Europe; long-course chemoradiation (40–45 Gy over 6 weeks with 6–8 week wait) is standard in the US. — Conor Delaney (guideline) [Ep 2 · 18:04](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1084)
- 25 Gy over a short period is radiotherapeutically equivalent to 40–45 Gy over a longer period, but long-course therapy may produce better tumor downstaging for bulky tumors. — Conor Delaney (clinical) [Ep 2 · 18:26](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1106)
- Transanal resection for rectal cancer is generally limited to T1 tumors less than one-third circumference and ideally less than 2 cm. — Conor Delaney (guideline) [Ep 2 · 14:35](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=875)
- Historical local recurrence rates for transanally excised rectal cancers were about 18%, remarkably consistent across multiple centers. — Conor Delaney (epidemiological) [Ep 2 · 14:51](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=891)
- Transanal endoscopic microsurgery (TEM) may produce better outcomes than traditional transanal excision, though it is unclear whether this is due to technology or improved surgical understanding. — Conor Delaney (opinion) [Ep 2 · 15:05](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=905)
- For young, curable patients, radical resection is generally favored over transanal resection; transanal resection is typically reserved for patients unfit for radical surgery or those who would require permanent stoma. — Conor Delaney (guideline) [Ep 2 · 15:27](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=927)
- For rectal cancer, full-thickness excision is required; ESD or EMR is never appropriate for proven cancer, only for benign polyps. — Conor Delaney (clinical) [Ep 2 · 16:24](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=984)
- For colon cancer, at least 12 lymph nodes are required for adequate staging, though many surgeons aim for at least 16. — Conor Delaney (guideline) [Ep 2 · 19:51](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1191)
- High ligation of the inferior mesenteric artery (above the takeoff of the left colic artery) is standard for sigmoid colectomy, with protection of autonomic nerves to preserve sexual function. — Conor Delaney (clinical) [Ep 2 · 19:59](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1199)
- Total mesocolic excision for colon cancer should be performed with about 5 mL of blood loss in the embryological plane between retroperitoneal peritoneum (Toldt's fascia) and mesocolic peritoneum. — Conor Delaney (clinical) [Ep 2 · 20:18](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1218)
- Scandinavian data showed local recurrence rates for colon cancer were even higher than for rectal cancer (high 20s%) before focus on complete mesocolic excision technique. — Conor Delaney (epidemiological) [Ep 2 · 20:48](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1248)
- For cecal or ileocecal valve tumors, 10 cm of small bowel should be resected; for mid-ascending colon tumors, 5 cm of small bowel is adequate. — Conor Delaney (clinical) [Ep 2 · 23:12](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1392)
- Extracorporeal stapled anastomosis for right hemicolectomy achieved a leak rate of 0.8% over 1000 cases at Cleveland Clinic. — Conor Delaney (epidemiological) [Ep 2 · 24:00](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1440)
- Genetic assessment is indicated for colorectal cancer patients with Bethesda criteria risk factors, cancer under age 40, first-degree relatives with cancer, or multiple cancers in the family. — Conor Delaney (guideline) [Ep 2 · 24:56](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1496)
- Genetic diagnosis affects both family screening recommendations and surgical approach; patients with hereditary syndromes may require subtotal colectomy or proctocolectomy rather than segmental resection. — Conor Delaney (clinical) [Ep 2 · 25:33](https://qa.library.globalcastmd.com/watch/colon-cancer-with-conor-delaney-3443?t=1533)
- Regionalization of rectal cancer surgery increases lymph node yield. — Ira Leeds (clinical) [Ep 3 · 1:04](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=64)
- Regionalization of rectal cancer surgery increases the use of neoadjuvant therapy. — Ira Leeds (clinical) [Ep 3 · 1:04](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=64)
- Regionalization of rectal cancer surgery decreases 30 and 90-day mortality. — Ira Leeds (clinical) [Ep 3 · 1:04](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=64)
- Regionalization of rectal cancer surgery is associated with a 34% decrease in 5-year mortality. — Ira Leeds (epidemiological) [Ep 3 · 1:04](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=64)
- More than 3 times the number of patients would have to travel more than 50 miles to achieve regionalized care compared to local care. — Ira Leeds (epidemiological) [Ep 3 · 2:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=120)
- Patients who travel for regionalized rectal cancer surgery tend to be more white and more privately insured, raising issues of healthcare equity. — Ira Leeds (epidemiological) [Ep 3 · 2:40](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=160)
- The marginal cost per patient in the decision tree model was cheaper with regionalized care compared to local care. — Ira Leeds (clinical) [Ep 3 · 4:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=240)
- The decision tree model showed a mortality benefit in the regionalized arm versus the local arm. — Ira Leeds (clinical) [Ep 3 · 4:30](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=270)
