On November 27th, in Jilin, China, with the rigorous and comprehensive technical verification, animal experiments, and ethical reasoning, a milestone was achieved at the First Hospital of Jilin University (also known as Jilin University Bethune Hospital, or simply "JiDa Hospital") and Mehe Hospital of the First Hospital of Jilin University ("Mehe Hospital"). Through the power of 5G communication technology, the Toumai® robot assisted Professor Wang Chunxi, the director of the Department of Urology at JiDa Hospital, in successfully completing a remote 5G-assisted surgery to remove a left adrenal pheochromocytoma. Professor Wang expressed his satisfaction with the smooth procedure, as it marked JiDa Hospital's first 5G remote robotic surgery and the first domestically produced 5G remote surgery for laparoscopic robots in northeastern China, effectively filling the gap in this field. The surgery was seamlessly executed without any delay, and the Toumai® robot exhibited exceptional assistance in performing various intricate surgical maneuvers. The patient was highly pleased with the surgical outcome.
Professor Hou Yuchuan and Professor Hu Jinghai, along with their teams of doctors and operating room nurses from the Department of Urology at JiDa Hospital, collaborated with Director Wang Honghai and his team from Mehe Hospital to support the local surgical treatment and care for the patient in Mehekuo.
The patient being operated on was a 46-year-old woman who had undergone physical examinations three months prior to hospital admission, which revealed the presence of a left adrenal mass. In order to pursue further treatment, she was admitted to the hospital. Enhanced CT scans of the kidneys after admission showed a 5.6cm × 5.7cm mixed-density mass in the left adrenal area, leading to a radiographic diagnosis of a left adrenal lesion.
As explained, the adrenal glands are a pair of endocrine glands located above the bilateral kidneys. Due to their deep positioning, they play a crucial role in the body's neuroendocrine regulatory system. During surgery, inadvertent removal of adrenal tumors can result in sudden blood pressure surges. Considering the patient's sizable tumor and the associated complexities and risks associated with anesthesia, robotic surgery presents significant advantages for larger, retroperitoneal, and functionally relevant adrenal tumors.
After seeking advice from multiple sources and being introduced to the concepts by physicians, the patient learned that robot-assisted minimally invasive surgery is more precise, safe, with less bleeding, minimal pain, and faster postoperative recovery. As a result, she strongly requested the adoption of robot-assisted surgery for her treatment. Following careful consideration of the patient's needs, combined with laboratory tests and imaging data, and after thorough consultations and discussions, it was decided that Professor Wang Chunxi would perform a robot-assisted laparoscopic left adrenal tumor resection surgery for the patient remotely. This approach would not only deliver satisfactory surgical outcomes but also save the patient expenses.
On the day of the surgical procedure, following the local team led by Professor Hou Yuchuan's completion of tasks such as patient positioning, sterilization, incision, and instrument preparation, Professor Wang Chunxi at the remote site seamlessly controlled the dexterous robotic arm of the Toumai® robot within the operating room of Mehe Hospital. Assisted by the Toumai® robot, Professor Wang Chunxi skillfully and precisely dissected the tissues and blood vessels, fully exposing the adrenal gland, and successfully excised the tumor in its entirety. The surgery took less than 40 minutes, achieving a near-bloodless procedure.
Upon the successful completion of the surgery, Professor Hou Yuchuan expressed that Jida Hospital has taken a significant stride in minimally invasive surgery and remote healthcare by pioneering robotic-assisted remote surgery in the northeastern region.
Professor Wang Chunxi believes that, relatively speaking, primary healthcare institutions lack the technological level and surgical skills to independently handle complex and challenging medical conditions. Even remote video consultations only address diagnostic issues. However, today, we have addressed the problem of "treatment" by utilizing advanced technology and widespread adoption of advanced equipment to assist them remotely in performing high-difficulty complex surgeries. Furthermore, with the gradual expansion and popularity of remote surgery, remote teaching can also be conducted to train local medical teams and enhance their medical proficiency. This will play an immeasurable role in further promoting hierarchical diagnosis and treatment and distributing high-quality medical resources to underserved areas, thereby possessing profound social significance.
Mr. Liu Yu, Executive Vice President and Chief Business Officer of Micro-Invasive® Robotics Group, congratulates Professor Wang Chunxi on successfully completing the first 5G remote laparoscopic robotic surgery in the northeastern region. With precise and stable assistance from Toumai®, Professor Wang Chunxi successfully treated the patients with exceptional surgical skills, enabling them to receive high-level medical treatment right at their doorstep. This not only alleviates the financial burden on patients but also spares them the arduous travel between doctors and patients. In the future, we will work together with experts to strengthen the self-sufficiency of primary healthcare institutions and medical facilities in underdeveloped regions. Through remote surgical guidance and teaching, we will help them improve their medical technological capabilities. Regardless of their location, patients will be able to experience the transformative impact of intelligent healthcare, ensuring that no surgery is deemed impossible.
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