Evidence map›Paper›PMID 38148405›Full record

ArticleSurgical endoscopy2024

Telemedicine network latency management system in 5G telesurgery: a feasibility and effectiveness study.

Chengjun Li, Jilu Zheng, Xin Zhang, Lei Luo, Guangdi Chu, Jianchang Zhao, Zhao Zhang, Haiyun Wang, Fei Qin, Guanzhi Zhou and 9 more

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In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. [Ethical and Humanistic Reflections on the Use of Remote Robotic Laparoscopic Surgery in Gynecology].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. WSN Technologies in Designing a Telemedicine Network.Journal of biomedical physics & engineering · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Chengjun Li *Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Jilu Zheng *Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Xin Zhang *School of Mechanical Engineering, Tianjin University, Tianjin, 300000, China.
Lei LuoDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Guangdi ChuDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Jianchang ZhaoSchool of Mechanical Engineering, Tianjin University, Tianjin, 300000, China.
Zhao ZhangDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Haiyun WangDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Fei QinDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Guanzhi ZhouDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Wei JiaoDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Yonghua WangDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Xuecheng YangDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Zhilong ZhouSchool of Mechanical Engineering, Tianjin University, Tianjin, 300000, China.
Dejun YangSchool of Mechanical Engineering, Tianjin University, Tianjin, 300000, China.
Hao GuoSchool of Mechanical Engineering, Tianjin University, Tianjin, 300000, China.
Ce ZhangSchool of Mechanical Engineering, Tianjin University, Tianjin, 300000, China.
Jianmin LiSchool of Mechanical Engineering, Tianjin University, Tianjin, 300000, China. mjli@tju.edu.cn.
Haitao NiuDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China. niuht0532@126.com.ORCID 0000-0001-5140-5487

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNetwork latency is the most important factor affecting the performance of telemedicine. The aim of the study is to assess the feasibility and efficacy of a novel network latency management system in 5G telesurgery.

methodsWe conducted 20 telesurgery simulation trials (hitching rings to columns) and 15 remote adrenalectomy procedures in the 5G network environment. Telemedicine Network Latency Management System and the traditional "Ping command" method (gold standard) were used to monitor network latency during preoperative simulated telesurgery and formal telesurgery. We observed the working status of the Telemedicine Network Latency Management System and calculated the difference between the network latency data and packet loss rate detected by the two methods. In addition, due to the lower latency of the 5G network, we tested the alert function of the system using the 4G network with relatively high network latency.

resultsThe Telemedicine Network Latency Management System showed no instability during telesurgery simulation trials and formal telesurgery. After 20 telesurgery simulation trials and 15 remote adrenalectomy procedures, the p-value for the difference between the network latency data monitored by the Telemedicine Network Latency Management System and the "Ping command" method was greater than 0.05 in each case. Meanwhile, the surgeons reported that the Telemedicine Network Latency Management System had a friendly interface and was easy to operate. Besides, when the network latency exceeded a set threshold, a rapid alarm sounded in the system.

conclusionThe Telemedicine Network Latency Management System was simple and easy to operate, and it was feasible and effective to use it to monitor network latency in telesurgery. The system had an intuitive and concise interface, and its alarm function increased the safety of telesurgery. The system's own multidimensional working ability and information storage capacity will be more suitable for telemedicine work.

Indexed as

RoboticsSurgeonsTelemedicineFeasibility StudiesHumans5G networkAlarmNetwork delayRobotTelesurgery

Identifiers

PMID38148405

What OpenQuestion holds

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Registered trials

None linked

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.