AI-driven Robotics in Surgical Procedures: Advancements and Future Directions

Joshua Kaycè-Ogbonna
7 min readFeb 25, 2024

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Robotic surgeries are fastly becoming popular

Artificial Intelligence (AI) is permeating every sphere of our daily activities and will be the lynchpin for the future development of surgery. Medical procedures of all kinds are undergoing a rapid phase of development with the deployment of artificial intelligence, making medical procedures more research-driven and less convoluted for experts.

With the deployment of AI tools in medical procedures, there is an observed advancement in procedures. This transformative technology has enabled healthcare professionals to leverage vast amounts of data, analyze complex patterns, and make more informed decisions in real time. By augmenting human capabilities with AI-driven insights, medical procedures have become more research-driven and less convoluted for experts in the field.

A key benefit of incorporating AI into surgical practice is its ability to enhance precision and efficiency. AI algorithms can assist surgeons in planning procedures, identifying optimal surgical pathways, and predicting potential complications even before they arise. This not only streamlines the surgical process but also minimizes risks and improves patient outcomes.

Moreover, AI-powered technologies such as robotic-assisted surgery have opened up new possibilities in minimally invasive procedures. These systems enable surgeons to perform intricate surgeries with greater dexterity and control, reducing trauma, pain, and recovery times for patients.

With treatments custom-made for individual patient profiles, the AI drive towards innovation in personalized medicine is further progressive. By analyzing genetic, molecular, and clinical data, AI algorithms can help identify the most effective treatment strategies for each patient, leading to more targeted and efficient care.

Can you imagine a complete surgery by Robots?

In an article titled “Contributed: The power of AI in surgery,” Dr. Liz Kwo described the role of Artificial intelligence in preoperative and intraoperative planning as hugely significant. Dr. Kwo asserted that the use of AI in surgery took a longer time than in other medical specialties, primarily because of missing information regarding the possibilities of computational implementation in practical surgery.

To fully develop this discussion, we will consider that the value of AI-powered medical robots is infinitesimal considering that they are equipped with facilities that allow them to collect and process vast amounts of data in real-time. These data enable them to perform complex computations, make decisions, and execute actions autonomously, with little or no human intervention.

The integration of AI-powered medical robots represents a significant paradigm shift in the field of healthcare. If we consider the value beyond the prospects of automation, these advanced technologies are poised to redefine the way medical procedures are conducted, offering a level of precision, efficiency, and autonomy previously unimaginable. By harnessing the power of artificial intelligence, these robots can process vast amounts of data in real time, enabling them to make informed decisions and execute complex tasks with unparalleled accuracy.

In the context of surgical procedures, AI-powered medical robots hold immense promise. Traditionally, surgical interventions have been reliant on the expertise and experience of human surgeons, with inherent limitations such as fatigue, variability, and the risk of error. However, with the introduction of AI into surgical practice, these limitations are being mitigated. Medical robots equipped with AI algorithms can analyze patient data, assess surgical risks, and even assist in the planning and execution of procedures. This not only enhances the precision and efficacy of surgeries but also reduces the likelihood of complications and improves patient outcomes.

Moreover, the deployment of AI-powered medical robots is transforming the landscape of medical research and innovation. By leveraging machine learning algorithms, these robots can analyze vast repositories of medical data, identify patterns, and generate insights that can inform the development of new treatment modalities and therapeutic interventions. Furthermore, their ability to collect and process data in real time facilitates continuous learning and adaptation, ensuring that medical practices remain abreast of the latest advancements and best practices.

Beyond the confines of the operating room, AI-powered medical robots are also revolutionizing healthcare delivery. With their capacity for remote monitoring, telemedicine, and personalized care, these robots are extending the reach of healthcare services to underserved populations and remote regions. By bridging geographical barriers and facilitating access to medical expertise, they are democratizing healthcare and empowering patients to take control of their health and well-being.

In essence, the advent of AI-powered medical robots heralds a new era in healthcare, characterized by enhanced precision, efficiency, and accessibility. As these technologies continue to evolve and mature, they have the potential to reshape the entire healthcare ecosystem, ushering in a future where quality healthcare is not just a privilege but a fundamental human right.

