{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:18:25Z","timestamp":1790875105228,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To address surgical resource scarcity in remote areas, we assessed the feasibility, safety, network stability, and training impact of 5G\u2010enabled remote robot assisted laparoscopic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of 21 consecutive patients (Oct 2023\u2013Sep 2025) undergoing remote surgery from Zhejiang to Xinjiang (3700\u00a0km) using the Toumai robot with a redundant 5G network. Primary endpoint was technical success; secondary endpoints included operative outcomes, complications, network metrics, and OSATS scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Technical success was 100%. Procedures included partial nephrectomy (8), cholecystectomy (4), hysterectomy (3), prostatectomy (2), colorectal resection (2), and liver segmentectomy (2). Mean operative time 158.5\u00a0\u00b1\u00a042.0\u00a0min, console time 91.7\u00a0\u00b1\u00a026.6\u00a0min, blood loss 69.8\u00a0\u00b1\u00a040.2\u00a0mL. Two minor complications occurred. Mean round\u2010trip latency 37.7\u00a0\u00b1\u00a05.6\u00a0ms, no packet loss. OSATS improved from 64.6\u00a0\u00b1\u00a07.1 to 87.9\u00a0\u00b1\u00a04.6.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>With redundant 5G and local backup, remote robotic surgery is feasible and safe and may facilitate training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70214","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:13:07Z","timestamp":1785323587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Safety of Cross\u2010Regional 5G\u2010Enabled Remote Robot\u2010Assisted Laparoscopic Surgery: A Retrospective Case Series of 21 Patients"],"prefix":"10.1002","volume":"22","author":[{"given":"Di","family":"Pan","sequence":"first","affiliation":[{"name":"Zhejiang Provincial People's Hospital (Affiliated People's Hospital) 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