Evidence map›Paper›PMID 41635887›Full record

ArticleWorld journal of pediatric surgery2026

Remote detection of the critical view of safety in pediatric laparoscopic cholecystectomy using artifitial intelligence.

Sean Exequiel Olivieri, Santiago Darrigran, Enrique Petracchi, Paula Bidone, Anahí Pérez, Leandro Cardozo, Melissa Fernández, Hugo Zandalazini, Ignacio Della Pia

Abstract read
In one paragraph

Article in World journal of pediatric surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Sean Exequiel OlivieriGeneral Surgery, Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.ORCID https://orcid.org/0009-0007-3658-0499
Santiago DarrigranPediatric Surgery, San Justo Children's Hospital, Buenos Aires, Argentina.
Enrique PetracchiGeneral Surgery, Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.
Paula BidonePediatric Surgery, San Justo Children's Hospital, Buenos Aires, Argentina.
Anahí PérezPediatric Surgery, San Justo Children's Hospital, Buenos Aires, Argentina.
Leandro CardozoPediatric Surgery, San Justo Children's Hospital, Buenos Aires, Argentina.
Melissa FernándezPediatric Surgery, San Justo Children's Hospital, Buenos Aires, Argentina.
Hugo ZandalaziniGeneral Surgery, Hospital General de Agudos Dr. Cosme Argerich, Buenos Aires, Argentina.
Ignacio Della PiaPediatric Surgery, San Justo Children's Hospital, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Laparoscopic cholecystectomy (LC) is increasingly performed in pediatric patients. Bile duct injury remains one of its most serious complications. The critical view of safety (CVS) aims to reduce this risk, but its identification is subjective. Artificial intelligence (AI) has shown promise in adult surgery for CVS detection but it has not been applied in pediatrics. Remote implementation of AI could reduce subjectivity and improve access to advanced tools. Methods: A prospective, observational, cross-sectional, single-blind study was conducted between May and August 2025. An AI algorithm trained with 346 validated adult LC cases was tested live in 50 pediatric patients. Surgeries were transmitted in real time via teleconferencing to a second center where the algorithm processed the surgical image and identified CVS structures. Two expert surgeons, blinded to the algorithm, assessed CVS presence independently. Results: A total of 50 patients (38 females and 12 males were classified as middle childhood to early adolescence) were included. The mean body mass index was 29.3±5.8. CVS was detected fully in 37 cases. In 13 cases, one or more elements were absent. Agreement between the algorithm and surgeons assessments was 100%. No postoperative complications were reported. Conclusion: Remote AI-assisted CVS detection in pediatric LC is feasible, safe and consistent with expert evaluation.

Indexed as

Adolescent HealthData CollectionEducation, MedicalEvidence-Based MedicineHealth services research

Identifiers

PMID41635887
PMCPMC12863403

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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.