To evaluate the practical application and clinical safety of 5G remote robotics in urological surgery.

We conducted a comprehensive analysis of 14 cases of 5G remote domestic robot-assisted laparoscopic urological surgeries performed at our center from May 2023 to June 2024. Clinical data and network information were collected, and metrics such as operative time, blood loss, and complication rate were analyzed. We assessed the stability, accuracy, and safety of remote operations, as well as the acceptance and satisfaction of both doctors and patients with this technology.

The 14 surgeries conducted at our center involved a master-slave distance of 52 km, with an average operative time of 83.3 minutes, an average blood loss of 23 mL, a conversion-to-open-surgery rate of 0%, and no complications. During the surgeries, the 5G remote robotic system functioned stably, with a clear field of vision, an average download speed of 216.5 Mbps, an average upload speed of 86.6 Mbps, an average maximum latency of 129.3 ms, an average minimum latency of 20.7 ms, and a packet loss rate of 0%. These results indicate that the system can provide a highly accurate operational view and effective transfer of surgical skills. Both doctors and patients expressed general satisfaction with this technology, recognizing its significant contribution to the safety and effectiveness of the surgery.

The 5G remote robot-assisted laparoscopic urological surgeries conducted at our center demonstrate that combining 5G technology with robotic ensures the stability, real-time performance, and safety of remote surgeries.