Abstract:Advances in 5G networks have enabled remote robotic surgery to transition from technical exploration to clinical implementation, providing a new paradigm for complex general surgical procedures. Supported by low-latency and high-reliability data transmission, telesurgical systems achieve real-time master-slave control across long distances, significantly improving surgical precision and operational flexibility. Applications in gastrointestinal, hepatopancreatobiliary, and thyroid surgery have progressed from single-case demonstrations to multi-center practice, consistently demonstrating low intraoperative blood loss, reduced complication rates, and enhanced postoperative recovery. Domestic robotic platforms have also shown reliable performance in early clinical evaluations. Despite these achievements, telesurgery still faces challenges related to network stability, system redundancy, regulatory and ethical clarity, and the absence of a mature reimbursement framework. Looking ahead, the integration of AI-assisted decision-making, digital twins, and emerging 6G technologies will further drive telesurgery toward intelligent automation, intercontinental collaboration, and innovative emergency-care models. Overall, remote robotic surgery is expected to promote a new era of precision, intelligence, and equitable access in general surgery.