Chan Hee Koh
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View article: The Impact of Operative Video Review versus Annotation on Training in Endoscopic Pituitary Surgery: A Preclinical Randomised Controlled Study
The Impact of Operative Video Review versus Annotation on Training in Endoscopic Pituitary Surgery: A Preclinical Randomised Controlled Study Open
View article: The Impact of Operative Video Review versus Annotation on Training in Endoscopic Pituitary Surgery: A Preclinical Randomised Controlled Study
The Impact of Operative Video Review versus Annotation on Training in Endoscopic Pituitary Surgery: A Preclinical Randomised Controlled Study Open
Objective This study evaluated the effect of active operative video annotation on surgical education, specifically focusing on implementability, knowledge acquisition, skill development, and confidence. Background Resident duty hour restri…
View article: Artificial Intelligence Assisted Surgical Scene Recognition
Artificial Intelligence Assisted Surgical Scene Recognition Open
Objective: This study aimed to compare the ability of a deep-learning platform (the MACSSwin-T model) with healthcare professionals in detecting cerebral aneurysms from operative videos. Secondly, we aimed to compare the neurosurgical team…
View article: Learning Curve of Endoscopic Lumbar Discectomy – A Systematic Review and Meta-Analysis of Individual Participant and Aggregated Data
Learning Curve of Endoscopic Lumbar Discectomy – A Systematic Review and Meta-Analysis of Individual Participant and Aggregated Data Open
Study Design A systematic review and meta-analysis of individual participant and aggregated data. Objectives To define the learning curves of endoscopic discectomies using unified statistical methodologies. Methods Searches returned 913 re…
View article: Validation of a surgical simulator and establishment of quantitative performance thresholds–RealSpine simulation system for open lumbar decompressions
Validation of a surgical simulator and establishment of quantitative performance thresholds–RealSpine simulation system for open lumbar decompressions Open
Real-world surgical ability and experience can be accurately predicted by defining objective quantitative thresholds on high-fidelity simulations. The thresholds established here, along with other data presented in this paper, may inform o…
View article: Video-Based Performance Analysis in Pituitary Surgery - Part 2: Artificial Intelligence Assisted Surgical Coaching
Video-Based Performance Analysis in Pituitary Surgery - Part 2: Artificial Intelligence Assisted Surgical Coaching Open
We have developed a novel AI-assisted video surgical coaching program for endoscopic pituitary adenoma surgery - demonstrating its viability and impact on surgical performance. Early results also suggest improvement in patient outcomes. Fu…
View article: Video-Based Performance Analysis in Pituitary Surgery—Part 1: Surgical Outcomes
Video-Based Performance Analysis in Pituitary Surgery—Part 1: Surgical Outcomes Open
Superior surgical skill and shorter surgical time were associated with superior surgical outcomes, at a generic and phase-specific level. Such video-based analysis has promise for integration into data-driven training and service improveme…
View article: Early evaluation of a natural language processing tool to improve access to educational resources for surgical patients
Early evaluation of a natural language processing tool to improve access to educational resources for surgical patients Open
Purpose Accessible patient information sources are vital in educating patients about the benefits and risks of spinal surgery, which is crucial for obtaining informed consent. We aim to assess the effectiveness of a natural language proces…
View article: Mapping patient education encounters in elective surgery: a cohort study and cross-sectional survey
Mapping patient education encounters in elective surgery: a cohort study and cross-sectional survey Open
Objective Develop a process map of when patients learn about their proposed surgery and what resources patients use to educate themselves. Design A mixed methods design, combining semistructured stakeholder interviews, quantitative validat…
View article: Distribution of case volumes in surgery: an analysis of the British Spine Registry
Distribution of case volumes in surgery: an analysis of the British Spine Registry Open
Objectives To characterize the distribution of case volumes within a surgical field. Design An analysis of British Spine Registry. Setting 295 centers in England that conducted at least one spinal operation either within the NHS or private…
View article: The clinical outcomes of imaging modalities for surgical management Cushing’s disease – A systematic review and meta-analysis
The clinical outcomes of imaging modalities for surgical management Cushing’s disease – A systematic review and meta-analysis Open
Introduction Cushing’s disease presents major diagnostic and management challenges. Although numerous preoperative and intraoperative imaging modalities have been deployed, it is unclear whether these investigations have improved surgical …
View article: A Sensorised Surgical Glove to Analyze Forces During Neurosurgery
A Sensorised Surgical Glove to Analyze Forces During Neurosurgery Open
BACKGROUND: Measuring intraoperative forces in real time can provide feedback mechanisms to improve patient safety and surgical training. Previous force monitoring has been achieved through the development of specialized and adapted instru…
View article: Generating Operative Workflows for Vestibular Schwannoma Resection: A Two-Stage Delphi's Consensus in Collaboration with the British Skull Base Society. Part 2: The Translabyrinthine Approach
Generating Operative Workflows for Vestibular Schwannoma Resection: A Two-Stage Delphi's Consensus in Collaboration with the British Skull Base Society. Part 2: The Translabyrinthine Approach Open
Objective An operative workflow systematically compartmentalizes operations into hierarchal components of phases, steps, instrument, technique errors, and event errors. Operative workflow provides a foundation for education, training, and …
