远程手术打破了地理限制,使专家能够为偏远地区患者提供精准的手术服务,提高医疗资源配置效率。远程机器人辅 助手术在技术精度、实时监控和减少人为干扰等方面优于传统会诊手术,提高了手术的质量和安全性。本文报道了 2024 年 4 月 20 日安徽医科大学第一附属医院泌尿外科梁朝朝教授及其团队应用远程手术系统完成的安徽省内首例 5G 远程机器人 辅助根治性前列腺切除术。手术采用腹腔入路,手术过程顺利,术者未感受到延迟。手术总时长约 115 min,术中出血量约 50 mL,术后患者生命体征平稳,病理检查示切缘阴性。此案例探讨了远程手术在泌尿外科临床实践中的安全性及可行性, 为其推广提供了数据支持和临床依据。
Remote robot-assisted surgery has broken geographical harriers and allows experts to provide precise surgical services to patients in remote areas, which could further optimize medical resource allocation. Remote robot-assisted surgery excels in technical precision, real-time monitoring and reduced human interference compared to traditional consultation surgery, enhancing the quality and safety of surgery. The first 5G remote robot-assisted radical prostatectomy completed by LIANG Chaozhao’s team from the Department of Urology at the First Affiliated Hospital of Anhui Medical University on April 20, 2024 is reported in this paper. The surgery was performed using a laparoscopic approach. The procedure went smoothly, and the surgeon did not experience any delays. The total operative time was approximately 115 min, with an intraoperative blood loss of about 50 mL. Postoperative vital signs of the patient were stable, and negative resection margin was observed in pathological examination. Safety and feasibility of remote robot-assisted surgery in urological field were explored in this case, hoping to provide data support and clinical evidence for its promotion.
基金项目:安徽省高校科研项目(2024AH051274)
Foundation Item: Scientific Research Program for Universities in Anhui Province(2024AH051274)
引用格式:古宏兵,程根,杨勇飞,等 . 安徽省内首例 5G 远程机器人辅助根治性前列腺切除术(附手术视频)[J]. 机器人外科学杂志(中英文), 2025,6(5):759-763.
Citation: GU H B, CHENG G, YANG Y F, et al. 5G remote robot-assisted radical prostatectomy: the first case report in Anhui province (with surgical video)[J]. Chinese Journal of Robotic Surgery, 2025,6(5): 759-763.
通讯作者(Corresponding Author):梁朝朝(LIANG Chaozhao),Email:Liang_chaozhao@163.com
[1] WANG Y, AI Q, ZHAO W Y, et al. Safety and reliability of a robot-assisted laparoscopic telesurgery system: expanding indications in urological surgery [J]. European urology, 2024, 85(5): 506-507.
[2] Moschovas M C, Rogers T, Xu W, et al. First impressions of Telesurgery robotic-assisted radical prostatectomy using the Edge medical robotic platform [J]. International braz j urol: official journal of the Brazilian Society of Urology, 2024, 50(6): 754-763.
[3] Oki E, Ota M, Nakanoko T, et al. Telesurgery and telesurgical support using a double-surgeon cockpit system allowing manipulation from two locations [J]. Surgical endoscopy, 2023, 37(8): 6071-6078.
[4] LI J M, YANG X C, CHU G D, et al. Application of improved robotassisted laparoscopic telesurgery with 5g technology in urology [J]. European urology, 2023, 83(1): 41-44.
[5] Frenkel C H. Telesurgery’s evolution during the robotic surgery renaissance and a systematic review of its ethical considerations [J]. Surgical innovation, 2023, 30(5): 595-600.
[6] Patel V, Saikali S, Moschovas M C, et al. Technical and ethical considerations in telesurgery [J]. Journal of robotic surgery, 2024, 18(1): 40.
[7] Moschovas M C, Saikali S, Rrogers T, et al. Exploring the ethical implications in the telesurgery ERA [J]. International brazjurol : official journal of the Brazilian Society of Urology, 2024, 50(3): 375-377.
[8] GAO Y, YANG Y, NIU S X, et al. Suitability of the MP1000 system for robot-assisted partial nephrectomy: a multicenter randomized controlled noninferiority trial [J]. International journal of surgery (London, England), 2024, 110(5): 2803-2809.
[9] Lu E S, Reppucci V S, Houston S K S, et al. Three-dimensional telesurgery and remote proctoring over a 5G network [J]. Digital journal of ophthalmology : DJO, 2021, 27(3): 38-43.
[10] Acemoglu A, Peretti G, Trimarchi M, et al. Operating from a distance: robotic vocal cord 5g telesurgery on a cadaver [J]. Annals of internal medicine, 2020, 173(11): 940-941.
