5G远程机器人辅助单孔腹腔镜妇科手术1例应用实践  

5G robot⁃assisted single⁃port laparoscopic gynecological telesurgery:a case report

作　　者：孙昊 党建红 李月明 郭玉峰 黎成 王婷婷 蒋敬琦 刘晓军 Sun Hao;Dang Jianhong;Li Yueming;Guo Yufeng;Li Cheng;Wang Tingting;Jiang Jingqi;Liu Xiaojun(Department of Gynecology and Obstetrics,The Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China)

机构地区：[1]海军军医大学第二附属医院妇产科,上海200003 [2]海军军医大学第二附属医院医务处,上海200003 [3]东部战区海军医院院部 [4]东部战区海军医院妇产科

出　　处：《海军医学杂志》2025年第3期268-272,共5页Journal of Navy Medicine

基　　金：院级军事医学科研专项(2019CZJS108)。

摘　　要：随着5G通信技术的普及和机器人手术系统的不断升级,远程手术技术发展迅猛,但应用该技术进行单孔腹腔镜妇科手术的相关报道尚少。2024年4月19日,位于上海的海军军医大学第二附属医院的妇产科手术团队采用国产康多机器人手术系统,通过5G通信技术,成功为位于浙江舟山的东部战区海军医院患者实施了机器人辅助单孔腹腔镜下双侧附件切除术,手术顺利完成,操作总时长90 min,术中出血20 ml,未发生术中并发症,术中未出现机器人系统故障、器械故障等由机器人导致的不良事件,未出现因网络中断、网络被攻击等由远程通信问题导致的不良事件。术中用户数据报协议(UDP)实时监测数据显示,延时105~111 ms,平均延时108 ms,丢包率为0.04%。术者仅在操作幅度过大时有轻微延迟感,无明显卡顿,未影响手术整体进程。患者术后第1天即可下地活动,并拔除导尿管,肠道功能恢复,未发生术后并发症,术后第2天出院。术后病理提示,左侧输卵管卵巢:浆液性囊腺纤维瘤,送检为卵巢及输卵管组织;右侧输卵管卵巢:送检为卵巢及输卵管组织。患者术后1个月复查,无不适主诉,脐部切口愈合良好。本例手术是远程手术技术在妇科领域的创新性尝试,为日后该技术的进一步发展提供重要经验。With the popularization of 5G communication technology and the continuous upgrade of robot-assisted surgery system,telesurgery has developed rapidly.However,there are few of reports about this technique in single-port laparoscopic gynecological surgery.On April 19,2024,the surgeons at the Second Affiliated Hospital of Naval Medical University in Shanghai successfully implemented robot-assisted single-port laparoscopic bilateral adnexectomy for a patient who was admitted to the Naval Hospital of the Eastern Theater Command in Zhoushan,Zhejiang Province through 5G communication technology.The operation time was 90 min,intraoperative bleeding was 20 ml,and no intraoperative complications occurred.There were no adverse events caused by robots such as robot system failure and instrument failure,or adverse events caused by remote communication such as network interruption and network attack.Intraoperative user datagram protocol(UDP)real-time monitoring data showed an average delay of 108 ms(range,105-111 ms)and a packet loss rate of 0.04%.The surgeons had a slight sense of delay when the operation amplitude was too large.There was no obvious stalling which affected the process of the operation.The patient was able to move around on the first day after surgery,and the catheter was removed.No postoperative complications occurred.The patient was discharged from the hospital on the second day after surgery.Postoperative pathological results revealed left fallopian tube ovarian serous cystadenofibroma,fallopian tubal tissue;right fallopian tube ovarian,sent for examination as ovarian and fallopian tube tissue.There were no complaints of discomfort during reexamination one month after surgery,and the umbilical incision healed well.This case is an attempt of telesurgery in the field of gynecology,and provides experiences for the further development of this technique.

关 键 词：远程手术 机器人手术 单孔 妇科微创手术 

分 类 号：R713[医药卫生—妇产科学]