[ { "messages": [ { "content": "Which instrument engages the narrow hollow segment at the branching area to divide it?", "role": "user" }, { "content": "A hinged cutter (scissors) acts on the thin tubular segment at the fork to cut and separate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Genç hasta için yedi kanal safra yolu klatskin tümörü ameliyatı yaptım ｜ Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "When handling the main feeder vessel to the target segment, which action occurs first on screen: applying the securing device or cutting through the vessel?", "role": "user" }, { "content": "The securing device is applied first, then the vessel is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Резекция сигмовидной кишки.mp4" ] }, { "messages": [ { "content": "Once traction is visibly secured on the small tether of tissue with a clamp, when does the actual cutting of the stalk begin?", "role": "user" }, { "content": "Cutting begins after a clamp is placed on the stalk; a blade then divides it between the clamp and the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Dog Ovariectomy.mp4" ] }, { "messages": [ { "content": "Between introducing a slim guiding element into a hollow organ and contouring the inner surface, which action happens first?", "role": "user" }, { "content": "Introducing the guiding element happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/卫生部医学视听教材—消化外科—XHW018 胰头癌的改良扩大根治术.mp4" ] }, { "messages": [ { "content": "Between placing a traction suture on the left side of the organ and beginning to separate the fatty apron from the stomach area, which happens first?", "role": "user" }, { "content": "The traction suture placement happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic radical cholecystectomy for gallbladder cancer.mp4" ] }, { "messages": [ { "content": "When does the workflow shift from clearing tissue in the initial lower-side region to working along the central arterial corridor?", "role": "user" }, { "content": "The transition occurs when the gauze is repositioned between the upper organ and front wall and traction shifts upward-right, beginning the central arterial corridor work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/splenectomy/Huang’s three-step maneuver for laparoscopic spleen-preserving N.mp4" ] }, { "messages": [ { "content": "Which occurs first: finishing the initial stitch sequence or attempting to restore inflow?", "role": "user" }, { "content": "Finishing the initial stitch sequence happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/AUA 2016 - Robotic partial nephrectomy hilar tumor - Pr Bernhard CHU BX.mp4" ] }, { "messages": [ { "content": "Which is seen first: the paired vessels near the upper chest beside the working plane, or the large venous structure with a sizable branch as the camera swings downward?", "role": "user" }, { "content": "The paired vessels near the upper chest appear first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Visualization of a Long Endoscopic Esophageal Myotomy for Spastic Achalasia.mp4" ] }, { "messages": [ { "content": "In the segment where a small tube is rejoined to a larger tube, which seam is completed first—the hidden side or the visible side?", "role": "user" }, { "content": "The hidden side (posterior wall) is sewn first, followed by the visible side (anterior wall).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Kono-S Anastomosis in Stricturing Crohn’s Disease： A Step-by-Step Surgical Guide for Trainees.mp4" ] }, { "messages": [ { "content": "When does the scene shift from developing the back-side passage behind the right-sided segment to addressing the central feeding stalk?", "role": "user" }, { "content": "At the moment they begin the longitudinal incision along the central pedicle to skeletonize the first feeding branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Single Incision Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "When the back-row stitches around a very small duct are snugged down, at what moment is the tiny internal tube actually advanced into place?", "role": "user" }, { "content": "Immediately after tightening the posterior row, the small internal stent is inserted and secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Pancreaticoduodenectomy for Benign Disease 腹腔鏡胰十二指腸切除手術.mp4" ] }, { "messages": [ { "content": "In this sequence, do they mirror the pedicle work on the opposite side before they start creating the low anterior plane over the organ, or does the front plane come first?", "role": "user" }, { "content": "They mirror the opposite side first, then start the anterior plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy with ENSEAL X1 Large Jaw Tissue Sealer ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "In the sequence of dissecting around the esophagus, which occurs first: identifying a main nerve trunk on the esophageal surface, or fully exposing the left pillar of the diaphragm?", "role": "user" }, { "content": "The nerve is identified first, then the left pillar is fully exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Revision of Gastric Bypass for GERD, Hiatal Hernia, & Weight Regain： A Standardized Technique.mp4" ] }, { "messages": [ { "content": "When does the workflow shift from mobilizing the upper left bend of the bowel to focusing on a major draining vessel?", "role": "user" }, { "content": "Right after the bend is fully mobilized, they locate and divide the inferior mesenteric vein at the pancreas’s lower edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Nervenschonende offene tiefe anteriore Rektumresektion bei Rektumkarzinom.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which anatomical structure to accomplish the division and sealing seen in the clip?", "role": "user" }, { "content": "A linear stapling-cutter acts on the gastric wall, cutting it while placing triple rows of staples on both sides.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Radical Sub total Gastrectomy,How to use a Stapler？, best Gastro cancer surgeon#Hyderabad.mp4" ] }, { "messages": [ { "content": "Between freeing the distal bowel from the neighboring canal and bringing a synthetic strip into view, which action happens first in the sequence?", "role": "user" }, { "content": "Freeing the distal bowel from the neighboring canal happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectopexia anterior laparoscópica.