Ethical and Humanistic Reflections on the Use of Remote Robotic Laparoscopic Surgery in Gynecology

As a pioneering development in modern gynecology, telerobotic laparoscopic surgery overcomes geographical barriers and optimizes resource allocation. However, its inherent "de-presence" has also raised significant ethical challenges and philosophical questions. Based on the practical application of remote technologies in gynecological surgery, this study first examines how network latency affects the safety of delicate pelvic anatomical dissections, considering the "ethicization" of technical parameters. Next, it analyzes the reconstruction of the responsibility chain – including the lead surgeon, on-site assistants, equipment manufacturers, and telecommunication providers – while clarifying the boundaries of legal liability among these stakeholders. Additionally, from the perspectives of both clinicians and patients, this paper discusses the heightened professional responsibility and cognitive anxiety under the "technological halo," as well as patients' expectations and concerns about their bodies being mediated by technology. To address these challenges, the study proposes establishing a "Techno-Humanistic Dual-Gate" ethical review system and emphasizes the importance of upholding the spirit of medical humanities. These measures aim to ensure that telerobotic surgery develops in a healthy manner by integrating technological precision with humanistic care.