Our Summary

This research paper discusses the development of a deep learning model that can automatically recognize different stages of colorectal surgery using laparoscopic sigmoidectomy videos. The researchers used a dataset of 71 surgeries, dividing each video into static images and then categorizing these into 11 surgical phases. They then used a type of artificial intelligence called a convolutional neural network to train a model to recognize these phases and different surgical actions based on the images. The model was then tested on unseen data. On average, the model correctly identified the surgical phase 91.9% of the time, and was able to accurately recognize specific surgical actions up to 89.4% of the time. The model could also operate in real-time at a high frame rate. This research suggests that it is possible to use artificial intelligence to assist in real-time during surgery by recognizing and predicting different stages and actions.

FAQs

  1. What type of artificial intelligence did the researchers use in their study to recognize different stages of colorectal surgery?
  2. How accurate was the deep learning model in recognizing the surgical phase and specific surgical actions in laparoscopic sigmoidectomy videos?
  3. Can the artificial intelligence model developed in this research operate in real-time during surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about sigmoidectomy is to make sure to follow all post-operative care instructions provided by the medical team. This may include taking prescribed medications, avoiding heavy lifting or strenuous activity, and maintaining a healthy diet to aid in the healing process. It is important to attend follow-up appointments as scheduled to monitor recovery progress and address any concerns. By following these guidelines, patients can help ensure a successful outcome after sigmoidectomy surgery.

Suitable For

Patients who may be recommended sigmoidectomy include those with conditions such as:

  • Colorectal cancer
  • Diverticulitis
  • Inflammatory bowel disease
  • Rectal prolapse
  • Severe constipation

Sigmoidectomy is typically recommended when other treatments have not been successful or when the condition is severe and causing significant symptoms or complications. It is important for patients to discuss their specific condition and treatment options with their healthcare provider to determine if sigmoidectomy is the best course of action for them.

Timeline

Before sigmoidectomy:

  1. Initial consultation: The patient meets with a colorectal surgeon to discuss their symptoms, medical history, and potential treatment options. The surgeon may recommend a sigmoidectomy if the patient has a condition such as diverticulitis, colorectal cancer, or inflammatory bowel disease.

  2. Pre-operative testing: The patient undergoes various tests, such as blood tests, imaging studies, and colonoscopy, to assess their overall health and the extent of the condition.

  3. Surgical planning: The surgeon determines the best approach for the sigmoidectomy, including the type of surgery (laparoscopic or open), the location of incisions, and the expected outcome.

  4. Informed consent: The patient discusses the risks and benefits of the surgery with the surgeon and gives their consent to proceed.

After sigmoidectomy:

  1. Recovery in the hospital: The patient typically stays in the hospital for a few days after the sigmoidectomy to recover from the surgery. They may receive pain medication, antibiotics, and instructions on post-operative care.

  2. Follow-up appointments: The patient has follow-up appointments with the surgeon to monitor their recovery, discuss any complications, and review the pathology report from the removed tissue.

  3. Rehabilitation: The patient may undergo physical therapy or other rehabilitation programs to help improve their strength, mobility, and bowel function after the surgery.

  4. Long-term follow-up: The patient continues to see the surgeon for regular check-ups to monitor their condition and ensure that they are recovering well. They may also be referred to a colorectal specialist for ongoing care.

Overall, the patient’s experience before and after sigmoidectomy involves a series of consultations, tests, surgery, recovery, and follow-up care to ensure the best possible outcome and long-term health.

What to Ask Your Doctor

  1. What is a sigmoidectomy and why is it being recommended for me?
  2. What are the risks and potential complications of a sigmoidectomy?
  3. How will the surgery be performed and what can I expect during the recovery process?
  4. Will I need any additional treatments or follow-up care after the surgery?
  5. How long will it take to recover from a sigmoidectomy and when can I return to normal activities?
  6. Are there any lifestyle changes I should make before or after the surgery?
  7. What are the success rates of sigmoidectomy surgeries and what is the likelihood of recurrence?
  8. Are there any alternative treatments or procedures that I should consider?
  9. Will I need any special dietary restrictions before or after the surgery?
  10. How will my quality of life be affected after a sigmoidectomy?

Reference

Authors: Kitaguchi D, Takeshita N, Matsuzaki H, Takano H, Owada Y, Enomoto T, Oda T, Miura H, Yamanashi T, Watanabe M, Sato D, Sugomori Y, Hara S, Ito M. Journal: Surg Endosc. 2020 Nov;34(11):4924-4931. doi: 10.1007/s00464-019-07281-0. Epub 2019 Dec 3. PMID: 31797047