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from completing the circular connection to finishing the entry hole on the limb?", "role": "user" }, { "content": "Immediately after firing the circular device, when the team switches to closing the limb with the straight device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy for gastric cancer： The anastomosis.mp4" ] }, { "messages": [ { "content": "At what moment does the operation move from freeing the specimen to securing it for later extraction?", "role": "user" }, { "content": "Right after the organ is fully freed, when it is placed into the plastic retrieval bag.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Roboter-assistierte Prostataentfernung (radikale Prostatektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "Which handheld lifter is used to pull down the central fatty curtain to reveal the horizontally running bowel segment, and what action does it perform on which tissue?", "role": "user" }, { "content": "An esophageal retractor applies downward traction on the mesenteric root to expose the third portion of the duodenum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Total Pancreatectomy and Islet Autotransplantation (TPIAT).mp4" ] }, { "messages": [ { "content": "Between spotting a secondary area next to the primary growth and starting to cut the primary growth, which happens first in the clip?", "role": "user" }, { "content": "He spots the adjacent area first, then begins cutting the primary growth.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Live-Op-Photodynamische Diagnostik bei Blasentumor.mp4" ] }, { "messages": [ { "content": "Which occurs first: freeing the lateral attachments of the neighboring structure to gain access, or isolating the vessels at the organ’s gateway?", "role": "user" }, { "content": "Freeing the lateral attachments happens before isolating the gateway vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/【89】腹腔镜切除肾脏1.mp4" ] }, { "messages": [ { "content": "Which is performed earlier: the upper connection between the small chamber and the bowel, or the downstream link between two bowel loops?", "role": "user" }, { "content": "The upper connection happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/2000 ｜ Laparoscopic Gastric Bypass with a Transoral Circular Stapled Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what precise point does the operation shift from a superficial plane into a deeper phase?", "role": "user" }, { "content": "Right after requesting and using the deeper instrument, when deeper critical structures come into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Open TME.mp4" ] }, { "messages": [ { "content": "Which instrument is used to separate the liver substance along the preplanned path to uncover the central venous channel?", "role": "user" }, { "content": "A cavitation-based aspirator (CUSA) acts on liver parenchyma to expose the middle hepatic vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic anatomical S8 resection.mp4" ] }, { "messages": [ { "content": "During the abdominal wall reinforcement segment, which tools act on which tissues to achieve fixation?", "role": "user" }, { "content": "Laparoscopic instruments introduced from below act on the reinforcement sheet and the inner abdominal wall to center and secure the sheet in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down To Up TaTME or Proctectomy in Reverse 18⧸02⧸2015.mp4" ] }, { "messages": [ { "content": "When and where does the view first become noticeably hazy in the sequence?", "role": "user" }, { "content": "Right after finishing inner-side tasks, during outward expansion, the image becomes slightly hazy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/低位直肠前切除术NOSES I式B法.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which pelvic support to achieve exposure during the early portion of the work?", "role": "user" }, { "content": "The retraction device’s detachable tip engages a pelvic support band to suspend the organ and improve exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectopexy with Magnet Retraction.mp4" ] }, { "messages": [ { "content": "Between trimming the fibrous strands crossing the upper intestinal segment and unwinding the spiral of the looped tube, which action happens first in the sequence shown?", "role": "user" }, { "content": "Trimming the strands happens first, followed by unwinding the spiral.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladds procedure in a neonate.mp4" ] }, { "messages": [ { "content": "Given the visible cue of two instruments meeting deep in the pelvis, when does the joining maneuver actually start?", "role": "user" }, { "content": "It starts at the moment the two devices dock and the handle is turned to approximate, initiating the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/大腸がんの手術について　田中聡也先生：もっと知ってほしい消化器がんのこと2019 in 佐賀.mp4" ] }, { "messages": [ { "content": "What implement is used to lift the leading edge of the opening, and for what purpose?", "role": "user" }, { "content": "A fine traction stitch is used on the front edge to pull it up, improving exposure and control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreatic Jejunal anastomosis ｜ PJ ｜ Whipple's surgery ｜ Key step of Whipple's surgery.mp4" ] }, { "messages": [ { "content": "When and where does the breakdown of the protective layer first become visibly apparent during the care sequence?", "role": "user" }, { "content": "It first shows up at the scheduled check a couple of hours later, visible through the pouch around the skin opening as a wet, smeared breakdown.