ArticleScience robotics2022
Autonomous robotic laparoscopic surgery for intestinal anastomosis.
Article in Science robotics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
111 citing papers in PubMed, 4 syntheses or guidelines pooled it, 328 citations in OpenAlex.
- Applications of artificial intelligence in robot-assisted surgery: a systematic review.Journal of robotic surgery · 2026Pooled it
- [Artificial intelligence in urological surgery].Urologie (Heidelberg, Germany) · 2026Pooled it
- Robot-assisted versus video-assisted surgery for early functional recovery in patients with non-small-cell lung cancer: a systematic review and meta-analysis of propensity score-based matching studies.Journal of robotic surgery · 2026Pooled it
- Comprehensive overview of artificial intelligence in surgery: a systematic review and perspectives.Pflugers Archiv : European journal of physiology · 2025Pooled it
- Trial
- The robotic PIANO: a critical narrative review of surgeon-controlled operative polyphony, human factors, and robotic training.Journal of robotic surgery · 2026Review
- Contextualizing the frontier designs, uses, and risks of artificial intelligence in family medicine: Introducing the AI Corner column.Canadian family physician Medecin de famille canadien · 2026Article
- An Expertise Transfer Framework For Autonomous Surgical Assistance.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- From Assistance to Autonomy: Acceptability of Progressive Artificial Intelligence Integration in Facial Reconstructive Surgery-Protocol for Within-Subjects Vignette Experiment Among Romanian Adults.Healthcare (Basel, Switzerland) · 2026Article
- Iterative trocar-constrained laparoscope viewpoint search for enhanced surface coverage in 3D reconstruction.Scientific reports · 2026Article
- Embodied AI in the operating room: a voice-interactive robotic scrub nurse for surgical instrument handoffs.Journal of robotic surgery · 2026Article
- Digital twin-enabled robotic surgery: a bibliometric and knowledge-mapping analysis from patient-specific simulation to autonomy and clinical translation.Journal of robotic surgery · 2026Review
- The evolution of robotic-assisted thoracic surgery: current platforms, emerging technologies, and future perspectives - a narrative review.Journal of robotic surgery · 2026Review
- Bioinspired Photodetectors: From Nature to Advanced Applications.Advanced materials (Deerfield Beach, Fla.) · 2026Review
- Review
- Robust hybrid feature-driven on-the-fly mapping enables freehand 3D panoramic photoacoustic angiography.Light, science & applications · 2026Article
- Mapping the evolution of deep learning and computer vision in robotic surgery: a bibliometric analysis of surgical video intelligence, instrument perception, and clinical translation.Journal of robotic surgery · 2026Review
- Cooperative integrated surgical robots for high-performance targeted therapies.Innovation (Cambridge (Mass.)) · 2026Review
- Digital diagnostics, biomarkers and therapeutics in an evolving healthcare system: From promise to practice.British journal of clinical pharmacology · 2026Review
- From science fiction to operating room: Representations of surgery and AI in film and their ethical implications.Turkish journal of surgery · 2026Article
51 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
Autonomous robotic surgery has the potential to provide efficacy, safety, and consistency independent of individual surgeon's skill and experience. Autonomous anastomosis is a challenging soft-tissue surgery task because it requires intricate imaging, tissue tracking, and surgical planning techniques, as well as a precise execution via highly adaptable control strategies often in unstructured and deformable environments. In the laparoscopic setting, such surgeries are even more challenging because of the need for high maneuverability and repeatability under motion and vision constraints. Here we describe an enhanced autonomous strategy for laparoscopic soft tissue surgery and demonstrate robotic laparoscopic small bowel anastomosis in phantom and in vivo intestinal tissues. This enhanced autonomous strategy allows the operator to select among autonomously generated surgical plans and the robot executes a wide range of tasks independently. We then use our enhanced autonomous strategy to perform in vivo autonomous robotic laparoscopic surgery for intestinal anastomosis on porcine models over a 1-week survival period. We compared the anastomosis quality criteria-including needle placement corrections, suture spacing, suture bite size, completion time, lumen patency, and leak pressure-of the developed autonomous system, manual laparoscopic surgery, and robot-assisted surgery (RAS). Data from a phantom model indicate that our system outperforms expert surgeons' manual technique and RAS technique in terms of consistency and accuracy. This was also replicated in the in vivo model. These results demonstrate that surgical robots exhibiting high levels of autonomy have the potential to improve consistency, patient outcomes, and access to a standard surgical technique.
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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.