Background: To provide appropriate surgical training guidance, some skill evaluation and safety detection methods have been developed. However, these methods are difficult to provide predictive information for trainees. This paper proposes a new approach for real-time trajectory prediction of the laparoscopic instrument tip to improve surgical training and the patient safety.
Methods: This paper proposes a real-time trajectory prediction model of laparoscopic instrument tip based on long short-term memory (LSTM) neural network. Meanwhile, motion state is introduced to capture more motion information of the instrument tip and improve the model performance.
Results: The feasibility, effectiveness and generalisation ability of this proposed model are preliminarily verified. The model shows satisfactory prediction accuracy for the trajectory of the laparoscopic instrument tip.
Conclusion: LSTM neural network can accurately predict the movement trajectory of the laparoscopic instrument tip. The prediction model can play a critical role in operational risk perception in advance, which can be used in laparoscopic surgery training.
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http://dx.doi.org/10.1002/rcs.2441 | DOI Listing |
Hernia
March 2025
Division of Trauma, Critical Care, and General Surgery, Mayo Clinic, Rochester, MN, USA.
Purpose: Trocar site hernias impact 1-10% of patients undergoing a laparoscopic cholecystectomy, typically at the 10 mm port site. Risk factors identified for trocar site hernias include obesity and age; however, little is known about the impact of pre-existing diastasis rectus abdominus (DRA) on trocar site hernia rates. Therefore, we aimed to determine the impact of pre-operative DRA on trocar site hernia rates after laparoscopic cholecystectomy.
View Article and Find Full Text PDFHernia
March 2025
Department of General Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Purpose: As the use of robotic platforms for inguinal hernia repairs continues to grow, the rTAPP (Robotic Trans-Abdominal Pre-Peritoneal) approach is being performed significantly more often than rTEP (Robotic Totally Extra-Peritoneal) and is predominantly taught to newly trained robotic surgeons. This study's primary objective was to evaluate the feasibility of a proposed modified rTEP technique that incorporates balloon dissection as a primary tool, enabling the horizontal placement of three trocars aligned with the umbilicus. Secondary objectives included evaluation of safety and effectiveness of this technique, and of the learning curve required to reach proficiency.
View Article and Find Full Text PDFAnn Surg Oncol
March 2025
Department of Hepatobiliary Surgery I, General Surgery Center, Zhujiang Hospital, Southern Medical University, Haizhu District, Guangzhou, China.
Asian J Endosc Surg
March 2025
Department of Surgery, National Defense Medical College, Tokorozawa, Japan.
Introduction: Laparoscopic and robotic gastrectomies have become standard procedures for the treatment of gastric cancer. Among the reconstruction methods used following distal gastrectomy, the Billroth-I technique is often preferred owing to its low complication rates. Delta-shaped anastomosis, a method that eliminates the need for a mini-laparotomy, represents a significant advancement in minimally invasive surgeries.
View Article and Find Full Text PDFBMC Cancer
March 2025
Urology & Nephrology Center, Department of Urology, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, 310014, China.
Objectives: This study evaluated the safety and efficacy of self-retaining barbed double-layer sutures (SRBDS) used for wound sutures in stage T1 renal cancer undergoing peritoneal robot-assisted laparoscopic partial renal resection.
Methods: A total of 50 patients undergoing robot-assisted laparoscopic partial nephrectomy (RAPN) for localized renal tumors (< 7 cm) in Zhejiang Provincial People's Hospital from January 2021 to January 2022 were selected. The experimental-group and the control-group randomly included 25 patients, respectively.
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