Division of Endoscopic Surgery, Department of Clinical Medicine and Surgery, "Federico II" University of Naples, Via Pansini 5, 80131, Naples, Italy.
Updates Surg. 2024 Sep;76(5):1655-1667. doi: 10.1007/s13304-024-01892-6. Epub 2024 Jun 5.
Artificial Intelligence (AI) is playing an increasing role in several fields of medicine. AI is also used during laparoscopic cholecystectomy (LC) surgeries. In the literature, there is no review that groups together the various fields of application of AI applied to LC. The aim of this review is to describe the use of AI in these contexts. We performed a narrative literature review by searching PubMed, Web of Science, Scopus and Embase for all studies on AI applied to LC, published from January 01, 2010, to December 30, 2023. Our focus was on randomized controlled trials (RCTs), meta-analysis, systematic reviews, and observational studies, dealing with large cohorts of patients. We then gathered further relevant studies from the reference list of the selected publications. Based on the studies reviewed, it emerges that AI could strongly improve surgical efficiency and accuracy during LC. Future prospects include speeding up, implementing, and improving the automaticity with which AI recognizes, differentiates and classifies the phases of the surgical intervention and the anatomic structures that are safe and those at risk.
人工智能（AI）在医学的多个领域发挥着越来越重要的作用。人工智能也用于腹腔镜胆囊切除术（LC）手术中。在文献中，没有综述将 AI 应用于 LC 的各个领域分组在一起。本综述的目的是描述 AI 在这些情况下的使用。我们通过在 PubMed、Web of Science、Scopus 和 Embase 上搜索 2010 年 1 月 1 日至 2023 年 12 月 30 日发表的所有关于 AI 应用于 LC 的研究，进行了叙述性文献综述。我们的重点是随机对照试验（RCT）、荟萃分析、系统评价和观察性研究，涉及大量患者。然后，我们从选定出版物的参考文献中收集了更多相关研究。根据综述的研究结果表明，AI 可以极大地提高 LC 手术的效率和准确性。未来的前景包括加快、实施和改进 AI 识别、区分和分类手术干预阶段以及安全和危险的解剖结构的自动化程度。