The increasing role of artificial intelligence (AI) and robotics in transforming the field of surgery.

Surgery is inherently difficult, and this is due to factors like the surgeon’s precision and dexterity, which often require fine motor skills. The human hand, which may not always provide the level of precision required for certain procedures, can be assisted by robotic systems specifically designed to offer greater precision and stability, especially in procedures requiring fine movements or accessing tight spaces.

Another reason why surgery is hard is the complexity of the human body, which predisposes risk during surgery. Surgeons need to navigate this complexity while avoiding damage to vital structures. They must navigate delicate tissues, organs, and blood vessels, sometimes at a microscopic level. These organs may be in different positions or have variations in blood supply while adding that the procedures inherently involve risks such as bleeding, infection, and permanent damage to adjoining tissues. These all contribute to making surgeries more challenging.

According to the article, AI Offers Tool to Improve Surgeon Performance by Caltech, “The goal of the new Surgical AI System (SAIS) is to provide surgeons with objective performance evaluations that can improve their work and, by extension, the outcomes of their patients. When provided with a video of a surgical procedure, SAIS can identify what type of surgery is being performed and the quality with which it was executed by a surgeon.”

While noting the drawback of SAIS and the need for proper human-guided collaboration, the research describes that “Early on, researchers testing SAIS noted that an unintended bias crept into the system in which the AI sometimes rated surgeons as more or less skilled than their experience would otherwise indicate based solely on an analysis of their overall movements. To address this issue, the researchers guided the AI system to focus exclusively on pertinent aspects of the surgical video. Narrowing the focus mitigated though did not eliminate, the bias, which the researchers are continuing to address.”

Although Robodoc, the orthopedic image-guided system developed by Hap Paul, DVM, and William Bargar, MD, for use in prosthetic hip replacement, was introduced in the 1980s, there has been a significant upgrade in the activities of robotics in surgical procedures. In 2012, at the Large Animal Hospital at Purdue University, a robotic scrub nurse capable of handling and passing surgical instruments, called Gestonurse, was tested during a mock surgical procedure. Gestonurse used real-time hand tracking and recognition based on fingertip detection and gesture inference. The robot passed the surgical instruments to the main surgeon effectively and safely, without interfering with his focus of attention.

According to the experiment, in addition to allowing natural interaction with the surgeon, Gestonurse provided the following features: (a) ease of use — the robotic system allowed the main surgeon to use his hands, which are the surgeon’s standard working tool, (b) natural interaction — nonverbal commands issued through hand signals are fast and intuitive, therefore the robot should interact quickly and still be reliable, © an unencumbered interface — the proposed robotic system does not require the surgeon to wear markers nor to attach microphones, and (d) reliability — The results showed that fingertips were detected and gestures recognized with 99% and 97% accuracy on average, respectively. A standout feature is that the robot can pick instruments when they are as close as 25 mm from each other.

Recently, with the rise of machine learning, particularly large language models in artificial intelligence companies like Verb Surgical, a digital surgery platform that combines robotics, advanced visualization, advanced instrumentation, and data analytics has explored various AI techniques for improving surgical outcomes. Like Verb Surgical, Intuitive Surgical designed the da Vinci Surgical System. A system that enables surgeons to perform complex procedures with enhanced precision and minimal invasiveness, revolutionizing the landscape of robotic surgery. TransEnterix also specializes in robotic surgery solutions. Its Senhance Surgical System provides robotic-surgical assistance that enhances visualization during laparoscopic procedures.

In conclusion, the integration of AI-driven robotics in surgical procedures represents a new horizon in medicine. Apart from the advantages of precision, efficiency, and improved patient outcomes, the technology which cojoins artificial intelligence and robotics provides positive predictions for the future of surgery.

Further research and development will provide advancements in this field, leading to enhanced surgical techniques, reduced complexity for medical professionals, and ultimately, better healthcare for patients worldwide. In the future, a collaboration between human expertise and AI-driven robotics will indubitably redefine the extent of surgical innovation and pave the way for boundless advancements in medical science.

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Joshua Kaycè-Ogbonna
Joshua Kaycè-Ogbonna

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