关键词: 远程手术, 5G通信技术, 机器人手术, 食管裂孔疝

Abstract: To investigate the safety and feasibility of remote robotic-assisted fundoplication and gastropexy. Methods    On August 2，2024，the general surgery team at the General Hospital of the People's Liberation Army utilized a dedicated network and 5G wireless connection to perform remote robotic-assisted fundoplication and gastropexy on a 69-year-old female patient with hiatal hernia and gastroesophageal reflux over a distance of 2200 km from Beijing to Guangzhou. Results    The procedure was executed smoothly without complications，resulting in minimal bleeding（10 mL）and an overall operation time of 1 hour and 18 minutes. The average bidirectional network delay was measured at 39 milliseconds，with no apparent disruptions or frame loss observed in the surgical robot host system. The patient resumed defecation and flatus within 23 hours post-operation，initiated oral intake after two days，and was discharged six days following surgery. Conclusion    Remote robotic-assisted fundoplication and gastropexy demonstrates both safety and feasibility through consistent signal transmission，smooth operational execution，comprehensive preparation planning，as well as achieving comparable outcomes to traditional robotic surgery.

Key words: telesurgery, 5G communication technology, robotic surgery, hiatal hernia