{"type":"rich","version":"1.0","title":"Journal Review in Minimally Invasive Surgery: Digital Surgery","description":"Digital surgery has morphed from buzzword into ubiquitous high-impact technology. In this episode, the BTK MIS team steps into the rapidly evolving ecosystem of cameras, sensors, robotics, and software that are turning surgical operations into structured, analyzable datasets. From AI segmentation to real-time telepresence, don’t miss this opportunity to catch up on what’s new and what’s next, what’s exciting and what’s terrifying, just on the horizon of your surgical career.\n\nHosts:\n·      James Jung, MD, PhD, Assistant Professor of Surgery, Duke University\n·      Jacob Greenberg, MD, EdM, MIS Division Chief and Vice Chair for Education, Duke University\n·      Zachary Weitzner, MD, Minimally Invasive and Bariatric Surgery Fellow, Duke University, @ZachWeitznerMD\n·      Joey Lew, MD, MFA, Surgical resident PGY-3, Duke University, @lew__actually\n\nLearning Goals:\nBy the end of this episode, listeners will be able to:\n·      Define “digital surgery” and describe its core components, including video capture, instrumentation, robotics, data analytics, and system connectivity.\n·      Discuss current and emerging applications of digital surgery in surgical education, including video-based self-assessment, procedural segmentation, and structured feedback models.\n·      Describe how digital tools can be used to improve OR efficiency and resource utilization, including instrumentation usage, operative time analysis, and workflow optimization.\n·      Summarize current telepresence and teleproctoring technologies and their clinical use cases, including augmented reality–based collaboration across institutions and geographic boundaries.\n·      Identify key ethical, legal, and operational challenges in digital and tele-surgery, including credentialing, cross-state licensure, liability, and trust in remote expertise.\n·      Discuss how digital surgery may reshape surgical training and competency-based assessment, including implications for autonomy, deliberate practice, and feedback frequency.\n·      Recognize future directions of digital surgery integration, including predictive analytics, simulation using patient-specific imaging, and AI-assisted intraoperative decision support.\n\nReferences:\n\nBalvardi S, Semsar-Kazerooni K, Kaneva P, et al. Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy. Surg Endosc. 2023;37(3):2281-2289. doi:10.1007/s00464-022-09466-6 [https://pubmed.ncbi.nlm.nih.gov/36307525/]\nHospital Utilizes Intraoperative Idle Time Metrics to Improve Surgical Safety and Efficiency. Theator | The Surgical Intelligence Company. Accessed March 20, 2026. https://theator.io/customer-story/hospital-utilizes-intraoperative-idle-time-metrics-to-improve-surgical-safety-and-efficiency/ (https://www.google.com/search?q=https://theator.io/customer-story/hospital-utilizes-intraoperative-idle-time-metrics-to-improve-surgical-safety-and-efficiency/)\nCampbell KK, Abreu AA, Zeh HJ, et al. Using OR Black Box Technology to Determine Quality Improvement Outcomes for In-situ Timeout and Debrief Simulation. Ann Surg. 2026;283(1):122. doi:10.1097/SLA.0000000000006438 [https://pubmed.ncbi.nlm.nih.gov/38317208/]\nAl Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(10):5613-5622. doi:10.1007/s00464-024-11064-7 [https://pubmed.ncbi.nlm.nih.gov/39069926/]\nProximie’s telepresence platform helps surgeons across the globe grow and exchange experience in real-time. World Health Expo Insights. Accessed March 20, 2026. https://www.worldhealthexpo.com/insights/telemedicine/proximie-s-telepresence-platform-helps-surgeons-across-the-globe-grow-and-exchange-experience-in-real-time\nHassan AE, Desai SK, Georgiadis AL, Tekle WG. Augmented reality enhanced tele-proctoring platform to intraoperatively support a neuro-endovascular surgery fellow. Interv Neuroradiol. 2022;28(3):277-282. doi:10.1177/15910199211035304 [https://pubmed.ncbi.nlm.nih.gov/34538166/]\nSAGES Digital Surgery Working Group; Ali JT, Yang G, Green CA, Reed BL, Madani A, Ponsky TA, Hazey J, Rothenberg SS, Schlachta CM, Oleynikov D, Szoka N. Defining digital surgery: a SAGES white paper. Surg Endosc. 2024 Feb;38(2):475-487. doi: 10.1007/s00464-023-10551-7. Epub 2024 Jan 5. PMID: 38180541. [https://pubmed.ncbi.nlm.nih.gov/38180541/]\n\nPlease visit https://behindtheknife.org (https://behindtheknife.org/) to access other high-yield surgical education podcasts, videos and more.\nIf you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen\nBehind the Knife Premium: https://behindtheknife.org/premium\nOral Board Review:https://behindtheknife.org/oral-board\nOral Board Simulator: https://behindtheknife.org/oral-board/simulator\nGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review\nTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas\nDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship\nDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation\nVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-review\nColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-review\nSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-review\nCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-review\nOBGYN Oral Board Review Coures: https://behindtheknife.org/course/obgyn-oral-board-review\nEPA Playbook: https://behindtheknife.org/course/epa-playbook\nSurgical Instrument Flashcards: https://behindtheknife.org/course/surgical-instrument-flashcards\nABSITE Review: https://behindtheknife.org/course/absite-2026-exam-review\nDownload our App:\nApple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049\nAndroid/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US","author_name":"Behind The Knife: The Surgery Podcast","author_url":"https://audioboom.com/channels/5046960-behind-the-knife-the-surgery-podcast","provider_name":"Audioboom","provider_url":"https://audioboom.com","width":480,"height":95,"thumbnail_url":"https://audioboom.com/i/39463562/600x600/c","thumbnail_width":600,"thumbnail_height":600,"html":""}