Laparoscopy is one of the most widely used surgical techniques in clinical practice. However, its practice is associated with medium- and long-term musculoskeletal disorders in surgeons. In this context, robot-assisted surgery has emerged as a promising approach for mitigating ergonomic constraints while enhancing control and precision during laparoscope manipulation. Despite these advances, existing research predominantly focuses on robotic control strategies, whereas the study of human–robot interaction in the operating room remains comparatively underexplored. This paper presents a proof-of-concept framework for workspace-aware posture adaptation in collaborative surgical robotics. The proposed approach combines vision-based human activity recognition with reinforcement learning to control the shoulder–elbow–wrist redundant angle of a seven-degree-of-freedom manipulator holding a laparoscope. Based on the detected interaction context, the system distinguishes between controlling, observing, cutting, and blocked states. During the observation and cutting phases, the controller allows the robot’s posture to be reconfigured so that it tilts away from the human operator while maintaining the position of the laparoscope; when the surgeon moves away, the robot gradually returns to its default configuration. Two reward formulations, dense and fuzzy, are compared. Real-world experiments show that both approaches learn the desired reflexive behavior, while the fuzzy reward yields improved training stability and more consistent real-system performance, increasing workspace availability around the surgeon.
Renedo-Alonso et al. (Tue,) studied this question.