Pioneering case: Robot-assisted remote radical distal gastrectomy for gastric cancer based on 5G communication technology

Honghai Guo; Yuan Tian; Jia Shi; Peigang Yang; Jiaxuan Yang; Pingan Ding; Xuefeng Zhao; Zhidong Zhang; Qun Zhao

Intelligent Surgery (Jan 2024)

Pioneering case: Robot-assisted remote radical distal gastrectomy for gastric cancer based on 5G communication technology

Honghai Guo,
Yuan Tian,
Jia Shi,
Peigang Yang,
Jiaxuan Yang,
Pingan Ding,
Xuefeng Zhao,
Zhidong Zhang,
Qun Zhao

Affiliations

Honghai Guo: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Yuan Tian: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Jia Shi: Department of Academic Research, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, 250014, China
Peigang Yang: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Jiaxuan Yang: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Pingan Ding: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Xuefeng Zhao: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Zhidong Zhang: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China
Qun Zhao: The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China; Hebei Provincial Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang, Hebei, 050011, China; Big Data Analysis and Mining Application for Accurate Diagnosis and Treatment of Gastric Cancer Hebei Provincial Engineering Research Center, Shijiazhuang, Hebei, 050011, China; Corresponding author. The Third Department of Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050011, China.

Journal volume & issue: Vol. 7
pp. 22 – 26

Abstract

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Background: The aim of this study is to describe technical considerations and short-term outcomes of the first officially published robot-assisted remote radical distal gastrectomy for gastric cancer with 5G technology. Methods: A 51-year-old gastric cancer patient with clinical stage T2N0M0 underwent 5G-enabled robot-assisted remote radical distal gastrectomy on September 11, 2023 at the Third Department of Surgery, the Fourth Hospital of Hebei Medical University. Results: The surgery procedure was successfully performed with an average total intraoperative delay of 225 ms, average round-trip delay of 30 ms and no packet loss rate. The operative time was 140 min and intraoperative blood loss was 20 ml. The patient was discharged on postoperative day 6 without any postoperative complications. Conclusion: This case has preliminarily verified the feasibility and safety of 5G-enabled robot-assisted remote radical distal gastrectomy for patients with gastric cancer. The initial study fills in the gaps in related fields and lays a solid foundation for subsequent research. To verify its superior operative outcomes, further clinical trials are needed.

Published in Intelligent Surgery

ISSN: 2666-6766 (Online)
Publisher: KeAi Communications Co., Ltd.
Country of publisher: China
LCC subjects: Medicine: Surgery
Website: https://www.keaipublishing.com/en/journals/intelligent-surgery/

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