View article: Intraoperative Applications of Artificial Intelligence in Robotic Surgery: A Scoping Review of Current Development Stages and Levels of Autonomy
Intraoperative Applications of Artificial Intelligence in Robotic Surgery: A Scoping Review of Current Development Stages and Levels of Autonomy Open
Objective: A scoping review of the literature was conducted to identify intraoperative artificial intelligence (AI) applications for robotic surgery under development and categorize them by (1) purpose of the applications, (2) level of aut…
View article: Quality in Clinical Consultations: A Cross-Sectional Study
Quality in Clinical Consultations: A Cross-Sectional Study Open
The coronavirus disease 2019 pandemic may have affected the quality of clinical consultations. The objective was to use 10 proposed quality indicator questions to assess outpatient consultation quality; to assess whether the recent shift t…
View article: Generating Operative Workflows for Vestibular Schwannoma Resection: A Two-Stage Delphi's Consensus in Collaboration with the British Skull Base Society. Part 1: The Retrosigmoid Approach
Generating Operative Workflows for Vestibular Schwannoma Resection: A Two-Stage Delphi's Consensus in Collaboration with the British Skull Base Society. Part 1: The Retrosigmoid Approach Open
Objective An operative workflow systematically compartmentalizes operations into hierarchal components of phases, steps, instrument, technique errors, and event errors. Operative workflow provides a foundation for education, training, and …
View article: Comparative Learning Curves of Microscope Versus Exoscope: A Preclinical Randomized Crossover Noninferiority Study
Comparative Learning Curves of Microscope Versus Exoscope: A Preclinical Randomized Crossover Noninferiority Study Open
Background An exoscope heralds a new era of optics in surgery. However, there is limited quantitative evidence describing and comparing the learning curve. Objectives This study aimed to investigate the learning curve, plateau, and rate of…
View article: Pituitary society expert Delphi consensus: operative workflow in endoscopic transsphenoidal pituitary adenoma resection
Pituitary society expert Delphi consensus: operative workflow in endoscopic transsphenoidal pituitary adenoma resection Open
View article: Skull base repair following endonasal pituitary and skull base tumour resection: a systematic review
Skull base repair following endonasal pituitary and skull base tumour resection: a systematic review Open
View article: P34 Characteristics, diagnosis and management of Cushing’s disease - A systematic review and meta-analysis
P34 Characteristics, diagnosis and management of Cushing’s disease - A systematic review and meta-analysis Open
Introduction The clinical practice and research in the diagnosis and management of Cushing’s disease remains heterogeneous and challenging to this day. We sought to establish the characteristics of Cushing’s disease, and the trends in diag…
View article: P3 A closed loop audit on pre-operative anaemia in major elective orthopaedic surgery
P3 A closed loop audit on pre-operative anaemia in major elective orthopaedic surgery Open
Introduction The international consensus statement on perioperative management of anaemia advises that patients with haemoglobin (Hb) <130 be treated before undergoing elective operations. The advantages include reduced risk of acute ki…
View article: P104 Orion xTask: Improving neurosurgical workflow using an electronic tasks system
P104 Orion xTask: Improving neurosurgical workflow using an electronic tasks system Open
Introduction The dominant form of communication within hospitals remains the antiquated paging system. Pitfalls to pagers include: overwhelming volume of non-urgent bleeps; inability to prioritise at the point-of-bleep; no written record o…
View article: Automated operative workflow analysis of endoscopic pituitary surgery using machine learning: development and preclinical evaluation (IDEAL stage 0)
Automated operative workflow analysis of endoscopic pituitary surgery using machine learning: development and preclinical evaluation (IDEAL stage 0) Open
View article: Skull base repair following endonasal pituitary and skull base tumour resection – a systematic review
Skull base repair following endonasal pituitary and skull base tumour resection – a systematic review Open
View article: Attitudes of the Surgical Team Toward Artificial Intelligence in Neurosurgery: International 2-Stage Cross-Sectional Survey
Attitudes of the Surgical Team Toward Artificial Intelligence in Neurosurgery: International 2-Stage Cross-Sectional Survey Open
This survey highlights that the majority of surgeons and the wider surgical team both agree and are comfortable with the application of AI within neurosurgery.
View article: Advanced imaging to improve remission rates in patients undergoing transsphenoidal surgery for Cushing’s disease
Advanced imaging to improve remission rates in patients undergoing transsphenoidal surgery for Cushing’s disease Open
INTRODUCTION Cushing’s disease is a condition of hypercortisolaemia caused by a functional adrenocorti-cotropic hormone secreting pituitary adenoma. Surgical management is the first line of treatment for Cushing’s disease, but remains chal…
View article: Antipsychotic drug use and risk of stroke and myocardial infarction: a systematic review and meta-analysis
Antipsychotic drug use and risk of stroke and myocardial infarction: a systematic review and meta-analysis Open
AP drug use may be associated with an increased risk of stroke, but there is no clear evidence that this risk is further elevated in patients with dementia. Further studies are need to clarify the effect of AP drug use on MI and stroke ris…
View article: Compressive Pressure Versus Time in Cauda Equina Syndrome
Compressive Pressure Versus Time in Cauda Equina Syndrome Open
Study Design. Systematic review and meta-analysis. Objective. To examine the relationship between compressive pressure and its duration in cauda equina compression, and the effects of subsequent decompression, on neurophysiological functio…
View article: Consensus on Recording Deep Endometriosis Surgery: the CORDES statement
Consensus on Recording Deep Endometriosis Surgery: the CORDES statement Open
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