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The 8th World Congress of Laparoscopic Surgeons (WALS 2025), held at The Leela Ambience, Gurugram, witnessed groundbreaking discussions on the evolution of Artificial Intelligence (AI) in Minimal Access Surgery (MAS). Among the distinguished speakers, Dr. Junior Sudresh captivated the audience with his insightful presentation on “AI-Assisted Surgery – The Future of Minimal Access Surgery.” His talk shed light on how AI is revolutionizing surgical precision, decision-making, and training methodologies in laparoscopic and robotic procedures. As we advance into the era of intelligent automation, AI-driven innovations are reshaping the surgical landscape by enhancing patient safety, reducing operative time, and improving surgical outcomes. The Role of AI in Minimal Access Surgery Artificial Intelligence has already begun to redefine surgical practices, from preoperative planning to intraoperative assistance and postoperative monitoring. Dr. Sudresh highlighted several key domains where AI is making a transformative impact in MAS: 1. AI-Driven Preoperative Planning Preoperative planning is a crucial step in surgical precision, and AI-powered predictive analytics are assisting surgeons in evaluating complex cases with greater accuracy. With the help of machine learning (ML) algorithms, surgeons can anticipate potential complications, choose optimal port placements, and simulate surgical workflows for better decision-making. 2. AI-Assisted Intraoperative Guidance AI-integrated robotic surgical platforms like da Vinci Xi and Versius are already providing real-time feedback during laparoscopic and robotic procedures. Dr. Sudresh emphasized how AI-based image recognition and augmented reality (AR) are enhancing tissue differentiation, anatomical identification, and precision in dissection and suturing. Moreover, AI-powered haptic feedback systems allow for better force control, minimizing tissue trauma and enhancing the overall safety of MAS procedures. 3. Automation and AI-Enhanced Robotics The integration of AI with robotic surgery is enabling semi-autonomous and fully automated surgical systems. AI-assisted robots can analyze live surgical video feeds, detect anatomical landmarks, and even assist in complex suturing and dissection with unparalleled precision. AI-driven robotic platforms are also enhancing surgeon ergonomics by reducing mental fatigue, thereby improving performance in long-duration surgeries. 4. AI in Surgical Training and Simulation Dr. Sudresh emphasized how AI is revolutionizing surgical education by creating realistic virtual simulation environments. AI-powered simulators provide surgeons with real-time feedback on technique, precision, and efficiency, allowing them to refine their skills before operating on actual patients. With AI-enhanced training modules, young surgeons can learn laparoscopic and robotic procedures more effectively, reducing the learning curve and improving patient safety. 5. AI for Postoperative Monitoring and Outcome Prediction Postoperative care is another domain where AI is making significant contributions. AI-driven patient monitoring systems can analyze vital signs, detect early complications, and predict recovery patterns. These intelligent systems assist surgeons in identifying potential postoperative risks and optimizing patient management strategies. Challenges and Ethical Considerations While AI presents extraordinary possibilities, Dr. Sudresh also addressed the ethical and regulatory challenges associated with its implementation in surgery. Some key concerns include: • Surgeon’s Autonomy vs. AI Assistance: How much decision-making should be entrusted to AI? • Data Privacy and Security: Ensuring the confidentiality of patient data in AI-driven systems. • Legal and Ethical Accountability: Who is responsible in case of AI-assisted surgical errors? • Cost and Accessibility: Can AI-driven surgical advancements be made accessible to low-resource settings? As AI continues to evolve, establishing guidelines for AI-assisted surgeries and ensuring surgeon oversight will be critical in maintaining patient safety and ethical standards. The Future of AI in MAS Dr. Sudresh concluded his talk by stating that AI is not here to replace surgeons but to empower them. The future of Minimal Access Surgery lies in a synergistic relationship between human expertise and AI-driven precision. As technology advances, we can expect: • Fully autonomous robotic surgery for specific procedures • AI-powered personalized surgical strategies based on patient genomics • Enhanced real-time surgical navigation using AI-driven augmented reality • Standardized AI-driven surgical training programs WALS 2025 has once again reaffirmed that Artificial Intelligence will be the driving force behind the next revolution in Minimal Access Surgery.