Current Issue : January-March Volume : 2026 Issue Number : 1 Articles : 6 Articles
Background/Objectives: Accurate and accessible perioperative health information empowers patients and enhances recovery outcomes. Artificial intelligence tools, such as ChatGPT, have garnered attention for their potential in health communication. This study evaluates the accuracy and readability of responses generated by ChatGPT to questions commonly asked about breast cancer. Methods: Fifteen simulated patient queries about breast cancer surgery preparation and recovery were prepared. Responses generated by ChatGPT (4o version) were evaluated for accuracy by a pool of breast surgeons using a 4-point Likert scale. Readability was assessed with the Flesch–Kincaid Grade Level (FKGL). Descriptive statistics were used to summarize the findings. Results: Of the 15 responses evaluated, 11 were rated as “accurate and comprehensive”, while 4 out of 15 were deemed “correct but incomplete”. No responses were classified as “partially incorrect” or “completely incorrect”. The median FKGL score was 11.2, indicating a high school reading level. While most responses were technically accurate, the complexity of language exceeded the recommended readability levels for patient-directed materials. Conclusions: The model shows potential as a complementary resource for patient education in breast cancer surgery, but should not replace direct interaction with healthcare providers. Future research should focus on enhancing language models’ ability to generate accessible and patient-friendly content....
Background and Objectives: Laparoscopic surgery has evolved with the integration of robotic systems, offering enhanced precision and ergonomic benefits. However, conventional robotic systems often lack haptic feedback and are associated with high cost. The Saroa surgical system is a compact, pneumatically driven robot that integrates real-time haptic feedback, potentially addressing the limitations associated with conventional robotic systems. This preliminary study reports the first clinical use of the Saroa system in gynecologic surgery, aiming to assess its feasibility, safety, and usability in robot-assisted hysterectomy. Materials and Methods: Five patients underwent robot-assisted total laparoscopic hysterectomy using the Saroa surgical system. The clinical outcomes, setup and console times, estimated blood loss, and subjective surgeon evaluation were recorded. Results: All surgeries were successfully completed without any intraoperative complications or the need for conversion to conventional surgery. The median setup time was 12 min, the console time was 211 min, and the median blood loss was 80 mL. Surgeons subjectively noted that the system’s real-time haptic feedback substantially improved precision during vaginal cuff tissue manipulation, based on their tactile sensation and real-time force display, thereby reducing the perceived risk of traction-related tissue injuries. Conclusions: This study represents the first clinical application of the Saroa surgical system in gynecologic surgery. The findings suggest that the system is feasible and safe for robot-assisted hysterectomy. Despite limitations such as small sample size and the absence of objective force data, the favorable surgeon-reported experience highlights the potential value of haptic feedback in improving surgical performance. These results support further investigation through larger, controlled studies and quantitative performance evaluation....
Background A comprehensive analysis of artificial intelligence’s (AI) integration into neurosurgery is vital to identify research priorities, address gaps, and inform strategies for equitable innovation. Objective To conduct a bibliometric analysis of Scopus-indexed (2014–2023) original articles at the intersection of AI and neurosurgery. Method A descriptive bibliometric study was conducted on 91 original articles, employing productivity, impact, and collaboration indicators. SciVal facilitated data extraction, while VOSviewer 1.6.11 enabled the mapping of coauthorship networks and keyword co-occurrence. IBM SPSS Statistics 27 was used to determine correlations between variables of interest (Kendall’s rank correlation coefficient, statistically significant for p < 0.05). Results The 91 articles accumulated 2197 citations (24.1/article), reflecting rising productivity. Most highly cited works (2019–2023) were published in Q1 journals. Dominant neurosurgical areas included education (20.9%), spine (16.5%), and neuro-oncology (15.4%), with AI applications focused on diagnostic accuracy (20.9%) and predictive tools (17.6%). Citations correlated with author numbers (p = 0.007). World Neurosurgery led in publications (Ndoc = 11), while JAMA Network Open had the highest citations/article (88.7). Author, institutional, and country productivity correlated strongly with citations (p < 0.001). Collaboration was universal (international: 29.7%, national: 53.8%, institutional: 16.5%). Conclusions The analyzed scientific output exhibited a marked quantitative growth trend and high citation rates, with a predominant focus on leveraging AI to enhance diagnostic accuracy, particularly in neuro-oncology. Publications were concentrated in specialized, high-impact journals and predominantly originated from authors and institutions in high-income, technologically advanced Northern Hemisphere countries, where scientific collaboration played a foundational role in driving research advancements....
