The present invention provides a surgical controlling system, comprising: a. at least one endoscope adapted to provide real-time image of surgical environment of a human body； b. at least one processing means, adapted to real time define n element within said real-time image of surgical environment of a human body； each of said elements is characterized by predetermined characteristics； c. image processing means in communication with said endoscope, adapted to image process said real-time image and to provide real time updates of said predetermined characteristics； d. a communicable database, in communication with said processing means and said image processing means, adapted to store said predetermined characteristics and said updated characteristics； wherein said system is adapted to notify if said updated characteristics are substantially different from said predetermined characteristics.
