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Updated: Jun 18, 2025

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Deep learning-based surgical phase recognition in laparoscopic cholecystectomy.

Hye Yeon Yang1, Seung Soo Hong2, Jihun Yoon3

  • 1Department of Liver Transplantation and Hepatobiliary and Pancreatic Surgery, Ajou University School of Medicine, Suwon, Korea.

Annals of Hepato-Biliary-Pancreatic Surgery
|July 28, 2024
PubMed
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This summary is machine-generated.

A new artificial intelligence (AI) model accurately identifies surgical phases in laparoscopic cholecystectomy videos. This AI tool enhances surgical workflow analysis and performance evaluation in minimally invasive surgery.

Area of Science:

  • Medical technology
  • Artificial intelligence in surgery
  • Surgical workflow analysis

Background:

  • Artificial intelligence (AI) is increasingly used for surgical assessment and performance evaluation.
  • Automating surgical workflow analysis from video is crucial for effective surgical evaluation.
  • Minimally invasive surgery relies on objective performance metrics.

Purpose of the Study:

  • To design a deep learning model for automatic surgical phase identification in laparoscopic cholecystectomy.
  • To evaluate the accuracy of the AI model in recognizing different surgical phases.
  • To assess AI's potential in objective surgical performance evaluation.

Main Methods:

  • Utilized a combined dataset of 160 laparoscopic cholecystectomy videos (Cholec80 and institutional data).
Keywords:
Artificial intelligenceComputer terminalsLaparoscopic cholecystectomyPattern recognition, automatedSurgical procedures, operative

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  • Split data into training and testing sets at a 2:1 ratio for AI model development.
  • Evaluated model performance without pre- or post-processing to isolate AI's impact.
  • Main Results:

    • The AI model achieved an overall accuracy of 91.2% on 98,234 test frames.
    • Highest accuracy was observed in Calot's triangle dissection (F1 score: 0.9421).
    • Clipping and cutting phase recognition was the least accurate (F1 score: 0.7761).

    Conclusions:

    • The developed AI model demonstrates high accuracy in identifying surgical phases during laparoscopic cholecystectomy.
    • This technology holds promise for objective and automated surgical performance assessment.
    • Further refinement could improve accuracy in specific surgical sub-tasks.