Updates in Surgery最新文献_第10页

Clinical efficacy and safety of robotic-assisted thoracic surgery after neoadjuvant therapy in non-small cell lung cancer: a systematic review and meta-analysis. 非小细胞肺癌新辅助治疗后机器人辅助胸外科手术的临床疗效和安全性：一项系统综述和荟萃分析

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-23 DOI: 10.1007/s13304-026-02525-w

Guanbiao Liang, Huajian Peng, Yongpeng Li

引用次数: 0

Comparison analysis of short-term outcomes between degradable stent placement and diverting ileostomy in mid-to-low rectal cancer: a retrospective cohort study. 一项回顾性队列研究：可降解支架置入与回肠转路造口术治疗中低位直肠癌的短期疗效比较分析

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-23 DOI: 10.1007/s13304-026-02549-2

Jing Wen, Bo Huang, Minjiang Zheng, Qiushi Huang, Xianzhe Yu, Shan He

引用次数: 0

Comment on "Machine learning model for predicting a high comprehensive complication index following rectal cancer surgery". 评论“预测直肠癌术后高综合并发症指数的机器学习模型”。

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-19 DOI: 10.1007/s13304-026-02553-6

Prathamesh Kharde, Yashomandira Kharde, Tarun Madan Kanade

引用次数: 0

Artificial intelligence in the recognition of stages in live laparoscopic cholecystectomy. 人工智能在活体腹腔镜胆囊切除术分期识别中的应用。

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-19 DOI: 10.1007/s13304-026-02566-1

Sean Olivieri, Enrique Petracchi, Hugo Zandalazini

{"title":"Artificial intelligence in the recognition of stages in live laparoscopic cholecystectomy.","authors":"Sean Olivieri, Enrique Petracchi, Hugo Zandalazini","doi":"10.1007/s13304-026-02566-1","DOIUrl":"https://doi.org/10.1007/s13304-026-02566-1","url":null,"abstract":"<p><p>Laparoscopic cholecystectomy is the gold standard for treating symptomatic gallstones. Despite established safety strategies, variability in their adoption leads to inconsistent outcomes. Artificial intelligence (AI) offers potential for real-time recognition of procedural stages, contributing to surgical standardization and safety. A prospective observational study was conducted between February 2023 and March 2024. Patients undergoing laparoscopic cholecystectomy for symptomatic gallstones or class 1 cholecystitis (Tokyo classification) were included. From 141 surgical videos, 131 were used to extract 1,841 annotated images representing seven predefined stages: cavity entry, port placement, gallbladder traction, dissection, clipping and sectioning, specimen removal, and final checking. A ResNet-50 neural network was trained and validated using a 90/10 split. Performance was evaluated on 10 unseen videos and tested live in 10 surgeries, comparing AI stage detection with expert surgical judgment. Validation accuracy ranged from 80.15 to 91.74%. In live testing, the system achieved 100% agreement with expert surgeons. The dissection phase was consistently the longest. Real-time processing speed ranged from 1 to 2 frames per second. AI-based recognition of laparoscopic cholecystectomy stages is feasible and demonstrates high concordance with expert evaluation. This approach may support procedural standardization and improve intraoperative decision-making. Further multicenter validation is recommended.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: Parathyroidectomy and the use of ioPTH. A survey of the united Italian society of endocrine surgery (SIUEC). 纠正：甲状旁腺切除术和ioPTH的使用。意大利内分泌外科联合学会（SIUEC）调查。

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-19 DOI: 10.1007/s13304-026-02568-z

Paolo Del Rio, Salvatore Sorrenti, Giovanni Docimo, Gabriele Materazzi, Mario Testini, Pietro Giorgio Calò, Marco Raffaelli, Maurizio Iacobone, Carmela De Crea, Eleonora Lori, Elena Bonatipleaes, Elena Bonati

引用次数: 0

A bibliometric analysis of diverticulitis: global trends and future directions. 憩室炎的文献计量学分析：全球趋势和未来方向。

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-16 DOI: 10.1007/s13304-026-02548-3

Mehmet Berksun Tutan, Duygu Tutan

引用次数: 0

Commentary on "Artery first approach in robotic pancreatoduodenectomy: right-sided uncinate first technique". “机械胰十二指肠切除术中动脉先行入路：右侧钩端先行技术”述评。

IF 2.2 3区医学

Updates in Surgery Pub Date : 2026-02-16 DOI: 10.1007/s13304-026-02563-4

Mohammad Ameen Ismael Gokhool, Muhammad Saeed Qazi

引用次数: 0

Comment on: "Indocyanine green fluorescence in pelvic lymph node dissection during laparoscopic radical prostatectomy: a randomized controlled trial". 评论：“在腹腔镜根治性前列腺切除术中盆腔淋巴结清扫中的吲哚菁绿荧光：一项随机对照试验”。