Large language model GPT-4, specifically the chatbot version ChatGPT, demonstrates near or above human-level performance on surgical knowledge assessments from two widely used question banks. In open-ended questions, ChatGPT answers accurately to 47.9% and 66.1% of questions, while for multiple-choice questions, it achieves accuracy rates of 71.3% and 67.9%. However, inconsistencies in responses on repeat […]
Category: Digital Surgery and Telemedicine
Examining Surgical Team Member Adaptation to Uncertainty Using the Operating Room Black Box
Results from this observational study using the Operating Room Black Box demonstrated how surgical team members adapt their teamwork skills during instances of uncertainty, specifically when dealing with intraoperative adverse events (IAEs). Nurses exhibited increased backup behavior skills during IAEs, while surgeons and medical trainees expressed more psychological safety skills. However, all roles exhibited fewer […]
Intraoperative Autonomic Physiology in Surgeons: Real-time Cardiac Reactivity Study
Surgeons’ autonomic physiology, specifically their heart rate (interbeat intervals), varies intraoperatively. Attending surgeons exhibit higher heart rate reactivity during high-risk operations, while residents show lower reactivity during high-risk procedures relative to low-risk ones. Nurses respond similarly during both low-risk and high-risk operations; however, they are more reactive when the resident is operating. Attending surgeons’ physiological […]
Impact of Stoma App on Quality of Life in Stoma Patients
A randomized double-blind clinical trial investigated the effects of a mobile healthcare app, Stoma App, on the quality of life in stoma patients. The intervention group, using the full version of the app with personalized guidance and peer support, reported a significant 3.1-point improvement in stoma-related quality of life one month after surgery. However, no […]
Telehealth Follow-Up After General Surgery Procedures is Safe and Effective: Study Highlights Lower Complication Rates
Telehealth utilization for postoperative care in general surgery has rapidly increased during the pandemic, but its usage among the veteran surgical population remains limited. A retrospective review of veterans undergoing general surgery found that telehealth follow-up after qualifying procedures was safe and effective. Among the 1075 patients included in the study, 56% followed up in-person […]
Telehealth intervention shows potential to improve quality of life for patients with eating symptoms after gastroesophageal cancer surgery
Researchers conducted a pilot study to assess the effectiveness of a telehealth intervention for personalized self-management of eating symptoms after gastroesophageal cancer surgery. The intervention, delivered by a nutritionist through telehealth sessions over 4 months, demonstrated feasibility and acceptability among patients. Although the differences between the intervention and control groups were not statistically significant, the […]
Telehealth Follow-Up After General Surgery Procedures is Safe and Effective: Study Highlights Lower Complication Rates
Telehealth utilization for postoperative care in general surgery has rapidly increased during the pandemic, but its usage among the veteran surgical population remains limited. A retrospective review of veterans undergoing general surgery found that telehealth follow-up after qualifying procedures was safe and effective. Among the 1075 patients included in the study, 56% followed up in-person […]
Novel System Enhances Network Latency Management in Telesurgery
Researchers conducted telesurgery simulation trials and remote adrenalectomy procedures to assess the performance of a novel network latency management system in 5G telesurgery. The system displayed stability during all procedures and had a friendly interface that was easy to operate. Comparison with the traditional “ping command” method showed no significant difference in network latency data. […]
Force Feedback Function in Surgical Robot Improves Suturing Procedure
Adding a force feedback function to robotic surgical systems significantly reduced the maximal force applied to the robotic forceps while maintaining the quality of suturing. The force feedback function did not affect the objectively assessed suturing score but slightly shortened the task accomplishment time in younger surgeons. This suggests that robots with force feedback can […]
Development of Multitask AI Model to Identify Surgical Skill Level from Open Surgical Videos
A study developed a multitask AI model capable of real-time understanding of surgical behaviors by analyzing a large collection of annotated open surgical videos. The model successfully identified kinematic descriptors of surgical skill related to the efficiency of hand motion. The compound skill feature derived from the model was found to be a significant discriminator […]