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/阿公造口護理.mp4" ] }, { "messages": [ { "content": "After the larger bulge beside the swallowing tube is completely freed and set aside, when does the long, lengthwise split of the tight segment actually begin?", "role": "user" }, { "content": "It starts immediately after the large bulge is set aside, when the surgeon begins the vertical split of the tight area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy W Esophageal Diverticulectomy for Achalasia.mp4" ] }, { "messages": [ { "content": "Between releasing the fatty apron from the horizontal colon and dividing a branch near the upper pole of a top-left organ, which occurs first?", "role": "user" }, { "content": "Releasing the fatty apron from the transverse colon happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 lymph node dissection with total gastrectomy and jejunal pouch reconstruction for ea.mp4" ] }, { "messages": [ { "content": "After the access points are set, at what moment does the first cutting maneuver begin?", "role": "user" }, { "content": "It begins immediately after placement, with sharp dissection of the adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Male Patient with Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first: correcting the drifting viewpoint by reorienting the scope, or beginning the tip‑tapping maneuver to raise a flap?", "role": "user" }, { "content": "The scope is reoriented first, then the tip‑tapping maneuver begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Unedited Full Length Laparoscopic Cholecystectomy HD Video - Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip shift from imaging/mapping to active mechanical clearance?", "role": "user" }, { "content": "The transition occurs when the mapping concludes and the incision is extended to begin grasping out material.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/LAPARO ENDOSCOPIC RE DO HEPATICOJEJUNOSTOMY AFTER COMMON BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "Between binding the base of the small finger-like offshoot with thread loops and cutting it free, which happens first?", "role": "user" }, { "content": "Binding with thread loops occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy for Complicated Diverticulitis Fistula to left tube.mp4" ] }, { "messages": [ { "content": "Given the moment where a distance from a landmark is checked, when does the actual division of the slender intestinal segment begin?", "role": "user" }, { "content": "Immediately after confirming the distance, the bowel division starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Total Laparoscopic Choledochal cyst excision & Roux-en-Y hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "When the bowel is being pulled forward and to the side by an auxiliary grasper, at what moment does the powered clamp begin sealing the main blood supply?", "role": "user" }, { "content": "Right after counter-tension is established and the proximal dissection is completed, the clamp starts sealing the pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Left Hemicolectomy Utilizing All Three Robotic Arms.mp4" ] }, { "messages": [ { "content": "Once a loop has been placed around the tube in the throat-side incision, when does the transection actually start?", "role": "user" }, { "content": "Immediately after isolation with the loop, the cut begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Esophagus Resection.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the surface lining to separate it, and what is being done to that layer?", "role": "user" }, { "content": "A cautery tip acts on the inner lining to peel it away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How to treat rectal prolapse in a male patient？ Delorme’s Procedure with Levatorplasty.mp4" ] }, { "messages": [ { "content": "After an internal inflatable is expanded to maintain working space, when does the cut that opens the internal passage actually begin?", "role": "user" }, { "content": "Right after the inflatable is expanded, the opening cut begins onto the cup.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/An insight into： Laparoscopic total hysterectomy and bilateral salpingoophorectomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of fluid filling the deep cavity, when does the seal‑check of the new join actually begin?", "role": "user" }, { "content": "It begins when gas is injected through the distal end while observing the fluid for escape signs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Assisted Ultralow Anterior Resection with Colonic J Pouch-Anal Anastomosisis.mp4" ] }, { "messages": [ { "content": "What device is used to cut across the upper abdominal bowel loop, and what action does it perform on that tissue?", "role": "user" }, { "content": "A stapling device is fired to transect the bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Acute large bowel malignant obstruction of the splenic flexure： fully robotic resection.mp4" ] }, { "messages": [ { "content": "Between removing temporary identification bands from vessels and starting the nodal tissue sweep, which action occurs first?", "role": "user" }, { "content": "Removing the bands occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Core Videos (2019)： Partial Nephrectomy for Multifocal Unilateral Wilms Tumor.mp4" ] }, { "messages": [ { "content": "When does the clip transition from implant fixation to superficial closure?", "role": "user" }, { "content": "Right after the final anterior stitch on the implant, the team begins superficial closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Perineal lipofilling after an extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "After sealing the common opening of the new stomach–intestine connection, when is the air-based integrity check actually initiated?", "role": "user" }, { "content": "Immediately after the common opening is closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH ROUX-EN-Y RECONSTRUCTION FOR TYPE 1 GASTRIC CARCINOID.mp4" ] }, { "messages": [ { "content": "Between orienting the scope’s working outlet toward the target and expanding the lumen to create room, which action happens first in the clip?", "role": "user" }, { "content": "Orienting the working outlet toward the target occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/HƯỚNG DẪN KỸ THUẬT CẮT POLYP ĐẠI TRÀNG.mp4" ] }, { "messages": [ { "content": "When and where does a cuff-like pouch with a narrow opening first become visibly apparent in the field?", "role": "user" }, { "content": "After pulling the fat at the defect area, a cuff-like narrow-mouth pouch becomes evident.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/TAPP full video - How to dissect in laparoscopic groin hernia repair ？.mp4" ] }, { "messages": [ { "content": "When the intestine is divided and the connection is created, which device acts on the bowel segments and for what purpose?", "role": "user" }, { "content": "A linear stapling device divides the bowel and then creates a side-to-side stapled anastomosis between the segments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/TRİCKS AND PİTFALLS FOR TOTAL MESOCOLİC EXCİSİON İN RİGHT HEMİCOLECTOMY.mp4" ] }, { "messages": [ { "content": "During transection when loose fragments risk dropping, which tool acts on the operative field to prevent scatter, and what action does it perform?", "role": "user" }, { "content": "A collection pouch is opened over the field to catch and contain fragments, preventing scatter.