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Application of Artificial Intelligence in Training and Assessment of Basic Endoscopic Surgical Skills

https://doi.org/10.46594/2687-0037_2025_2_2006

Abstract

This article examines the application of artificial intelligence technologies for training and objectively assessing basic laparoscopic skills using the BÉSTA 2.0 simulation platform. The paper presents the system architecture, computer vision algorithms, stages of neural network training, and performance results. A three-phase study demonstrated high assessment accuracy (up to 95% agreement with expert ratings) and strong reproducibility of outcomes. Key limitations and mitigation strategies are discussed. Automated evaluation of the endosurgical skills enables scalable, instructor-independent feedback, improves training efficiency, and ensures real-time insight into trainee performance. The findings emphasize the potential of incorporating AI into laparoscopic training and, more broadly, into contemporary surgical education.

About the Authors

M. Gorshkov
Russian Society for Simulation Education in Medicine (ROSOMED); European Institute for Simulation in Medicine (EuroMedSim)
Germany

Gorshkov Maxim - Director of the European Institute for Simulation in Medicine, EuroMedSim; Head of the Expert Council of ROSOMED.

Moscow; Stuttgart



E. Kim
Sintomed Training and Simulation Center
Russian Federation

Kim Evgeny

Moscow



I. Beshchastnov
Lomonosov Moscow State University
Russian Federation

Beshchastnov Igor - Research Institute of Mechanics, Lomonosov.

Moscow



R. Tyurin
Lomonosov Moscow State University
Russian Federation

Tyurin Rostislav - Faculty of Mechanics and Mathematics.

Moscow



S. Pavlov
Lomonosov Moscow State University
Russian Federation

Pavlov Sergey - Faculty of Space Research.

Moscow



References

1. Gorshkov, M. D. 2016. "The Basic Endosurgical Simulation Training and Assessment (BESTA) Course." Paper presented at the XIX Congress of the Russian Society of Endoscopic Surgeons, Moscow, February 16–18.

2. Gorshkov, M. D., et al. 2018. Basic Endosurgical Simulation Training and Assessment. Moscow: ROSOMED.

3. Aggarwal, R., T. Grantcharov, K. Moorthy, J. Hance, and A. Darzi. 2006. "A Competency-Based Virtual Reality Training Curriculum for the Acquisition of Laparoscopic Psychomotor Skill." American Journal of Surgery 191 (1): 128–33. https://doi.org/10.1016/j.amjsurg.2005.10.014.

4. Belmar, F., M. I. Gaete, G. Escalona, M. Carnier, V. Durán, I. Villagrán, D. Asbun, M. Cortés, A. Neyem, F. Crovari, A. Alseidi, and J. Varas. 2023. "Artificial Intelligence in Laparoscopic Simulation: A Promising Future for Large-Scale Automated Evaluations." Surgical Endoscopy 37 (6): 4942–46. https://doi.org/10.1007/s00464-022-09856-1.

5. Ethicon (Johnson & Johnson). 2023. "AI-Powered Laparoscopic Skills Training Platform Debut." Press release, November 6. https://www.jnj.com/media-center/press-releases/ethicon-debuts-an-ai-powered-laparoscopic-skills-training-platform-at-the-american-association-of-gynecological-laparoscopists-global-congress.

6. Schlosser, K., M. Alkhawaga, K. Maschuw, et al. 2007. "Training of Laparoscopic Skills with Virtual Reality Simulator: A Critical Reappraisal of the Learning Curve." European Surgery 39: 180–84. https://doi.org/10.1007/s10353-006-0292-2.

7. Seymour, N. E., A. G. Gallagher, S. A. Roman, M. K. O'Brien, V. K. Bansal, D. K. Andersen, and R. M. Satava. 2002. "Virtual Reality Training Improves Operating Room Performance: Results of a Randomized, Double-Blinded Study." Annals of Surgery 236 (4): 458–63; discussion 463–64. https://doi.org/10.1097/00000658-200210000-00008.


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For citations:


Gorshkov M., Kim E., Beshchastnov I., Tyurin R., Pavlov S. Application of Artificial Intelligence in Training and Assessment of Basic Endoscopic Surgical Skills. Virtual Technologies in Medicine. 2025;(2):70-81. (In Russ.) https://doi.org/10.46594/2687-0037_2025_2_2006

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ISSN 2686-7958 (Print)
ISSN 2687-0037 (Online)