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 

摘要： 目的    探讨远程机器人辅助食管裂孔疝修补及胃底折叠术的安全性及可行性。方法    2024-08-02，中国人民解放军总医院普通外科医学部甲状腺（疝）外科团队应用专线网络和5G无线网络为69岁食管裂孔疝伴胃食管反流的女性病人实施跨越2200 km（北京市与广州市）的远程机器人辅助食管裂孔疝修补及胃底折叠术。结果    手术顺利完成，无并发症发生，出血10 mL，手术时间为78 min。术中双向网络平均延迟39 ms，手术机器人主机网络系统未出现断网、丢帧明显等情况，术中操作平稳流畅，病人术后23 h恢复排气、排便，术后2 d进食，术后6 d出院。结论    远程手术机器人辅助食管裂孔疝及胃底折叠术安全可行，可达到与传统机器人手术相同效果。

关键词: 远程手术, 5G通信技术, 机器人手术, 食管裂孔疝