Artificial Intelligence and ChatGPT in Abdominopelvic Surgery: A Systematic Review of Applications and Impact

Marta Goglia; Marco Pace; Marco Yusef; Gaetano Gallo; Matteo Pavone; Niccolò Petrucciani; Paolo Aurello

doi:10.21873/invivo.13534

Artificial Intelligence and ChatGPT in Abdominopelvic Surgery: A Systematic Review of Applications and Impact

In Vivo. 2024 May-Jun;38(3):1009-1015. doi: 10.21873/invivo.13534.

Authors

Marta Goglia^{1

2

3}, Marco Pace⁴, Marco Yusef¹, Gaetano Gallo⁵, Matteo Pavone⁶, Niccolò Petrucciani¹, Paolo Aurello⁵

Affiliations

¹ Department of Medical and Surgical Sciences and Translational Medicine, School in Translational Medicine and Oncology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
² IHU Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.
³ IRCAD, Research Institute Against Digestive Cancer, Strasbourg, France.
⁴ Department of Medical and Surgical Sciences and Translational Medicine, School in Translational Medicine and Oncology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy; [email protected].
⁵ Department of Surgery, Sapienza University of Rome, Rome, Italy.
⁶ Dipartimento di Scienze per la Salute della Donna e del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, UOC Ginecologia Oncologica, Rome, Italy.

Abstract

Background/aim: The integration of AI and natural language processing technologies, such as ChatGPT, into surgical practice has shown promising potential in enhancing various aspects of abdominopelvic surgical procedures. This systematic review aims to comprehensively evaluate the current state of research on the applications and impact of artificial intelligence (AI) and ChatGPT in abdominopelvic surgery summarizing existing literature towards providing a comprehensive overview of the diverse applications, effectiveness, challenges, and future directions of these innovative technologies.

Materials and methods: A systematic search of major electronic databases, including PubMed, Google Scholar, Cochrane Library, Web of Science, was conducted from October to November 2023, to identify relevant studies. Inclusion criteria encompassed studies that investigated the utilization of AI and ChatGPT in abdominopelvic surgical settings, including, but not limited to preoperative planning, intraoperative decision-making, postoperative care, and patient communication.

Results: Fourteen studies met the inclusion criteria and were included in this review. The majority of the studies were analysing ChatGPT's data output and decision making while two studies reported patient and general surgery resident perception of the tool applied to clinical practice. Most studies reported a high accuracy of ChatGPT in data output and decision-making process, however with an unforgettable number of errors.

Conclusion: This systematic review contributes to the current understanding of the role of AI and ChatGPT in abdominopelvic surgery, providing insight into their applications and impact on clinical practice. The synthesis of available evidence will inform future research directions, clinical guidelines, and development of these technologies to optimize their potential benefits in enhancing surgical care within the abdominopelvic domain.

Keywords: Artificial intelligence; ChatGPT; abdominopelvic surgery; innovation.

Publication types

Meta-Analysis
Systematic Review

MeSH terms

Abdomen / surgery
Artificial Intelligence*
Humans
Natural Language Processing
Pelvis / surgery