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/強い炎症の胆のう手術： 危険をかわす方法とは？.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow change from peeling adhesions to clearly exposing a vividly colored loop near the bottom, prompting the team to keep their dissection safely above it?", "role": "user" }, { "content": "Right after the adhesions begin to release and the pink loop becomes clearly visible at the bottom, the team shifts to staying above it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic Hysterectomy (Laparoscopic) by Dr. Marc Winter.mp4" ] }, { "messages": [ { "content": "When and where in the field do gas‑filled bowel loops first crowd the view?", "role": "user" }, { "content": "Early after entry, as tools are guided in under vision, distended bowel appears crowding the foreground of the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. ROBOTIC PYELOPLASTY, Prof Mohan Gundeti.mp4" ] }, { "messages": [ { "content": "At what point does the workflow move from general mobilization to preparing a loop for inflow control at the base of the organ?", "role": "user" }, { "content": "The transition occurs once mobilization is sufficient and the team opens the small fold, passes a finger behind the inflow pedicle, and pulls a soft band through.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/How I do it - Mobilisation der Leber - Pringle Manöver - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Which comes first: arranging an array of tubes or delivering enriched fluid back into the main vessel?", "role": "user" }, { "content": "Arranging the tubes happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Perfusion in Belgium.mp4" ] }, { "messages": [ { "content": "Which device is used to retrieve material from the small upstream branches, and what does it do to those passages?", "role": "user" }, { "content": "A flexible endoscope with a balloon is used to engage the small upstream ducts and retrieve stones from them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/V025 LAPARO-ENDOSCOPIC RE-DO HEPATICOJEJUNOSTOMY AFTER COMMON BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "When does the actual elevation of the large upper abdominal organ begin relative to the start of the operation?", "role": "user" }, { "content": "Lifting begins right at the start of the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Truncal Vagotomy with Gastrojejunostomy # Gastric Outlet Obstruction.mp4" ] }, { "messages": [ { "content": "Which type of scissor is chosen to cut the delicate sheets, and what action is it used for?", "role": "user" }, { "content": "Fine tissue scissors are selected to cut the membranous sheets during separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "During creation of the posterior opening for retrieval, after a bulge appears from a pack placed below, when does the actual cutting commence?", "role": "user" }, { "content": "Once the bulge is seen, when the energy instrument engages the posterior wall about 3 cm below the cervix.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingo Oophorectomy.mp4" ] }, { "messages": [ { "content": "Right after the first cut with the wire loop, when does unexpected bleeding first become clearly visible, and where relative to the cut does it appear?", "role": "user" }, { "content": "Immediately after the first cut, two bleeding spots appear at the resection margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Colonoscopy： Sigmoid Colon Polyp Resection - Large Polyp.mp4" ] }, { "messages": [ { "content": "Which implement is used on two parallel vessels to reposition them, and what effect does this have on the next dissection phase?", "role": "user" }, { "content": "A vessel loop is used to elevate the two parallel vessels, creating working space that enables the next lymphatic dissection phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Pancreaticoduodenectomy and mesopancreas resection 腹腔鏡胰十二指腸切除手術.mp4" ] }, { "messages": [ { "content": "At what moment do the team switch from removal to rebuilding—specifically, when do they begin stitching the small bowel to the gland remnant?", "role": "user" }, { "content": "The transition occurs when they begin stitching the small bowel to the gland remnant for the first connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Total Laparoscopic Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from freeing outer attachments to beginning internal division of the bowel and constructing the join?", "role": "user" }, { "content": "Right after the last attachments are finished, the team begins intracorporeal division and anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right colon cancer： Medial to lateral.mp4" ] }, { "messages": [ { "content": "When thickened adhesions limit progress, which implement is introduced to act on the inflamed mass, and what action does it perform?", "role": "user" }, { "content": "The surgeon’s hand is introduced to perform blunt dissection, mobilizing the inflamed mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Approach Fistulous Disease, Abscess, and Strictures： Petachia Reissman, M.D..mp4" ] }, { "messages": [ { "content": "In the low transverse access created to allow a hand to help, which cutting instrument acts on which body layers to create a hinged opening?", "role": "user" }, { "content": "A cutting knife incises the tough outer layer horizontally and the inner lining vertically, creating a hinged opening for manual assistance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Pearls Session： Laparoscopic Sigmoid Colectomy Introduction - Peter Marcello.mp4" ] }, { "messages": [ { "content": "Which tool is used underneath the device during fixation, and what action does it perform?", "role": "user" }, { "content": "Gauze is used underneath to lift and support the device as it is fixed in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/造口更換1.