本研究报道了世界首例 5G 远程图迈 ® 腔镜手术机器人辅助腹腔镜下胃癌根治术，该手术于 2023 年 5 月 19 日在甘肃省人民医院普外科完成。手术采用本中心创新的“3+2”模式机器人辅助胃癌根治术，并遵循“程 序化胃癌手术七步法”进行了淋巴结的清扫。手术过程顺利，总手术时间为 250 min，主从控制时间为 190 min，术 中出血约 50 mL。术后麻醉恢复后，患者拔除气管插管后返回病房，术后 10 d 病情稳定好转并成功出院。本次远程 机器人辅助胃癌根治术是人体肿瘤手术的首次尝试，初步验证了 5G 远程国产机器人手术技术可行。远程手术的应 用有助于医疗资源下沉，将有效解决目前医疗资源供需不平衡现象，缩小地域诊疗差距，对于降低医疗开支、减轻 患者的医疗负担有十分重要的意义。

The first case of 5G remote laparoscopic radical gastrectomy for distal gastric cancer assisted by Toumai® Laparoscopic Surgical Robot in the world was reported in this paper, which was completed on May 19, 2023 in Gansu Provincial Hospital. The robotassisted radical gastrectomy was performed using our center’s innovative“3+2”mode, and the lymph node dissection was carried out in accordance with the programmed seven-step method in laparoscopic radical gastrectomy for distal gastric cancer. The surgery went smoothly, with a total operative time of 250 minutes, a master-slave control time of 190 minutes, and intraoperative bleeding of approximately 50 mL. After a satisfactory recovery from anaesthesia, the patient was extubated and returned to the ward, and discharged from hospital 10 days after surgery in a stable condition. This remote radical gastrectomy for distal gastric cancer is the first attempt in human, and the results verified that 5G remote domestic robot-assisted surgery is safe and feasible. The application of remote surgery contributes to the sinking of medical resources, will effectively solve the imbalance between supply and demand of medical resources, narrow the diagnosis and treatment gap between different regions, which is of great significance for reducing medical expenses and the medical burden of patients.

基金项目：甘肃省自然科学基金（22JR85RA663，20JR10RA378）；甘肃省科技计划（联合科研基金）项目（24JRRA885）； 甘肃省人民医院院内科研基金项目（21GSSYB-5） 

Foundation Item: Natural Science Foundation of Gansu Province (22JR85RA663, 20JR10RA378); Science and Technology Plan  (Joint Resea Fund) Project of Gansu Province (24JRRA885); Scientific Research Funding Project of Gansu Provincial Hospital  (21GSSYB-5) 

通讯作者：马云涛，Email：3575515665@qq.com；王晓鹏，Email：wxpjm78@163.com 

Corresponding Author: MA Yuntao, Email: 3575515665@qq.com; WANG Xiaopeng, Email: wxpjm78@163.com 

引用格式：詹渭鹏，马于祺，狐鸣，等 .5G 远程机器人辅助远端胃癌根治术一例报道（附手术视频）[J]. 机器人外科学杂志（中英 文），2025，6（1）：18-23.  

Citation: ZHAN W P, MA Y Q, HU M, et al. 5G remote robot-assisted radical gastrectomy for distal gastric cancer: a case report  (with surgical video)[J]. Chinese Journal of Robotic Surgery, 2025, 6(1): 18-23. 

注：詹渭鹏，马于祺为共同第一作者 

Co-first author: ZHAN Weipeng, MA Yuqi

[1] 刘宗超 , 李哲轩 , 张阳 , 等 . 2020 全球癌症统计报告解读 [J]. 肿 瘤综合治疗电子杂志 , 2021, 7(2): 1-14. 

[2] Ticonosco M, Pissavini A, Collà Ruvolo C, et al. From simulation to surgery, advancements and challenges in robotic training for radical prostatectomy: a narrative review [J]. Chinese clinical oncology, 2024, 13(4): 55-67. 

[3] 武玉多 , 蔡月日 , 翟羿 , 等 . 5G+ 人工智能在外科手术过程中的 应用探讨 [J]. 中国数字医学 , 2022, 17(6): 6-9. 

