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[Artificial intelligence in urological surgery]
Sami-Ramzi Leyh-Bannurah1,2,3, Felix Chun4, Hendrik Borgmann5
1Klinik und Poliklinik für Urologie am UKE, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland. s.bannurah@googlemail.com.
Artificial intelligence (AI) is transforming urological robotic surgery, moving from teleoperated assistance to adaptive, semi-autonomous systems. This shift requires updates in training, quality control, and legal frameworks for AI integration.
Area of Science:
- Robotics
- Artificial Intelligence
- Urology
Background:
- Urological robotic surgery is a data-rich environment ideal for AI development.
- Current AI integration focuses on supportive systems and data-driven analytics.
Purpose of the Study:
- To present the current state of AI in urological robotic surgery.
- To classify existing AI applications and evaluate autonomous systems.
- To consider technological, regulatory, and clinical aspects of AI integration.
Main Methods:
- Literature analysis and systematic review of robotic platforms.
- Inclusion of approved AI medical devices and preclinical developments.
- Consideration of international research initiatives for autonomous surgical systems.
Main Results:
- AI supports environment modeling and augmented reality (AR) navigation.
- Clinically approved platforms utilize AI for performance analytics and treatment planning.
- Increasing autonomy necessitates robust validation, regulation, and liability frameworks.
Conclusions:
- Urological robotic surgery is shifting towards semi-autonomous systems.
- Technological innovation and research programs drive this transition.
- Adaptations in surgical training, quality control, and legal frameworks are essential.
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