In minimally invasive surgery (MIS), maintaining an appropriate field of view (FoV) is essential for surgical safety and efficiency. However, conventional autonomous laparoscope control methods often treat visual tracking and surgical phase recognition independently, limiting robustness under occlusion, entity overlap, and camera motion. This paper proposes a closed-loop autonomous laparoscope control framework that couples real-time surgical phase recognition with camera-motion-compensated visual perception. By exploiting phase-dependent relationships among surgical entities, the framework improves target state estimation under challenging visual conditions, supporting task-aware autonomous FoV control. Benchmark and phantom experiments evaluate the framework in surgical phase recognition, target tracking under occlusion and entity overlap, and autonomous FoV control, showing improved target visibility and task execution compared with fixed-FoV control. These results highlight the potential of incorporating task-level semantics into visual state estimation for autonomous laparoscope guidance.
Han Zhang, Sicheng Lu, Aleks Santari, Jeffrey K. Jopling, Masaru Ishii, Mathias Unberath
原文摘要
Operating rooms (ORs) increasingly contain ambient sensing infrastructure to enable AI-based optimization of workflows and utilization. We pursue an alternative path: using ambient AI to guide robot action and optimize utilization. Deploying humanoids in the OR without ambient AI is severely limited by cumbersome de novo orientation and planning due to partial onboard observations. We posit that this can be achieved by coupling an ambient AI-based agentic orchestrator with the humanoid robotic actor, providing shared perception and execution feedback for humanoid autonomy in the OR. ActOR fuses a wall-mounted ambient camera and the robot's head-mounted camera into a shared object-level digital twin (DT). A large language model agent plans over the DT using pre-programmed locomotion and manipulation skills without task-specific training. During execution, DT updates and execution outcomes inform retries, alternative approaches, or replanning. We evaluated ActOR in simulated and physical environments. Across three tasks in two simulated ORs reconstructed from real rooms, ambient perception reduced exploration from 1.05 to 0.12 Explore calls per trial when targets were initially outside the robot's view. Closed-loop feedback increased success from 46.7% to 83.3% under nominal execution and from 8.3% to 51.7% under injected navigation, object-relocation, and grasp perturbations. In a physical mock OR with a humanoid, ActOR completed 14 of 20 single-object disposal trials and demonstrated replanning after scene changes. Ambient AI-based observations provide scene state that improves robot action planning, increasing success and reducing exploration compared with robot-only observations. Feeding skill outcomes and DT updates back to the planner improves multi-step task success. Our results show the feasibility of humanoid task autonomy for multi-step disposal tasks in a mock OR.