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Artificial Intelligence and Robotics in Minimally Invasive and Complex Surgical Procedures: A Systematic Review
Eman Ibrahim Abdalla Osman1, Manasik M ElMurtada Mubarak Ismail2, Mohamed Ahmed Hassan Mukhtar3
1Surgery, Hafar Albatin Central Hospital, Hafar Al-Batin, SAU.
Cureus
|April 29, 2025
Summary
Artificial intelligence (AI) and robotics are enhancing surgical precision and patient outcomes in minimally invasive and complex procedures. Despite advancements, challenges like cost and ethical considerations hinder widespread adoption of these transformative technologies.
Area of Science:
- Surgical Innovation
- Medical Technology
- Artificial Intelligence in Medicine
Background:
- Robotics and artificial intelligence (AI) are increasingly integrated into surgical practices worldwide.
- These technologies address critical issues such as enhancing surgical precision, enabling minimally invasive procedures, and improving healthcare accessibility.
- However, global disparities in access and ethical concerns surrounding automation necessitate careful consideration.
Purpose of the Study:
- To systematically review recent literature on the application of AI and robotics in minimally invasive and complex surgical procedures.
- To summarize advancements, benefits, and challenges associated with AI-driven surgical technologies.
- To provide a rigorous overview adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Main Methods:
- Systematic literature search across PubMed, Scopus, Web of Science, and Google Scholar.
- Inclusion of studies published in 2024 to focus on the latest advancements.
- Selection of 12 studies from an initial pool of 393 based on predefined inclusion and exclusion criteria.
Main Results:
- AI-powered surgical systems demonstrate significant progress in improving surgical judgment and reducing errors.
- Key innovations include AI-enhanced visualization, real-time data processing, and automated robotic equipment, leading to improved patient safety and procedural efficiency.
- Individualized treatment plans are increasingly enabled by these advanced technologies.
Conclusions:
- AI and robotics are crucial for advancing minimally invasive surgery and enhancing capabilities in complex procedures.
- Notable progress has been made in boosting patient safety and operational efficiency through AI integration.
- Significant barriers to adoption, including high costs, ethical dilemmas, and the need for extensive training, remain.

