在使用人工智能进行儿科腹腔镜胆囊切除术时,远程检测安全性的关键观点
Sean Exequiel Olivieri1,2, Santiago Darrigran3, Enrique Petracchi1
1General Surgery, Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.
World journal of pediatric surgery
|February 4, 2026
概括
远程人工智能 (AI) 在儿科腹腔镜胆囊切除术 (LC) 期间成功检测了安全性关键视图 (CVS). 这种人工智能辅助的方法被证明是可行的,安全的,并且与专家外科医生的评估一致,提高了儿童手术的安全性.
科学领域:
- 儿科外科手术 儿科外科手术
- 外科手术的安全性
- 医学中的人工智能
背景情况:
- 腹腔镜胆囊切除术 (LC) 在儿童中很常见,但胆道损伤是一个严重的风险.
- 对安全的批判性看法 (CVS) 减少了这种风险,但其识别是主观的.
- 人工智能 (AI) 在成人中对CVS检测有希望,但尚未在儿科中应用.
研究的目的:
- 评估人工智能辅助的远程CVS检测在儿科LC的可行性和准确性.
- 评估人工智能驱动的CVS识别与外科专家判断的一致性.
- 探索人工智能的潜力,以减少主观性,并改善在儿科手术中使用先进的外科工具的机会.
主要方法:
- 一项前性观察性研究测试了在50名儿科患者的成年LC病例上训练的AI算法.
- 手术实时传输;人工智能处理图像以识别心血管系统结构.
- 两个失明的专家外科医生独立评估了CVS的存在,将他们的发现与AI的结果进行了比较.
主要成果:
- 这项研究包括50名儿科患者 (平均BMI为29.3±5.8).
- 人工智能在37例中完全检测到CVS,在13例中部分检测到CVS.
- 人工智能和专家外科医生的评估之间有100%的一致性,没有报告的术后并发症.
结论:
- 远程人工智能辅助的CVS检测在儿科LC中是可行的和安全的.
- 人工智能的表现与专家手术评估一致.
- 这项技术有可能提高手术安全性,减少儿科手术中的主观性.
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