Chinese expert consensus on remote-controlled robot-assisted gynecological surgery (2025 Edition)

Remote-controlled robot-assisted gynecological surgery is an innovative medical model integrating advanced communication technologies with robotic surgery systems. It promotes the equitable distribution of high-quality medical resources and responds to public health emergencies. This article, authored by domestic experts, aims to standardize clinical applications and enhance surgical quality and safety. It reviews the development of remote surgery, details the construction and technical requirements of remote-controlled robot-assisted gynecological surgery systems supported by 5G and other communication technologies, and emphasizes the importance of quality management. This includes equipment access, personnel qualifications, team collaboration, network communication and security, and health economics indicators. The article also offers recommendations for the access and training assessment of remote surgery. Additionally, it elaborates on the operating procedures of remote-controlled robot-assisted gynecological surgery, covering preoperative preparation, surgical steps, postoperative management, and the prevention and treatment of complications and fault response. Finally, it discusses the challenges in the development of this technology, including the iterative upgrading of robotic surgery systems, network security assurance, the realization of full-process remote medical services, and the implementation of remote surgery in special environments. These discussions aim to provide references for the promotion of remote-controlled robot-assisted gynecological surgery in China.