ArticleSurgical endoscopy2013
Toward increased autonomy in the surgical OR: needs, requests, and expectations.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Digital standardization in liver surgery through a surgical workflow management system: A pilot randomized controlled trial.Langenbeck's archives of surgery · 2025Trial
- A surgical activity model of laparoscopic cholecystectomy for co-operation with collaborative robots.Surgical endoscopy · 2024Article
- An Adaptive Human-Robotic Interaction Architecture for Augmenting Surgery Performance Using Real-Time Workload Sensing-Demonstration of a Semi-autonomous Suction Tool.Human factors · 2024Article
- TRandAugment: temporal random augmentation strategy for surgical activity recognition from videos.International journal of computer assisted radiology and surgery · 2023Article
- A Cogitation on the ChatGPT Craze from the Perspective of Psychological Algorithm Aversion and Appreciation.Psychology research and behavior management · 2023Article
- A learning robot for cognitive camera control in minimally invasive surgery.Surgical endoscopy · 2021Article
- Automating Endoscope Motion in Robotic Surgery: A Usability Study on da Vinci-AssistedFrontiers in robotics and AI · 2021Article
- Robots in laparoscopic surgery: current and future status.BMC biomedical engineering · 2019Review
- The intelligent OR: design and validation of a context-aware surgical working environment.International journal of computer assisted radiology and surgery · 2018Article
- The next step: intelligent digital assistance for clinical operating rooms.Innovative surgical sciences · 2017Article
- Surgical process modeling.Innovative surgical sciences · 2017Review
- Toward cognitive pipelines of medical assistance algorithms.International journal of computer assisted radiology and surgery · 2016Review
- Bridging the gap between formal and experience-based knowledge for context-aware laparoscopy.International journal of computer assisted radiology and surgery · 2016Article
- LapOntoSPM: an ontology for laparoscopic surgeries and its application to surgical phase recognition.International journal of computer assisted radiology and surgery · 2015Article
- Computer-assisted abdominal surgery: new technologies.Langenbeck's archives of surgery · 2015Review
- Reliability of sensor-based real-time workflow recognition in laparoscopic cholecystectomy.International journal of computer assisted radiology and surgery · 2014Article
- [Further technical and digital development in minimally invasive and conventional surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current trend in surgery toward further trauma reduction inevitably leads to increased technological complexity. It must be assumed that this situation will not stay under the sole control of surgeons; mechanical systems will assist them. Certain segments of the work flow will likely have to be taken over by a machine in an automatized or autonomous mode.
methodsIn addition to the analysis of our own surgical practice, a literature search of the Medline database was performed to identify important aspects, methods, and technologies for increased operating room (OR) autonomy.
resultsRobotic surgical systems can help to increase OR autonomy by camera control, application of intelligent instruments, and even accomplishment of automated surgical procedures. However, the important step from simple task execution to autonomous decision making is difficult to realize. Another important aspect is the adaption of the general technical OR environment. This includes adaptive OR setting and context-adaptive interfaces, automated tool arrangement, and optimal visualization. Finally, integration of peri- and intraoperative data consisting of electronic patient record, OR documentation and logistics, medical imaging, and patient surveillance data could increase autonomy.
conclusionsTo gain autonomy in the OR, a variety of assistance systems and methodologies need to be incorporated that endorse the surgeon autonomously as a first step toward the vision of cognitive surgery. Thus, we require establishment of model-based surgery and integration of procedural tasks. Structured knowledge is therefore indispensable.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.