Evidence map›Paper›PMID 40897877›Full record

ArticleSurgical endoscopy2025

Deep learning-based gastrocolic trunk recognition in laparoscopic right hemicolectomy.

Masahiro Fuse, Daichi Kitaguchi, Norihito Kosugi, Yuto Ishikawa, Hiro Hasegawa, Nobuyoshi Takeshita, Yusuke Kinugasa, Masaaki Ito

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Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Masahiro FuseMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Daichi KitaguchiMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Norihito KosugiMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Yuto IshikawaMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Hiro HasegawaMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Nobuyoshi TakeshitaMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan.
Yusuke KinugasaDepartment of Gastrointestinal Surgery, Institute of Science Tokyo, Tokyo, Japan.
Masaaki ItoMedical Device Innovation Office, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577, Japan. maito@east.ncc.go.jp.ORCID http://orcid.org/0000-0002-1101-2707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative bleeding from the gastrocolic trunk is a serious complication of laparoscopic right hemicolectomy for right-sided colon cancer. Recognizing the gastrocolic trunk is crucial for surgical safety.

methodsWe developed and retrospectively evaluated a deep learning model that automatically recognizes the gastrocolic trunk during laparoscopic right hemicolectomy. Still images from laparoscopic right hemicolectomy videos were annotated at each pixel corresponding to the gastrocolic trunk and superior mesenteric vein and input into the deep learning model for segmentation of the gastrocolic trunk. Tasks were categorized as follows based on the segmentation patterns: Task A, gastrocolic trunk and superior mesenteric vein distinguished from the background; Task B, gastrocolic trunk, superior mesenteric vein, and background distinguished individually; and Task C, the gastrocolic trunk distinguished from the superior mesenteric vein and background. Data for this study were obtained from 10 high-volume hospitals in Japan. Images from 43 patients who were diagnosed with right-sided colon cancer and underwent right hemicolectomy between April 2018 and July 2020 were analyzed. Fivefold cross-validation was performed, and the average Dice coefficient, precision, and recall were evaluated.

resultsOverall, 1,625 still images from 43 laparoscopic right hemicolectomy videos were analyzed in this study. The average Dice coefficient for vein segmentations in task A was 0.84, and those for gastrocolic trunk segmentations in tasks B and C were 0.61 and 0.58, respectively.

conclusionsWe developed a deep learning model that can identify and visualize the gastrocolic trunk in surgical videos of laparoscopic right hemicolectomy, which can improve procedural safety. Future studies should confirm whether this model can effectively reduce the risk of accidental intraoperative bleeding during laparoscopic right hemicolectomy in real-world clinical settings.

Indexed as

Blood Loss, SurgicalColectomyColonic NeoplasmsDeep LearningIntraoperative ComplicationsLaparoscopyAgedFemaleHumansMaleMesenteric VeinsMiddle AgedRetrospective StudiesArtificial intelligenceDeep learningGastrocolic trunkLaparoscopyRight hemicolectomy

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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.