IROS Conference 2025 Conference Paper
Autonomous Suturing Method for Robot-Assisted Minimally Invasive Surgery
- Mei Feng
- Haoju Li
- Yao Li
- Kun Yang
- Dong He
- Xiuquan Lu
Robot-assisted minimally invasive surgery is widely used because of its superior postoperative recovery outcomes. However, the workload for surgeons remains high. The development of autonomous suturing capabilities in surgical robots is poised to significantly reduce surgeon workload. In this study, we present a novel method or autonomous suturing using a minimally invasive surgical robot. We quantify the surgical suturing requirements and propose corresponding metrics for evaluating the suturing effect. We also use the dynamic adjustment of stitch position to optimize the surgical robot autonomous suturing scheme. Furthermore, we employ particle swarm algorithms to enhance the grasping posture of surgical instruments, enabling the robot to achieve optimal suture needle clamping. Our method maintains the same level of expert operator in the suturing parametric index of suturing when suturing two types of wounds: gauze and egg membrane. The autonomous suturing method proposed in this study is currently deployed on our own surgical robot, and it can be generalized to other surgical robots. This will lay the foundation for surgical robots to achieve fully autonomous surgery. The experimental results show that the stitching effect of our proposed autonomous robot stitching method is already close to that of surgeons using the same robot, and it maintains good consistency in multiple sets of experiments. The method proposed in this study can be generalized to various other surgical robots, laying the foundation for surgical robots to achieve fully autonomous surgery.