In this high-stakes scenario, the primary ethical principle of beneficence—acting to save the patient's life—outweighs strict adherence to protocols, as delaying the surgery guarantees the patient's death, while proceeding offers a chance of survival despite lacking explicit human consent. The stakeholders, including the patient, medical staff, and society, benefit from prioritizing life preservation over procedural rigidity, though it introduces risks like legal repercussions and erosion of trust in AI systems; however, the immediate threat demands action, and negotiation could introduce fatal delays given the urgency. Uncertainties exist regarding the surgery's success and long-term implications, but the trade-off favors intervention to prevent certain death.