文献类型：期刊文献

英文题名：Remote robotic surgery: a systematic review

作者：Liu, Yi[1];Ma, Zhiping[1];Liu, Pei[1];Zhu, Xiaowei[1];Zhao, Long[1];Xu, Zhengjie[1];Ma, Yuntao[2,3];Yang, Jing[1,2,3]

第一作者：刘艺

通信作者：Yang, J[1];Yang, J[2];Yang, J[3]

机构：[1]Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China;[2]Gansu Prov Peoples Hosp, Dept Gen Surg, Lanzhou 730000, Peoples R China;[3]Gansu Prov Hosp, NHC Key Lab Diag & Therapy Gastrointestinal Tumor, Lanzhou 30000, Peoples R China; Gansu Prov Hosp, Key Lab Mol Diagnost & Precis Med Surg Oncol Gansu, Lanzhou 30000, Peoples R China

第一机构：甘肃中医药大学

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Clin Med Coll 1, Lanzhou 730000, Peoples R China;[2]corresponding author), Gansu Prov Peoples Hosp, Dept Gen Surg, Lanzhou 730000, Peoples R China;[3]corresponding author), Gansu Prov Hosp, NHC Key Lab Diag & Therapy Gastrointestinal Tumor, Lanzhou 30000, Peoples R China.|[10735]甘肃中医药大学;

年份：2026

卷号：40

期号：4

起止页码：2782

外文期刊名：SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES

收录：;Scopus(收录号：2-s2.0-105033544445);WOS:【SCI-EXPANDED(收录号:WOS:001711254600001)】；

基金：Gansu Province Longyuan Talent Project.

语种：英文

外文关键词：Human; Remote; Robotic surgery; Systematic review

摘要：AimTo assess the clinical effectiveness, safety, technical feasibility, and challenges of remote robotic surgery in general surgery, gynecology, orthopedics, and urology, focusing on issues like communication technology, ethics, and cost.MethodsRelevant reports on remote robotic surgery were retrieved from databases such as PubMed, EMbase, Web of Science, Cochrane Library, VIP, CNKI, and Wanfang (2001-2025). Literature quality was evaluated using tools from the Joanna Briggs Institute (JBI).ResultsA total of 26 articles were included (13 in Chinese, 13 in English) covering general surgery, gynecology, orthopedics, urology, and thyroid surgery. The results showed that the average operation time was slightly longer than that of traditional methods (about 10-30 min), but the safety was good. Most studies had communications backup plans, such as backup networks or local physician take-overs, to deal with the risk of disruption. Tele-robotic surgery has a high success rate and accuracy with controllable network latency, showing the potential to expand access to medical resources, especially in remote areas. However, it still faces challenges such as network stability, equipment cost, operation accuracy, data privacy, and ethical issues. Most of the included studies reported successful cases, and there was a lack of in-depth analysis of failure cases or adverse outcomes of patients, which may have publication bias.ConclusionDespite challenges, remote robotic surgery shows promise in overcoming geographical and resource limitations. The quality of current evidence is low, with serious methodological limitations and reporting bias. The establishment of international mandatory registration systems, standardized safety protocols, and transnational collaboration networks are urgent to promote this field from "proof of concept" to "clinical practice". But, with continuous technological advancements, it is expected to play an increasingly significant role in global healthcare.