arXiv:2503.00666cs.RO2025-03中稿 · the IEEE/RSJ Inter…被引 1

实现机器人胆囊切除术中自主解剖,提升精度与适应性。

Autonomous Dissection in Robotic Cholecystectomy

  • 基于视觉的自主解剖架构,融合实时分割与关键点检测。
  • 在猪肝离体实验中显著提升解剖精度与一致性。
  • 适合研究外科机器人自动化及智能手术系统开发者。

机器人手术具备更高的精准度和适应性,为外科手术自动化提供了可能。胆囊切除术因其流程标准化和解剖边界清晰,特别适合自动化。其核心挑战在于如何精确且自适应地完成解剖。本文提出一种基于视觉的自主机器人解剖架构,整合实时分割、关键点检测,通过左臂抓握并拉伸胆囊,右臂执行解剖。我们构建了一个改进的分割数据集,基于多位外科医生操作的机器人胆囊切除视频,新增“肝脏床”类别以增强多次解剖后的边界追踪能力。系统采用先进的分割模型与自适应边界提取方法,即使在组织形变和视觉变化下仍保持高精度。此外,基于前期工作,我们实现了自动抓取与牵拉策略,优化解剖前的组织张力。离体猪肝实验表明,该框架显著提升了解剖的精度与一致性,标志着向完全自主机器人胆囊切除迈出重要一步。

原文摘要 · Abstract (English)

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.

机器人手术解剖自动化视觉分割外科智能

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