Evidence map›Paper›PMID 39266790›Full record

ArticleAnnals of surgical oncology2024

Usefulness of an Artificial Intelligence Model in Recognizing Recurrent Laryngeal Nerves During Robot-Assisted Minimally Invasive Esophagectomy.

Tasuku Furube, Masashi Takeuchi, Hirofumi Kawakubo, Kazuhiro Noma, Naoaki Maeda, Hiroyuki Daiko, Koshiro Ishiyama, Koji Otsuka, Yoshihito Sato, Kazuo Koyanagi and 5 more

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Article in Annals of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Artificial intelligence-based anatomical recognition improves surgeon decision-making during robotic gastrectomy.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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  6. Article
  7. Review
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  12. Current advances and challenges in minimally invasive esophagectomy.International journal of clinical oncology · 2025
    Review
  13. Article
  14. Artificial Intelligence Assurance in Head and Neck Surgery: Now and Next.Proceedings. IEEE International Symposium on Computer-Based Medical Systems · 2025
    Article
  15. Article
  16. Article
  17. 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

15 authors.

Tasuku FurubeDepartment of Surgery, Keio University School of Medicine, Shinjuku City, Tokyo, Japan.
Masashi TakeuchiDepartment of Surgery, Keio University School of Medicine, Shinjuku City, Tokyo, Japan. masaty871222@gmail.com.
Hirofumi KawakuboDepartment of Surgery, Keio University School of Medicine, Shinjuku City, Tokyo, Japan. hkawakubo@z3.keio.jp.
Kazuhiro NomaDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Naoaki MaedaDepartment of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Hiroyuki DaikoDepartment of Esophageal Surgery, National Cancer Center Hospital, Chuo City, Tokyo, Japan.
Koshiro IshiyamaDepartment of Esophageal Surgery, National Cancer Center Hospital, Chuo City, Tokyo, Japan.
Koji OtsukaEsophageal Cancer Center, Showa University Hospital, Shinagawa City, Tokyo, Japan.
Yoshihito SatoEsophageal Cancer Center, Showa University Hospital, Shinagawa City, Tokyo, Japan.
Kazuo KoyanagiDepartment of Gastroenterological Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Kohei TajimaDepartment of Gastroenterological Surgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan.
Rodrigo Nicida GarciaDepartment of Gastroenterology, Digestive Surgery Division, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Yusuke MaedaDepartment of Surgery, Keio University School of Medicine, Shinjuku City, Tokyo, Japan.
Satoru MatsudaDepartment of Surgery, Keio University School of Medicine, Shinjuku City, Tokyo, Japan.
Yuko KitagawaDepartment of Surgery, Keio University School of Medicine, Shinjuku City, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecurrent laryngeal nerve (RLN) palsy is a common complication in esophagectomy and its main risk factor is reportedly intraoperative procedure associated with surgeons' experience. We aimed to improve surgeons' recognition of the RLN during robot-assisted minimally invasive esophagectomy (RAMIE) by developing an artificial intelligence (AI) model.

methodsWe used 120 RAMIE videos from four institutions to develop an AI model and eight other surgical videos from another institution for AI model evaluation. AI performance was measured using the Intersection over Union (IoU). Furthermore, to verify the AI's clinical validity, we conducted the two experiments on the early identification of RLN and recognition of its location by eight trainee surgeons with or without AI.

resultsThe IoUs for AI recognition of the right and left RLNs were 0.40 ± 0.26 and 0.34 ± 0.27, respectively. The recognition of the right RLN presence in the beginning of right RLN lymph node dissection (LND) by surgeons with AI (81.3%) was significantly more accurate (p = 0.004) than that by surgeons without AI (46.9%). The IoU of right RLN during right RLN LND recognized by surgeons with AI (0.59 ± 0.18) was significantly higher (p = 0.010) than that by surgeons without AI (0.40 ± 0.29).

conclusionsSurgeons' recognition of anatomical structures in RAMIE was improved by our AI system with high accuracy. Especially in right RLN LND, surgeons could recognize the RLN more quickly and accurately by using the AI model.

Indexed as

Artificial IntelligenceEsophageal NeoplasmsEsophagectomyRecurrent Laryngeal NerveRobotic Surgical ProceduresFemaleHumansLymph Node ExcisionMaleMinimally Invasive Surgical ProceduresPrognosisRecurrent Laryngeal Nerve InjuriesVocal Cord Paralysis

Identifiers

PMID39266790

What OpenQuestion holds

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Registered trials

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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.