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5G远程手术机器人辅助食管裂孔疝修补及胃底折叠术临床初步研究

田文 徐红 张旭 王野 银彩霞 梁发雅 王璐 唐绮 王冰 姚京 苗欣 万政 吴继敏 胡志伟 黄晓明 郑皓

中国实用外科杂志2024,Vol.44Issue(10):1171-1173,3.
中国实用外科杂志2024,Vol.44Issue(10):1171-1173,3.DOI:10.19538/j.cjps.issn1005-2208.2024.10.18

5G远程手术机器人辅助食管裂孔疝修补及胃底折叠术临床初步研究

Preliminary clinical study of remote surgical robot assisted repair of hiatal hernia and gastric fundus folding

田文 1徐红 2张旭 3王野 3银彩霞 4梁发雅 5王璐 4唐绮 4王冰 1姚京 1苗欣 1万政 1吴继敏 5胡志伟 5黄晓明 6郑皓2

作者信息

  • 1. 中国人民解放军总医院第一医学中心普通外科医学部甲状腺(疝)外科,北京 100853
  • 2. 中国人民解放军总医院第三医学中心普通外科,北京 100143
  • 3. 中国人民解放军总医院第三医学中心泌尿外科医学部,北京 100143
  • 4. 中国人民解放军总医院第三医学中心麻醉科,北京 100143
  • 5. 中国人民解放军火箭军特色医学中心胃食管外科,北京 100088
  • 6. 中山大学附属孙逸仙纪念医院耳鼻咽喉头颈外科,广东 广州 510120
  • 折叠

摘要

Abstract

Objective 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.

关键词

远程手术/5G通信技术/机器人手术/食管裂孔疝

Key words

telesurgery/5G communication technology/robotic surgery/hiatal hernia

分类

医药卫生

引用本文复制引用

田文,徐红,张旭,王野,银彩霞,梁发雅,王璐,唐绮,王冰,姚京,苗欣,万政,吴继敏,胡志伟,黄晓明,郑皓..5G远程手术机器人辅助食管裂孔疝修补及胃底折叠术临床初步研究[J].中国实用外科杂志,2024,44(10):1171-1173,3.

基金项目

军队保健专项课题项目(No.21BJZ14) (No.21BJZ14)

中国实用外科杂志

OA北大核心CSTPCD

1005-2208

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