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from controlling blood flow to safeguarding the adjacent urinary tube?", "role": "user" }, { "content": "Immediately after bilateral vascular control, dissection of the urinary tube begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Radical hysterectomy for cervical cancer; radical surgical removal of the uterus.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected gap first become visibly apparent after the join is created?", "role": "user" }, { "content": "Immediately after the join is fired, a residual opening becomes visible at the seam and is then sutured closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/第10回 長崎医療センター市民公開講座 講演2「膵臓がんの外科治療～ロボット支援下手術の導入と今後の展望～」.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from positioning the two hollow structures alongside each other to actually cutting into them?", "role": "user" }, { "content": "The transition occurs when the first opening is made in one tube, immediately after the alignment phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Robotic end ileostomy take down, ileotransverse anastomosis.mp4" ] }, { "messages": [ { "content": "During removal of the specimen through a natural opening, when does the first intraoperative mishap occur, and at what location is the small tear?", "role": "user" }, { "content": "It occurs during transnatural extraction while exteriorizing the cecum, causing a small tear in the ileal mesentery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/HYSTERECTOMY, BILATERAL SALPINGO-OOPHORECTOMY & TOTAL COLECTOMY FOR LYNCH SYNDROME. HYBRID NOTES.mp4" ] }, { "messages": [ { "content": "Which device processes the excised specimen, and how is the tissue presented to it to minimize collateral injury?", "role": "user" }, { "content": "A powered fragmentation device is used, and the specimen is brought to it (not vice versa) to create strips while avoiding injury to bowel and mesentery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Deep Intramural Myoma.mp4" ] }, { "messages": [ { "content": "During the node sweep around the pelvic vessels, which instrument is applied to the tiny side branches, and what tissue effect does it produce?", "role": "user" }, { "content": "An electric sealing instrument (electrocautery/bipolar) is used on small vessel branches and lymphatics to seal them and prevent lymphatic leak.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Technique of Robotic Radical Cystoprostatectomy with Neobladder Narrated.mp4" ] }, { "messages": [ { "content": "Precisely when does the sequence move from forming the side-to-side connection between bowel segments to closing the gaps in the supporting tissue?", "role": "user" }, { "content": "Right after completing the bowel connection, when suturing of the tissue defects begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Treatment of intractable GERD after sleeve gastrectomy by hiatal hernia repair & conversion to RYGB.mp4" ] }, { "messages": [ { "content": "At what moment does the operation move from completing the final repair to repositioning the organ back to its natural spot?", "role": "user" }, { "content": "Right after finishing the last repair, they reposition the organ to its native location.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Core Videos (2019)： Partial Nephrectomy for Multifocal Unilateral Wilms Tumor.mp4" ] }, { "messages": [ { "content": "After the instrument is used like a ruler with its jaws open, when does the actual muscle‑splitting begin?", "role": "user" }, { "content": "It begins after applying the compressive sponge over the target area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy with Dor Fundoplication # Achalasia Cardia Surgery # Dr Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "After both corners of the cut are secured, at what point does the placement of evenly spaced single stitches commence?", "role": "user" }, { "content": "It starts with a central stitch, then proceeds by filling the gaps between the center and each corner.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/HEINEKE MIKULICZ STRICTUROPLASTY.mp4" ] }, { "messages": [ { "content": "Once the thin channel has been freed up to where it crosses the large pelvic vessels, when does its division actually start?", "role": "user" }, { "content": "Division starts immediately after it is freed to the crossing, when the locking pieces are applied and the cut is made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoskopik Simple Nefrektomi.mp4" ] }, { "messages": [ { "content": "During the training portion, when does the team place the removed tissue into the access sleeve for delayed extraction?", "role": "user" }, { "content": "Right after detachment, it is placed into the access sleeve and left there until the end of the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES).mp4" ] }, { "messages": [ { "content": "Which micro-step occurs earlier: finishing the longitudinal folds in the deep layer or cutting the inner lining tube?", "role": "user" }, { "content": "Finishing the longitudinal folds occurs before cutting the inner lining tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Perineal approach for complete rectal prolapse： Delorme and Altemeier.mp4" ] }, { "messages": [ { "content": "Which device acts on the short segment of small bowel adjacent to the upper hollow organ to accomplish division?", "role": "user" }, { "content": "A linear stapling device divides the proximal small bowel segment next to the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 lymph node dissection with total gastrectomy and jejunal pouch reconstruction for ea.mp4" ] }, { "messages": [ { "content": "In the pelvic portion, which is controlled first: the thicker pulsating pipeline or its adjacent bluish channel at the same level?", "role": "user" }, { "content": "The artery is controlled first, followed by the adjacent vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Single Port Surgery for Colorectal Disease.mp4" ] }, { "messages": [ { "content": "Which fastening method acts on the descending segment to stop further drop, and what effect does it achieve?", "role": "user" }, { "content": "Staples, sutures, or slings are applied to the lower segment to fix it so it doesn’t slide down and out again.