Evidence map›Paper›PMID 37843584›Full record

ArticleLangenbeck's archives of surgery2023

Technological advancements in surgical laparoscopy considering artificial intelligence: a survey among surgeons in Germany.

Sebastian Lünse, Eric L Wisotzky, Sophie Beckmann, Christoph Paasch, Richard Hunger, René Mantke

Open access · hybridAbstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Clear Vision, Clear Savings: Enhancing Efficiency in Minimally Invasive Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
  2. Review
  3. Article
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  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sebastian LünseDepartment of General and Visceral Surgery, Brandenburg Medical School, University Hospital Brandenburg/Havel, Hochstrasse 29, 14770, Brandenburg, Germany. sebastian.luense@uk-brandenburg.de.
Eric L WisotzkyVision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, Einsteinufer 37, 10587, Berlin, Germany.
Sophie BeckmannVision and Imaging Technologies, Fraunhofer Heinrich-Hertz-Institut HHI, Einsteinufer 37, 10587, Berlin, Germany.
Christoph PaaschDepartment of General and Visceral Surgery, Brandenburg Medical School, University Hospital Brandenburg/Havel, Hochstrasse 29, 14770, Brandenburg, Germany.
Richard HungerDepartment of General and Visceral Surgery, Brandenburg Medical School, University Hospital Brandenburg/Havel, Hochstrasse 29, 14770, Brandenburg, Germany.
René MantkeDepartment of General and Visceral Surgery, Brandenburg Medical School, University Hospital Brandenburg/Havel, Hochstrasse 29, 14770, Brandenburg, Germany.
Universitätsklinikum Brandenburg an der Havel · DEHumboldt-Universität zu Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe integration of artificial intelligence (AI) into surgical laparoscopy has shown promising results in recent years. This survey aims to investigate the inconveniences of current conventional laparoscopy and to evaluate the attitudes and desires of surgeons in Germany towards new AI-based laparoscopic systems.

methodsA 12-item web-based questionnaire was distributed to 38 German university hospitals as well as to a Germany-wide voluntary hospital association (CLINOTEL) consisting of 66 hospitals between July and November 2022.

resultsA total of 202 questionnaires were completed. The majority of respondents (88.1%) stated that they needed one assistant during laparoscopy and rated the assistants' skillfulness as "very important" (39.6%) or "important" (49.5%). The most uncomfortable aspects of conventional laparoscopy were inappropriate camera movement (73.8%) and lens condensation (73.3%). Selected features that should be included in a new laparoscopic system were simple and intuitive maneuverability (81.2%), automatic de-fogging (80.7%), and self-cleaning of camera (77.2%). Furthermore, AI-based features were improvement of camera positioning (71.3%), visualization of anatomical landmarks (67.3%), image stabilization (66.8%), and tissue damage protection (59.4%). The reason for purchasing an AI-based system was to improve patient safety (86.1%); the reasonable price was €50.000-100.000 (34.2%), and it was expected to replace the existing assistants' workflow up to 25% (41.6%).

conclusionSimple and intuitive maneuverability with improved and image-stabilized camera guidance in combination with a lens cleaning system as well as AI-based augmentation of anatomical landmarks and tissue damage protection seem to be significant requirements for the further development of laparoscopic systems.

Indexed as

LaparoscopySurgeonsArtificial IntelligenceGermanyHumansSurveys and QuestionnairesArtificial intelligenceLaparoscopic surgerySurvey

Identifiers

PMID37843584
PMCPMC10579134
OpenAlexW4387661521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.