Animal experimental study of 5G remote robot-assisted thoracoscopic lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TIAN Yu , HUANG Jia , LI Jiantao , JIANG Long , ZHU Hongda ,  LUO Qingquan

Department of Oncology Surgery, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, P. R. China;

Corresponding?author：

LUO Qingquan, Email: luoqingquan@hotmail.com

Keywords：

Telesurgery; robot-assisted surgery; 5G technology; lobectomy; animal experiment

DOI：

10.7507/1007-4848.202303058

Video：

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Abstract Full text Figures/Tables Video References Cited by

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 Copy

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1. Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted telesurgery. Nature, 2001, 413(6854): 379-380.
2. 劉榮, 趙國棟, 孫玉寧, 等. 5G遠程機器人手術動物實驗研究. 中華腔鏡外科雜志(電子版), 2019, 12(1): 45-48.
3. 我國成功完成世界首例5G遠程操控顱腦手術. 微創醫學, 2019, 14(4): 402.
4. 世界首例多點協同5G遠程多學科機器人手術試驗成功. 信息系統工程, 2019, 9: 2.
5. 周翔, 王家寅, 朱祥, 等. 超遠程5G機器人輔助腹腔鏡下精索靜脈高位結扎術2例報道及文獻復習. 中華男科學雜志, 2022, 28(8): 696-701.
6. 田東旭, 牛海濤. 遠程手術的發展歷史及現狀. 機器人外科學雜志(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.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Animal experimental study of 5G remote robot-assisted thoracoscopic lobectomy

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