近年来,我国医疗服务体系和医疗卫生基础设施持续完善,卫生与健康事业取得了显著进展。然而,医疗资 源总量不足、区域分布不均及优质资源短缺等问题依然突出。为解决这些问题,国家相关部门联合出台了一系列政策, 其中“双中心”建设在改善医疗服务集中化和优化资源配置方面发挥了重要作用。与此同时,5G 通信技术和机器人 手术系统等高端技术的迅猛发展,为远程机器人手术的实施提供了技术支持,并为“双中心”建设提供了新的技术 手段。然而,5G 远程机器人手术仍面临技术、基础设施、伦理和法律法规等诸多挑战。本研究从 5G 远程机器人外 科的技术原理、应用现状等方面出发,探讨其在“双中心”建设中的发展机遇与挑战,并提出未来发展策略,以期 为我国远程医疗服务的推广和深化“双中心”建设提供参考。
In recent years, with the constant improvement of medical service system and healthcare infrastructures in China, significant progress has been made in the healthcare industry. However, problems such as insufficient and uneven distribution of medical resources across regions, and shortage of high-quality resources remain prominent. To address these issues, relevant departments have jointly introduced a series of policies, with the construction of double centers playing an important role in improving medical services centralization and optimizing resource allocation. Meanwhile, the rapid development of 5G network technology and robotic surgical system have provided technical support for the implementation of remote robotic surgery and new surgical techniques for double-center construction. However, the clinical application of 5G remote robotic surgery still faces many challenges in terms of high-end technology, infrastructures, ethics, and regulations. The technical principles and current status of 5G remote robotic surgery were introduced in this paper to explore the development opportunities and challenges in doublecenter construction, and to put forward future development strategies, with the purpose of providing reference for the promotion of remote medical services and deepening double-center construction in China.
基金项目:甘肃省科技计划(联合科研基金)项目(24JRRA885);甘肃省自然科学基金(22JR85RA663)
Foundation Item: Science and Technology Plan (Joint Research Fund) Project of Gansu Province (24JRRA885) ; Natural Science Foundation of Gansu Province (22JR85RA663)
通讯作者:马云涛,Email:3575515665@qq.com
Corresponding Author: MA Yuntao, Email: 3575515665@qq.com
引用格式:郭成旺,张铭泽,郭玺,等 .“双中心”背景下 5G 远程机器人外科的发展机遇与挑战 [J]. 机器人外科学杂志(中英文), 2025,6(1):6-11.
Citation: GUO C W, ZHANG M Z, GUO X, et al. Development opportunities and challenges of 5G remote robot-assisted surgery in the context of double-center construction[J]. Chinese Journal of Robotic Surgery, 2025, 6(1): 6-11.
[1] 国家卫生计生委关于印发《“十三五”国家医学中心及国家区 域医疗中心设置规划》[J]. 中华人民共和国国家卫生和计划生 育委员会公报 , 2017, (1): 6-11.
[2] 国家卫健委办公厅印发《国家医学中心和国家区域医疗中心设 置实施方案》[J]. 中国医院建筑与装备 , 2019, (3): 16.
[3] 《国家医学中心管理办法 ( 试行 )》和《国家区域医疗中心管 理办法 ( 试行 )》政策解读 [J]. 中国职业医学 , 2023, 50(1): 52.
[4] 田伟 . 5G 技术应用于远程医疗的探索与展望 [J]. 中华外科杂志 , 2020, 58(1): 1-4.
[5] 梁霄 , 蔡秀军 . 5G 远程医疗机器人手术的现状和展望 [J]. 中华 消化外科杂志 , 2024, 23(4): 554-560.
[6] 田文 , 姚京 , 王冰 , 等 . 5G 远程手术机器人辅助甲状腺癌根治术 初步研究 [J]. 中国实用外科杂志 , 2024, 44(9): 1075-1077, 1080.
[7] 朱仕银 , 杨坚 , 孔磊 . 5G 确定性网络关键技术研究和应用 [J]. 电信科学 , 2024, 40(8): 172-182.
[8] Zender J, Thell C. Developing a successful robotic surgery program in a rural hospital[J]. Aorn J, 2010, 92(1): 72-83, quiz 84-86.
[9] FAN G X, ZHOU Z, ZHANG H L, et al. Global scientific production of robotic surgery in medicine: a 20-year survey of research activities[J]. Int J Surg, 2016. DOI: 10.1016/j.ijsu.2016.04.048.
[10] Acemoglu A, Peretti G, Trimarchi M, et al. Operating from a distance: robotic vocal cord 5G telesurgery on a cadaver[J]. Annals of Internal Medicine, 2020, 173(11): 940-941.
[11] Marescaux J, Leroy J, Rubino F, et al. Transcontinental robotassisted remote telesurgery: feasibility and potential applications[J]. Ann Surg, 2002, 235(4): 487-492.
[12] Pandav K, Te A G, Tomer N, et al. Leveraging 5G technology for robotic surgery and cancer care[J]. Cancer Rep (Hoboken), 2022, 5(8): e1595.
[13] Acemoglu A, Peretti G, Trimarchi M, et al. Operating from a distance: robotic vocal cord 5G telesurgery on a cadaver[J]. Ann Intern Med, 2020, 173(11): 940-941.
[14] Ebihara Y, Hirano S, Kurashima Y, et al. Tele-robotic distal gastrectomy with lymph node dissection on a cadaver[J]. Asian J Endosc Surg, 2024, 17(1): e13246.
[15] 谭伦 .我国 5G基站数突破 270亿应用进入规模化发展新阶段 [N]. 中国经营报 , 2023-05-29(C01).
[16] ZHENG J L, WANG Y H, ZHANG J, et al. 5G ultra-remote robotassisted laparoscopic surgery in China[J]. Surgical Endoscopy, 2020, 34(11): 5172-5180.
[17] 刘志学 . 我国完成首例机器人辅助远程微创胆囊切除手术动物 实验 [J]. 中国医药导报 , 2015, 12(27): 170.
[18] 刘荣 , 赵国栋 , 孙玉宁 , 等 . 5G远程机器人手术动物实验研究[J]. 中华腔镜外科杂志 ( 电子版 ), 2019, 12(1): 45-48.
[19] 王军强 , 赵春鹏 , 胡磊 , 等 . 远程外科机器人辅助胫骨髓内钉内 固定系统的初步应用 [J]. 中华骨科杂志 , 2006, (10): 682-686.
[20] 陈小叶 . 顺利完成世界首例 5G 远程操控颅脑手术 [J]. 中华医 学信息导报 , 2019, 34(6): 12.
[21] 佚名 . 我国 5G 超远程机器人人体肝胆手术在“浙”实现零的 突破 [J]. 今日科技 , 2023, (3): 59.