{"title":"Artificial intelligence-driven real-time assistance in minimally invasive surgery: a technology-oriented narrative review.","authors":"Jieun Oh","doi":"10.7602/jmis.2026.29.2.70","DOIUrl":"10.7602/jmis.2026.29.2.70","url":null,"abstract":"<p><p>Although minimally invasive surgery is a standard surgical approach because of its proven benefits to patient outcomes, it imposes increased cognitive demands on surgeons because of limited visualization, lack of tactile feedback, and constraints in instrument manipulation. These challenges have been partially mitigated by robot-assisted surgery, while recent advances in artificial intelligence (AI) have established intraoperative AI as a key technology enabling real-time support of surgical perception, decision-making, and instrument control. Here, we review the key AI technologies used during the intraoperative phase of endo-laparoscopic and robotic surgery, including anatomical and lesion recognition, instrument detection and tracking, surgical phase and workflow analysis, real-time tissue characterization, image-guided and augmented navigation, AI-assisted instrument control, and multimodal event detection. We also discuss key clinical integration challenges and future research directions focused on foundation and self-supervised learning paradigms, and human-AI collaborative system design.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"70-81"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laparoscopic left hemicolectomy with inferior mesenteric vein sparing: a step-by-step surgical approach (with video).","authors":"Supakool Jearanai, Satakhun Watcharangkul, Songphol Malakorn","doi":"10.7602/jmis.2026.29.2.90","DOIUrl":"10.7602/jmis.2026.29.2.90","url":null,"abstract":"<p><p>Routine ligation of the inferior mesenteric vein (IMV) during laparoscopic left hemicolectomy is widely practiced but may predispose patients to venous congestion, ischemia, and anastomotic complications, especially in patients with a long remnant sigmoid colon. IMV preservation remains underutilized due to technical difficulty and the absence of standardized guidance. This video article presents a structured, step-by-step technique for laparoscopic left hemicolectomy with D3 lymphadenectomy and IMV preservation in a 64-year-old male with distal transverse colon adenocarcinoma. Key elements include meticulous IMV skeletonization with selective tributary ligation, targeted left colic artery division, and extracorporeal functional end-to-end anastomosis. The patient recovered uneventfully and was discharged on postoperative day 3. A 6-month colonoscopy confirmed a well-healed anastomosis without congestion or stricture. IMV-preserving left hemicolectomy is safe, oncologically sound, and technically reproducible. Maintaining venous drainage may reduce anastomotic congestion and support optimal healing, offering meaningful value in selected patients.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"90-92"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment on \"Minimally invasive surgery for diverticulitis: a single-center retrospective study in the United States focusing on splenic flexure mobilization in elective sigmoid colectomy\".","authors":"Ho Seung Kim","doi":"10.7602/jmis.2026.29.2.59","DOIUrl":"10.7602/jmis.2026.29.2.59","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"59-60"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medial-to-lateral approach for laparoscopic right hepatectomy of the remnant liver: a safe technique for patients with a history of posterior segment resection (with video)","authors":"Hidetoshi Gon, Tadahiro Goto, Michihiko Yoshida, Yuki Azumi, Kae Katsumoto, Ryuju Kawashima, Yu Kitamura, Shunji Nakayama, Daisuke Kuroda, Yonson Ku","doi":"10.7602/jmis.2026.29.2.86","DOIUrl":"10.7602/jmis.2026.29.2.86","url":null,"abstract":"<p><p>Laparoscopic repeat hepatectomy (LRH) remains challenging when initial resection sites overlap with target areas. We report a safe surgical approach for LRH of the remnant right liver after prior posterior segment resection. An 83-year-old female with recurrent intrahepatic cholangiocarcinoma in segment 5, following segmentectomy 6, required right hepatectomy. Due to dense adhesions in the posterior segment making right lobe mobilization, including dissection around the inferior vena cava (IVC), difficult, we employed a medial-to-lateral approach for LRH. We initially performed parenchymal transection to expose the ventral side of the IVC, followed by a medial-to-lateral dissection around the IVC under a favorable operative field. Operative time was 469 minutes with 160 mL blood loss. The patient was discharged on postoperative day 17 without complications. In LRH after posterior segment resection, a medial-to-lateral approach using the parenchymal transection-first technique is effective for minimizing risks of collateral injury during right hepatectomy.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Awinita Barpujari, Maryam Morris, Pooja Shah, Franklin Burg, Aley E Tohamy
