Automated surgical phase recognition in pediatric laparoscopic fundoplication using deep learning: a retrospective video-based study - Scorecard - MDSpire
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Deep Learning–Based Identification of Surgical Phases in Pediatric Laparoscopic Fundoplication: A Retrospective Video Study

  • By

  • Yohei Sanmoto

  • Luning Li

  • Yudai Goto

  • Xin Zhu

  • Kouji Masumoto

  • October 8, 2026

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Clinical Scorecard: Deep Learning–Based Identification of Surgical Phases in Pediatric Laparoscopic Fundoplication: A Retrospective Video Study

At a Glance

CategoryDetail
ConditionSurgical phase recognition during laparoscopic fundoplication
Key MechanismsDeep learning analysis of operative video to classify surgical phases, reconstruct workflow, and estimate phase duration.
Target PopulationPatients undergoing laparoscopic fundoplication at University of Tsukuba Hospital from January 2015 through December 2025; the final retrospective dataset included 38 videos. Ages at surgery ranged from 4 to 316 months.
Care SettingHospital-based laparoscopic surgery and retrospective surgical-video analysis.

Key Highlights

  • The study developed a deep learning system to recognize phases in laparoscopic fundoplication.
  • The final dataset comprised 38 operative videos recorded from January 2015 through December 2025.
  • Investigators defined a 10-phase workflow taxonomy; phases 1–8 were principal procedural stages, phase 9 denoted camera cleaning, and phase 10 denoted nonstandard intra-abdominal scenes.
  • Assessment included phase classification, reconstruction of operative workflow, and estimation of phase duration.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          The final sample included 38 patients undergoing laparoscopic fundoplication. Ages at surgery ranged from 4 to 316 months; 4 patients were at least 18 years old.

          This was a retrospective video-analysis study, not a treatment comparison. The source describes fundoplication technique and operative workflow but provides no prescribing recommendations.

          Clinical Best Practices

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