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectal Prolapse – Symptoms, Causes, Treatment And Surgery.mp4" ] }, { "messages": [ { "content": "After the central post of the circular device is seen exiting beside the prior seam, when is the actual joining action performed?", "role": "user" }, { "content": "After docking the anvil and closing the device; it is then fired to create the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision -- Mayo Clinic.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from trimming and resizing the two ends to beginning the stitch-based join?", "role": "user" }, { "content": "The transition occurs when the first stitch is placed from the inside at the mesenteric border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Ileostomy closure Takedown in a 1 month old girl By Dr. Tamer Ashraf Wafa and Dr. Amr El Saeid.mp4" ] }, { "messages": [ { "content": "Which tool acts on the blind end of the small-bowel segment, and what action is achieved?", "role": "user" }, { "content": "A linear stapler is used to close and shorten the blind end of the small-bowel limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Prophylactic Laparoscopic Total Gastrectomy for Hereditary Gastric Cancer Gene (CDH-1).mp4" ] }, { "messages": [ { "content": "Which device applies force to the inner lining to secure it to the back-wall bony ridge, and what effect does this achieve?", "role": "user" }, { "content": "A tacking applicator fastens the peritoneal lining to the sacral promontory, hitching the bowel up and resolving the prolapse.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic ProTack Rectopexy for the Management of Full Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which dedicated holder delivers the circular support around the valve opening to secure it in place?", "role": "user" }, { "content": "A cornut applicator is used to deliver and apply the ring to the valve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Bileaflet Prolapse Repair.mp4" ] }, { "messages": [ { "content": "Which tool is seen both grasping and dividing a small vascular bundle near the central mesentery, and what structure is it acting on to accomplish the separation?", "role": "user" }, { "content": "A vessel-sealing device acts on the arterial and venous branches of the central vessel to divide them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Presentation on Transverse Colon Cancer Treatment.mp4" ] }, { "messages": [ { "content": "Between sealing-and-dividing tissue and placing the final closure stitches, which action occurs earlier in the clip?", "role": "user" }, { "content": "Sealing and dividing the tissue occurs before the final closure stitches are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy Surgery.mp4" ] }, { "messages": [ { "content": "Which occurs first: clearing the outer surface of the narrow tubular connection, or beginning to expose the small vessel that feeds the sac?", "role": "user" }, { "content": "Clearing the tubular connection happens first; exposing the feeding vessel begins afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/＂Real-world＂ robotic cholecystectomy with IOC.mp4" ] }, { "messages": [ { "content": "At what point does the operation switch from broad abdominal mobilization to work down in the deep lower basin?", "role": "user" }, { "content": "Right after the proximal arterial trunk is divided and the posterior rectal plane is opened, they turn and begin the deep basin dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopy for Crohn's Colitis - Total Abdominal Colectomy# Kirk Ludwig, M.D..mp4" ] }, { "messages": [ { "content": "Which occurs first: lifting an adnexal structure out of the way with a support device, or starting the stitch placement to close the defect?", "role": "user" }, { "content": "Lifting the adnexal structure happens first, then the suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Posterior Degenerated Lower Segment Fibroid.mp4" ] }, { "messages": [ { "content": "Once the team places an additional entry site, when does the internal imaging commence?", "role": "user" }, { "content": "Imaging starts immediately after the extra entry port is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic transthoracic and thoracoscopic liver resection.mp4" ] }, { "messages": [ { "content": "Between releasing stitches near the lower stomach and entering a tunnel beneath the folded portion, which action happens first?", "role": "user" }, { "content": "Releasing the stitches happens before entering the tunnel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Undo of Gastric Plication and Conversion to RNY Gastric Bypass and repair of Hiatal Hernia.mp4" ] }, { "messages": [ { "content": "Which occurs first: the surgeon briefly cools a curved tip by touching nearby tissue, or the team continues advancing upward using two holding arms to open the split wider?", "role": "user" }, { "content": "Cooling the curved tip happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic Heller Myotomy and Dor Fundoplication.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from positioning the bowel for a tension-free join to actually starting the joining process?", "role": "user" }, { "content": "When the team begins the side-to-side join after the segment lies without tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot-assisted Segmental Colectomy for Metastatic Melanoma.mp4" ] }, { "messages": [ { "content": "When does the scene transition from freeing the sac off its bed to actually pulling it out through the central access?", "role": "user" }, { "content": "Right after the sac is declared freed, the next shot shows it being pulled out through the central access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/外科医の私が受けたい最新の胆石症手術とは　手術映像あり.mp4" ] }, { "messages": [ { "content": "When the inner camera enters the field, at what point do the operators begin the water-inflation check for leaks?", "role": "user" }, { "content": "Right after using the inner camera to confirm adequacy, they instill water and inflate to check for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Endoscopic-Guided Laparoscopic Heller’s Myotomy with ICG ｜ Achalasia Cardia Surgery By Dr. Samrat.mp4" ] }, { "messages": [ { "content": "After the tough white layer is elevated with clamps to outline its edges, when does its actual closure begin?", "role": "user" }, { "content": "When the first stitches are passed to approximate that layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Loop Ileostomy Reversal.mp4" ] }, { "messages": [ { "content": "After the surgeon places a figure-of-eight stitch across the prominent venous web at the tip of the gland, at what moment does the actual division of that venous web begin?", "role": "user" }, { "content": "Right after the ligature is tightened and the veins are fully compressed, they proceed to transect the plexus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Roboter-assistierte Prostataentfernung (radikale Prostatektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "Which step comes first in the extraction-preparation sequence: placing the specimen’s tip into a protective pouch or detaching the rigid frame to serve as a guard at the incision?", "role": "user" }, { "content": "The tip is placed into the pouch first, then the rigid frame is removed for use as a guard.