报道国内1例基于5G通信技术实施的远程机器人辅助腹腔镜子宫内膜癌手术。患者女，49岁，因"绝经后阴道流血伴排液1月余"就诊，术前诊断为子宫内膜样癌(FIGO I级)合并子宫平滑肌瘤。经多学科评估后，决定行远程机器人辅助腹腔镜下全子宫切除、双附件切除、盆腔淋巴结清扫、盆腔粘连松解及卵巢动静脉高位结扎术。手术由南昌大学第一附属医院医师远程操作国产四臂腹腔镜手术机器人系统，在新疆维吾尔自治区人民医院完成。控制台与手术平台通过5G无线网络及客户端设备连接，术中网络平均空口延时125 ms，丢包率0.00%，信号覆盖率与驻留比均为100%。手术历时3 h，出血量约100 ml，术中通信稳定，无网络或设备故障。患者术后恢复顺利，于术后第3日出院。病理确诊为子宫内膜样腺癌，术后随访切口愈合良好。本案例初步验证了5G远程机器人辅助手术在偏远地区开展妇科恶性肿瘤手术的可行性与安全性。

To report 1 case in China of a 5G-based remote robot-assisted laparoscopic surgery for endometrial cancer. A 49-year-old female patient presented with postmenopausal vaginal bleeding and discharge for over a month and was diagnosed preoperatively with endometrioid carcinoma (FIGO stage I) and uterine leiomyoma. After multidisciplinary evaluation, she underwent remote robot-assisted laparoscopic total hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy, pelvic adhesiolysis, and high ligation of ovarian vessels. The surgery was performed at the People′s Hospital of Xinjiang Uygur Autonomous Region by surgeons from the First Affiliated Hospital of Nanchang University, using a domestic four-arm laparoscopic robotic system remotely operated via a 5G wireless network and client equipment. The connection between the surgeon′s console and the operative platform was established through a public 5G network. During the procedure, the average air interface latency was 125 ms with a packet loss rate of 0.00%, and both signal coverage and retention ratio reached 100%. The surgery lasted 3 hours with approximately 100 ml of blood loss, and no intraoperative network or robotic malfunctions occurred. The patient recovered well, resumed oral intake and passed flatus on postoperative day 1, had the urinary catheter removed on day 2, and was discharged on day 3. Final pathology confirmed endometrioid adenocarcinoma. Follow-up showed satisfactory incision healing with no discomfort. This case demonstrates the preliminary feasibility and safety of 5G-based remote robot-assisted surgery for gynecologic malignancies in remote regions.