Avram Mihaela Flavia, Lazăr Daniela Cornelia, Mariş Mihaela Ioana, Olariu Sorin
Department of Surgery X, 1st Surgery Discipline, "Victor Babeş" University of Medicine and Pharmacy Timişoara, Timişoara, Romania.
Department of Mathematics, Politehnica University Timisoara, Timişoara, Romania.
Front Oncol. 2023 Jan 17;13:1116761. doi: 10.3389/fonc.2023.1116761. eCollection 2023.
A considerable number of recent research have used artificial intelligence (AI) in the area of colorectal cancer (CRC). Surgical treatment of CRC still remains the most important curative component. Artificial intelligence in CRC surgery is not nearly as advanced as it is in screening (colonoscopy), diagnosis and prognosis, especially due to the increased complexity and variability of structures and elements in all fields of view, as well as a general shortage of annotated video banks for utilization.
A literature search was made and relevant studies were included in the minireview.
The intraoperative steps which, at this moment, can benefit from AI in CRC are: phase and action recognition, excision plane navigation, endoscopy control, real-time circulation analysis, knot tying, automatic optical biopsy and hyperspectral imaging. This minireview also analyses the current advances in robotic treatment of CRC as well as the present possibility of automated CRC robotic surgery.
The use of AI in CRC surgery is still at its beginnings. The development of AI models capable of reproducing a colorectal expert surgeon's skill, the creation of large and complex datasets and the standardization of surgical colorectal procedures will contribute to the widespread use of AI in CRC surgical treatment.
近期有大量研究在结直肠癌（CRC）领域使用了人工智能（AI）。CRC的外科治疗仍然是最重要的治愈手段。CRC手术中的人工智能发展远不及筛查（结肠镜检查）、诊断和预后方面，特别是因为视野中所有结构和元素的复杂性和变异性增加，以及用于利用的带注释视频库普遍短缺。
进行文献检索并将相关研究纳入本综述。
目前，CRC中可从人工智能中受益的术中步骤包括：阶段和动作识别、切除平面导航、内镜控制、实时循环分析、打结、自动光学活检和高光谱成像。本综述还分析了CRC机器人治疗的当前进展以及自动化CRC机器人手术的当前可能性。
AI在CRC手术中的应用仍处于起步阶段。能够重现结直肠专家外科医生技能的AI模型的开发、大型复杂数据集的创建以及结直肠手术程序的标准化将有助于AI在CRC外科治疗中的广泛应用。
