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Available online 13 May 2024
Applications of artificial intelligence in surgery: clinical, technical, and governance considerations
Aplicaciones de la inteligencia artificial en cirugía: consideraciones clínicas, técnicas y de gobernanza
Pietro Mascagnia,b,c,
Corresponding author
, Deepak Alapattd, Luca Sestinid, Tong Yud, Sergio Alfierib,c, Salvador Morales-Condee, Nicolas Padoya,d, Silvana Perrettaa,f,g
a IHU Strasbourg, Strasbourg, France
b Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
c Università Cattolica del Sacro Cuore, Rome, Italy
d University of Strasbourg, CNRS, INSERM, ICube, UMR7357, Strasbourg, France
e University Hospital Virgen Macarena, University of Sevilla, Seville, Spain
f IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France
g Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
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Abstract

Artificial intelligence (AI) will power many of the tools in the armamentarium of digital surgeons. AI methods and surgical proof-of-concept flourish, but we have yet to witness clinical translation and value. Here we exemplify the potential of AI in the care pathway of colorectal cancer patients and discuss clinical, technical, and governance considerations of major importance for the safe translation of surgical AI for the benefit of our patients and practices.

Keywords:
Artificial intelligence
Surgical data science
Digital surgery
Surgical quality
Quality improvement
Resumen

La inteligencia artificial (IA) impulsará muchas de las herramientas del arsenal de los cirujanos digitales. Los métodos de IA y las pruebas de concepto quirúrgicas están floreciendo, pero aún tenemos que presenciar la traslación y el valor clínicos. Aquí ejemplificamos el potencial de la IA en la vía de atención de los pacientes con cáncer colorrectal y analizamos consideraciones clínicas, técnicas y de gobernanza de gran importancia para la traslación segura de la IA en cirugía en beneficio de nuestros pacientes y prácticas.

Palabras clave:
Inteligencia artificial
Ciencia de datos quirúrgicos
Cirugía digital
Calidad quirúrgica
Mejora de la calidad

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