Integrated Advances in Minimally Invasive Surgery: Ergonomics, Visualization, and Artificial Intelligence in Modern Laparoscopy

Rudy Alejandro Herrera Rosales; Francisco Javier Tapias Gutiérrez; William Patricio Alvarez Morales; Dennis Steven Moncayo Cabascango; Verónica Vanessa Bastidas Pillalazo; Esteban Marrufo Sumano; Alex Fabricio Villa Alarcón; Daniel Luna Corredor

doi:10.64784/157

Авторы

Rudy Alejandro Herrera Rosales Instituto de Cancerología, INCAN Autor/a https://orcid.org/0000-0002-9844-7227
Francisco Javier Tapias Gutiérrez Universidad Cooperativa de Colombia seccional - santa marta Autor/a https://orcid.org/0009-0000-3096-4722
William Patricio Alvarez Morales Centro Medico Hospimedika Autor/a https://orcid.org/0009-0004-0681-4264
Dennis Steven Moncayo Cabascango Pontificia Universidad Católica del Ecuador Autor/a https://orcid.org/0009-0008-5704-0915
Verónica Vanessa Bastidas Pillalazo Universidad de las Américas Traductor/a https://orcid.org/0000-0001-5934-9109
Esteban Marrufo Sumano Hospital General Dr. Aurelio Valdivieso, IMSS Bienestar, Oaxaca Autor/a https://orcid.org/0009-0002-3740-4589
Alex Fabricio Villa Alarcón Universidad Nacional de Chimborazo Autor/a https://orcid.org/0009-0008-2209-2256
Daniel Luna Corredor Clínica Reina Sofía Autor/a https://orcid.org/0009-0001-6514-887X

DOI:

https://doi.org/10.64784/157

Ключевые слова:

Laparoscopy, minimally invasive surgery, surgical ergonomics, three-dimensional imaging, artificial intelligence, surgical data science, robotic surgery, intraoperative decision-making, surgical innovation, lobal surgery

Аннотация

Minimally invasive surgery has undergone significant transformation with the emergence of next-generation laparoscopy, characterized by the integration of ergonomic optimization, advanced visualization technologies, and intelligent assistance systems. This review aims to analyze the current state and future perspectives of laparoscopic surgery through these three core domains, emphasizing their combined impact on surgical performance, intraoperative safety, and clinical outcomes. A narrative review of high-impact literature published from 2020 onward was conducted, focusing on technological advancements and their application across diverse healthcare settings. The findings indicate that ergonomics remains a critical factor influencing surgeon performance and long-term sustainability, while innovations in visualization—such as three-dimensional imaging and fluorescence guidance—enhance spatial perception and operative precision. Additionally, the incorporation of artificial intelligence is redefining surgical workflows by enabling real-time analysis, safety assessment, and decision support. Despite these advances, disparities in access and implementation persist, particularly in middle-income regions such as Mexico, Colombia, and Ecuador. The evidence suggests that a progressive and context-adapted integration of these technologies is essential to ensure both innovation and accessibility. Ultimately, next-generation laparoscopy represents a shift toward a more integrated, data-driven, and human-centered surgical paradigm.

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