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Surgical innovation and technology

Matthews, Jeffrey B
; 
Ruurda, Jelle P
; 
Vaughan-Shaw, Peter G
; 
Winter, Desmond C
; 
Beggs, Andrew
; 
Yiu, Andrew
; 
Davidson, Brian
; 
Seeliger, Barbara
; 
Xin, Chen
; 
Stoyanov, Daniel
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Author
Matthews, Jeffrey B
Ruurda, Jelle P
Vaughan-Shaw, Peter G
Winter, Desmond C
Beggs, Andrew
Yiu, Andrew
Davidson, Brian
Seeliger, Barbara
Xin, Chen
Stoyanov, Daniel
Rietbergen, Daphne D
van Leeuwen, Fijs WB
Kuiper, Gerlof M
Piozzi, Guglielmo N
Qiu, Jianing
Kinross, James M
Ramalhinho, João
Khan, Jim S
Gurusamy, Kurinchi
Lam, Kyle
Chan, Kai F
Zhang, Li
Boal, Matthew
Clarkson, Matthew J
van Oosterom, Matthias N
Francis, Nader
Lal, Neeraj
Chiu, Philip WY
Buckle, Tessa
Shasha, Yafit
Hussein, Israa FE
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Department
Personalized Medicine
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Journal article
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English
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Abstract
The pace of surgical innovation appears ever faster. Innovation is being freed from the design constraints of the opposable digits of a surgeon's hand through the use of programmable binary digits. Surgeons must be the drivers of change and central to the application of innovations. We should collaborate with industry, engineers and scientists to think out of the box but must consider also expense, environmental impact, equity, and ethics. But we should not be blinded by shiny technology: innovation without impact is mere noise. The ultimate considerations are the diagnosis and management of surgical disease, of improving the care of our patients. Expert surgeons, scientists and engineers across the world were identified and invited to describe areas of innovation within surgery. They were given free rein to review their areas of expertise and to discuss both current and future applications of technology within surgical care. The Commission spans multiple surgical specialties and scientific domains. It reviews translational genomics, including the role of ctDNA, alongside microbiomic and proteomic applications in improving the diagnosis, treatment and monitoring of surgical disease. Applications to enhance surgical procedures are described, from medical micro/nanorobots for minimally invasive interventions, sensory-enriched surgery with visual optimization and molecular image-guidance to intelligent and semiautomated instruments. The expansion and broad influence of artificial intelligence in surgical writing, training and simulation, diagnosis and robotics is widely described. The role of surgical innovation and technology in driving personalized care for benign and malignant surgical disease from genomic profiling to bespoke surgical and non-surgical treatment pathways and surveillance is considered. The future of surgery is poised to become more precise, personalized, and effective. Collaboration with engineers, data scientists, and industry partners not only represents an exciting opportunity for surgeons to participate in team science but is critical to focus innovation goals on optimizing patient care and outcomes. The editors of this special BJS Commission on surgical technology and innovation challenge the reader to imagine a future in which sensor technology, computation, multidimensional ‘omics’, robotics, automation, miniaturization, navigation, and artificial intelligence have profoundly reshaped not only the manner and means by which surgical procedures are conducted but also the ways in which surgeons of the future are trained.
Citation
J.B. Matthews, J.P. Ruurda, P.G. Vaughan-Shaw, D.C. Winter, A. Beggs, A. Yiu , et al., "Surgical innovation and technology," British Journal of Surgery, vol. 113, no. 5, pp. znaf224-znaf224, 2026, https://doi.org/10.1093/bjs/znaf224.
Source
British Journal of Surgery
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Keywords
32 Biomedical and Clinical Sciences, 3202 Clinical Sciences, 3 Good Health and Well Being
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Publisher
Oxford
DOI
10.1093/bjs/znaf224
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https://academic.oup.com/bjs/article-abstract/113/5/znaf224/8686356?redirectedFrom=fulltext
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