Innovative Integration of Robotic-Assisted Laparoscopic Telesurgery and Quantum Cryptography Communication in Urology: Clinical Application and Initial Experience

Int J Med Robot. 2025 Feb;21(1):e70028. doi: 10.1002/rcs.70028.

Abstract

Background: The emergence of telesurgery has received global interest, with secure network transmission identified as a crucial determinant of its success. This study aimed to evaluate the safety and viability of employing quantum cryptography communication in remote partial nephrectomy.

Methods: The surgeon operated on the patient from a distance of over 260 km using remote control of a surgical robot. Key evaluation metrics for the telesurgery procedure included success rate, incidence of complications, network latency, and packet loss.

Results: The average BMI of these patients was 29.4 kg/m2, the average warm ischaemia time was 26 min, and the packet loss rate was 0%. Postoperative patient recovery, as indicated by follow-up results, was favourable.

Conclusions: We introduced a novel telesurgical paradigm for partial nephrectomy based on quantum cryptography communication. The application of pioneering technology provides patients with a safer choice for telemedical treatment and promotes the application of telesurgery.

Keywords: partial nephrectomy; quantum cryptography communication; reliability; robotics; telesurgery.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Laparoscopy* / methods
  • Male
  • Middle Aged
  • Nephrectomy* / methods
  • Robotic Surgical Procedures* / methods
  • Telemedicine*
  • Urology / methods