Application of Improved Robot-assisted Laparoscopic Telesurgery with 5G Technology in Urology

被引：59

作者：

Li, Jianmin ^{[1
,2
]}

Yang, Xuecheng ^{[2
]}

Chu, Guangdi ^{[2
]}

Feng, Wei ^{[3
]}

Ding, Xuemei ^{[4
]}

Yin, Xulong ^{[5
]}

Zhang, Liangjun ^{[6
]}

Lv, Wei ^{[7
]}

Ma, Lufei ^{[8
]}

Sun, Liguo ^{[8
]}

Feng, Run ^{[9
]}

Qin, Jun ^{[10
]}

Zhang, Xuefeng ^{[11
]}

Gou, Chengyi ^{[12
]}

Yu, Zongyi ^{[13
]}

Wei, Bin ^{[14
]}

Jiao, Wei ^{[2
]}

Wang, Yonghua ^{[2
]}

Luo, Lei ^{[2
]}

Yuan, Hang ^{[2
]}

Chang, Yuan ^{[15
]}

Cai, Qiliang ^{[16
,24
]}

Wang, Shuxin ^{[1
,23
]}

Giulianotti, Pier Cristoforo ^{[17
,22
]}

Dong, Qian ^{[18
,21
]}

Niu, Haitao ^{[2
,19
,20
]}

机构：

[1] Tianjin Univ, Key Lab Mech Theory & Equipment Design, Minist Educ, Tianjin, Peoples R China

[2] Affiliated Hosp Qingdao Univ, Dept Urol, Qingdao, Peoples R China

[3] Affiliated Hosp Qingdao Univ, Dept Anesthesiol, Qingdao, Peoples R China

[4] Qingdao Univ, Affiliated Hosp, Dept Surg, Qingdao, Peoples R China

[5] Pingyi Cty Hosp Tradit Chinese Med, Dept Urol, Linyi, Peoples R China

[6] Zhucheng Hosp Tradit Chinese Med, Dept Surg, Zhucheng, Peoples R China

[7] Fei Cty Peoples Hosp, Dept Urol, Linyi, Peoples R China

[8] Juxian Peoples Hosp, Dept Urol, Rizhao, Peoples R China

[9] Zibo Municipal Hosp, Dept Urol, Zibo, Peoples R China

[10] Yinan Peoples Hosp, Dept Urol, Linyi, Peoples R China

[11] Weihai Cent Hosp, Dept Urol, Weihai, Peoples R China

[12] Dingxi Peoples Hosp, Dept Urol, Dingxi, Peoples R China

[13] Qingdao Univ, Affiliated Hosp, Dept Informat Management, Qingdao, Peoples R China

[14] Qingdao Univ, Affiliated Hosp, Shandong Key Lab Digital Med & Comp Assisted Surg, Qingdao, Peoples R China

[15] Shandong Dev & Reform Commiss, Jinan, Peoples R China

[16] Tianjin Med Univ, Hosp 2, Tianjin Inst Urol, Dept Urol, Tianjin, Peoples R China

[17] Univ Illinois, Coll Med, Dept Surg, Chicago, IL USA

[18] Qingdao Univ, Affiliated Hosp, Dept Pediat Surg, Qingdao, Peoples R China

[19] Tianjin Univ, Inst Med Robot & Intelligent Syst, Tianjin, Peoples R China

[20] Qingdao Univ, Affiliated Hosp, Dept Urol, Qingdao 266003, Peoples R China

[21] Qingdao Univ, Affiliated Hosp, Dept Pediat Surg, Qingdao 266000, Peoples R China

[22] Univ Illinois, Coll Med, Dept Surg, Chicago, IL 60612 USA

[23] Tianjin Univ, Key Lab Mech Theory & Equipment Design, Minist Educ, Tianjin 300211, Peoples R China

[24] Tianjin Med Univ, Hosp 2, Tianjin Inst Urol, Dept Urol, Tianjin 300211, Peoples R China

来源：

EUROPEAN UROLOGY | 2023年 / 83卷 / 01期

基金：

中国国家自然科学基金;

关键词：

Telesurgery; Robotics; Radical nephrectomy; 5G technology; Safety;

D O I：

10.1016/j.eururo.2022.06.018

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The demand for telesurgery is rising rapidly, but robust evidence regarding the feasibil-ity of its application in urology is still rare. From March to October 2021, a surgeon -controlled surgical robot in a tertiary hospital in Qingdao was used to remotely conduct robot-assisted laparoscopic radical nephrectomy (RN) in 29 patients located in eight pri-mary hospitals. The median round-trip delay was 26 ms (interquartile range [IQR] 5) and the median distance between the primary hospital and the surgeon was 187 km (IQR 57). Both the master unit and the slave unit were guaranteed by network and mechan-ical engineers, and surgical assistants were well prepared on the patient side to prevent complications. The primary evaluation metric was the success rate, defined as the per-centage of patients who underwent successful remote RN without conversion to other surgical procedures and no major intraoperative or postoperative complications. The results demonstrate that the combination of 5G technology and surgical robots is a novel potential telemedicine-based therapy choice for renal tumors.

引用

页码：41 / 44

页数：4