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» Articles » PMID: 39885139

A Rectal Cancer Surgery Dataset: Use of Artificial Intelligence to Aid Automation of Error Identification

Overview
Journal Sci Data
Date 2025 Jan 30
PMID 39885139
Authors
Walaa Ghamrawi
Nathan Curtis
Jialang Xu
Matt Boal
Evangelos Mazomenos
Eddie Edwards
Danail Stoyanov
Nader Francis
Affiliations
Soon will be listed here.
Abstract

Minimally invasive surgery is complex and prone to variation not routinely objectively measured. We established an association between skills and patient outcomes. The evolving application of artificial intelligence techniques could assist intraoperative analysis. In this study, we analysed 77 rectal cancer operations' videos from a multicentre RCT that were recorded unedited and underwent blinded manual analysis using a validated, bespoke performance assessment tool (LapTMEpt) and the Objective Clinical Human Reliability Analysis (OCHRA). The OCHRA methodology involved segmentation of the 77 operations and manually annotating each case for the enacted errors and near misses. We provide a detailed description of the errors and near misses of over 380 hours of video analysis, containing 1377 errors. This dataset can inform machine learning to assist progress toward a fully automated, objective assessment of surgical skills.

References
1.
Francis N, Curtis N, Conti J, Foster J, Bonjer H, Hanna G . EAES classification of intraoperative adverse events in laparoscopic surgery. Surg Endosc. 2018; 32(9):3822-3829. DOI: 10.1007/s00464-018-6108-1. View
2.
van Klei W, Hoff R, van Aarnhem E, Simmermacher R, Regli L, Kappen T . Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. Ann Surg. 2011; 255(1):44-9. DOI: 10.1097/SLA.0b013e31823779ae. View
3.
MacKenzie H, Ni M, Miskovic D, Motson R, Gudgeon M, Khan Z . Clinical validity of consultant technical skills assessment in the English National Training Programme for Laparoscopic Colorectal Surgery. Br J Surg. 2015; 102(8):991-7. DOI: 10.1002/bjs.9828. View
4.
Birkmeyer J, Finks J, OReilly A, Oerline M, Carlin A, Nunn A . Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013; 369(15):1434-42. DOI: 10.1056/NEJMsa1300625. View
5.
Curtis N, Conti J, Dalton R, Rockall T, Allison A, Ockrim J . 2D versus 3D laparoscopic total mesorectal excision: a developmental multicentre randomised controlled trial. Surg Endosc. 2019; 33(10):3370-3383. PMC: 6722156. DOI: 10.1007/s00464-018-06630-9. View