Evidence map›Paper›PMID 32700149›Full record

ArticleSurgical endoscopy2020

5G ultra-remote robot-assisted laparoscopic surgery in China.

Jilu Zheng, Yonghua Wang, Jian Zhang, Weidong Guo, Xuecheng Yang, Lei Luo, Wei Jiao, Xiao Hu, Zongyi Yu, Chen Wang and 9 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04670692 (Feasibility of Remote Magnetically Controlled Capsule Endoscopy for Upper Gastrointestinal Tract Examination Under Five-generation Network), which is not on this map. Cited by 81 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 6 pooled it
32.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04670692 nacompletednot on this map

Feasibility of Remote Magnetically Controlled Capsule Endoscopy for Upper Gastrointestinal Tract Examination Under Five-generation Network: a Prospective, Open-label, Pilot Trial

TypeinterventionalSponsorChanghai HospitalRan2020 to 2021Enrolled40ConditionsGastrointestinal DiseaseArms5G-MCE examination, MCE examination
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 6 syntheses or guidelines pooled it, 242 citations in OpenAlex.

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  5. Robotic surgery in emergency setting: 2021 WSES position paper.World journal of emergency surgery : WJES · 2022
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  6. Feasibility and Initial Outcomes of Telesurgery in Urology: a Systematic Review of the Literature.International braz j urol : official journal of the Brazilian Society of Urology
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Jilu ZhengDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Yonghua WangDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Jian ZhangDepartment of General Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Weidong GuoDepartment of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Xuecheng YangDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Lei LuoDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Wei JiaoDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Xiao HuDepartment of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Zongyi YuDepartment of Information Management, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Chen WangThe Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Ling ZhuQingdao Hisense Medical Equipment Corporation, Ltd, No. 399, Songling Road, Laoshan District, Qingdao, 266000, China.
Ziyi YangDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Mingxin ZhangDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Fei XieDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Yuefeng JiaDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Bin LiDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China.
Zhiqiang LiThe Affiliated Hospital of Qingdao University, The Biomedical Sciences Institute of Qingdao University (Qingdao Branch of SJTU Bio-X Institutes), Qingdao University, Qingdao, 266003, China.
Qian DongDepartment of Pediatric Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Haitao NiuDepartment of Urology, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266000, China. niuht0532@126.com.
Affiliated Hospital of Qingdao University · CNQingdao University · CNHisense (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background5G communication technology has been applied to several fields in telemedicine, but its effectiveness, safety, and stability in remote laparoscopic telesurgery have not been established. Here, we conducted four ultra-remote laparoscopic surgeries on a swine model under the 5G network. The aim of the study was to investigate the effectiveness, safety, and stability of the 5G network in remote laparoscopic telesurgery.

methodsFour ultra-remote laparoscopic surgeries (network communication distance of nearly 3000 km), including left nephrectomy, partial hepatectomy, cholecystectomy, and cystectomy, were performed on a swine model with a 5G wireless network connection using a domestically produced "MicroHand" surgical robot. The average network delay, operative time, blood loss, and intraoperative complications were recorded.

resultsFour laparoscopic telesurgeries were safely performed through a 5G network, with an average network delay of 264 ms (including a mean round-trip transporting delay of 114 ms and a 1.20% data packet loss ratio). The total operation time was 2 h. The total blood loss was 25 ml, and no complications occurred during the procedures.

conclusionsUltra-remote laparoscopic surgery can be performed safely and smoothly with 5G wireless network connection using domestically produced equipment. More importantly, our model can provide insights for promoting the future development of telesurgery, especially in areas where Internet cables are difficult to lay or cannot be laid.

Indexed as

AnimalsBlood Loss, SurgicalChinaCholecystectomyCystectomyDisease Models, AnimalHepatectomyIntraoperative ComplicationsLaparoscopyNephrectomyRoboticsRobotic Surgical ProceduresSwineTelemedicineTreatment OutcomeWireless Technology5G networkComputer assisted surgeryNetwork delayRobotTelesurgery

Identifiers

PMID32700149
OpenAlexW3045472765

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.