This is a prospective multicenter patient registry study. We continuously collect full-length intraoperative surgical videos from thoracoscope, laparoscope, hysteroscope, transcervical resectoscope, cystoscope, prostate resectoscope, arthroscope, intervertebral foramen endoscope, otorhinolaryngology endoscope and endoscopic surgical robots, accompanied by inpatient medical records, preoperative imaging data and 5-year postoperative follow-up data. All imaging data will be standardized and de-identified to construct a large-scale standardized surgical video dataset. The dataset will be applied for training, verification and optimization of surgical video foundation large model, serving for surgical teaching, intraoperative operation quality control and basic medical AI research. We will also explore the correlation between intraoperative surgical details and postoperative prognosis to improve the standard specifications of minimally invasive surgery. No clinical intervention will be imposed on participants throughout the whole research.
Patients aged ≥ 18 years old hospitalized to receive minimally invasive endoscopic, laparoscopic or robotic surgical treatment for diseases of various body systems;
Complete full-length intraoperative surgical videos can be recorded during operation, with complete medical records and preoperative imaging data;
Participants fully understand the study, voluntarily sign written informed consent, and agree that their de-identified intraoperative images and clinical data can be used for scientific research.
Minors under 18 years of age;
Patients with incomplete intraoperative videos or missing clinical imaging documents;
Patients with consciousness disturbance or mental disorders who cannot sign informed consent independently;
Subjects who refuse to participate in the study and disapprove the use of their medical data for research;
This prospective multicenter observational cohort study will enroll a total of 2,000 inpatients undergoing minimally invasive endoscopic, laparoscopic, or robotic surgery across multiple departments and participating medical centers.
Cohort
Prospective
Not listed
Completion rate of qualified intraoperative surgical imaging data
Completeness rate of long-term postoperative clinical follow-up
Reusability rate of annotated key anatomical structures in videos
Feasibility rate (%) of surgical video dataset applied in different clinical AI research scenarios
Three core application scenarios are predefined: 1) training of surgical computer vision AI models; 2) validation of intraoperative surgical recognition algorithms; 3) surgical skill assessment and teaching research. An expert review panel consisting of at least 3 attending surgeons and 2 medical AI researchers independently evaluates whether the dataset has sufficient sample size, annotation completeness and video quality to support each scenario. Feasibility proportion is calculated as: (Number of scenarios the dataset is suitable for / Total predefined scenarios) × 100%.
Accuracy percentage (%) of AI-based surgical procedure identification on annotated surgical videos
After all surgical videos are imported into the data warehouse and manually annotated by experienced surgeons to generate gold-standard procedure labels, the surgical video analysis AI model automatically outputs predicted surgical procedure categories for each video clip. Each AI-predicted label is compared against the manual gold-standard annotation label. Identification accuracy is calculated by the formula: (Number of video clips with correctly predicted surgical procedures / Total number of tested video clips) × 100%.
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Chinese Academy of Sciences
Lead sponsor
Beihang University
Collaborator
Beijing Digital Precision Medicine Technology Co., Ltd.
Collaborator
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