Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization
Abstract The evolution of surgical techniques aims to augment surgeons’ capabilities through digital guidance and robotization for higher precision and consistency. Currently, surgeries heavily rely on surgeon’s experience and visual judgment, causing operation variations. Artificial intelligence (A...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2025-08-01
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| Series: | npj Digital Medicine |
| Online Access: | https://doi.org/10.1038/s41746-025-01887-6 |
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| author | Xiaoyun Chen Jiali Liu Hongli Liang Zelin Chen Zitian Liu Yingfeng Zheng Zhangkai Lian Lixia Luo Weirong Chen Mingxing Wu Danying Zheng Xialin Liu Bing Cheng Shengsong Huang Xinyu Zhang Ling Jin Yan Luo Zhenzhen Liu Erping Long Patrick Yu-Wai-Man Weishi Zheng Kai Huang Haotian Lin Yizhi Liu |
| author_facet | Xiaoyun Chen Jiali Liu Hongli Liang Zelin Chen Zitian Liu Yingfeng Zheng Zhangkai Lian Lixia Luo Weirong Chen Mingxing Wu Danying Zheng Xialin Liu Bing Cheng Shengsong Huang Xinyu Zhang Ling Jin Yan Luo Zhenzhen Liu Erping Long Patrick Yu-Wai-Man Weishi Zheng Kai Huang Haotian Lin Yizhi Liu |
| author_sort | Xiaoyun Chen |
| collection | DOAJ |
| description | Abstract The evolution of surgical techniques aims to augment surgeons’ capabilities through digital guidance and robotization for higher precision and consistency. Currently, surgeries heavily rely on surgeon’s experience and visual judgment, causing operation variations. Artificial intelligence (AI) offers a solution by extracting and digitizing surgical trajectories and features from videos to provide digital guidance. In this study, we collected 17,538 videos of capsulorhexis, a crucial step in cataract surgery, to create an AI-driven system named Meta Surgery (MetaS). MetaS evaluates and identifies ideal cases, extracts their digital characteristics, and fits an optimal capsulorhexis path in real-time during surgery. Surgeons performed capsulorhexis benefited from MetaS’s guidance and a lens caliper, which increased the rate of ideal capsulorhexis by ~40%. Additionally, these digital features enabled a surgical robot to perform precise capsulorhexis autonomously in porcine eyes. This approach augments surgeons’ surgical skills and paves the way for the autonomous operation of surgical robots. |
| format | Article |
| id | doaj-art-5df1b38b756d44569f251fde768ca379 |
| institution | Kabale University |
| issn | 2398-6352 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Digital Medicine |
| spelling | doaj-art-5df1b38b756d44569f251fde768ca3792025-08-20T04:02:46ZengNature Portfolionpj Digital Medicine2398-63522025-08-018111110.1038/s41746-025-01887-6Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotizationXiaoyun Chen0Jiali Liu1Hongli Liang2Zelin Chen3Zitian Liu4Yingfeng Zheng5Zhangkai Lian6Lixia Luo7Weirong Chen8Mingxing Wu9Danying Zheng10Xialin Liu11Bing Cheng12Shengsong Huang13Xinyu Zhang14Ling Jin15Yan Luo16Zhenzhen Liu17Erping Long18Patrick Yu-Wai-Man19Weishi Zheng20Kai Huang21Haotian Lin22Yizhi Liu23State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesSchool of Artificial Intelligence, Sun Yat-sen UniversitySchool of Computer Science and Engineering, Sun Yat-sen UniversityState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesInstitute of Basic Medical Sciences, Chinese Academy of Medical Sciences and Peking Union Medical CollegeCambridge Center for Brain Repair and MRC Mitochondrial Biology Unit, Department of Clinical Neurosciences, University of CambridgeSchool of Computer Science and Engineering, Sun Yat-sen UniversitySchool of Computer Science and Engineering, Sun Yat-sen UniversityState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular DiseasesAbstract The evolution of surgical techniques aims to augment surgeons’ capabilities through digital guidance and robotization for higher precision and consistency. Currently, surgeries heavily rely on surgeon’s experience and visual judgment, causing operation variations. Artificial intelligence (AI) offers a solution by extracting and digitizing surgical trajectories and features from videos to provide digital guidance. In this study, we collected 17,538 videos of capsulorhexis, a crucial step in cataract surgery, to create an AI-driven system named Meta Surgery (MetaS). MetaS evaluates and identifies ideal cases, extracts their digital characteristics, and fits an optimal capsulorhexis path in real-time during surgery. Surgeons performed capsulorhexis benefited from MetaS’s guidance and a lens caliper, which increased the rate of ideal capsulorhexis by ~40%. Additionally, these digital features enabled a surgical robot to perform precise capsulorhexis autonomously in porcine eyes. This approach augments surgeons’ surgical skills and paves the way for the autonomous operation of surgical robots.https://doi.org/10.1038/s41746-025-01887-6 |
| spellingShingle | Xiaoyun Chen Jiali Liu Hongli Liang Zelin Chen Zitian Liu Yingfeng Zheng Zhangkai Lian Lixia Luo Weirong Chen Mingxing Wu Danying Zheng Xialin Liu Bing Cheng Shengsong Huang Xinyu Zhang Ling Jin Yan Luo Zhenzhen Liu Erping Long Patrick Yu-Wai-Man Weishi Zheng Kai Huang Haotian Lin Yizhi Liu Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization npj Digital Medicine |
| title | Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization |
| title_full | Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization |
| title_fullStr | Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization |
| title_full_unstemmed | Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization |
| title_short | Digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization |
| title_sort | digitalization of surgical features improves surgical accuracy via surgeon guidance and robotization |
| url | https://doi.org/10.1038/s41746-025-01887-6 |
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