Malaysia Leads the Way in 5G‑Powered Remote Surgery with AI and XR

In a groundbreaking demonstration of 5G, AI, and extended reality (XR) technology, Malaysia has successfully conducted one of the world's first real-time, multi-country live surgeries. The procedure, performed at Universiti Malaya Medical Centre (UMMC) in partnership with Malaysian mobile operator CelcomDigi, showcased the potential of advanced digital tools to revolutionise medical training and remote collaboration.

The ear, nose, and throat (ENT) surgery was streamed live from Petaling Jaya to medical students and specialists across multiple countries, including the United States, South Korea, Bhutan, the Philippines, Indonesia, Thailand, and Singapore. Participating institutions included Harvard Medical School, Mayo Clinic, and Vanderbilt University Medical Centre, highlighting the global reach and significance of the event.

The Future of Remote Surgery: AI and XR in Action

The surgery utilised an AI-powered HoloMedicine Robotics system developed by German health technology firm apoQlar. This platform enabled three-dimensional views and interactive overlays, allowing remote observers to follow the procedure step by step. The system also supported real-time annotations and guidance from international experts, demonstrating the potential for remote proctoring and interactive training.

CelcomDigi provided 5G connectivity with ultra-low latency, ensuring high-definition video and synchronised audio between Malaysia and overseas locations. This technological foundation allowed remote participants to view critical stages of the surgery with minimal lag and engage in two-way clinical discussions during the procedure.

Professor Dr Mohd Zulkiflee bin Abu Bakar, Director of UMMC and Head & Neck Oncosurgeon, led the surgery alongside Dr Julius Goh Liang Chye, Senior Lecturer and Clinical Specialist ENT. The team used extended reality headsets and visual feeds that overlaid digital information onto the real-world surgical field, enhancing the precision and educational value of the procedure.

A Milestone for Digital Healthcare in Malaysia

The initiative aligns with Malaysia's broader efforts to establish itself as a regional leader in digital healthcare and medical tourism. CelcomDigi's Chief Innovation Officer, T. Kugan, emphasised the significance of the event, stating, "This landmark surgery is testament to how Malaysia can lead the region in digital healthcare innovation. By combining ultra-low latency 5G networks with AI and XR-powered HoloMedicine, we are enabling surgeons, educators, and students across multiple countries to collaborate as if they were in the same operating theatre."

UMMC plans to expand its use of this technology, with follow-up sessions scheduled for urology, colorectal, and additional ENT surgeries. These future events will further test the platform's capabilities in different types of procedures and involve regional observers from Asia and domestic participants from other Malaysian states.

The project is described as a proof of concept for the safe use of XR and AI tools in active operating theatres, working alongside conventional surgical instruments and imaging. The partners also highlighted the potential for cost savings and increased access to specialist training, as the technology reduces the need for travel and provides more clinicians with exposure to complex procedures.

With this successful demonstration, Malaysia has positioned itself at the forefront of digital healthcare innovation, setting a new standard for remote surgical training and collaboration on a global scale.