手術ロボットが完全自律で現実的な手術を実行(Robot performs first realistic surgery without human help)

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2025-07-09 ジョンズ・ホプキンス大学 (JHU)

手術ロボットが完全自律で現実的な手術を実行(Robot performs first realistic surgery without human help)

ジョンズ・ホプキンズ大学の研究チームは、医師の介入なしに自律型ロボットが現実的な外科手術を初めて成功させたと発表した。使用されたロボットは、視覚情報やAI制御アルゴリズムを用いて、手術中の予期せぬ状況に対応しながら腸縫合を実施。精度・成功率ともに人間外科医と同等以上と評価され、将来的には遠隔地や緊急医療現場での応用が期待されている。この成果は、ロボット手術の完全自律化に向けた重要な一歩であり、医療AIとロボティクスの融合による次世代手術技術の可能性を示している。

<関連情報>

SRT-H:言語条件付き模倣学習による自律手術のための階層的フレームワーク SRT-H: A hierarchical framework for autonomous surgery via language-conditioned imitation learning

Ji Woong (Brian) Kim, Juo-Tung Chen, Pascal Hansen, Lucy Xiaoyang Shi, […] , and Axel Krieger
Science Robotics  Published:9 Jul 2025
DOI:https://doi.org/10.1126/scirobotics.adt5254

Abstract

Research on autonomous surgery has largely focused on simple task automation in controlled environments. However, real-world surgical applications demand dexterous manipulation over extended durations and robust generalization to the inherent variability of human tissue. These challenges remain difficult to address using existing logic-based or conventional end-to-end learning strategies. To address this gap, we propose a hierarchical framework for performing dexterous, long-horizon surgical steps. Our approach uses a high-level policy for task planning and a low-level policy for generating low-level trajectories. The high-level planner plans in language space, generating task-level or corrective instructions that guide the robot through the long-horizon steps and help recover from errors made by the low-level policy. We validated our framework through ex vivo experiments on cholecystectomy, a commonly practiced minimally invasive procedure, and conducted ablation studies to evaluate key components of the system. Our method achieves a 100% success rate across eight different ex vivo gallbladders, operating fully autonomously without human intervention. The hierarchical approach improved the policy’s ability to recover from suboptimal states that are inevitable in the highly dynamic environment of realistic surgical applications. This work demonstrates step-level autonomy in a surgical procedure, marking a milestone toward clinical deployment of autonomous surgical systems.

医療・健康
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