{"title":"Hybrid surgical management of a recurrent inguinal hernia complicated by an Amyand's hernia and appendicitis: a case report.","authors":"Awinita Barpujari, Maryam Morris, Pooja Shah, Franklin Burg, Aley E Tohamy","doi":"10.7602/jmis.2026.29.2.93","DOIUrl":"10.7602/jmis.2026.29.2.93","url":null,"abstract":"<p><p>Amyand's hernia is the presence of the appendix within an inguinal hernia sac. A surgical rarity, this accounts for approximately 1% of all inguinal hernias, mostly in children, and presents a unique set of diagnostic and management challenges. This case report details a 61-year-old male presenting with suppurative appendicitis within a recurrent right inguinal hernia, managed through a hybrid approach involving a combination of open and laparoscopic surgical techniques. The purpose of this case report is to raise awareness among surgeons regarding the management of Amyand's hernia with suppurative appendicitis and to recognize the need for further research pertaining to the use of biosynthetic meshes as an alternative to tension-free tissue-based repairs in such cases.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"93-96"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noor Un Nisa, Muhammad Mohsin, Maria Baig, Habib Ur Rehman, Eisha Tur Razia
{"title":"Reassessing oncologic adequacy and methodological rigor in minimally invasive surgery for remnant gastric cancer.","authors":"Noor Un Nisa, Muhammad Mohsin, Maria Baig, Habib Ur Rehman, Eisha Tur Razia","doi":"10.7602/jmis.2026.29.2.113","DOIUrl":"10.7602/jmis.2026.29.2.113","url":null,"abstract":"","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"113-114"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nhat Ba Minh Nguyen, Trieu Hai Pham, Trung Quoc Pham, Duc Van Nguyen, Phuc Hung Nguyen
{"title":"Laparoscopic management of Mirizzi syndrome type IV: a case report and review of minimal access surgery.","authors":"Nhat Ba Minh Nguyen, Trieu Hai Pham, Trung Quoc Pham, Duc Van Nguyen, Phuc Hung Nguyen","doi":"10.7602/jmis.2026.29.2.97","DOIUrl":"10.7602/jmis.2026.29.2.97","url":null,"abstract":"<p><p>Mirizzi syndrome type IV, a rare and complex form of biliary obstruction, has traditionally required major open surgery. This case report describes a groundbreaking alternative: a 44-year-old woman successfully treated using a minimally invasive laparoscopic approach. The less invasive procedure resulted in rapid, complication-free recovery, with no evidence of biliary stricture at the 6-month follow-up. This outcome challenges conventional management and demonstrates that a minimally invasive approach can be both feasible and highly effective in carefully selected patients.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robotic single-port plus one-port radical cholecystectomy: description of surgical techniques with video.","authors":"Sung Hyun Kim, Jae Hwan Jeong, Chang Moo Kang","doi":"10.7602/jmis.2026.29.2.82","DOIUrl":"10.7602/jmis.2026.29.2.82","url":null,"abstract":"<p><p>Radical cholecystectomy is the standard procedure for gallbladder (GB) cancer, offering the possibility of cure. Many surgeons have increasingly expanded surgical indications following the growing trend of robotic surgery in hepatobiliary and pancreatic surgery. This study presents our experience with several robotic single-port (SP) plus one-port radical cholecystectomies using the da Vinci system (Intuitive Surgical). Data from five patients who underwent robotic SP radical cholecystectomy for GB cancer between April 2024 and December 2024 were retrospectively reviewed. All patients presented with imaging findings suggestive of localized GB cancer (T2 or lower). The median operative time was 145 minutes (range, 121-153 minutes), and the median number of harvested lymph nodes was five (range, five to eight). The median hospital stay after surgery was 6 days (range, 6-7 days), with no major complications reported. Robotic SP radical cholecystectomy is a safe and feasible option for GB cancer.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Two-port laparoscopic placement of a peritoneal dialysis catheter using guideline-based trans-rectus insertion, rectus sheath tunneling, and a dedicated exit site: a technical note.","authors":"Ichiro Tamaki, Tatsuki Kusuhara, Yusuke Fukui, Yoshikuni Yonenaga, Takashi Nitta","doi":"10.7602/jmis.2026.29.2.102","DOIUrl":"10.7602/jmis.2026.29.2.102","url":null,"abstract":"<p><p>We describe a simple modification of the two-port laparoscopic technique for peritoneal dialysis (PD) catheter placement incorporating guideline-recommended trans-rectus insertion and dedicated exit-site design. A 5-mm trocar is inserted through a small trans-rectus incision using an open (Hasson) technique and subsequently serves as the final catheter insertion site. After placement of the first port, a second 5-mm port is safely inserted at the planned superficial cuff site under laparoscopic guidance and subsequently serves as the camera port for the remainder of the procedure. After laparoscopic inspection, the PD catheter is introduced along an oblique trans-rectus pathway to enhance catheter stability, and the superficial cuff is secured at the port site. The catheter is then directed through a subcutaneous tunnel and exteriorized through a small exit site. This modification provides a simple and reproducible option for PD catheter placement.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"29 2","pages":"102-106"},"PeriodicalIF":0.0,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}