ReviewSurgical endoscopy2025
Blurred vision, clear concern: linking poor visualization with adverse events in minimally invasive surgery.
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 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Adverse events and device malfunctions in robotic thyroidectomy: a decade-long analysis of the MAUDE database.Journal of robotic surgery · 2026Article
- Morphology-Aware Deep Features and Frozen Filters for Surgical Instrument Segmentation with LLM-Based Scene Summarization.Journal of clinical medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile minimally invasive surgery (MIS) offers numerous benefits, ensuring patient safety remains paramount. This study examines the critical role of visualization in MIS safety by analyzing visualization-related adverse events reported in the FDA Manufacturer and User Facility Device Experience (MAUDE) database.
methodsWe implemented a systematic search strategy within the MAUDE database using 165 unique three-word search phrases to capture a broad range of visualization challenges encountered during procedures.
resultsOur analysis of over 12,000 MAUDE reports from 2014 to 2024 reveals a concerning prevalence of such challenges in laparoscopic surgery. A striking 72% of these reports were linked to patient injury, highlighting a strong association between suboptimal visualization and adverse outcomes. Further analysis revealed that over half of the specific visualization-related keywords examined were associated with adverse events resulting in patient injury rates exceeding 50%, indicating a high likelihood of harm when these challenges occur. The potential for significant underreporting in MAUDE suggests the true incidence rate could be drastically higher, potentially affecting over 120,000 patients annually. While reports associated with keywords linked to robotic surgery were considerably fewer in number, the proportion of those linked to patient injury was higher in robotic reports, emphasizing the persistent need for vigilance regarding visualization even with advanced surgical platforms.
conclusionsThese findings underscore the urgent need for a critical reassessment of the current standard of care for visualization in MIS. Further research is crucial to explore potential causal relationships between suboptimal visualization and patient injury and to develop effective strategies to mitigate these risks, ultimately enhancing patient safety and optimizing surgical outcomes.
Indexed as
Identifiers
40813907What OpenQuestion holds
Registered trials
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.