Category: Digital Surgery and Telemedicine

AI Tool Enhances Prediction of Liver Resection Complexity

An advanced AI tool has been developed to predict intraoperative liver resection complexity (LRC) using preoperative CT scans. By generating 3D models of anatomy, including tumors and vascular structures, the tool outperforms traditional predictions made by surgeons. With an accuracy of 79.4% and an AUC of 85.1%, it provides significant improvements in forecasting surgical complexity. […]

DeepGuide enhances membrane visualization in surgery.

DeepGuide, a novel navigation system, significantly improved mesenteric integrity rates from 75% to 98% during laparoscopic radical resections in a study involving 60 patients. The system demonstrated superior signal-to-background ratios (2.30 ± 0.15) compared to conventional illumination (1.32 ± 0.16). Additionally, immunofluorescence analyses confirmed collagen enrichment aligned with 385 nm-excited autofluorescence properties. This innovative tool […]

AI Successfully Predicts Major Surgery Needs in Trauma Patients

An artificial intelligence model demonstrated a significant ability to predict the need for major surgery in trauma patients, achieving an ROC-AUC of 0.80-0.86. Specifically, predictions for neurosurgery reached an ROC-AUC of 0.90-0.95, while vascular and abdominal surgeries had scores of 0.69-0.88 and 0.77-0.84, respectively. This predictive capability, utilizing prehospital data, could enhance the early triage […]

AI can enhance surgical care access but needs ethical oversight.

A three-pronged approach is proposed to leverage artificial intelligence in improving surgical care access, particularly for underserved populations. By emphasizing data quality, continuous system evaluation, and ethical governance, researchers suggest that AI can reduce disparities in health outcomes. This approach addresses the risks associated with AI implementation while unlocking its potential to benefit rural and […]

Machine learning accurately measures tension in colorectal surgery

A novel machine learning algorithm based on long short-term memory neural networks successfully estimates mechanical tension in ex vivo porcine colons, achieving 88% accuracy and strong correlations in force measurement. This innovative approach provides a significant advance over traditional subjective tension assessment during robotic surgery, addressing the challenge of anastomotic leaks, which affect one in […]

Artificial intelligence improves safety in laparoscopic cholecystectomy

A systematic review of artificial intelligence (AI) applications in laparoscopic cholecystectomy reveals promising results. Analysis of 25 studies shows an average precision of 98% in identifying biliary structures, with the AI system altering annotations in 27% of cases. Notably, 70% of these adjustments were deemed safer, indicating AI’s potential to enhance surgical precision and mitigate […]

AI Advances Enhance Hernia Surgery Outcomes

Artificial intelligence has the potential to significantly improve hernia surgery by enhancing surgical risk assessment and outcomes. The review highlights advancements from machine learning, natural language processing, computer vision, and robotics over the past two decades. Machine learning aids in prediction model development, while natural language processing improves human-computer interactions. Computer vision is critical for […]

Multiservice machine learning models enhance surgical resource planning.

Multiservice machine learning models were developed to predict postsurgical length of stay (LOS) and discharge disposition at the time of case posting. An analysis of 63,574 patients showed the LOS model achieved an area under the curve (AUC) of 0.81. Incorporating relative value units and historical LOS improved prediction accuracy for both short and prolonged […]

Machine learning effectively predicts discharge against medical advice

A study evaluated machine learning algorithms to predict discharge against medical advice for 48,394 injured inpatients over five years. Among these individuals, 8.8% opted for discharge against medical advice. The light gradient boosting machine combined with edited nearest neighbors outperformed traditional logistic regression, achieving areas under the curve of 0.820 and 0.837 in internal and […]

Machine learning predicts surgical outcomes in cholangiocarcinoma patients

A machine learning model developed from 376 intrahepatic cholangiocarcinoma patients effectively predicts textbook outcomes. Key preoperative factors include Child-Pugh classification, ECOG score, hepatitis B status, and tumor size. The model achieved high accuracy during internal (AUC = 0.8825) and external validation (AUC = 0.8346). Survival analysis indicated that patients achieving textbook outcomes had disease-free survival […]