{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:46:07Z","timestamp":1776185167145,"version":"3.50.1"},"reference-count":53,"publisher":"American Association for the Advancement of Science (AAAS)","issue":"62","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sci. Robot."],"published-print":{"date-parts":[[2022,1,26]]},"abstract":"<jats:p>Autonomous robotic surgery has the potential to provide efficacy, safety, and consistency independent of individual surgeon\u2019s skill and experience. Autonomous anastomosis is a challenging soft-tissue surgery task because it requires intricate imaging, tissue tracking, and surgical planning techniques, as well as a precise execution via highly adaptable control strategies often in unstructured and deformable environments. In the laparoscopic setting, such surgeries are even more challenging because of the need for high maneuverability and repeatability under motion and vision constraints. Here we describe an enhanced autonomous strategy for laparoscopic soft tissue surgery and demonstrate robotic laparoscopic small bowel anastomosis in phantom and in vivo intestinal tissues. This enhanced autonomous strategy allows the operator to select among autonomously generated surgical plans and the robot executes a wide range of tasks independently. We then use our enhanced autonomous strategy to perform in vivo autonomous robotic laparoscopic surgery for intestinal anastomosis on porcine models over a 1-week survival period. We compared the anastomosis quality criteria\u2014including needle placement corrections, suture spacing, suture bite size, completion time, lumen patency, and leak pressure\u2014of the developed autonomous system, manual laparoscopic surgery, and robot-assisted surgery (RAS). Data from a phantom model indicate that our system outperforms expert surgeons\u2019 manual technique and RAS technique in terms of consistency and accuracy. This was also replicated in the in vivo model. These results demonstrate that surgical robots exhibiting high levels of autonomy have the potential to improve consistency, patient outcomes, and access to a standard surgical technique.<\/jats:p>","DOI":"10.1126\/scirobotics.abj2908","type":"journal-article","created":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T18:54:01Z","timestamp":1643223241000},"source":"Crossref","is-referenced-by-count":318,"title":["Autonomous robotic laparoscopic surgery for intestinal anastomosis"],"prefix":"10.1126","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6170-9310","authenticated-orcid":true,"given":"H.","family":"Saeidi","sequence":"first","affiliation":[{"name":"Department of Computer Science, University of North Carolina Wilmington, Wilmington, NC 28403, USA."},{"name":"Department of Mechanical Engineering, Johns Hopkins University; Baltimore, MD 21211, USA."}]},{"given":"J. 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H.","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Urology, Children\u2019s National Hospital, 111 Michigan Ave. N.W., Washington, DC 20010, USA"}]},{"given":"J. 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