Objective Posterior decompressive surgeries are frequently preferred in patients with multilevel cervical spondylotic myelopathy and ossification of the posterior longitudinal ligament. Long-segment stabilization and laminectomy procedures performed for this purpose cause the impairment of cervical ROM, problems are experienced related to the instruments, and quality of life is adversely affected. We aimed to define the combined posterior hybrid approach, which involved short-segment stabilization on the unstable segment alone and laminoplasty to other segments with stenosis, and to report early results. Methods We analyzed the data of 22 patients (8F, 14 M) who had undergone surgery due to cervical spondylotic myelopathy between 2019 and 2022. MRIs and CTs of the patients were examined. Their Range of Motions (ROMs) were measured. In particular, the mobility of the segment with the prominent myelopathic signal was examined on direct radiography and dynamic MRI. Open-door laminoplasty was performed on all segments with narrow canals. Short-segment stabilization was performed only on the unstable segment with a bilateral lateral mass screw. Results The ages of the patients were between 42 and 83 (mean 58.4), and the mean follow-up period was 20 months. Only two patients were observed to have postoperative neck pain lasting longer than two weeks (VAS 3 and 4) and required medical treatment. While the mean preoperative JOA was 11.8, the mean JOA score increased to 15.7 in the 1st postoperative year. No impairment was observed in cervical lordosis angles. Conclusion Hybrid surgery, which involves the combination of laminoplasty and short-segment stabilization on the problematic segment, should be considered in patients with CSM and OPLL. The advantages of this new technique are the partial preservation of mobility, the reduction of instrument problems, the lack of neck pain only due to the stabilization of the unstable segment, and the elimination of the loss of lordosis....
Background: Laparoscopic surgery is associated with postoperative pulmonary complications (PPCs) that may lead to increased morbidity and prolonged hospital stay. This study aimed to identify risk factors for PPCs within the first 7 days following laparoscopic surgery. Methods: We conducted a prospective observational study including patients scheduled for laparoscopic surgery between June 2021 and June 2024. The primary endpoint was the incidence of PPCs, defined according to the Joint Task Force of the European Society of Anaesthesiology and the European Society of Intensive Care Medicine (ESA and ESICM). Secondary endpoints included other postoperative complications as well as hospital and post-anesthesia care unit (PACU) length of stay. Demographic data, intraoperative variables, Air Test, incidence of PPCs, and hospital length of stay were collected. Logistic regression analysis was performed to identify factors associated with the development of PPCs. Results: A total of 250 patients were included in the study. PPCs occurred in 34 patients (14.4%). Laparoscopic upper abdominal surgeries (p = 0.086) and longer surgical duration (p = 0.025) were associated with a higher incidence of PPCs. Independent risk factors identified for PPCs were age over 60 years (OR: 2.29; 95% CI 1.03–5.08; p = 0.041) and a positive Air Test result (OR: 6.22; 95% CI 2.11–18.22; p = 0.001). Patients in the PPC group had significantly higher rates of postoperative infectious complications, as well as longer stays in both the post-anesthesia care unit (PACU) and the hospital. The Air Test demonstrated acceptable discriminative performance, with an area under the ROC curve (AUC) of 0.66 (95% CI: 0.58–0.74; p = 0.002). Conclusions: The incidence of PPCs in patients undergoing laparoscopic surgery was 14.4%. Factors independently associated with PPCs included advanced age and a positive postoperative Air Test. However, the Air Test demonstrated modest accuracy in predicting PPCs....
Cardiac surgery-associated acute kidney injury (CSA-AKI) is the most prevalent clinically significant complication in adult patients undergoing open heart surgery, closely linked to increased mortality and morbidity. Among intensive care unit (ICU) patients, CSA-AKI is the second most common type of acute kidney injury, surpassed only by sepsis-induced AKI. The Doppler-based Renal Resistive Index (RRI) measurement is a rapid and noninvasive diagnostic tool with potential for the early detection of acute kidney injury in intensive care unit patients and could also be useful as an early predictor of acute kidney injury (AKI) in the context of cardiac surgery, particularly when used in conjunction with novel biomarkers....
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