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- Publisher
- Wolters Kluwer Health
- Copyright
- Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc.
- ISSN
- 1661-7657
- eISSN
- 1661-7657
- DOI
- 10.1097/cu9.0000000000000187
- Publisher site
- See Article on Publisher Site
Abstract
Invited Commentary Special Topic: 5G-assisted wireless endoscopy system Revolutionizing laparoscopic telesurgery: The emergence of 5G-assisted wireless endoscopy systems Guiting Lin, Tom F. Lue Department of Urology, University of California, San Francisco, San Francisco, CA, USA Laparoscopic surgery allows patients to undergo minimally invasive systems also have limitations when it comes to assessing a patient’s surgeries with reduced pain, shorter hospital stays, and faster recov- overall health. ery times. Because modern laparoscopic surgeries were introduced The use of telesurgery is rapidly advancing, but there is limited [1] by Kurt Semm in the 1970s, the development of laparoscopic sur- evidence of its feasibility in urology. Nevertheless, a recent study [2] gery has been remarkable. In 1993, Rovetta et al. reported the first conducted in Qingdao, China, showed that telesurgery using a telesurgery with robotic laparoscopy by means of satellite and opti- surgeon-controlled robot is a safe and viable option for patients with cal fibers networks. Wireless laparoscopic surgery technology has kidney tumors. The median round-trip delay was only 26 ms, and since received extensive attention worldwide. However, the applica- the distance between the primary hospital and the surgeon was tion of wireless endoscopic devices has been limited by the relatively 187 km. Both the master and slave units were closely monitored low data transmission efficiency, which has restricted the rapid ad- by network and mechanical engineers, and surgical assistants were [3,4] [8,9] aptation of this technology. well prepared to prevent complications. This approach could po- The emergence of 5G technology has significantly expanded the tentially reduce healthcare costs and improve the quality of medical application range of wireless endoscopy systems. The rapid devel- services for patients in remote places. opment and widespread popularization of 5G technology have The 5G-assisted wireless endoscopy systems have the potential to greatly improved the transmission efficiency of wireless endoscopic revolutionize laparoscopic telesurgery. They provide many benefits devices, enabling remote surgical procedures in real time. and can significantly enhance the accessibility and effectiveness of There are many advantages of 5G-assisted wireless endoscopy laparoscopic surgeries. However, these systems still have some dis- systems. Telesurgery becomes feasible for patients who cannot seek advantages, including short working time and tactile limitations. care in distant higher-level tertiary care hospitals. Surgeons are also Further research in adapting state-of-the-art new technology and eval- relieved from the physical and mental stress associated with traveling. uating the safety and efficacy of these systems are urgently needed. Local doctors can observe high-quality surgical procedures, which are excellent opportunities to improve their skills. The 5G-assisted wireless Acknowledgments endoscopy system also provides great convenience for emergency surgi- cal consultation, enabling prompt and accurate surgical treatment. Eco- None. nomic benefits are another advantage of 5G-assisted wireless endoscopy systems. Traditional laparoscopic surgery requires expensive display Statement of ethics systems, which are no longer necessary when using a 5G-assisted wire- less endoscopy system. Patients can also benefit financially from these Not applicable. systems, as the cost of traveling to unfamiliar cities for surgical treatment [5–7] is reduced. Conflict of interest statement Despite the advantages of 5G-assisted wireless endoscopy systems, they also have limitations. The 5G-assisted wireless endoscopy sys- The authors have no other relevant affiliations or financial involve- tems have a relatively short working time because of the limitations ment with any organization or entity with a financial interest in or of lithium-ion batteries. Tactile limitations are another disadvantage financial conflict with the subject matter or materials discussed in of 5G-assisted wireless endoscopy systems. These systems lack the the manuscript apart from those disclosed. ability to simulate the contact of fingers or laparoscopic instruments with actual tissue during surgery. The 5G-assisted wireless endoscopy Funding source *Corresponding Author: Tom F. Lue, Department of Urology, University of California, TFL and GL were partially funded by the Institute of Diabetes and San Francisco, UCSF, Urology Clinic, 400 Parnassus, Suite A610, San Francisco, CA 94143-0738, USA. E-mail address: Tom.lue@ucsf.edu (T.F. Lue). Digestive and Kidney Diseases of the National Institutes of Health Current Urology, (2023) 17, 2, 82–83 under Award Number 1R01DK124609. The content is solely the Received January 4, 2023; Accepted January 29, 2023. responsibility of the authors and does not necessarily represent http://dx.doi.org/10.1097/CU9.0000000000000187 the official views of the National Institutes of Health. Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Author contributions Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The GL, TFL have made substantial contributions to the concept or de- work cannot be changed in any way or used commercially without permission from the journal. sign of the article, contributed to the acquisition, analysis, and 82 Lin and Lue Volume 17 Issue 2 2023 www.currurol.org interpretation of data for the article, drafted the article and revised [5] Clayman RV. Transatlantic robot-assisted telesurgery. JUrol 2002;168(2): 873–874. it critically for important intellectual content, approved the version [6] Larkin M. Transatlantic, robot-assisted telesurgery deemed a success. Lancet to be published. 2001;358(9287):1074. [7] Marescaux J, Leroy J, Gagner M, et al. Transatlantic robot-assisted References telesurgery. Nature 2001;413(6854):379–380. [8] Zheng J, Wang Y, Zhang J, et al. 5G ultra-remote robot-assisted laparoscopic [1] Bhattacharya K. Kurt Semm: A laparoscopic crusader. J Minim Access Surg surgery in China. Surg Endosc 2020;34(11):5172–5180. 2007;3(1):35–36. [9] Li J, Yang X, Chu G, et al. Application of improved robot-assisted [2] Rovetta A, Sala R, Cosmi F, et al. The first experiment in the world of robotic laparoscopic telesurgery with 5G technology in urology. Eur Urol 2023; telesurgery for laparoscopy cawed out by means of satellites networks and 83(1):41–44. optical fibres networks on 7th July 1993. IEEE Xplore 1993;51–56. [3] Chatzipapas I, Kathopoulis N, Siemou P, et al. Wireless laparoscopy in the 2020s: State-of-the-art technology in surgery. Obstet Gynecol 2020;136(5):908–911. How to cite this article: Lin, G, Lue TF. Revolutionizing laparoscopic [4] Lacy AM, Bravo R, Otero-Piñeiro AM, et al. 5G-assisted telementored telesurgery: The emergence of 5G-assisted wireless endoscopy systems. Curr surgery. Br J Surg 2019;106(12):1576–1579. Urol 2023;17(2):82–83. doi: 10.1097/CU9.0000000000000187
Journal
Current Urology – Wolters Kluwer Health
Published: Jun 15, 2023