解放军医学院学报2025，Vol.46Issue(8)：743-747,5.DOI:10.12435/j.issn.2095-5227.25011001
面向方舱医院应急场景的多链路远程手术机器人系统创新设计与验证
Innovative design and validation of a multi-link telesurgical robotic system for emergency scenarios in square pod hospitals
贺杰 1陈华 2何昆仑 3汤俊君 4游永刚 5陈雪松 5马骏 6李发根 6刘光平 4唐佩福2
作者信息
- 1. 解放军医学院,北京 100853||解放军总医院第四医学中心骨科医学部,北京 100048||联勤保障部队第989医院,河南 洛阳 471031
- 2. 解放军医学院,北京 100853||解放军总医院第四医学中心骨科医学部,北京 100048||解放军总医院国家骨科与运动康复临床医学研究中心,北京 100048
- 3. 解放军总医院医学创新研究部,北京 100853
- 4. 解放军总医院第四医学中心骨科医学部,北京 100048
- 5. 联勤保障部队第926医院骨科,云南开远 100101
- 6. 北京红云融通技术有限公司,北京 100043
- 折叠
摘要
Abstract
Background In the context of disaster medicine or combat casualty care,forward medical treatment facilities often lack the necessary equipment,devices,or space to perform definitive surgical procedures to complex trauma.Extending advanced medical technologies to the frontline battlefield and rapidly deploying the diagnostic and treatment capabilities of rear-area specialists to forward medical units are crucial measures for effectively enhancing the capability to treat combat injuries and reducing trauma-related mortality and disability.Objective To explore the breakthroughs and application prospects of remote robot-assisted interactive surgical technology based on a multi-link aggregation transmission system within the operating module of a containerized hospital surgical team.Methods The relevant technical indicators of the first closed reduction and internal fixation surgery for femoral neck fracture,which was performed via remote robot-assisted interactive surgery within the operating module of a containerized hospital surgical team on December 20,2024,were analyzed.These indicators included the latency of the remote surgery,the time taken for screw placement,and the intraoperative blood loss.Results A 51-year-old male patient with fracture of the right femoral neck due to a traumatic injury was operated precisely by frontline doctors relying on expert tele-guidance,tele-planning and tele-surveillance.The remote center was established at a Medical Center of Chinese PLA General Hospital(network communication distance:2 652 km),and the surgical procedure was performed via closed reduction and minimally invasive screw fixation for femoral neck fracture.The overall total delay of the surgery was 85 ms,with no packet loss.The expert remote planning took 10 minutes;the robotic system assisted in the insertion of three screws,with an average time of 10 minutes per screw.The intraoperative blood loss was 10 mL,and intraoperative fluoroscopy confirmed satisfactory reduction.The patient did not experience postoperative complications such as incision infection.Conclusion A remote robot-assisted interactive surgical procedure for fracture trauma is achieved for the first time in a containerized hospital setting.This system,built upon a multi-link aggregation transmission platform,integrates various information systems within the containerized hospital,enabling comprehensive diagnosis and treatment of the wounded and thereby improving the overall effectiveness of medical care.关键词
方舱医院/人工智能/骨折/远程交互/手术机器人Key words
square cabin hospital/artificial intelligence/fracture/remote interaction/surgical robot分类
医药卫生引用本文复制引用
贺杰,陈华,何昆仑,汤俊君,游永刚,陈雪松,马骏,李发根,刘光平,唐佩福..面向方舱医院应急场景的多链路远程手术机器人系统创新设计与验证[J].解放军医学院学报,2025,46(8):743-747,5.
