中国实用外科杂志

中国实用外科杂志 ›› 2024, Vol. 44 ›› Issue (11): 1291-1294.DOI: 10.19538/j.cjps.issn1005-2208.2024.11.20

• 论著 • 上一篇    下一篇

5G远程手术机器人辅助肝胆胰外科手术初步研究

梁    霄1，2，郑俊浩1，2，李哲勇1，3，金仁安1，2，陈鸣宇1，蔡秀军1   

  1. 1浙江大学医学院附属邵逸夫医院普外科   微创器械创新及应用国家工程研究中心，浙江杭州 310018；2浙江大学医学院附属邵逸夫医院普外科   浙江省肝脏疾病多组学精准诊治重点实验室，浙江杭州 310018；3浙江大学医学院附属邵逸夫医院新疆兵团阿拉尔医院普外科，新疆阿拉尔843300
  • 出版日期:2024-11-01 发布日期:2024-11-26

  • Online:2024-11-01 Published:2024-11-26

摘要： 目的    探讨5G远程手术机器人辅助在肝胆胰外科手术中的可行性及安全性。方法    回顾性分析2023年2~9月于浙江大学医学院附属邵逸夫医院和新疆阿拉尔医院间（相距4600 km）联合施行的5例5G远程机器人辅助肝胆胰手术病例。结果    5例病人中，3例行远程机器人辅助胆囊切除术，1例行远程机器人辅助肝血管瘤切除术，1例行远程机器人辅助保留脾脏胰体尾切除术。平均手术时间57 min，平均术中出血量13.2 mL，病人术后恢复良好，平均住院天数5.6 d。5例手术过程中网络延迟平均值为98.7 ms，手术过程中无卡顿、延迟等现象。结论    5G远程手术机器人在肝胆胰外科手术中具有良好的可行性和安全性，有助于提升手术精准度，减轻病人和医生的负担，为偏远地区提供高质量的医疗服务，促进医疗资源均衡分布。

关键词: 5G通信技术, 远程手术, 机器人辅助手术, 肝胆胰外科, 手术安全性, 手术精准度, 医疗资源分布

Abstract: To investigate the feasibility and safety of 5G network ultra-remote robotic surgery in clinical practice for hepatobiliary and pancreatic surgery. Methods    5 cases of 5G network ultra-remote robotic hepatobiliary and pancreatic surgeries performed between Zhejiang University Sir Run Run Shaw Hospital in Hangzhou and Aral Hospital in Xinjiang (4600 km apart) from February 2023 to September 2023 were retrospectively analyzed. Results  Among the 5 patients, 3 cases underwent ultra-remote robotic cholecystectomy, 1 case underwent ultra-remote robotic liver hemangioma resection, and 1 case underwent ultra-remote robotic spleen-preserving distal pancreatectomy. The average surgery duration was 57 minutes, the average intraoperative blood loss was only 13.2 mL, and patients were recovery well with an average hospital stay of 5.6 days. The average network latency was 98.7 milliseconds, with no stuttering or delays observed during the procedures of 5G network surgery. Conclusion    5G network ultra-remote robotic surgery is feasible and safe for hepatobiliary and pancreatic surgery, enhancing surgical precision, reducing the burden on patients and doctors, providing remote areas with high-quality medical services, and promoting balanced distribution of medical resources.

Key words: 5G communication technology, telesurgery, robotic surgery, hepatobiliary and pancreatic surgery, surgical safety, surgical precision, distribution of medical resources