Explore the application of 5G robot-assisted laparoscopic telesurgery in gynecological patients.

Using the Jingfeng telesurgery system, 5G robot-assisted laparoscopic telesurgery was performed on 2 patients with cervical precancerous lesions and 2 patients with uterine fibroids. General information, surgical conditions, and telesurgery related indicators of 4 patients were summarized and analyzed.

4 cases of 5G robot-assisted laparoscopic telesurgery were successfully completed, with a success rate of 100%. The mean operative time was 102.50±54.78 min, the mean intraoperative blood loss was 102.50±133.01 ml, the mean postoperative exhaust time was 21.50±10.25 h, the mean catheter removal time was 2.75±2.87 days, and the mean postoperative hospital stay was 5.25±2.63 days. The operator′s end were Beijing and Sanya, the patient′s end were Sanya, Beijing and Yinchuan, with a distance of 1100 km to 3000 km. The maximum latency ranges from 22.627 ms to 55.668 ms, the minimum latency ranges from 20.175 ms to 52.612 ms, and the average latency ranges from 20.331 ms to 52.781 ms.

This study validated the feasibility and safety of gynecological telesurgery under 5G condition. Explored the implementation of complex gynecological surgical operations, "multi-point" telesurgery and master-slave switching bidirectional 5G robot-assisted laparoscopic telesurgery.