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. 2026 Oct 2;5:e94109. doi: 10.2196/94109

Table 5.

Summary of included studies on real-time assistance and safety analysis.

Study Year Data modality Data source Sample size MLa method Data availability
Real-time feedback/guidance

[89] 2025 Video Clinical (robotic mastectomy) 10 surgeries Dissection plane segmentation model Private

[90] 2025 Video Clinical (colorectal) N/Ab Nerve recognition model Private

[91] 2024 Video Clinical (pituitary surgery) >200 videos Mask R-CNNc Private

[3] 2024 Video Clinical (robotic urology) 2 surgeries Video transformer network Private

[92] 2023 Video (multicamera) Laparoscopic box-trainer (Fundamentals of Laparoscopic Surgery peg transfer) 55 videos; 5000+ images (9 participants) SSDd (ResNet50e V1 FPNf); rule-based sequential assessment Public

[57] 2022 Video (top-down cameras) Laparoscopic box-trainer 55 videos (9 residents) SSD; ResNet50; rule-based Public

[29] 2022 Video; kinematics dVRKg simulator (SurRoL) >1000 trials Reinforcement learning (RLh) Private

[93] 2022 Video Clinical (cholecystectomy) 290 surgeries Semantic segmentation (ResNet50+PSPNeti) Private
Tool tracking/pose estimation

[94] 2025 Video Laparoscopic simulator 10 surgeons DeepLabCut (Pose Estimation) Private

[15] 2025 Video 3D printed model 15 procedures YOLOv8j; BoTk-SORTl Private

[95] 2024 Video; IMU SutureCoach Simulator 81 participants CNNm (ResNet-50) Private

[23] 2023 Video; kinematics Custom Multiprocedure Dataset 950 frames (5 surgeries) GCNn; ResNet; Transformer Private

[96] 2022 Video (simulated) da Vinci simulator 9 videos 6-DoFo Motion Planning Private

[97] 2022 Video (synthetic) Synthetic MICCAIp; JIGSAWSq 8 videos PnPr; optical flow; time series forest Public

[98] 2022 Video ATLAS Diones; Endovist; Cholec80u 99 clips + 1083 frames DSCNet-CLSTMv; CNN regression Public

[31] 2021 Video Clinical (cataract surgery); CaDISw; Cataract-101 629 images Faster R-CNN; SSD; RetinaNet; Scaled-YOLOv4 Public, Private
Error detection/safety

[99] 2024 Video JIGSAWS N/A Transformer Public

[100] 2024 Video Microsurgery simulator 24 trials (12 surgeons) Semantic segmentation (ResNet-50) Private

aML: machine learning.

bN/A: not available.

cR-CNN: region-based convolutional neural network.

dSSD: single shot detector.

eResNet: residual network.

fFPN: feature pyramid network.

gdVRK: da Vinci research kit.

hRL: reinforcement learning.

iPSPNet: pyramid scene parsing network.

jYOLO: You Only Look Once.

kBoT: bag of tricks.

lSORT: simple online and realtime tracking.

mCNN: convolutional neural network.

nGCN: graph convolutional network.

o6-DoF: 6 degrees of freedom.

pMICCAI: Medical Image Computing and Computer Assisted Intervention.

qJIGSAWS: Johns Hopkins University and Intuitive Surgical Inc Gesture and Skill Assessment Working Set.

rPnP: perspective-n-point.

sATLAS Dione: Applied Technology Laboratory for Advanced Surgery Dione dataset.

tEndoVis: Endoscopic Vision Challenge.

uCholec80: a dataset of 80 cholecystectomy procedure videos.

vDSCNet-CLSTM: depth-wise separable convolutional network with convolutional long short-term memory.

wCaDIS: cataract dataset for image segmentation.