Liang Jiankun, Ren Huifang, Chang Xiaopan, You Fuyu, Qin Shenghai, Yi Qing, Liang Xiaoxiong, Liao Liuqing, Yang Lifen, Ouyang Yu, Wen Zhe
Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Department of Pediatric Surgery, Liuzhou Hospital, Guangzhou Women and Children's Medical Center, Liuzhou, China.
Transl Pediatr. 2025 Aug 31;14(8):1982-1990. doi: 10.21037/tp-2025-309. Epub 2025 Aug 27.
Despite an escalating number of robot models that have facilitated remote surgery since 2008, the utilization of robotic remote surgery in pediatric surgery remains unreported. This study aims to evaluate the feasibility of applying the single-port robotic system (SHURUI SR-ENS-600) in pediatric robot-assisted laparoscopic remote surgery.
Between October 2024 and February 2025, an experienced surgeon situated at tertiary medical centers in Guangzhou and Liuzhou employed the SHURUI Endoscopic Surgical Robotic System to perform remote robot-assisted laparoscopic appendectomy (RA) and robot-assisted laparoscopic choledochal cyst excision (RC) in four pediatric patients. Patients meeting the enrollment criteria underwent robot-assisted laparoscopic telesurgery (RLT) using SHURUI system. Trained assistants were positioned on the patients' side to avoid possible complications. Two cases of RA and two of RC were conducted, involving one male and three females, with a median age of 7 years (range, 4-11 years). All procedures were completed using telesurgery alone, and no conversions were recorded. The surgeon and the patient were separated by a distance of 512 km, with a mean round-trip latency of 28.50 ms (range, 25-33 ms). The median total operative time was 266 min (range, 90-481 min), and the median remote control duration was 171 min (range, 55-308 min). There were no complications nor mortalities observed in the perioperative period. All patients were routinely followed up without loss and the median follow-up time was 3.5 months (range, 2-6 months).
The results suggest that RLT is practicable and secure under the supervision of an experienced surgery team. Further research with larger sample sizes is necessary to explore the application of RLT in pediatric surgery.
自2008年以来，尽管促进远程手术的机器人模型数量不断增加，但小儿外科中机器人远程手术的应用情况仍未见报道。本研究旨在评估单孔机器人系统（SHURUI SR-ENS-600）在小儿机器人辅助腹腔镜远程手术中的可行性。
2024年10月至2025年2月期间，广州和柳州三级医疗中心的一位经验丰富的外科医生使用SHURUI内镜手术机器人系统对4例小儿患者进行了远程机器人辅助腹腔镜阑尾切除术（RA）和机器人辅助腹腔镜胆总管囊肿切除术（RC）。符合纳入标准的患者使用SHURUI系统接受机器人辅助腹腔镜远程手术（RLT）。训练有素的助手站在患者一侧以避免可能的并发症。进行了2例RA和2例RC，其中男性1例，女性3例，中位年龄为7岁（范围4-11岁）。所有手术均仅通过远程手术完成，未记录中转情况。外科医生与患者相距512公里，平均往返延迟为28.50毫秒（范围25-33毫秒）。中位总手术时间为266分钟（范围90-481分钟），中位远程控制时间为171分钟（范围55-308分钟）。围手术期未观察到并发症或死亡。所有患者均常规随访，无失访情况，中位随访时间为3.5个月（范围2-6个月）。
结果表明，在经验丰富的手术团队监督下，RLT是可行且安全的。需要进一步进行更大样本量的研究以探索RLT在小儿外科中的应用。
