腹腔镜外科杂志2026，Vol.31Issue(3)：202-205,215,5.DOI:10.13499/j.cnki.fqjwkzz.2026.03.202
5G远程超声机器人辅助下精准经皮肾穿刺治疗复杂性肾结石的临床研究
Clinical study on precise percutaneous nephrolithotomy for the treatment of complex renal calculi assisted by 5G remote ultrasound robot
杨晓伟 1张前进 1赵先诚 1杨雪建 1陈猛1
作者信息
- 1. 江苏省人民医院宿迁医院泌尿外科,江苏 宿迁,223800
- 折叠
摘要
Abstract
Objective:To explore the efficacy and safety of 5G remote ultrasound robot-assisted precise percutaneous nephro-lithotomy in the treatment of complex renal calculi.Methods:A retrospective analysis was performed on the clinical data of 64 patients with complex renal calculi admitted from Oct.2023 to Mar.2025.All surgeries were performed with the assistance of 5G remote ultra-sound robot to complete precise percutaneous nephrostomy for establishing surgical operation channels,followed by holmium laser litho-tripsy and calculi extraction.The operation time,number of punctures,channel establishment time,intraoperative blood loss,calculi clearance rate,postoperative complications,and intraoperative 5G network operation status were summarized and analyzed.Results:All 64 surgeries were successfully completed.The average operation time was(86.3±15.8)min,with an average of(1.9±0.5)punctures per case.The channel establishment time was(12.0±5.5)min,and the intraoperative hemoglobin decrease was(11.4±2.1)g/L.Du-ring the operation,the maximum network delay was72.5 ms,the data packet loss rate was3.1%,and no events such as network inter-ruption or data leakage occurred.The calculi clearance rates on the first postoperative day and one month postoperatively were 84.4%and 90.6%,respectively.Postoperative bleeding occurred in 6 cases(9.4%),including 4 cases of mild bleeding which stopped after conservative treatment,and 2 cases of moderate bleeding which were effectively controlled by selective renal artery embolization;infec-tion occurred in 3 cases(4.7%),and the body temperature returned to normal after anti-infection treatment with sensitive antibiotics.No severe complications such as adjacent organ injury or urinary fistula occurred.Conclusions:The 5G remote ultrasound robot-assisted precise percutaneous nephrolithotomy provides a safe and effective new method for primary-level hospitals in the treatment of complex renal calculi,realizes the sinking of high-quality medical resources,and has clinical promotion value.关键词
复杂性肾结石/经皮肾镜取石术/远程超声机器人/第5代移动通信技术Key words
Complex renal calculi/Percutaneous nephrolithotomy/Remote ultrasound robot/5th generation mobile communi-cation technology分类
医药卫生引用本文复制引用
杨晓伟,张前进,赵先诚,杨雪建,陈猛..5G远程超声机器人辅助下精准经皮肾穿刺治疗复杂性肾结石的临床研究[J].腹腔镜外科杂志,2026,31(3):202-205,215,5.
