Smart Surgical Assistance: Integrating Reinforcement Learning for Optimized Decision-Making in Minimally Invasive Procedures

Authors

  • K. P. Kamble
  • Leena Bharat Chaudhari
  • Leena A Deshpande
  • Pallavi Ahire
  • Deepali Sanjay Chavan
  • Rajesh B Raut

DOI:

https://doi.org/10.52783/jns.v14.2749

Keywords:

Reinforcement Learning, Minimally Invasive Surgery, Smart Surgical Assistance, Decision-Making, Artificial Intelligence, Surgical Innovation

Abstract

An increasing use of artificial intelligence (AI) technologies, especially reinforcement learning (RL) systems, is quickly changing the way surgeries are done. This article describes a new way to use RL to help surgeons make better decisions during minimally invasive surgeries. We look into how to create and use an RL system that will help doctors by giving them real-time, data-driven insights and suggestions. The goal is to make surgery procedures more accurate and effective. As part of the study, a training setting that looks and feels like a real surgery was created. This lets the RL model learn and improve its tactics by making mistakes and getting feedback and making changes all the time. Key results show that the RL model makes it much easier to make decisions when there is doubt, which leads to more exact movements and shorter operating times. One big improvement is that the system can change to changing surgery settings and make decision paths that are unique for each patient. Also, putting RL into the operating room has shown promise in making it easier for doctors to think, which could possibly lower the number of mistakes they make. There is talk about ethical issues, how feasible it is to add these kinds of systems to current medical infrastructure, and the long-term effects on surgery training and results. This study shows that RL has the ability to change the field of surgery by giving doctors smart, flexible, and accurate tools for making decisions.

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References

Pucchio, A.; Rathagirishnan, R.; Caton, N.; Gariscsak, P.J.; Del Papa, J.; Nabhen, J.J.; Vov, V.; Lee, W.; Moraes, F.Y. Exploration of exposure to artificial intelligence in undergraduate medical education: A Canadian cross-sectional mixed-methods study. BMC Med. Educ. 2022, 22, 815.

Liu, P.R.; Lu, L.; Zhang, J.Y.; Huo, T.T.; Liu, S.X.; Ye, Z.W. Application of Artificial Intelligence in Medicine: An Overview. Curr. Med. Sci. 2021, 41, 1105–1115.

Masters, K. Artificial intelligence in medical education. Med. Teach. 2019, 41, 976–980.

Baartman, L.; Bastiaens, T.; Kirschner, P.; Van der Vleuten, C. Evaluating assessment quality in competence-based education: A qualitative comparison of two frameworks. Educ. Res. Rev. 2007, 2, 114–129.

Pakkasjärvi, N.; Krishnan, N.; Ripatti, L.; Anand, S. Learning Curves in Pediatric Robot-Assisted Pyeloplasty: A Systematic Review. J. Clin. Med. 2022, 11, 6935.

Winkler-Schwartz, A.; Bissonnette, V.; Mirchi, N.; Ponnudurai, N.; Yilmaz, R.; Ledwos, N.; Siyar, S.; Azarnoush, H.; Karlik, B.; Del Maestro, R.F. Artificial Intelligence in Medical Education: Best Practices Using Machine Learning to Assess Surgical Expertise in Virtual Reality Simulation. J. Surg. Educ. 2019, 76, 1681–1690.

Seil, R.; Hoeltgen, C.; Thomazeau, H.; Anetzberger, H.; Becker, R. Surgical simulation training should become a mandatory part of orthopaedic education. J. Exp. Orthop. 2022, 9, 22.

Gazis, A.; Karaiskos, P.; Loukas, C. Surgical Gesture Recognition in Laparoscopic Tasks Based on the Transformer Network and Self-Supervised Learning. Bioengineering 2022, 9, 737.

Tanaka, H.; Nakamura, S. The Acceptability of Virtual Characters as Social Skills Trainers: Usability Study. JMIR Hum. Factors 2022, 9, e35358.

Shorey, S.; Ang, E.; Yap, J.; Ng, E.D.; Lau, S.T.; Chui, C.K. A Virtual Counseling Application Using Artificial Intelligence for Communication Skills Training in Nursing Education: Development Study. J. Med. Internet Res. 2019, 21, e14658.

Antel, R.; Abbasgholizadeh-Rahimi, S.; Guadagno, E.; Harley, J.M.; Poenaru, D. The use of artificial intelligence and virtual reality in doctor-patient risk communication: A scoping review. Patient Educ. Couns. 2022, 105, 3038–3050.

Modarai, B. Progressive Guidance on the Modern Management of Abdominal Aorto-iliac Artery Aneurysms. Eur. J. Vasc. Endovasc. Surg. 2019, 57, 4–5. [Green Version]

Aggarwal, R.; Sounderajah, V.; Martin, G.; Ting, D.S.W.; Karthikesalingam, A.; King, D.; Ashrafian, H.; Darzi, A. Diagnostic accuracy of deep learning in medical imaging: A systematic review and meta-analysis. NPJ Digit. Med. 2021, 4, 65.

Kuo, R.Y.L.; Harrison, C.; Curran, T.A.; Jones, B.; Freethy, A.; Cussons, D.; Stewart, M.; Collins, G.S.; Furniss, D. Artificial Intelligence in Fracture Detection: A Systematic Review and Meta-Analysis. Radiology 2022, 304, 50–62.

Li, M.D.; Ahmed, S.R.; Choy, E.; Lozano-Calderon, S.A.; Kalpathy-Cramer, J.; Chang, C.Y. Artificial intelligence applied to musculoskeletal oncology: A systematic review. Skeletal Radiol. 2022, 51, 245–256.

Kelly, B.S.; Judge, C.; Bollard, S.M.; Clifford, S.M.; Healy, G.M.; Aziz, A.; Mathur, P.; Islam, S.; Yeom, K.W.; Lawlor, A.; et al. Radiology artificial intelligence: A systematic review and evaluation of methods (RAISE). Eur. Radiol. 2022, 32, 7998–8007.

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Published

2025-03-28

How to Cite

1.
Kamble KP, Chaudhari LB, Deshpande LA, Ahire P, Chavan DS, Raut RB. Smart Surgical Assistance: Integrating Reinforcement Learning for Optimized Decision-Making in Minimally Invasive Procedures. J Neonatal Surg [Internet]. 2025Mar.28 [cited 2025Nov.3];14(9S):738-4. Available from: https://jneonatalsurg.com/index.php/jns/article/view/2749