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5G 环境下的远程机器人手术示教

A long distance telesurgical demonstration on robotic surgery phantoms over 5G.

机构信息

School of Electrical and Computer Engineering, National Technical University of Athens, Zographou Campus, 15773, Athens, Greece.

Department of General, Bariatric, Laparoscopic and Robotic Surgery, Athens Medical Centre, Athens, Greece.

出版信息

Int J Comput Assist Radiol Surg. 2023 Sep;18(9):1577-1587. doi: 10.1007/s11548-023-02913-2. Epub 2023 Apr 24.


DOI:10.1007/s11548-023-02913-2
PMID:37095315
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10124680/
Abstract

PURPOSE: Using robotic technology and communications infrastructure to remotely perform surgery has been a persistent goal in medical research in the past three decades. The recent deployment of the Fifth-Generation Wireless Networks has revitalized the research efforts in the telesurgery paradigm. Offering low latency and high bandwidth communication, they are well suited for applications that require real-time data transmission and can allow smoother communication between surgeon and patient, making it possible to remotely perform complex surgeries. In this paper, we investigate the effects of the 5 G network on surgical performance during a telesurgical demonstration where the surgeon and the robot are separated by nearly 300 km. METHODS: The surgeon performed surgical exercises on a robotic surgery training phantom using a novel telesurgical platform. The master controllers were connected to the local site on a 5 G network, teleoperating the robot remotely in a hospital. A video feed of the remote site was also streamed. The surgeon performed various tasks on the phantom such as cutting, dissection, pick-and-place and ring tower transfer. To assess the usefulness, usability and image quality of the system, the surgeon was subsequently interviewed using three structured questionnaires. RESULTS: All tasks were completed successfully. The low latency and high bandwidth of the network resulted into a latency of 18 ms for the motion commands while the video delay was about 350 ms. This enabled the surgeon to operate smoothly with a high-definition video from about 300 km away. The surgeon viewed the system's usability in a neutral to positive way while the video image was rated as of good quality. CONCLUSION: 5 G networks provide significant advancement in the field of telecommunications, offering faster speeds and lower latency than previous generations of wireless technology. They can serve as an enabling technology for telesurgery and further advance its application and adoption.

摘要

目的:在过去的三十年中,利用机器人技术和通信基础设施远程进行手术一直是医学研究中的一个持续目标。最近第五代无线网络的部署重振了远程手术范例的研究工作。它提供低延迟和高带宽的通信,非常适合需要实时数据传输的应用程序,可以在外科医生和患者之间实现更流畅的通信,从而实现远程进行复杂手术。在本文中,我们研究了 5G 网络对远程手术演示中手术性能的影响,其中外科医生和机器人之间的距离接近 300 公里。

方法:外科医生使用新型远程手术平台在机器人手术训练模型上进行手术练习。主控制器通过 5G 网络连接到本地站点,远程操作医院中的机器人。还对远程站点的视频流进行了传输。外科医生在模型上执行了各种任务,如切割、解剖、拾取和放置以及环塔转移。为了评估系统的有用性、可用性和图像质量,外科医生随后使用三个结构化问卷进行了访谈。

结果:所有任务都成功完成。网络的低延迟和高带宽导致运动命令的延迟为 18 毫秒,而视频延迟约为 350 毫秒。这使外科医生能够在大约 300 公里外以高清视频进行流畅操作。外科医生对系统的可用性持中立到积极的态度,而视频图像则被评为质量良好。

结论:5G 网络在电信领域提供了重大进展,提供了比前几代无线技术更快的速度和更低的延迟。它们可以作为远程手术的使能技术,并进一步推进其应用和采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/27dd451a5912/11548_2023_2913_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/11dcd4e00896/11548_2023_2913_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/3d0df7bb3b4f/11548_2023_2913_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/3bf165f380b7/11548_2023_2913_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/d369b96b3e68/11548_2023_2913_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/9a80e03ea066/11548_2023_2913_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/dd7562649f42/11548_2023_2913_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/27dd451a5912/11548_2023_2913_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/11dcd4e00896/11548_2023_2913_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/3d0df7bb3b4f/11548_2023_2913_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/3bf165f380b7/11548_2023_2913_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/d369b96b3e68/11548_2023_2913_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/9a80e03ea066/11548_2023_2913_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/dd7562649f42/11548_2023_2913_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abee/10491526/27dd451a5912/11548_2023_2913_Fig7_HTML.jpg

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本文引用的文献

[1]
Remote telesurgery in humans: a systematic review.

Surg Endosc. 2022-5

[2]
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[3]
Measurement of outflow resistance imposed by magnetic sphincter augmentation: defining normal values and clinical implication.

Surg Endosc. 2021-10

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JMIR Med Inform. 2020-9-8

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A Home Telemedicine System for Continuous Respiratory Monitoring.

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Eur Rev Med Pharmacol Sci. 2020-7

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Chest. 2021-1

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Telerobotic Spinal Surgery Based on 5G Network: The First 12 Cases.

Neurospine. 2020-3

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