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中华腔镜外科杂志(电子版) ›› 2026, Vol. 19 ›› Issue (02) : 107 -109. doi: 10.3877/cma.j.issn.1674-6899.2026.02.007

临床技术

全球首例5G远程机器人辅助下全内脏反位患者肝包虫切除术
玉苏甫卡迪尔·麦麦提尼加提1, 迪力夏提·艾孜则2, 郑秉礼1, 伊马木·阿布拉1, 孟塬1, 陈雄1, 刘荣3,()   
  1. 1830011 乌鲁木齐,新疆维吾尔自治区人民医院肝胆胰医学诊疗中心
    2848000 和田地区人民医院肝胆外科
    3100853 北京,中国人民解放军总医院第一医学中心肝胆胰外科医学部
  • 收稿日期:2026-03-16 出版日期:2026-04-30
  • 通信作者: 刘荣
  • 基金资助:
    国家自然科学基金项目(82460139); 新疆维吾尔自治区自然科学基金项目(2023D01C225); 新疆维吾尔自治区"天山英才"培养计划—青年托举人才项目(2024TSYCQNTJ0047)

First 5G remote robotic-assisted hepatic hydatid cyst resection in a patient with situs inversus totalis

Maimaitinijiati Yusufukadier·1, Aizizi Dilixiati·2, Bingli Zheng1, Abula Yimamu·1, Yuan Meng1, Xiong Chen1, Rong Liu3,()   

  1. 1Hepatobiliary and Pancreatic Medical Center, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830011, China
    2Department of Hepatobiliary Surgery, People′s Hospital of Hetian, 848000, China
    3Department of Hepatopancreatobiliary Surgery, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China
  • Received:2026-03-16 Published:2026-04-30
  • Corresponding author: Rong Liu
引用本文:

玉苏甫卡迪尔·麦麦提尼加提, 迪力夏提·艾孜则, 郑秉礼, 伊马木·阿布拉, 孟塬, 陈雄, 刘荣. 全球首例5G远程机器人辅助下全内脏反位患者肝包虫切除术[J/OL]. 中华腔镜外科杂志(电子版), 2026, 19(02): 107-109.

Maimaitinijiati Yusufukadier·, Aizizi Dilixiati·, Bingli Zheng, Abula Yimamu·, Yuan Meng, Xiong Chen, Rong Liu. First 5G remote robotic-assisted hepatic hydatid cyst resection in a patient with situs inversus totalis[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2026, 19(02): 107-109.

新疆维吾尔自治区人民医院肝胆胰中心联合中国人民解放军总医院肝胆胰外科医学部成功应用机器人手术系统,为1例全内脏反位(镜面人)肝包虫病患者实施5G远程机器人辅助下肝包虫切除术。本次远程手术的空间直线距离约3000 km,总手术时长150 min,其中遥控操作时长110 min;术中出血量50 ml,手术全程未发生网络中断或机器人相关不良事件,患者术后恢复顺利,于术后第6天康复出院。该病例为全球首例远程机器人辅助下全内脏反位患者肝包虫切除术,手术成功解决了全内脏反位患者解剖结构镜像反转的手术适配难题,实现了5G远程机器人手术的精准同步与低时延控制,同时打破地域医疗资源壁垒,为特殊病例的远程多团队协同诊疗开辟了新路径。

The Hepatobiliary and Pancreatic Medical Center of People′s Hospital of Xinjiang Uygur Autonomous Region, in collaboration with the Department of Hepatopancreatobiliary Surgery of The First Medical Center of Chinese PLA General Hospital, successfully performed a 5G remote robotic-assisted hepatic hydatid cyst resection in a patient with situs inversus totalis (mirror-image person) using a robotic surgical system. The straight-line spatial distance of this remote surgery was approximately 3000 km, with a total operation duration of 150 minutes, including 110 minutes of remote control operation. The intraoperative blood loss was 50 ml, no network interruption or robot-related adverse events occurred during the entire operation, and the patient recovered smoothly and was discharged on the 6th day after surgery. This case is the world′s first remote robot-assisted hepatic hydatid cyst resection in a patient with situs inversus totalis. The successful surgery solved the problem of surgical adaptation caused by the mirrored inversion of anatomical structures in patients with situs inversus totalis, achieved precise synchronization and low-latency control of 5G remote robotic surgery, and at the same time broke the geographical barriers of medical resources, opening up a new path for remote multi-team collaborative diagnosis and treatment of special cases.

图1 全内脏反位患者术前影像资料(黄色箭头指包虫病灶)注:A.腹部CT图像;B.腹部彩超图像;C.磁共振成像矢状面图像;D.磁共振成像冠状面图像
图2 全内脏反位患者术后资料注:A.手术标本H&E染色图像:细粒棘球蚴病;B.术后第5日腹部CT图像
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[2] 冯升幸, 宫满成, 袁润强. 全内脏反位合并喉癌、膀胱输尿管癌异时多重癌一例报告[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(06): 569-570.
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[4] 李正龙, 赵永生, 罗钶鑫, 彭忠勤. 胸腔镜切除治疗全内脏反位合并食管癌手术1例并文献复习[J/OL]. 中华胸部外科电子杂志, 2023, 10(04): 234-237.
[5] 杨景哥, 陈法智, 艾尔夏提•依布拉音, 唐荣华, 买买提吐尔逊•吐尔迪. 完全内脏反位腹腔镜袖状胃切除术1例报告[J/OL]. 中华肥胖与代谢病电子杂志, 2019, 05(04): 232-234.
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