Researchers developed and validated a pioneer surgical anonymization algorithm, named Robotic Anonymization Network (ROBAN), for real-time removal of out-of-body images during live surgery streaming. The algorithm achieved a high ROC AUC score of 99.89% after post-processing, outperforming previous state-of-the-art methods and offering reliable, accurate, and safe anonymization across different robotic platforms and procedural types. Journal […]
Category: Digital Surgery and Telemedicine
Development of Prediction Models for Mortality Risk After Colorectal Cancer Surgery
Researchers developed prediction models using preoperative data to assess short-term mortality risk following colorectal cancer surgery. The models showed good discrimination and calibration, with an area under the receiver operating characteristic curve of 0.88, 0.878, and 0.861 for 30-day, 90-day, and 1-year mortality, respectively. Subgroup analysis did not improve discrimination or calibration. Combining all operated […]
Machine learning does not outperform expert-informed predictions for outcome after major liver surgery
Expert-informed prediction models and machine learning models both showed similar performance in predicting postoperative overall morbidity in liver surgery patients, with high variability and over/underprediction. There was no improvement in performance for major liver surgery patients, indicating that machine learning may not have clinical relevance for predicting postoperative outcomes at this stage. Journal Article by […]
Virtual Formats Threaten Surgical Informed Consent’s Moral Ends
Virtual informed consent, adopted during the COVID-19 pandemic, persists despite its resolution, challenging the traditional “information-transfer” model. This study argues for a “trust-building” model, emphasizing the interpersonal and systemic aspects of consent. It explores the limitations of virtual formats in fulfilling this comprehensive understanding and proposes an ethical framework for physicians navigating this novel virtual […]
Impact of Hand Dominance on Laparoscopic Surgical Skills
Researchers found significant differences in skill acquisition and proficiency between dominant and non-dominant hands in laparoscopic surgical training. Network models and EMG data analysis effectively captured muscle activity and learning progression, suggesting the need for tailored training approaches. NASA-TLX scores correlated with performance, emphasizing the importance of objective and subjective measures in training. Personalized protocols […]
Privacy-Proof Live Surgery Streaming: Development of a Reliable Robotic Anonymization Algorithm
Researchers developed a pioneer surgical anonymization algorithm, validated across various robotic platforms, to remove out-of-body images in real-time. The algorithm successfully achieved a framewise anonymization roc auc-score of 99.46% on unseen procedures, increasing to 99.89% after post-processing. The deep learning model, ROBAN, offers safe real-time anonymization during complex surgical procedures on different robotic platforms, outperforming […]
Enhancing Surgical Efficiency and Patient Care Through Large Language Models
Integration of large language models (LLMs) into academic surgical settings can revolutionize practices by reducing administrative burdens, enhancing efficiency, and facilitating surgical research. Despite challenges such as generalization performance and ethical concerns, LLMs show promise in triaging patient concerns, generating automated responses, and improving efficiency. Further research and precautionary measures are recommended to ensure safe […]
Assessment of the Quality and Utility of Chat-Based AI Responses to Gastrointestinal Surgical Questions
Clinicians evaluated the quality and utility of chat-based AI responses to common gastrointestinal surgical questions. Responses were rated as fair or good overall, with cholecystectomy responses deemed of better quality than pancreaticoduodenectomy or colectomy responses. While some experts found the AI to be an accurate source of information, others deemed it unreliable and not comparable […]
Augmented Reality Improves Accuracy in Laparoscopic Liver Resection for Intraparenchymal Tumors
Augmented reality (AR) guidance significantly improves accuracy in laparoscopic liver resection for intraparenchymal tumors. The average pointing error for tumor localization was 29.4 mm for the laparoscope axis and 9.2 mm for the operator port axis, with errors increasing with tumor depth. While there was no significant dependency on tumor size, AR projection towards the […]
Characterization of Surgical Movements Reveals Differences in Efficiency Between Experienced and Novice Surgeons
The study analyzed surgeons’ hand movements to characterize the differences in movement efficiency between experienced and novice surgeons. Hand motions were recorded using an inertial measurement unit (IMU) during a simulated surgical procedure. The results showed that experienced surgeons exhibited more fluid and efficient hand movements compared to novice surgeons. The angle of roll motion, […]