Artificial Intelligence Guidance in Laparoscopic Cholecystectomy Safety

This study focuses on using artificial intelligence (AI) to potentially make laparoscopic gallbladder surgeries safer. Laparoscopic cholecystectomy is a minimally invasive surgery to remove the gallbladder, and achieving the Critical View of Safety is crucial to avoid complications. This research is conducted at two hospitals in Toronto, Canada, and involves surgeons and fellows performing surgeries. The study compares procedures done with AI guidance to standard procedures. AI models provide real-time feedback to help surgeons during the operation, and the study aims to see if this guidance improves the safety of the surgery. During the trial, 10 surgeons or fellows will perform 5 surgeries each, with some using AI assistance and others following standard methods. The AI group uses tools that help ensure safe dissection and proper visibility of critical structures. Outcomes are measured by reviewing internal video recordings of the surgeries to see if the AI contributes to safer procedures. Other aspects being evaluated include how often dissections occur safely, feedback from the surgeons about the AI, and observations made by the research team. Researchers will also check patient health records 30 days after surgery to assess any differences in recovery or complications between the two groups.