Evidence map›Paper›PMID 40164839›Full record

ReviewSurgical endoscopy2025

Artificial intelligence for intraoperative video analysis in robotic-assisted esophagectomy.

Amila Cizmic, Anuja T Mitra, Anas A Preukschas, Marius Kemper, Nathaniel T Melling, Oliver Mann, Sheraz Markar, Thilo Hackert, Felix Nickel

Abstract readReview
In one paragraph

Review in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Opportunities and obstacles in harnessing intraoperative data.Journal of abdominal wall surgery : JAWS · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. 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

9 authors.

Amila Cizmic *Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Anuja T Mitra *Department of Surgery & Cancer, Imperial College, London, UK.
Anas A PreukschasDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Marius KemperDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Nathaniel T MellingDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Oliver MannDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Sheraz MarkarNuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
Thilo HackertDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.
Felix NickelDepartment of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany. f.nickel@uke.de.ORCID http://orcid.org/0000-0001-6066-8238

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic-assisted minimally invasive esophagectomy (RAMIE) is a complex surgical procedure for treating esophageal cancer. Artificial intelligence (AI) is an uprising technology with increasing applications in the surgical field. This scoping review aimed to assess the current AI applications in RAMIE, with a focus on intraoperative video analysis.

methodsTo identify all articles utilizing AI in RAMIE, a comprehensive literature search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis for scoping reviews of Medline and Embase databases and the Cochrane Library. Two independent reviewers assessed articles for quality and inclusion.

resultsOne hundred and seventeen articles were identified, of which four were included in the final analysis. Results demonstrated that the main AI applications in RAMIE were intraoperative video assessment and the evaluation of surgical technical skills to evaluate surgical performance. AI was also used for surgical phase recognition to support clinical decision-making through intraoperative guidance and identify key anatomical landmarks. Various deep-learning networks were used to generate AI models, and there was a strong emphasis on using high-quality standardized video frames.

conclusionsThe use of AI in RAMIE, especially in intraoperative video analysis and surgical phase recognition, is still a relatively new field that should be further explored. The advantages of using AI algorithms to evaluate intraoperative videos in an automated manner may be harnessed to improve technical performance and intraoperative decision-making, achieve a higher quality of surgery, and improve postoperative outcomes.

Indexed as

Artificial IntelligenceEsophageal NeoplasmsEsophagectomyRobotic Surgical ProceduresVideo RecordingHumansArtificial intelligenceIntraoperative video analysisMinimally invasive surgeryRobotic-assisted esophagectomy

Identifiers

PMID40164839
PMCPMC12041040

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.