文献类型：期刊文献

中文题名：5G远程机器人辅助外科手术的临床结局、当前挑战与未来展望

英文题名：5G-enabled remote robot-assisted thoracic surgery:Clinical outcomes,current challenges,and future perspectives

作者：陈文龙[1];羊基用[1];刘亚玲[1];左庄[1];阙昌浩[1];窦丽[2];苟云久[1,2]

第一作者：陈文龙

机构：[1]甘肃中医药大学第一临床医学院,兰州730000;[2]甘肃省人民医院胸外诊疗中心,兰州730000

第一机构：甘肃中医药大学临床医学院

年份：2026

卷号：33

期号：5

起止页码：698

中文期刊名：中国胸心血管外科临床杂志

外文期刊名：Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

收录：;北大核心:【北大核心2023】；

基金：甘肃省科技厅社会发展领域-重点研发计划(科技重大专项/民生科技专项)(22YF7FA095)。

语种：中文

中文关键词：5G;机器人辅助;远程手术;胸外科;疗效;安全性

外文关键词：5G;robot-assisted surgery;remote surgery;thoracic surgery;therapeutic efficacy;safety

摘要：随着5G通信技术与机器人手术系统的融合,远程机器人手术正突破地理限制,为解决外科领域医疗资源不均提供了创新方案。胸外科因其手术操作的复杂性与精准度要求,成为验证此项技术可行性的前沿领域。本研究通过系统性文献检索(数据库包括PubMed、CNKI等,时间截至2025年),纳入临床研究、案例报告及综述类文献,对5G远程机器人辅助胸外科手术(5G-enabled remote robot-assisted thoracic surgery,5G-RRATS)的临床效果与安全性进行综述评估,同时也探讨了当前面临的技术瓶颈与未来可能的发展方向。从现有数据来看,在技术条件保障充分的情况下,5G-RRATS在肺部楔形切除、肺叶切除、食管手术等多种术式中,已经能够取得与本地机器人手术相似的围手术期结果,并且在缩小手术切口、减少术中出血等方面,还显示出一定的潜在优势。然而,网络通信的稳定性、延迟控制、医工团队的协同模式以及法律法规与伦理问题,仍是制约其广泛应用的挑战。展望未来,随着“一对多”远程手术模式的尝试、人工智能与增强现实技术的融入,以及低轨卫星通信等新技术的加持,以胸外科为代表的实践经验表明,5G远程机器人手术有望推动外科诊疗模式的革新,助力优质医疗资源的高效、公平配置。
With the integration of 5G communication technology and robotic surgical systems,remote robotassisted thoracic surgery is overcoming geographical barriers,offering an innovative approach to addressing the uneven distribution of medical resources.This study conducted a systematic literature review—using databases such as PubMed and CNKI,with the search period extending up to 2025—incorporating clinical studies,case reports,and review articles to comprehensively evaluate the clinical efficacy and safety of 5G-enabled remote robot-assisted thoracic surgery(5GRRATS).The analysis also examined current technological limitations and potential future development trajectories.Existing evidence indicates that,given adequate technical support,5G-RRATS can achieve perioperative outcomes comparable to those of conventional local robotic surgeries across procedures including pulmonary wedge resection,lobectomy,and esophagectomy.Furthermore,it demonstrates potential advantages in minimizing surgical incisions and reducing intraoperative blood loss.Nevertheless,challenges related to network stability,latency control,interdisciplinary collaboration between medical and engineering teams,and legal,regulatory,and ethical considerations continue to hinder widespread clinical adoption.Looking ahead,the emergence of a"one-to-many"remote surgical model,combined with the integration of artificial intelligence and augmented reality technologies,as well as advancements in low-orbit satellite communications,may enable 5G-RRATS to further advance precision and efficiency in thoracic surgery,thereby facilitating equitable access to high-quality care for a broader patient population.