Biomedical

Robots Are Starting to Make Decisions in the Operating Room

Surgical robots are rapidly evolving from simple assistants to autonomous systems capable of performing highly precise tasks like suturing soft tissue. The STAR robot developed at Johns Hopkins has shown that autonomous suturing can outperform human surgeons in consistency and accuracy. With advances in imaging, AI, and robotic control, autonomous surgery may soon become a standard part of medical care.

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November 29, 2025
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Robots Are Starting to Make Decisions in the Operating Room

Autonomous surgical robots are becoming increasingly capable thanks to major advances in imaging, robotics, and artificial intelligence. Colon cancer surgery, which requires extreme precision, is one of the many procedures that could benefit from robotic help. Traditional minimally invasive surgery depends heavily on a surgeon’s skill, and complications remain common. Autonomous robots aim to reduce these risks by performing repetitive, delicate tasks like suturing with greater accuracy than human hands.

A key breakthrough came from the Smart Tissue Autonomous Robot (STAR) developed at Johns Hopkins University. In 2016, STAR performed the first autonomous soft-tissue surgery on a live animal, creating more consistent and stronger sutures than human surgeons. Later versions improved imaging, added machine-learning–based tissue tracking, and adapted the system for laparoscopic use. By 2020, STAR could perform nearly six stitches autonomously before needing surgeon correction, far better than manual laparoscopic methods.

Future surgical robots will likely combine advanced computer vision, natural language understanding, and AI-driven motion planning so surgeons can guide them with simple verbal commands. As robots begin gathering data from real surgeries, they can continue learning and improving. While challenges remain especially around safety, data privacy, and legal responsibility autonomous robots are on track to become an important part of future operating rooms.

Read more-https://spectrum.ieee.org/star-autonomous-surgical-robot

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