5G remote robot-assisted thoracoscopic lobectomy/segmentectomy for ten patients_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SHEN Fan ¹ , HUANG Jia ¹ , TIAN Yu ¹ , PAN Hanbo ¹ , LI Jiantao ¹ , JIANG Long ¹ , GUO Hong ² , YU Bentong ³ ,  LUO Qingquan ¹

1. Department of Oncologic Surgery of Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, P. R. China;
2. Department of Thoracic Surgery of Affiliated Hospital of Yangzhou University, Yangzhou, 225000, Jiangshu, P. R. China;
3. Department of Thoracic Surgery of the First Affiliated Hospital of Nanchang University, Nanchang, 330006, P. R. China;

Corresponding?author：

LUO Qingquan, Email: luoqingquan@hotmail.com

Keywords：

Telesurgery; robot-assisted surgery; lobectomy/segmentectomy; perioperative outcome

DOI：

10.7507/1007-4848.202512106

Video：

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Objective To explore the safety and feasibility of 5G remote robot-assisted thoracoscopic anatomic lobectomy and segmentectomy. Methods A retrospective analysis was conducted on patients who underwent 5G remote robot-assisted thoracoscopic anatomic lobectomy or segmentectomy between July and September 2024. The surgeries were performed collaboratively by Shanghai Chest Hospital, Affiliated Hospital of Yangzhou University, and The First Affiliated Hospital of Nanchang University. Perioperative outcomes were recorded and analyzed. Results Ten patients were included, comprising 4 anatomic lobectomies and 6 segmentectomies. The median age was 61.0 (56.0, 72.0) years. The median intraoperative bi-directional network latency was 52.5 (39.0, 54.0) ms. There were no instances of network interruption, robot-related adverse events, or conversions to open thoracotomy. The median postoperative chest tube drainage volume was 500.0 (375.0, 600.0) mL, and the median hospital stay was 5.5 (4.0, 6.0) days. No complications of Clavien-Dindo grade Ⅱor higher occurred. All patients were recurrence-free and alive during the 6-month postoperative follow-up period. Conclusion 5G remote robot-assisted thoracoscopic surgery demonstrates high safety and operational stability. This technology shows promising potential for clinical application and warrants further development and utilization.

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10.	田禹, 黃佳, 李劍濤, 等. 5G遠程機器人輔助胸腔鏡下肺葉切除術的動物實驗研究. 中國胸心血管外科臨床雜志, 2023, 30(8): 1112-1115.Tian Y, Huang J, Li JT, et al. Animal experimental study on 5G remote robot-assisted thoracoscopic lobectomy. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(8): 1112-1115.
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15.	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(R) simulator. Surg Endosc, 2014, 28(9): 2569-2576.
16.	岳家斌, 邰勝, 梁朝朝. 機器人遠程手術的現狀與未來. 安徽醫科大學學報, 2026, 61(1): 3-8.Yue JB, Tai S, Liang CC. Current status and future of telerobotic surgery. J Anhui Med Univ, 2026, 61(1): 3-8.

1. 李重武, 黃佳, 李劍濤, 等. 連續1000例機器人輔助胸腔鏡肺部手術回顧性分析. 中國胸心血管外科臨床雜志, 2019, 26(1): 42-47.Li CW, Huang J, Li JT, et al. Retrospective analysis of 1, 000 consecutive robot-assisted thoracoscopic pulmonary surgeries. Chin J Clin Thorac Cardiovasc Surg, 2019, 26(1): 42-47.
2. Zeng L, He T, Hu J. Minimally invasive thoracic surgery: robot-assisted versus video-assisted thoracoscopic surgery. Wideochir Inne Tech Maloinwazyjne, 2023, 18(3): 436-444.
3. Wu H, Jin R, Yang S, et al. Long-term and short-term outcomes of robot- versus video-assisted anatomic lung resection in lung cancer: a systematic review and meta-analysis. Eur J Cardiothorac Surg, 2021, 59(4): 732-740.
4. Chao YK, Li Z, Jiang H, et al. Multicentre randomized clinical trial on robot-assisted versus video-assisted thoracoscopic oesophagectomy (REVATE trial). Br J Surg, 2024, 111(7): znae143.
5. Heemeyer F, Boehler Q, Kim M, et al. Telesurgery and the importance of context. Sci Robot, 2025, 10(99): eadq0192.
6. Reddy SK, Saikali S, Gamal A, et al. Telesurgery: a systematic literature review and future directions. Ann Surg, 2025, 282(2): 219-227.
7. 吳小鳳, 陳麗茹, 馮鈺, 等. 超遠程國產單孔機器人輔助腹腔鏡腎囊腫去頂減壓術1例報告. 海軍軍醫大學學報, 2025, 46(11): 1510-1513.Wu XF, Chen LR, Feng Y, et al. Ultra-long-distance domestic single-port robot-assisted laparoscopic renal cyst decortication: a case report. Acad J Nav Med Univ, 2025, 46(11): 1510-1513.
8. 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): 481.World's first 5G remote-controlled cranial surgery successfully completed in China. J Minim Invasive Med, 2019, 14(4): 481.
9. 王曉鵬, 王艷, 馬云濤, 等. 5G遠程機器人輔助袖狀胃切除術首例報道. 中國微創外科雜志, 2025, 25(1): 46-51.Wang XP, Wang Y, Ma YT, et al. First report of 5G remote robot-assisted sleeve gastrectomy. Chin J Minim Invasive Surg, 2025, 25(1): 46-51.
10. 田禹, 黃佳, 李劍濤, 等. 5G遠程機器人輔助胸腔鏡下肺葉切除術的動物實驗研究. 中國胸心血管外科臨床雜志, 2023, 30(8): 1112-1115.Tian Y, Huang J, Li JT, et al. Animal experimental study on 5G remote robot-assisted thoracoscopic lobectomy. Chin J Clin Thorac Cardiovasc Surg, 2023, 30(8): 1112-1115.
11. Xie X, Tian Y, Huang J, et al. Surgery without distance: will 5G-based robot-assisted telesurgery redefine modern surgery? Transl Lung Cancer Res, 2025, 14(5): 1821-1829.
12. 左莊, 唐旭, 陳文龍, 等. 5G遠程機器人輔助胸腔鏡手術五例. 中國胸心血管外科臨床雜志, 2025, 32(5): 594-597.Zuo Z, Tang X, Chen WL, et al. Five cases of 5G remote robot-assisted thoracoscopic surgery. Chin J Clin Thorac Cardiovasc Surg, 2025, 32(5): 594-597.
13. Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted telesurgery. Nature, 2001, 413(6854): 379-380.
14. Tian Y, Lv H, Jumai A, et al. Ultra-remote robot-assisted right upper lobectomy between the Shanghai and Kashi Prefectures: a case report. J Thorac Dis, 2024, 16(12): 8823-8830.
15. 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(R) simulator. Surg Endosc, 2014, 28(9): 2569-2576.
16. 岳家斌, 邰勝, 梁朝朝. 機器人遠程手術的現狀與未來. 安徽醫科大學學報, 2026, 61(1): 3-8.Yue JB, Tai S, Liang CC. Current status and future of telerobotic surgery. J Anhui Med Univ, 2026, 61(1): 3-8.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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