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details# Gastro-jejunal anastomosis The Circular Anastamotic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what precise point does the operation switch from taking out the mass to rebuilding the organ wall?", "role": "user" }, { "content": "Right after complete enucleation—when excess tissue is trimmed and suturing of the wall begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myomectomy for a large uterine fibroid via mini-laparotomy – a step by step video tutorial.mp4" ] }, { "messages": [ { "content": "Given the visible cue of two differently tinted streams merging within the lower connection, when is that reconnection considered functionally complete relative to the preceding steps?", "role": "user" }, { "content": "The reconnection is complete just before the tinted streams are shown merging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Magenbypass kurze Version full HD - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "Between these two actions—placing a loop around a slim conduit on the patient’s left and freeing the dome of the central reservoir from the abdominal wall—which occurs earlier in the sequence?", "role": "user" }, { "content": "Loop placement on the left-side conduit happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy Procedure To Remove Bladder - SLUCare Urology.mp4" ] }, { "messages": [ { "content": "During deep pelvic separation, which instrument does the assistant use to pull back the posterior canal wall, and how is it positioned?", "role": "user" }, { "content": "A ribbon abdominal spatula is used, with its tip placed in the posterior fornix to retract the posterior wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy plus Transverse Perineal Support using Biologic Mesh.mp4" ] }, { "messages": [ { "content": "When and where is it first visible that the mass is stuck to the inside of the vessel, and on which side of the tunnel wall?", "role": "user" }, { "content": "It first appears during the cut on the back wall, where the mass is stuck to the vessel lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Approach to Right Radical Nephrectomy with Level II IVC Thrombectomy.mp4" ] }, { "messages": [ { "content": "Given the instrument tip poised beneath a prominent bluish tube on the left of the field, when does entry into the clear layer start?", "role": "user" }, { "content": "It starts the instant the instrument punctures just beneath the bluish tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/How I Do It： Limited Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "At what moment does the stitching move from placing guiding stitches to advancing the definitive closure?", "role": "user" }, { "content": "Right after tying the two guiding (stay) stitches, the definitive closure begins from the top edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "Between spotting a prominent vessel–nerve cord and the brief oozing that follows, which event comes first?", "role": "user" }, { "content": "Spotting the vessel–nerve cord happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Use of Indocyanine Green to Identify the Transanal Dissection Plane in Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from freeing the organ to extracting its inner stones?", "role": "user" }, { "content": "Immediately after the body is divided and the remnant near the narrow end is opened, stones are retrieved.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Некоторые аспекты лечения острого холецистита.mp4" ] }, { "messages": [ { "content": "After the surgeon points out the prominent ridge at the top of the pelvis, when does cutting with the vibrating device actually begin?", "role": "user" }, { "content": "The cutting begins right after that ridge is identified, at the same level.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Modified Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from securing supply lines to freeing the bulky target from its attachments?", "role": "user" }, { "content": "Immediately after the pinching tool is applied to the main channel, the team begins mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Roux-En-Y Hepaticojejunostomy for Right Hepatic Duct Transection.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from internal dissection and removal to creating an external opening for diversion?", "role": "user" }, { "content": "The transition occurs when they begin forming the externalized end colostomy after specimen extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic High Anterior Resection En-bloc Partial Cystectomy For Locally Advanced Sigmoid Cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence switch from the separation work behind the upper organ to introducing the guidance tube?", "role": "user" }, { "content": "It transitions right after the retrogastric dissection ends, at the moment the bougie is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Treatment of Gastro-Colic Fistula# A Rare Complication of Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "What powered instrument is used on the thin membranous fold near the liver to open that space and expose the right-sided pillar of the breathing muscle?", "role": "user" }, { "content": "A vibrating energy cutter is used to divide the flimsy fold, exposing the right pillar of the breathing muscle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Esophageal Balloon-Assisted Laparoscopic Heller Myotomy for Achalasia.mp4" ] }, { "messages": [ { "content": "When and where does unexpected granular material first become visibly apparent flowing out?", "role": "user" }, { "content": "Immediately after the sac is removed, stones become visible flowing from the proximal biliary tract.