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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2024, Vol. 17 ›› Issue (03): 168-172. doi: 10.3877/cma.j.issn.1674-6899.2024.03.008

• Clinical Technology • Previous Articles    

Preliminary clinical practice and evaluation of 5G robot-assisted laparoscopic telesurgery in gynecology

Nan Wang1, Li′an Li2, Wen Yang3, Chenglei Gu3, Mingxia Ye2, Weiping Li4, Xiaoli Zhang4, Lin Chen4, Xiaoming Zhu5, Cheng Luo5, Yang Fan6, Shuhui Wei6, Yuanguang Meng3,()   

  1. 1. Department of Obstetrics and Gynecology, The First Medical Center of PLA General Hospital, Beijing 100853, China; Medicine School of Chinese PLA, Beijing 100853, China
    2. Department of Obstetrics and Gynecology, The First Medical Center of PLA General Hospital, Beijing 100853, China
    3. Faculty of Obstetrics and Gynecology, The Seventh Medical Center of the PLA General Hospital, Beijing 100007, China
    4. Department of Obstetrics and Gynecology, The Third Medical Center of the PLA General Hospital, Beijing 100049, China
    5. Department of Obstetrics and Gynecology, Hainan Hospital of the PLA General Hospital, Sanya, Hainan 572013, China
    6. Department of Obstetrics and Gynecology, People′s Hospital of Ningxia Hui Autonomous Region, Yinchuan, Ningxia 750000, China
  • Received:2024-05-01 Online:2024-06-30 Published:2024-08-07
  • Contact: Yuanguang Meng

Abstract:

Objective

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

Methods

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.

Results

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.

Conclusion

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.

Key words: Telemedicine, Telesurgery, Robot surgery, Gynecology, 5G

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