Autonomous Dissection in Robotic Cholecystectomy

Fuente: arXiv
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Autori principali: Oh, Ki-Hwan, Borgioli, Leonardo, Žefran, Miloš, Valle, Valentina, Giulianotti, Pier Cristoforo
Natura: Preprint
Pubblicazione: 2025
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author Oh, Ki-Hwan
Borgioli, Leonardo
Žefran, Miloš
Valle, Valentina
Giulianotti, Pier Cristoforo
author_facet Oh, Ki-Hwan
Borgioli, Leonardo
Žefran, Miloš
Valle, Valentina
Giulianotti, Pier Cristoforo
contents Robotic surgery offers enhanced precision and adaptability, paving the way for automation in surgical interventions. Cholecystectomy, the gallbladder removal, is particularly well-suited for automation due to its standardized procedural steps and distinct anatomical boundaries. A key challenge in automating this procedure is dissecting with accuracy and adaptability. This paper presents a vision-based autonomous robotic dissection architecture that integrates real-time segmentation, keypoint detection, grasping and stretching the gallbladder with the left arm, and dissecting with the other arm. We introduce an improved segmentation dataset based on videos of robotic cholecystectomy performed by various surgeons, incorporating a new ``liver bed'' class to enhance boundary tracking after multiple rounds of dissection. Our system employs state-of-the-art segmentation models and an adaptive boundary extraction method that maintains accuracy despite tissue deformations and visual variations. Moreover, we implemented an automated grasping and pulling strategy to optimize tissue tension before dissection upon our previous work. Ex vivo evaluations on porcine livers demonstrate that our framework significantly improves dissection precision and consistency, marking a step toward fully autonomous robotic cholecystectomy.
format Preprint
id arxiv_https___arxiv_org_abs_2503_00666
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Autonomous Dissection in Robotic Cholecystectomy
Oh, Ki-Hwan
Borgioli, Leonardo
Žefran, Miloš
Valle, Valentina
Giulianotti, Pier Cristoforo
Robotics
Robotic surgery offers enhanced precision and adaptability, paving the way for automation in surgical interventions. Cholecystectomy, the gallbladder removal, is particularly well-suited for automation due to its standardized procedural steps and distinct anatomical boundaries. A key challenge in automating this procedure is dissecting with accuracy and adaptability. This paper presents a vision-based autonomous robotic dissection architecture that integrates real-time segmentation, keypoint detection, grasping and stretching the gallbladder with the left arm, and dissecting with the other arm. We introduce an improved segmentation dataset based on videos of robotic cholecystectomy performed by various surgeons, incorporating a new ``liver bed'' class to enhance boundary tracking after multiple rounds of dissection. Our system employs state-of-the-art segmentation models and an adaptive boundary extraction method that maintains accuracy despite tissue deformations and visual variations. Moreover, we implemented an automated grasping and pulling strategy to optimize tissue tension before dissection upon our previous work. Ex vivo evaluations on porcine livers demonstrate that our framework significantly improves dissection precision and consistency, marking a step toward fully autonomous robotic cholecystectomy.
title Autonomous Dissection in Robotic Cholecystectomy
topic Robotics
url https://arxiv.org/abs/2503.00666