Precision surgery

Boggi, Ugo

doi:10.1007/s13304-022-01447-7

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…[94] Similar to precision oncology, precision surgery relies on the use of advanced technology, for example, artificial intelligence used for predicting the risk of surgery, detecting occult tumor metastatic lesion, and avoiding nerves injury www.e-fjs.org during operation. [111] The development of precision surgery will benefit our patients, and the surgeons of today must learn to practice precision surgery for our patients. Clinic big data of proteomics, radiomics, genomics, and patient's life style will be applied to the disease prevention, prediction, and detection of diseases, which will come to us in our future via the ultramodern technology.…”

Section: Methodsmentioning

confidence: 99%

Hepatobiliary surgery in Taiwan: The past, present, and future. Part I; biliary surgery

Ker

2023

Formos J Surg

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In Taiwan, most surgical services were mainly provided by Japanese or Western surgeons before World War II. Tsuchiya Kunita first reported surgical treatment of gallstone diseases in 1915 in Taiwan. After World War II, experienced Japanese surgeons returned to Japan, and well-trained surgeons moved to Taiwan from different hospitals in Mainland China after 1949. In 1954, Liao YL had reported surgical gallstone diseases treated by cholecytostomy, cholecystectomy, and cholecysto-gastrostomy or cholecysto-duodenostomy from National Taiwan University Hospital (NTUH). By using of operative cholangiography, diagnosis and removal of intrahepatic stones could be done through choledochostomy reported first by Lee HC from National Defense Medical Center in 1966 and 1968. Wei TC from NTUH reported the first left hepatectomy for treating hepatolithiasis on one patient among his series in 1971. Treatments of hepatolithiasis were well analyzed by Wen CC and Lee HC from Triservice General Hospital and Veterans General Hospital in 1972. Hwang MH were the first to use choledochofiberscope for removing retained stones since 1974 reported from Show Chwan Memorial Hospital in 1978. The first laparoscopic cholecystectomy(LC) was performed by Huang CH from Taipei Cathay General Hospital in 1990 in Taiwan. Nowadays, Taiwan hepatobiliary surgeons were extensively using either laparoscopic or robotic surgery for treatment of hepatobiliary diseases. In conclusion, we should never forget the great contributions from many clinics in rural villages hosted by Christian or Catholicism organizations in Taiwan hundred years ago. We should express our appreciations to the history of the evolutions of biliary surgical skills. In Taiwan, a great surgeon today is always standing on the shoulders of our ancient giants, our surgical teachers.

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Section: Methodsmentioning

confidence: 99%

Hepatobiliary surgery in Taiwan: The past, present, and future. Part I; biliary surgery

Ker

2023

Formos J Surg

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“…Artificial intelligence (AI) tools have already been developed in many fields of medicine to manage different kinds of clinical data [48][49][50][51][52]. In the era of AI, radiomics has been proposed as a promising non-invasive tool able to translate images into data from radiological features to radiomics features, which can be analyzed using dedicated models [53][54][55][56][57].…”

Section: Introductionmentioning

confidence: 99%

Future Perspectives on Radiomics in Acute Liver Injury and Liver Trauma

Brunese,

Avella,

Cappuccio

et al. 2024

JPM

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Background: Acute liver injury occurs most frequently due to trauma, but it can also occur because of sepsis or drug-induced injury. This review aims to analyze artificial intelligence (AI)’s ability to detect and quantify liver injured areas in adults and pediatric patients. Methods: A literature analysis was performed on the PubMed Dataset. We selected original articles published from 2018 to 2023 and cohorts with ≥10 adults or pediatric patients. Results: Six studies counting 564 patients were collected, including 170 (30%) children and 394 adults. Four (66%) articles reported AI application after liver trauma, one (17%) after sepsis, and one (17%) due to chemotherapy. In five (83%) studies, Computed Tomography was performed, while in one (17%), FAST-UltraSound was performed. The studies reported a high diagnostic performance; in particular, three studies reported a specificity rate > 80%. Conclusions: Radiomics models seem reliable and applicable to clinical practice in patients affected by acute liver injury. Further studies are required to achieve larger validation cohorts.

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“…Last but not least, new technologies such as robotic platforms and machine learning models, though affected by high costs, can help achieve better outcomes in EGS. In this context, a paradigm shift may be represented by the application of the so-called “precision surgery” concept to acute care surgery: a global effort in education and practice to ensure an elevated standard of care to all acute care surgery patients in terms of knowledge, technical skills, technology and commitment leading to a reduction in healthcare costs, including costs for chronic post-surgical disability ( 31 , 32 ).…”

Section: Introductionmentioning

confidence: 99%