Tele-control of an endoscopic surgical robot system between Japan and Thailand for tele-NOTES.

We describe our experience of the development of a endoscopic surgical robot system that can penetrate into the body through the esophagus and perform surgeries in the upper gastric tubes and several organs in the abdominal cavity. In this paper, we describe the results of an experiment using this robot. We describe the configuration of the control system using a gigabit ethernet system named JGN2 for the endoscopic surgical robot. We also describe the results of the first telesurgery experiment using the NOTES (natural orifice transluminal endoscopic surgery) procedure (tele-NOTES), performed at a distance of about 3,750 km.