[11] Lin G, Lue T F. Revolutionizing laparoscopic telesurgery: The emergence of 5G-assisted wireless endoscopy systems [J]. Current urology, 2023, 17(2): 82-83.
[12] Yilmaz N, Burkhart B, Deguet A, et al. Enhancing robotic telesurgery with sensorless haptic feedback [J]. International journal of computer assisted radiology and surgery, 2024, 19(6): 1147-1155.
[13] XUE J, WENG S Z. Navigating the legal complexities of telesurgery in China: An assessment of tort liability and the path forward [J]. Medicine, science, and the law, 2025, 65(1):15-22.
[14] WANG Y, AI Q, SHI T P, et al. Influence of network latency and bandwidth on robot-assisted laparoscopic telesurgery: A pre-clinical experiment [J]. Chinese medical journal, 2024. DOI: 10.1097/CM9.0000000000003257.
[15] LI C J, ZHENG J L, ZHANG X, et al. Telemedicine network latency management system in 5G telesurgery: a feasibility and effectiveness study [J]. Surgical endoscopy, 2024, 38(3): 1592-1599.
[16] ZHENG J L, WANG Y H, ZHANG J, et al. 5G ultra-remote robot-assisted laparoscopic surgery in China [J]. Surgical endoscopy, 2020, 34(11): 5172-5180.
[17] Wakasa Y, Hakamada K, Morohashi H, et al. Ensuring communication redundancy and establishing a telementoring system for robotic telesurgery using multiple communication lines [J]. Journal of robotic surgery, 2024, 18(1): 9.
[18] Rocco B, Moschovas M C, Saikali S, et al. Insights from telesurgery expert conference on recent clinical experience and current status of remote surgery [J]. Journal of robotic surgery, 2024, 18(1): 240.
[19] Reda M M, Gashu K D, Beshir M A, et al. Physicians’ knowledge and attitudes towards telesurgery and its associated factors in a resourcelimited setting, Northwest Ethiopia, 2022: a cross-sectional study design [J]. BMJ open, 2024, 14(7): e079046.
[20] Rahmah L, Shariat A. Telesurgery for humanitarian care-Highlighting its potential for improving healthcare in conflict zones [J]. World journal of surgery, 2024, 48(11): 2728-2730.
[21] Patel V, Moschovas M C, Marescaux J, et al. Telesurgery collaborative community working group: insights about the current telesurgery scenario [J]. Journal of robotic surgery, 2024, 18(1): 232.
[22] Patel V, Marescaux J, Covas M. The Humanitarian Impact of Telesurgery and Remote Surgery in Global Medicine [J]. European urology, 2024, 86(2): 88-89.
[23] Ota M, Oki E, Nakanoko T, et al. Field experiment of a telesurgery system using a surgical robot with haptic feedback [J]. Surgery today, 2024, 54(4): 375-381.
[24] Nelson B J, Bendok B R, Turcotte E L, et al. Remote magnetic navigation enables precision telesurgery [J]. Science robotics, 2024, 9(87): eado3187.
[25] Moschovas M C, Patel V. Reply to Chang-Kun Mao, Tao Zhang, and JunTing Li’s Letter to the Editor re: Vipul Patel, Jacques Marescaux, Marcio Covas Moschovas. The Humanitarian Impact of Telesurgery and Remote Surgery in Global Medicine. Eur Urol. 2024; 86: 88-9 [J]. European urology, 2024, 86(4): e99-e100.
[26] Mori M, Hirano S, Hakamada K, et al. Clinical practice guidelines for telesurgery 2022 : Committee for the promotion of remote surgery implementation, Japan Surgical Society [J]. Surgery today, 2024, 54(8): 817-828.
[27] Fernandez C C, Ruiz M G. Telesurgery and telementoring [J]. Cirugia espanola, 2024, 102 (Suppl 1): S23-29.
[28] CHU G D, YANG X C, JIAO W, et al. Transnational telesurgery performed with the new robot-assisted flexible ureteroscopy system [J]. BJU international, 2024, 134(3): 382-384.
[29] Bertolo R, Veccia A, Antonelli A. Democratizing robotic prostatectomy: navigating from novel platforms, telesurgery, and telementoring [J]. Prostate cancer and prostatic diseases, 2024. DOI: 10.1038/s41391-024-00812-4.
[30] Alessio G, Puzo P, Di P C, et al. Remote Topography-Guided Transepithelial Photorefractive Combined Phototherapeutic Keratectomy Telesurgery [J]. Cornea, 2024, 43(9): 1162-1164.