Objective To explore the feasibility of 5G remote robot-assisted pulmonary lobectomy through animal experiments. Methods In this research, the Toumai® surgical robot was manipulated remotely by the surgeon in the Control Center of the MedBot Company through the 5G network established by China Telecom, and the experimental pig underwent lobectomy in simulated operating room. Results The animal experiment surgery was successfully completed. The surgeon remotely manipulated the surgical robot to complete the lobectomy of right apical lobe and mediastinal lymph node dissection. The entire animal experiment took about 60 minutes, with an average round-trip network delay of 125 (110-155) ms, and no network interruption or robot malfunction occurred. Conclusion This animal experiment is the first attempt of 5G remote thoracic surgery, which preliminarily proves the feasibility of completing remote lobectomy through the Toumai® surgical robot 5G wireless network connection. The systematic surgical procedure is summarized, which lays a foundation for the subsequent experiments and clinical applications of 5G remote robot-assisted thoracic surgery.
Citation:
TIAN Yu, HUANG Jia, LI Jiantao, JIANG Long, ZHU Hongda, LUO Qingquan. Animal experimental study of 5G remote robot-assisted thoracoscopic lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(8): 1112-1115. doi: 10.7507/1007-4848.202303058
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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- 1. Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted telesurgery. Nature, 2001, 413(6854): 379-380.
- 2. 刘荣, 赵国栋, 孙玉宁, 等. 5G远程机器人手术动物实验研究. 中华腔镜外科杂志(电子版), 2019, 12(1): 45-48.
- 3. 我国成功完成世界首例5G远程操控颅脑手术. 微创医学, 2019, 14(4): 402.
- 4. 世界首例多点协同5G远程多学科机器人手术试验成功. 信息系统工程, 2019, 9: 2.
- 5. 周翔, 王家寅, 朱祥, 等. 超远程5G机器人辅助腹腔镜下精索静脉高位结扎术2例报道及文献复习. 中华男科学杂志, 2022, 28(8): 696-701.
- 6. 田东旭, 牛海涛. 远程手术的发展历史及现状. 机器人外科学杂志(中英文), 2022, 3(5): 343-350.
- 7. Tian W, Fan M, Zeng C, et al. Telerobotic spinal surgery based on 5G network: The first 12 cases. Neurospine, 2020, 17(1): 114-120.
- 8. Zheng J, Wang Y, Zhang J, et al. 5G ultra-remote robot-assisted laparoscopic surgery in China. Surg Endosc, 2020, 34(11): 5172-5180.
- 9. Li J, Yang X, Chu G, et al. Application of improved robot-assisted laparoscopic telesurgery with 5G technology in urology. Eur Urol, 2023, 83(1): 41-44.
- 10. Xu S, Perez M, Yang K, et al. Determination of the latency effects on surgical performance and the acceptable latency levels in telesurgery using the dV-Trainer(®) simulator. Surg Endosc, 2014, 28(9): 2569-2576.