Formalizing video documentation of the Critical View of Safety in laparoscopic cholecystectomy: a step towards artificial intelligence assistance to improve surgical safety.

Journal: Surgical endoscopy
Published Date: Oct 3, 2019

Abstract

BACKGROUND: In laparoscopic cholecystectomy (LC), achievement of the Critical View of Safety (CVS) is commonly advocated to prevent bile duct injuries (BDI). However, BDI rates remain stable, probably due to inconsistent application or a poor understanding of CVS as well as unreliable reporting. Objective video reporting could serve for quality auditing and help generate consistent datasets for deep learning models aimed at intraoperative assistance. In this study, we develop and test a method to report CVS using videos.

Authors

  • Pietro Mascagni
    IHU Strasbourg, Strasbourg, France.
  • Claudio Fiorillo
    Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
  • Takeshi Urade
    IHU Strasbourg - Institut de Chirurgie Guidée par l'image, Strasbourg, France.
  • Taha Emre
    ICube, University of Strasbourg, CNRS, IHU Strasbourg, Strasbourg, France.
  • Tong Yu
  • Taiga Wakabayashi
    Institut de Recherche Contre les Cancers de l'Appareil Digestif (IRCAD), Strasbourg, France.
  • Emanuele Felli
    Digestive and Transplant Liver Surgery Unit, S.Camillo Hospital, Piazza Carlo Forlanini, 1 00151, Rome, Italy, e.felli@hotmail.com.
  • Silvana Perretta
    IHU Strasbourg - Institut de Chirurgie Guidée par l'image, Strasbourg, France.
  • Lee Swanstrom
    IHU Strasbourg - Institut de Chirurgie Guidée par l'image, Strasbourg, France.
  • Didier Mutter
    Institut Hospitalo-Universitaire, Institute of Image-Guided Surgery, University of Strasbourg, Fédération de Médecine Translationnelle de Strasbourg, Strasbourg, France3Department of Digestive Surgery, Strasbourg University Hospital, Fédération de Médecin.
  • Jacques Marescaux
  • Patrick Pessaux
    Institut Hospitalo-Universitaire de Strasbourg (IHU) Digestive and Endocrine Surgery, Nouvel Hôpital Civil, University of Strasbourg, 1, Place de l'Hôpital, 67091, Strasbourg, France, patrick.pessaux@chru-strasbourg.fr.
  • Guido Costamagna
    Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
  • Nicolas Padoy
    IHU Strasbourg, Strasbourg, France.
  • Bernard Dallemagne
    IHU Strasbourg - Institut de Chirurgie Guidée par l'image, Strasbourg, France.

Keywords

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