In view of the unbalanced distribution of medical resources, it is difficult for patients to get timely and high-quality medical measures. Under the above background, China Mobile and the Affiliated Hospital of Qingdao University, using the surgical robot "Micro hand" of Weigao Group, deeply integrated 5G, artificial intelligence and other technologies with the medical industry, and innovatively built a "new model" of remote surgery.
Through optical fiber and 5G double gigabit network, we remotely control nearly ten basic hospitals in Qingdao to implement difficult robot-assisted laparoscopic urology surgery, and have completed more than 50 cases, becoming the largest sample size of remote surgery clinical trials at home and abroad.
On this basis, the country's first transnational robot remote surgery was completed, and the network distance exceeded 3,000 kilometers, becoming a milestone event in the world's remote surgery, and the first quantum encryption remote surgery was completed. The feasibility of operation in non-hospital environment was verified, and the sinking of high-quality medical resources was realized. The LASS medical theory of remote surgery is innovatively proposed, which provides a theoretical guarantee for the medical security of remote surgery. Based on the real-time, stability and safety of surgery, a series of technical innovations such as OXC network MESH technology, wired and wireless switching technology, remote surgery training system, delay management system, quantum encryption communication technology are carried out.
This project has completed the product testing and appraisal of results: the technical maturity of the results is 8, the technological innovation is 3, the technological advancement is 7, and the overall level has reached the international leading level. It also has more far-reaching application prospects, such as exploring the feasibility and safety of remote surgery in extreme conditions such as remote areas, disaster areas, epidemic situations, and battlefields.

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• China

• Youth
• Older persons
• Women
• People with disabilities
• The poor
• patients

5G remote surgery can be routinely performed between medical consortia, eliminating transportation and accommodation costs for patients. At the same time, precision minimally invasive surgery will be promoted to grassroots hospitals, effectively improving the medical quality and service level of grassroots hospitals, and providing new solutions for hierarchical diagnosis and treatment, medical consortium construction, and precision medical poverty alleviation. The success rate of the surgery reached 100%. This also confirms the feasibility and stability of dual gigabit networks in remote surgical applications, enhances the recognition of remote medicine in the entire medical industry, and enables remote adaptation of surgical robots, allowing surgeries to be accepted and used in more and wider regions. Pier Cristoforo Giulianotti, President of the World Association of Clinical Robotics and Head of Training Centers, highly praised China's 5G remote robotic surgery: the team has completed a groundbreaking and exciting clinical practice.

In order to ensure the sustainable development of the project, we have conducted research on the standards and supporting facilities for remote surgery, so that the project can continue to progress. We have established relevant standards for remote assisted laparoscopic surgical robots in CCSA and the National Medical Products Administration. For the first time internationally, end-to-end latency<200ms has been proposed as a safe range for implementing remote surgery. And developed latency management software to monitor and manage latency, and trace issues. Developed a medical bedside vehicle that integrates cloud video conferencing system and latency monitoring system. The developed remote surgical training system can not only simulate actual operating environments, but also provide virtual training through VR. Innovated the LASS concept of remote surgery from the perspective of surgical implementation, and proposed comprehensive medical solutions for the implementation of remote surgery.

The implementation of this plan is of great significance for promoting innovation and development in the medical field. By integrating medical technology and communication technology, we can promote the popularization of medical services, improve surgical quality, and promote innovation in technology and medicine. The achievements were observed and highly praised on site by Party and state leaders Li Qiang, Li Ganjie, He Lifeng, and WHO Honorary Director General Chen Fengfuzhen. Received key coverage from authoritative national media such as CCTV Focus Interview and Shandong News. Invited to participate in China Brand Day and Boao Forum on Asian Health. Invited to participate in the World Association of Robotic Surgeons conference and share new models of remote surgery with the world. It has also received full recognition from many authoritative foreign professional journals and scholars, and has published multiple high-level papers. Among them, the networking diagram was published in the top academic journal Eur Urol and was rated as a platinum excellent recommendation. Eur Urol, BMJ and other internationally renowned journals have evaluated that the team has made important contributions to the technological progress of remote surgery and provided new means for high-quality medical resources to serve underdeveloped areas. This project won the first prize for technological invention in Shandong Province in 2023 and the first gold prize in the second Guanghua Cup Double Gigabit Application Collection Competition of the Ministry of Industry and Information Technology.