远程控制机器人辅助妇科手术是结合先进通信技术与机器人手术系统开展的创新医疗模式，具有推动优质医疗资源下沉、应对突发公共事件等重要价值。本共识由中国医师协会妇产科医师分会联合中国妇幼保健协会妇科智能医学专业委员会组织国内专家撰写，旨在规范远程控制机器人辅助妇科手术的临床应用，提高手术质量和安全性。共识回顾了远程手术的发展历程，介绍了5G等通信技术支持下远程控制机器人辅助妇科手术系统的构建及技术要求，强调了质量管理的重要性，包括设备准入、人员资质、团队协作、网络通信与安全以及卫生经济学指标等，并提出了远程手术准入与培训考核建议。同时，详细阐述了远程控制机器人辅助妇科手术的操作规范，涵盖术前准备、手术步骤、术后处理及并发症防治与故障应对等内容。最后，探讨了该技术发展面临的挑战，如机器人手术系统的迭代升级、网络安全保障、全流程远程医疗服务的实现以及特殊环境下远程手术的开展等，以期为我国远程控制机器人辅助妇科手术的推广提供参考。

Remote-controlled robot-assisted gynecological surgery is an innovative medical model that combines advanced communication technologies with robotic surgical systems, and it holds significant value in promoting the distribution of high-quality medical resources and responding to public emergencies. This article was jointly organized by the Obstetrics and Gynecology Physicians Branch of the Chinese Medical Doctor Association and the Gynecological Intelligent Medicine Professional Committee of the Chinese Maternal and Child Health Association, with the aim of standardizing its clinical application and enhancing the quality and safety of surgeries. The article reviews the development history of remote surgery, introduces the construction and technical requirements of remote-controlled robot-assisted gynecological surgery systems supported by 5G and other communication technologies, emphasizes the importance of quality management, including equipment access, personnel qualifications, team collaboration, network communication and security, and health economics indicators, and proposes suggestions for remote surgery access and training assessment. At the same time, it elaborates on the operational norms of remote-controlled robot-assisted gynecological surgery, covering preoperative preparations, surgical procedures, postoperative management, and the prevention and treatment of complications and fault responses. Finally, it discusses the challenges faced by the development of this technology, such as the iterative upgrading of robotic surgical systems, network security guarantees, the realization of full-process remote medical services, and the implementation of remote surgeries in special environments, with the aim of providing references for the promotion of remote-controlled robot-assisted gynecological surgery in China.