Automated surgical phase recognition in pediatric laparoscopic fundoplication using deep learning: a retrospective video-based study - Takeaways - 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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  • 1

    The study developed a deep learning system to recognize surgical phases during pediatric laparoscopic fundoplication.

  • 2

    The retrospective dataset included 38 operative videos from laparoscopic fundoplications performed at the University of Tsukuba Hospital from 2015 through 2025.

  • 3

    Investigators defined 10 workflow phases, including 8 procedural stages, camera cleaning, and other nonstandard intra-abdominal scenes.

  • 4

    Two pediatric surgeons annotated videos in 1-second increments, and a second surgeon reviewed every annotated video.

  • 5

    System performance was assessed by phase classification, reconstruction of the operative workflow, and estimation of phase duration in individual cases.

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