Table 2. A summary of factors that currently limit the use of telesurgery in the real world.

Factors that limit Telesurgery’s Clinical Translation

Lack of fully developed training programs and standard operating protocols (including that for equipment maintenance)

The difficulty of the acquisition of equipment

Need for development of a global network

Billing issue on distributing operation fee and facility fee among the participating medical centers

Funding issues

Legal issues, which vary across state and country borders