index
string | input_text
string | current_image_path
string | answer
string |
|---|---|---|---|
VID110_2
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID110_1030.png
|
Dissection
|
VID110_3
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID110_1560.png
|
Coagulation
|
VID110_4
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID110_1610.png
|
Vessel Clipping
|
VID110_5
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID110_1634.png
|
Aspiration
|
VID110_6
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID110_1672.png
|
Coagulation
|
VID110_7
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID110_1724.png
|
Dissection
|
VID36_2
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID36_1087.png
|
Vessel Clipping
|
VID36_3
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID36_1177.png
|
Dissection
|
VID36_4
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID36_1401.png
|
Coagulation
|
VID36_5
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID36_1427.png
|
Dissection
|
VID36_6
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID36_1723.png
|
Coagulation
|
VID36_7
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID36_1774.png
|
Dissection
|
VID65_2
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_804.png
|
Tissue Retraction
|
VID65_3
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_820.png
|
Aspiration
|
VID65_4
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_887.png
|
Tissue Retraction
|
VID65_5
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_904.png
|
Coagulation
|
VID65_6
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_917.png
|
Tissue Retraction
|
VID65_7
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_932.png
|
Aspiration
|
VID65_8
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_946.png
|
Tissue Retraction
|
VID65_9
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_973.png
|
Dissection
|
VID65_10
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_1130.png
|
Tissue Retraction
|
VID65_11
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_1143.png
|
Vessel Clipping
|
VID65_12
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_1209.png
|
Tissue Retraction
|
VID65_13
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_1221.png
|
Dissection
|
VID65_14
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_1685.png
|
Tissue Retraction
|
VID65_15
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID65_1696.png
|
Dissection
|
VID25_2
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID25_900.png
|
Tissue Retraction
|
VID25_3
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID25_930.png
|
Vessel Clipping
|
VID25_4
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID25_1000.png
|
Dissection
|
VID25_5
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID25_1038.png
|
Tissue Retraction
|
VID25_6
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID25_1059.png
|
Dissection
|
VID25_7
|
You are a surgical analyst specializing in laparoscopic cholecystectomy, focusing on gallbladder dissection and vessel management. You need to analysis the image from a surgical process. Based on the provided information (SURGICAL_PROCESS, SURGICAL_GUIDELINES, ACTION_DESCRIPTIONS), you need to provide the following:
1. **Scene Understanding**: Analyzes visual data to identify anatomy, instruments, their interactions, and workflow phases.
- Current anatomical structures visible
- Status of critical surgical landmarks
- Tissue conditions and exposure quality
2. **Progress Assessment**: Evaluate the current surgical progress based on the provided data.
- Current stage in the surgical process
- Status of any ongoing surgical tasks
- How the procedure has advanced from the previous state
3. **Safety Considerations**: Identify any potential safety concerns based on the current state.
- Visibility of critical structures
- Current safety margins
- Potential risks in the surgical field
4. **Additional Inquiry**:
- Does the current clipping of the cystic duct and artery satisfy the "2+1" rule? If not, the **vessel clipping** action needs to be continued until the requirements are met.
- Additionally, during the implementation of vessel clipping, assess whether dissection or other actions are necessary.
5. **Ready-to-Execute Actions**:
Based on the current scene and the analyses provided in **Scene Understanding**,**Progress Assessment**,**Safety Considerations**, and **Additional Inquiry**, identify the three most probable actions that are ready to be executed, ranked by probability (from highest to lowest). For each action, provide a rationale explaining why it is ranked in that order.
1. **Most Probable Action**: [action]
Probability: [high/very high]
Reasoning: [explain why this action is most appropriate for the current scene, considering the scene understanding, progress assessment, safety considerations, and additional inquiry]
2. **Second Probable Action**: [action]
Probability: [medium/medium-high]
Reasoning: [explain why this action is a viable alternative, taking into account the previous analyses]
3. **Third Probable Action**: [action]
Probability: [low/medium]
Reasoning: [explain why this action might be considered, based on the context provided in the analyses]
## Response Format:
## Scene Understanding
{Scene Understanding}
## Progress Assessment
{Progress Assessment}
## Safety Considerations
{Safety Considerations}
## Additional Inquiry
{Additional Inquiry}
## Ready-to-Execute Actions
{Ready-to-Execute Actions}
## Final Answer
[action1, action2, action3]
#Input:
## SURGICAL_PROCESS
The laparoscopic cholecystectomy procedure, focusing on **Calot's Triangle dissection** and **Vessel (including cystic duct and cystic artery) Clipping**, involves:
1. Careful dissection within Calot's Triangle to clearly identify the cystic duct and cystic artery
2. Establishing the Critical View of Safety (CVS) by exposing the base of the gallbladder
3. Secure clipping of the identified vessel structures:
a. Place at least two clips on the cystic duct - two on the patient side and one on the gallbladder side
b. Place at least two clips on the cystic artery - two on the patient side and one on the gallbladder side
c. Verify secure placement and full vessel occlusion before proceeding
d. **Important:** The vessel clipping process **must be repeated intermittently** until all specified clipping requirements are fully met to ensure complete occlusion and safety
4. Safe division of clipped structures between clips, ensuring adequate clip-free margins
## SURGICAL_GUIDELINES
Surgical steps must follow these principles:
1. Field Preparation:
- Maintain clear visibility through aspiration and irrigation
- Use tissue retraction to expose target structures
2. Dissection Process:
- Carefully dissect tissue to expose cystic duct and cystic artery
- Apply coagulation for small vessels and bleeding control
3. Vessel Management:
- Clearly identify and confirm both cystic duct and artery
- Ensure complete circumferential exposure of structures before clipping
- Apply clips following the "2+1" rule:
* Two clips on patient side
* One clip on gallbladder side
* Maintain adequate spacing between clips
- Verify each clip is:
* Fully closed
* Properly positioned across entire vessel width
* Not impinging on adjacent structures
- Cut between clips with adequate margins
4. Safety Considerations:
- Clip the cystic duct and artery must follow the "2+1" rule
- Ensure clear visualization before any action
- Verify hemostasis after some dissection step
- Maintain awareness of surrounding structures
- Stop and reassess if anatomy is unclear
##ACTIONS
[Dissection, Vessel Clipping, Tissue Retraction, Coagulation, Aspiration]
## ACTION_DESCRIPTIONS
Dissection: Methodical separation of tissues within Calot's Triangle to clearly identify the cystic duct and cystic artery while protecting critical structures like the common bile duct and hepatic artery.
Vessel Clipping: Applying surgical clips to secure the cystic duct and cystic artery. Typically placing at least two clips on each structure - one on the gallbladder side and one on the remaining structure side.
Tissue Retraction: Strategic positioning and tension of the gallbladder to optimize exposure of Calot's Triangle and facilitate safe dissection.
Coagulation: Controlled application of energy devices for hemostasis during dissection and gallbladder removal from the liver bed.
Aspiration: Removing fluids to maintain a clear view of the anatomical structures, particularly during dissection in Calot's Triangle.
|
cholec50/VID25_1163.png
|
Tissue Retraction
|
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SAP-Bench: A Benchmark for Evaluation of Multimodal Large Language Models in Surgical Action Planning
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