[4] Pandav K, Te A G, Tomer N, et al. Leveraging 5G technology for robotic surgery and cancer care [J]. Cancer Reports, 2022, 5(8): e1595-e1607.

[5] Moustris G, Tzafestas C, Konstantinidis K. A long distance telesurgical demonstration on robotic surgery phantoms over 5G [J]. Int J Comput Assist Radiol Surg, 2023, 18(9): 1577-1587. 

[6] YANG X C, WANG Y H, JIAO W, et al. Application of 5G technology to conduct tele-surgical robot-assisted laparoscopic radical cystectomy [J]. Int J Med Robot, 2022, 18(4): e2412-e2424. 

[7] 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. 

[8] Mammas C S, Mamma A S. Remote monitoring, AI, machine learning and mobile ultrasound integration upon 5G internet in the prehospital care to support the golden hour principle and optimize outcomes in severe trauma and emergency surgery [J]. Stud Health Technol Inform, 2024. DOI: 10.3233/SHTI240782. 

[9] 邵丹 , 陈立鑫 , 王艳霞 , 等 . 四级医疗机构联动体系下 5G+ 区 域急救指挥中心提升内蒙古东部地区急危重症患者救治能力的 应用研究 [C]//《中国医院管理》杂志 . 第 13 届中国医院院长 大会首届中国医院管理创新与实践优秀案例集 . 兴安盟人民医 院 , 2024.DOI: 10.26914/c.cnkihy.2024.025517. 

[10] 张其杰 , 杨杰 , 阿衣努尔·买买提力 , 等 . 5G 远程超声检查在 网络远程会诊及边远牧区义诊中的应用探索 [J]. 临床超声医学 杂志 , 2023, 25(2): 85-89. 

[11] 狐鸣 , 马雕龙 , 张文涛 , 等 . 机器人“3+2”模式胃肠手术 Trocar 布置方法的总结与实践 [J]. 中华普通外科杂志 , 2023, 38(8): 589-594. 

[12] 黄显斌 , 狐鸣 , 蔡辉 , 等 . 程序化达芬奇机器人“3+2”模式“七 步法”远端胃癌根治术 [J]. 中国肿瘤临床 , 2022, 49(3): 124-128. 

[13] Jacques M, Joel L, Francesco R, et al. Transcontinental robotassisted remote telesurgery: feasibility and potential applications [J]. Annals of Surgery, 2002, 235(4): 487-492. 

[14] 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. 

[15] 宗睿 , 徐欣 , 毛之奇 , 等 . 5G 通讯远程操控脑深部电刺激术 治疗颅脑疾病的初步研究 [J]. 中华神经外科杂志 , 2019, (12): 1200-1204. 

[16] 田伟 , 张琦 , 李祖昌 , 等 . 一站对多地 5G 远程控制骨科机器人 手术的临床应用 [J]. 骨科临床与研究杂志 , 2019, 4(6): 349-354. 

[17] 周翔 , 王家寅 , 朱祥 , 等 . 超远程 5G 机器人辅助腹腔镜下精 索静脉高位结扎术 2 例报道及文献复习 [J]. 中华男科学杂志 , 2022, 28(8): 696-701. 

[18] Qureshi H N, Manalastas M, Ijaz A, et al. Communication requirements in 5G-enabled healthcare applications: review and considerations [J]. Healthcare, 2022, 10(2): 293-326. 

[19] Dananjayan S, Raj G M. 5G in healthcare: how fast will be the transformation? [J]. Irish Journal of Medical Science, 2021, 190(2): 497-501. 

[20] TIAN W. Exploration and prospect of 5G application in telemedicine[J]. Zhonghua Wai Ke Za Zhi, 2020, 58(1): 1-4. 

[21] Lacy A M, Bravo R, Otero-Piñeiro A M, et al. 5G-assisted telementored surgery [J]. The British Journal of Surgery, 2019, 106(12): 1576-1579. 

[22] Devi D H, Duraisamy K, Armghan A, et al. 5G Technology in healthcare and wearable devices: a review [J]. Sensors, 2023, 23(5): 2519-1540.