5G robot-assisted single-port laparoscopic gynecological telesurgery:a case report
10.3969/j.issn.1009-0754.2025.03.013
- VernacularTitle:5G远程机器人辅助单孔腹腔镜妇科手术1例应用实践
- Author:
Hao SUN
1
;
Jianhong DANG
;
Yueming LI
;
Yufeng GUO
;
Cheng LI
;
Tingting WANG
;
Jingqi JIANG
;
Xiaojun LIU
Author Information
1. 200003 上海,海军军医大学第二附属医院妇产科
- Keywords:
Telesurgery;
Robot-assisted surgery;
Single port;
Gynecological minimally invasive surgery
- From:
Journal of Navy Medicine
2025;46(3):268-272
- CountryChina
- Language:Chinese
-
Abstract:
With the popularization of 5G communication technology and the continuous upgrade of robot-assisted surgery system,telesurgery has developed rapidly.However,there are few of reports about this technique in single-port laparoscopic gynecological surgery.On April 19,2024,the surgeons at the Second Affiliated Hospital of Naval Medical University in Shanghai successfully implemented robot-assisted single-port laparoscopic bilateral adnexectomy for a patient who was admitted to the Naval Hospital of the Eastern Theater Command in Zhoushan,Zhejiang Province through 5G communication technology.The operation time was 90 min,intraoperative bleeding was 20 ml,and no intraoperative complications occurred.There were no adverse events caused by robots such as robot system failure and instrument failure,or adverse events caused by remote communication such as network interruption and network attack.Intraoperative user datagram protocol(UDP)real-time monitoring data showed an average delay of 108 ms(range,105-111 ms)and a packet loss rate of 0.04%.The surgeons had a slight sense of delay when the operation amplitude was too large.There was no obvious stalling which affected the process of the operation.The patient was able to move around on the first day after surgery,and the catheter was removed.No postoperative complications occurred.The patient was discharged from the hospital on the second day after surgery.Postoperative pathological results revealed left fallopian tube ovarian serous cystadenofibroma,fallopian tubal tissue;right fallopian tube ovarian,sent for examination as ovarian and fallopian tube tissue.There were no complaints of discomfort during reexamination one month after surgery,and the umbilical incision healed well.This case is an attempt of telesurgery in the field of gynecology,and provides experiences for the further development of this technique.
