Evidence map›Paper›PMID 41388105›Full record

ArticleSurgical endoscopy2026

Clinical application and observation of 5G remote robotic radical gastrectomy for gastric cancer.

Chengwang Guo, Jiaqi Zhou, Ming Hu, Weipeng Zhan, Jin Guo, Hui Cai, Yuntao Ma

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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

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4 · The record

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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

7 authors.

Chengwang Guo *Department of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China.
Jiaqi Zhou *Department of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China.
Ming HuDepartment of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China.
Weipeng ZhanDepartment of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China.
Jin GuoDepartment of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China.
Hui CaiDepartment of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China. caialonteam@163.com.
Yuntao MaDepartment of General Surgery and Robotic Surgery Center, Gansu Provincial Hospital, 204 Donggang West Road, Chengguan District, Lanzhou, 730000, China. 3575515665@qq.com.ORCID 0000-0003-2034-2721

Funding

Research Project of Gansu Provincial Hospital 2024KYQDJ-A-14Science and Technology Program of Gansu Province 24JRRA885
6 · The paper itself

Abstract

objectiveTo evaluate the safety and short-term efficacy of 5G remote robotic surgery in radical gastrectomy for gastric cancer, with a focus on technical feasibility and perioperative outcomes.

methodsA retrospective analysis was conducted on ten cases of 5G remote robotic radical gastrectomy for gastric cancer performed between May 2023 and November 2024 at Gansu Provincial Hospital in collaboration with the Affiliated Hospital of Yangzhou University and the New District Branch of Gansu Provincial Hospital. Primary endpoints included intraoperative network latency, operative duration, estimated blood loss, D2 lymphadenectomy adequacy, Clavien-Dindo complication grade, and R0 resection rate, and other indicators.

resultsNetwork Parameters: For procedures with a communication distance of 1758 km (n = 5), the median (interquartile range, IQR) network latency was 91 (70-100) ms; for those with a distance of 63 km (n = 5), the median (IQR) latency was 51 (46-71.5) ms. No obvious abnormalities in the network connection. Surgical outcomes: Total gastrectomy (n = 3) had a median of 285 min (IQR 265-320), while distal gastrectomy (n = 7) had a median of 230 min (IQR 200-260). Estimated intraoperative blood loss 35 ± 13.44 mL. One patient required 3 units RBC transfusion for preoperative anemia. Conversion to open surgery rate was 0%. COMPLICATIONS: All postoperative complications were ≤ Clavien-Dindo Grade II, with no severe adverse events. Pathological Results: The number of dissected lymph nodes was 32.8 ± 7.08, the number of positive lymph nodes was 2.9 ± 3.81, and the R0 resection rate was 100%.

conclusionThis study preliminarily confirms that 5G remote robotic radical gastrectomy is technically feasible and has good short-term safety. Despite the limitation of a small sample size, its results provide a reference for conducting pilot studies on remote surgery. In the future, larger-scale, long-term follow-up-controlled studies will be needed to further verify its clinical value and cost-effectiveness.

Indexed as

GastrectomyRobotic Surgical ProceduresStomach NeoplasmsAgedBlood Loss, SurgicalFeasibility StudiesFemaleHumansLymph Node ExcisionMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment Outcome5G technologyGastric cancerRadical gastrectomyRemote robotic surgery

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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.