But if you lived in Machu Picchu and needed heart surgery, it would be extremely unlikely that anyone would truck the machine up there. Because you also need a bypass machine. And a damned good anesthesiologist (who probably lives with the other docs in the big city) and the nurses and the dacron grafts and the special sutures and the ventilators and the vent techs and so forth and so on.
So having the smart machine doesn't help you over much. Even for battlefield medicine, I don't think surgical robots are going to prove useful for the same reasons. It's easier to just pack up everyone as a team and dump them on some handy flat piece of ground away from the front. Then drag your victim in using paramedic level persons and helicopters - things that can stand being shot at and don't need high bandwidth connections to function.
The supervision of basic providers is an excellent model but that is typically going to be just video rather than a robot. Anything with opposable thumbs can do a basic cataract - you could build a robot that would do some of the manipulations, but it's pretty automated as it is. There are going to be niches with this sort of tech, certainly we can work on changing some procedures that have remained the same for 200 years, but surgical robots are going to be just a small part of things. Hell, a 3D printer might even be more useful - a common situation in remote areas is that the docs / providers know how to do something, they just don't stock the special screw / graft / gizmo that a bigger hospital would. Even 3D printed orthotics (ie, very low tech) would be pretty useful (and I'm sure I've seen articles where they are starting on this).