"Partners of the Eastern Hospital, can you hear me?"
"I can hear you, it's very clear, and the picture is very clear!"
On September 8, in the conference hall on the 25th floor of Dongfang Hospital affiliated to Tongji University, experts from the field of domestic bile disease are using the equipment testing gap to "shout in the air" to each other.
This is the first time that 5G remote bile surgery has landed in the Yangtze River Delta region. The first financial reporter then through the video to see, Jiang, Zhejiang hospital operating room patients in the abdominal cavity picture, medical history profile, intraoperative vital signs and the full picture of the operating room can be integrated to show; off-stage by the field experts on the surgery interpretation, guidance.
"Intelligent medical care supported by 5G networks plays an important role in promoting the reshaping of the medical and health service system." Academician of the Chinese Academy of Engineering, hepatobiliary surgery expert Dong Jiahong told the first financial reporter at the Sixth Lujiazui Summit Forum on New Progress in Biliary Disease Prevention and Treatment, for example, the launch of 5G in the medical center can guide the grassroots hospitals to consult, checkups, and collaborative guidance on surgery, etc., and the remote surgical robots will also be realized.
5G telemedicine to solve the problem of seeing a doctor
At present, the incidence of benign gallbladder diseases in China is as high as 20% or more, and the incidence of cholelithiasis accounts for more than 10% of the total incidence. Due to the impact of diet and lifestyle habits on cholesterol intake, the incidence of gallbladder stones is still rising, and asymptomatic gallbladder stones account for 50% to 70%.
Remote surgery with 5G technology is redefining the medical landscape for gallbladder disease prevention and treatment in the Yangtze River Delta region.
The first financial reporter learned that the two 5G remote surgery led by the Shanghai Oriental Hospital, respectively, docked in Zhejiang Dongyang City People's Hospital, Jiangsu Zhangjiagang Luyuan Hospital gallbladder disease specialists; the operation by the local doctor, the time is controlled in about 30 minutes.
Among them, the Zhejiang Dongyang City People's Hospital of this operation, the patient is a 54-year-old female cholecystitis patients. The main surgeon Lu Yunxiao in the operation that the patient has a certain degree of inflammation of the gallbladder, after the removal of gallstones will be the bottom of the gallbladder to do part of the excision process, in order to avoid its postoperative will likely be produced by other related lesions.
"For this type of condition, we still choose bile preservation treatment." Cai Jingli, director of the gallstone disease specialty at Oriental Hospital, explains, "Patients can be discerned preoperatively by ultrasonography, CT, and other means."
"For similar surgeries, some hospitals use ultrasound knives, while we are using PK knives, which can achieve the same effect." At another surgery performed at Luyuan Hospital in Zhangjiagang City, Jiangsu Province, lead surgeon Ren Feng carefully describes the details of the procedure, "In order to avoid causing damage and post-operative complications, we have to operate from the distal end during the surgery.
Despite these few words, experts from the domestic cholelithiasis and minimally invasive biliary care specialty committees on stage believe that intuitive, off-site, real-time video interaction will become a breakthrough in resource sharing and efficiency improvement for doctors in the Yangtze River Delta region.
At the other end of the telemedicine, Zhangjiagang City Luyuan Hospital Director Lu Dinghong told the first financial reporter, "as a grass-roots hospitals and tertiary hospitals for remote consultation and surgical guidance, greatly improving the grass-roots hospitals on the surgical safety factor of the protection. At the same time constantly improve the diagnosis and treatment level of primary hospitals, so that patients can enjoy the medical resources of the tertiary hospitals, to solve the social contradiction of the difficulty of seeing a doctor, this model is worth promoting."
In this regard, Hu Hai, Director of Gallstone Disease Specialty of Dongfang Hospital affiliated with Tongji University, told reporters that the 5G-supported surgery can provide synchronized guidance to doctors to implement the program and achieve the best surgical results; at the same time, off-site outpatient clinics for patients and remote teaching for doctors can be achieved.
Industry insiders believe that biliary surgery in biliary disease, because of its high requirements for safety and skill, although some county hospitals have relevant equipment, but there is still a gap in the technical aspects of surgery.
"Under telemedicine, we will be able to guide the local doctor, tell him how to separate and reveal the biliary surgical triangle, how to get on the hemostatic forceps, ultrasonic knife, and some specific skillful ways can be **** enjoy." Hu Hai told reporters, than we go one by one to implement, this way will be more efficient, especially in the Yangtze River Delta after the implementation of the medical association, such an experience can be promoted nationwide.
5G telemedicine still has pain points to be solved
It is understood that the "Internet diagnosis and treatment management approach (for trial implementation)" "on the improvement of the" Internet + "medical service prices and health insurance payment policy of the guiding opinions" "based on the construction of 5G technology hospital network Standards" and a series of documents issued and compiled to provide a policy basis for the development of Internet health care.
With the grafting of 5G communication facilities pipeline, the ability of doctors can be extended, and the quality of life of patients can be improved, but the difficulties and challenges still need to be further solved.
The 5G telemedicine surgery was reportedly networked by China Telecom. "We arranged five stations in the conference room of Dongfang Hospital to ensure the signal connection between the hospital's operating room and the big screen." China Telecom's relevant person in charge told the first financial reporter, however, due to the local Zhejiang and Jiangsu have not built 5G base stations, signal transmission speed and other effects may not be able to achieve the best.
Just this year, Renji, Ruijin and a number of other Shanghai tertiary hospitals layout of 5G technology applications, such as live da Vinci robotic surgery, hospitals teach surgical training. For now, because 5G telemedicine has a certain degree of pioneering, the cost of its specific implementation is borne by the hospital, equipment, equipment, communication facilities **** the same.
"But to spread 5G technology in the Yangtze River Delta region, the Oriental Hospital is still the first." The person in charge said, "At present, 5G is most widely used in the medical field because there are certain scenarios in medical treatment, and in the future, it will also be used in the sterilization and distribution of robots to patients during and after surgery."
As the developer of this telemedicine integration system, Ke Jianguo, chairman of the board of directors of Shanghai Kang Ying Medical Devices Co. told reporters, "A big pain point in the integration of health in the Yangtze River Delta lies in the fact that the equipment of the grass-roots hospitals has been improved, and the patients can stay in the knife, but the 'knife' But the 'knife' itself is not working. The construction of this remote surgical system can make the grass-roots hospitals to carry out surgery, the remote experts for real-time guidance, as a way to improve the efficiency of the grass-roots hospital disciplines to build training and reduce costs."
For the difficulties in telemedicine, Ke also said, "In the process of telemedicine practice, the biggest difficulty is that the basic network conditions of primary hospitals are uneven, and the bandwidth is not enough. This will have an impact on remote real-time surgical guidance, remote surgical teaching caused by lag, image transmission is not clear and so on."
In addition, the collection of 28 Yangtze River Delta hospitals "Yangtze River Delta biliary disease prevention and treatment of integrated specialty alliance", but also in the Yangtze River Delta Intelligent Medical Development Alliance, the Oriental Hospital, China Telecom's joint initiation of the establishment. The specialty alliance will build the Yangtze River Delta gallstone disease prevention and treatment specialty cooperation platform through the "5G + remote surgical system", the standard in this field to more grass-roots hospitals, benefiting more patients.