Surgical Agent Orchestration Platform for Voice-directed Patient Data Interaction

In da Vinci robotic surgery, surgeons' hands and eyes are fully engaged in the procedure, making it difficult to access and manipulate multimodal patient data without interruption. We propose a voice-directed Surgical Agent Orchestrator Platform (SAOP) built on a hierarchical multi-agent framework, consisting of an orchestration agent and three task-specific agents driven by Large Language Models (LLMs). These LLM-based agents autonomously plan, refine, validate, and reason to map voice commands into specific tasks such as retrieving clinical information, manipulating CT scans, or navigating 3D anatomical models on the surgical video. We also introduce a Multi-level Orchestration Evaluation Metric (MOEM) to comprehensively assess the performance and robustness from command-level and category-level perspectives. The SAOP achieves high accuracy and success rates across 240 voice commands, while LLM-based agents improve robustness against speech recognition errors and diverse or ambiguous free-form commands, demonstrating strong potential to support minimally invasive da Vinci robotic surgery.