- Regionalized rectal cancer surgery demonstrates economic dominance, with both lower costs and better clinical benefit than local care. — Ira Leeds (clinical) [Ep 3 · 4:45](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=285)
- In sensitivity analysis of over 10,000 scenarios, nearly all scenarios showed regionalization as the dominant strategy with lower costs and better effectiveness than local care. — Ira Leeds (clinical) [Ep 3 · 5:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=300)
- Cost-effectiveness methodologies are particularly helpful for population level decision making but less helpful for individual patient selection. — Ira Leeds (opinion) [Ep 3 · 5:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=300)
- Local rectal cancer surgery is rarely cost-effective in this model under even the most extreme sensitivity scenarios. — Ira Leeds (clinical) [Ep 3 · 5:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=300)
- The model ran through 10,000 iterations with very wide confidence bars around each estimate to test robustness. — Ira Leeds (clinical) [Ep 3 · 7:00](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=420)
- In 97.8% of the model scenarios, regionalized care won out over local care when including downstream costs of cancer recurrence and early death. — Ira Leeds (clinical) [Ep 3 · 9:44](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=584)
- Regionalized care per case is more expensive than local care when looking only at case costs. — Ira Leeds (clinical) [Ep 3 · 9:44](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=584)
- In some healthcare systems, a community oncologist presents every single one of their rectal cancer cases to an entire board across the entire system. — Ira Leeds (clinical) [Ep 3 · 11:27](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=687)
- The data is not yet good enough to support a regionalized decentralized model for rectal cancer care. — Ira Leeds (opinion) [Ep 3 · 11:27](https://qa.library.globalcastmd.com/watch/best-of-the-best-gen-surg-how-far-is-too-far-cost-effectiveness-analysis-of-regi-5858?t=687)
- Skype for Business is not HIPAA compliant in the United States yet but is approved by Scandinavian authorities (guideline) [Ep 1 · 7:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=420)
- Remote desktop software platforms have very good telestration features but require a separate audio line (clinical) [Ep 1 · 12:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=720)
- OR Network is HIPAA compliant, has telestration features, and is fully integrated with all laparoscopic racks and cameras (clinical) [Ep 1 · 18:20](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1100)
- STAR platform can be used for open surgery but not yet for laparoscopic surgery (clinical) [Ep 1 · 20:20](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1220)
- When selecting a telementoring platform, key considerations are hospital budget, telestration capability, data security/HIPAA compliance, use case (fixed educational framework vs emergency), and technical requirements (firewalls, bandwidth, latency) (opinion) [Ep 1 · 20:40](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1240)
- Telementoring will be important for geographically large areas like Norway, Africa, and the US where people may not have enough experience with certain procedures (opinion) [Ep 1 · 22:11](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1331)
- A major challenge with telestration in laparoscopic surgery is that when the camera holder moves the camera, the drawn lines no longer correspond to the anatomy (clinical) [Ep 1 · 24:40](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1480)
- Surgical telementoring requires three elements: a pre-existing mentor-mentee relationship, an educational framework (not teleconsultation), and local surgical expertise to manage the disease process (guideline) [Ep 1 · 28:40](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1720)
- Educational experts outside surgery can help solve telementoring communication problems that surgeons struggle with (opinion) [Ep 1 · 27:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1620)

## Host summaries
Recaps by a host of what the experts said — not the host's own clinical position.
- Telestration reduces errors by more than 30% in surgical telementoring — The host summarizing the discussion [Ep 1 · 4:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=240)
- A Houston-Melbourne group telementored 25 retroperitoneoscopic adrenalectomies via Skype with uncomplicated outcomes — The host summarizing the discussion [Ep 1 · 8:40](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=520)
- The first remote desktop telementoring paper was published in 2007 by Gambadero and Marcus in London for laparoscopic gynecological surgery — The host summarizing the discussion [Ep 1 · 11:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=660)
- OR Network platform has telementored 500 laparoscopic procedures from the United Kingdom to Tanzania — The host summarizing the discussion [Ep 1 · 18:40](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1120)
- STAR platform (system for telementoring with augmented reality) allows participants to complete tasks with fewer placement errors and fewer focus shifts — The host summarizing the discussion [Ep 1 · 19:40](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1180)
- An Indian group created a surgical telementoring setup using a repurposed laparoscopic camera for $400-500 — The host summarizing the discussion [Ep 1 · 20:00](https://qa.library.globalcastmd.com/watch/surgical-telementoring-emerging-technologies-comparative-technology-in-966?t=1200)

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