Department of Medical and Surgical Sciences and Translational Medicine, School in Translational Medicine and Oncology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
IHU Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.
In Vivo. 2024 May-Jun;38(3):1009-1015. doi: 10.21873/invivo.13534.
BACKGROUND/AIM: The integration of AI and natural language processing technologies, such as ChatGPT, into surgical practice has shown promising potential in enhancing various aspects of abdominopelvic surgical procedures. This systematic review aims to comprehensively evaluate the current state of research on the applications and impact of artificial intelligence (AI) and ChatGPT in abdominopelvic surgery summarizing existing literature towards providing a comprehensive overview of the diverse applications, effectiveness, challenges, and future directions of these innovative technologies.
A systematic search of major electronic databases, including PubMed, Google Scholar, Cochrane Library, Web of Science, was conducted from October to November 2023, to identify relevant studies. Inclusion criteria encompassed studies that investigated the utilization of AI and ChatGPT in abdominopelvic surgical settings, including, but not limited to preoperative planning, intraoperative decision-making, postoperative care, and patient communication.
Fourteen studies met the inclusion criteria and were included in this review. The majority of the studies were analysing ChatGPT's data output and decision making while two studies reported patient and general surgery resident perception of the tool applied to clinical practice. Most studies reported a high accuracy of ChatGPT in data output and decision-making process, however with an unforgettable number of errors.
This systematic review contributes to the current understanding of the role of AI and ChatGPT in abdominopelvic surgery, providing insight into their applications and impact on clinical practice. The synthesis of available evidence will inform future research directions, clinical guidelines, and development of these technologies to optimize their potential benefits in enhancing surgical care within the abdominopelvic domain.
背景/目的：人工智能和自然语言处理技术（如 ChatGPT）与外科实践的融合，在增强各种腹盆腔外科手术方面显示出了有前景的潜力。本系统综述旨在全面评估人工智能（AI）和 ChatGPT 在腹盆腔外科手术中的应用和影响的研究现状，总结现有文献，提供对这些创新技术的多样化应用、有效性、挑战和未来方向的全面概述。
系统检索了主要的电子数据库，包括 PubMed、Google Scholar、Cochrane 图书馆、Web of Science，从 2023 年 10 月至 11 月，以确定相关研究。纳入标准包括研究 AI 和 ChatGPT 在腹盆腔外科环境中的应用，包括但不限于术前规划、术中决策、术后护理和患者沟通。
有 14 项研究符合纳入标准并被纳入本综述。大多数研究分析了 ChatGPT 的数据输出和决策过程，而有两项研究报告了患者和普通外科住院医师对应用于临床实践的工具的看法。大多数研究报告了 ChatGPT 在数据输出和决策过程中的高准确性，但也存在不可忘记的错误数量。
本系统综述有助于了解 AI 和 ChatGPT 在腹盆腔外科手术中的作用，深入了解它们在临床实践中的应用和影响。对现有证据的综合将为未来的研究方向、临床指南和这些技术的发展提供信息，以优化它们在增强腹盆腔领域的外科护理方面的潜力。
