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In today&#x2019;s world, it is anticipated that DTw and IoRT will transform the idea of digital healthcare and advancement of it what was previously unknown. DTw is (physical or virtual) machines or computer-based models capable of mimicking or &#x201C;twinning&#x201D; the lives of actual entities such as objects, humans, or human-related features. Since the advent of digital and smart healthcare, the world has swiftly integrated several technologies in healthcare to support improved patient service, extend life expectancy, and lower healthcare expenses.DTw and IoRT are promising technologies and great improvements in this field. In recent years, the concepts of IoRT and DTw have captured the interest of the surgical sector. The flawless integration of data between a physical and virtual machine in either direction is the best way to conduct smart surgery. Artificial intelligence, nanotechnology, various kinds of robotic equipment, and the Internet of Things (IoT) are our pillars of completing the task. Using the DTw technological framework and IoRT infrastructure, this review paper proposes a comparative overview of traditional and IoRT collaborated DTwT and executes an adaptive perspective, opportunities, and challenges in the healthcare sector, namely surgical advances. This is an important addition to digital surgeries and to improve healthcare operations. Our literature review has sorted them according to research areas: the technological innovation, the prospective and opportunities we have, problems facing the surgical industry today and in the future, and offers an evaluation of the enabling technologies for the betterment of employing DTw and IoRT for the developing and secure surgical sector for both patients and doctors.

Toward IoRT Collaborative Digital Twin Technology Enabled Future Surgical Sector: Technical Innovations, Opportunities and Challenges