The present invention is a kind of artificial intelligent operation navigation cart with active detection, which is mainly applied to carts in medical institutions. The cart is composed of a cart body, a control unit, a signal transmission unit, a detection unit, a mechanical arm or / and an optical navigation host. The cart can travel to the designated place according to the set schedule or input commands (it can walk according to the memory map path), or follow the travel of the corresponding object, or the cart can be controlled by an external remote control system The counterparts that need to travel or follow, to reduce the burden of medical staff when walking, can concentrate on patient care or improve the quality of surgery.本發明為一種具主動偵測自走式人工智慧手術導航推車,主要應用於醫療機構之推車。該推車由推車本體、控制單元、訊號傳輸單元、偵測單元、機械手臂或/及光學導航主機所構成。該推車可自行依據設定排程或是輸入指令行進至指定地(可依據內存地圖路徑行走),或是跟隨對應物的行進,亦或使該推車藉由外部的遠端控制系統控制其行進或所需跟隨的對應物,達到減少醫護人員於走動時的負擔,可專心於病患的照顧或是提升手術進行的品質。