Speaker: Dr. Abhishek Singh, India

Important Takeaways

  1. AI in robotics spans training, preoperative planning, and simulation.

  1. Intraoperative assistance includes real-time AR, instrument tracking, and conditional autonomy.

  1. AI tools provide skill assessment and outcome prediction using intraoperative data.

  1. Surgical automation progresses in stages, from augmented guidance to fully autonomous procedures.

  1. Postoperative analytics evaluate surgical performance and predict patient outcomes.

  1. Current robotic systems still lack tactile feedback and full automation capabilities.

  1. AI enhances visualisation, precision, and decision-making during surgeries.

  1. Adoption of AI requires ethical use, standardisation, and open data sharing.

 

Key Highlights

AI in Preoperative and Intraoperative Stages:

  1. AI models combine patient data with robotic sensors for better surgical planning and simulation.

  1. Real-time augmented reality (AR) provides intraoperative assistance, helping surgeons visualise critical structures and blood flow.

 

Surgical Autonomy and AI-Driven Tools:

  1. Current robots function with minimal automation, primarily under the surgeon’s control (master-slave systems).

  1. Progression in autonomy involves robots performing specific tasks independently (e.g., suturing between marked points).

  1. Fully autonomous procedures, like emergency surgeries, are envisioned for future applications.

 

Postoperative Analytics and Skill Evaluation:

  1. AI systems (e.g., DV Logger) analyse intraoperative video and instrument movements to assess performance.

  1. Surgical gestures and instrument kinematics can predict surgeon expertise and postoperative outcomes.

 

Enhancing Surgical Precision and Feedback:

  1. AI offers real-time camera control, tissue recognition, and de-noising to improve surgical visualisation.

  1. Tactile feedback through force-sensing algorithms is under development to replicate human touch during robotic surgeries.

 

Challenges and Ethical Considerations:

  1. AI will augment, not replace, surgeons, focusing on enhancing education, safety, and precision.

  1. Standardised reporting and ethical guidelines are needed for responsible AI integration into surgical platforms.

 

Dr. Singh underscored that AI will not replace surgeons but will serve as an invaluable aid, enhancing surgical precision and safety when applied correctly and ethically. Robotic surgical platforms provide an ideal environment for integrating AI models to improve outcomes, automate tasks, and advance surgical education. While complex ethical challenges remain, the momentum toward AI adoption is unstoppable. He urges healthcare professionals to embrace this shift and actively engage with these innovations to stay ahead in the evolving landscape of surgery.

Société Internationale d'Urologie Congress, 23-26 October 2024, New Delhi, India.