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Type I choledochal cyst, laparoscopic excision & RNY hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Between creating the opening on the larger hollow organ and on the slimmer tubular segment, which occurs first?", "role": "user" }, { "content": "The opening on the larger hollow organ occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SLEEVE GASTRECTOMY WITH LOOP BIPARTITION (HD 1080p, Audio) - Dr. V. AMAR, www.drvamar.com.mp4" ] }, { "messages": [ { "content": "After the team points out that a band-like structure is being tented upward, at what moment does the actual separation of that band begin?", "role": "user" }, { "content": "It starts immediately after the tenting is recognized, when they proceed to divide the band on the right side and enter the layer behind it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/からだにやさしい直腸がん手術　切除可能ボーダーライン直腸がんに対する術前治療とロボット手術.mp4" ] }, { "messages": [ { "content": "When and where does an unusually brisk ooze first become visibly apparent?", "role": "user" }, { "content": "Immediately after the piece is removed, at the resection bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/子宫肌瘤 剔除术.mp4" ] }, { "messages": [ { "content": "Which instrument acts on what structure to control a short venous channel entering the head-side confluence above the bowel?", "role": "user" }, { "content": "A clip applier places metal clips on the short venous trunk at its origin to ligate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Optimizing laparoscopic right colectomy for cancer： Video based animation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from describing system strengths to showing patient counts and case details?", "role": "user" }, { "content": "The transition occurs when the review of cases is introduced, right after discussing system strengths.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot Revisional Hepaticojejunostomy for Benign Biliary Strictures.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structures to initiate and enlarge the opening for the stomach-to-intestine connection?", "role": "user" }, { "content": "A hook-shaped cautery initiates the opening in the stomach and bowel walls, and an ultrasonic device enlarges it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Totally Robotic Roux-en-Y Gastric Bypass (RYGB) with hand sewn Gastro-jejunostomy (GJ).mp4" ] }, { "messages": [ { "content": "During the evaluation part, which is shown first: the clinician interviewing the person, or the footage from a camera moving through the intestines?", "role": "user" }, { "content": "The clinician interview occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectal Prolapse： Introduction, Clinical features, Diagnosis, Management： Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument is used to elevate the target structure during needle work, and what task does this elevation assist?", "role": "user" }, { "content": "The suction/aspiration instrument elevates the structure, assisting precise needle placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy for small sub hepatic upper pole tumor.mp4" ] }, { "messages": [ { "content": "When and where does fragile tissue become visibly evident as the reason to avoid additional suturing reinforcement?", "role": "user" }, { "content": "Near the leak site at the bowel–stomach join, where the tissue is extremely friable.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/An Unusual Complication After Revisional Laparoscopic Gastric Bypass Surgery.mp4" ] }, { "messages": [ { "content": "Between sealing a small vessel and identifying the slender channel to create a clear working gap, which happens earlier?", "role": "user" }, { "content": "The vessel is controlled first, then the channel is identified to create the gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robot Assisted Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which is performed first: reconnecting two bowel loops side-by-side or bringing the bowel up to the stomach to create the new join?", "role": "user" }, { "content": "Reconnecting the two bowel loops is performed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Limited Gastric Resection With Sentinel Lymph Node Biopsy For Early Gastric Cancer ....mp4" ] }, { "messages": [ { "content": "Which instrument is used on the curved organ to split it while simultaneously sealing the cut edges, and what action does it perform?", "role": "user" }, { "content": "A stapling device acts on the stomach to divide it and simultaneously seal the edges with a staple line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass - Live Surgery.mp4" ] }, { "messages": [ { "content": "In the belly-side portion, which happens first: the branches along the stomach are separated, or stitches are placed to secure the fold?", "role": "user" }, { "content": "The vessel branches are separated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Tailored Approach to Minimally Invasive Surgery for Achalasia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from isolating a major artery to clearing the lymphatic tissue around it?", "role": "user" }, { "content": "When the vessel loop is placed and periportal node removal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Radical Gastrectomy.mp4" ] }, { "messages": [ { "content": "Which tool is applied to the right-sided reproductive tissues adherent to the organ surface, and for what purpose?", "role": "user" }, { "content": "An Endo GIA vascular stapler is applied to divide the adhesions after initial harmonic dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Bladder Dermoid Cyst Surgery ｜ Laparoscopic Partial Cystectomy for Bladder Dermoid Cyst.mp4" ] }, { "messages": [ { "content": "Which device is applied to the two cut bowel ends to reconnect them, and what does it achieve?", "role": "user" }, { "content": "A mechanical stapler is fired across the bowel ends to create a wide side‑to‑side join and close the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/neovessie intracorporelle robotisée standardisée.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from narrowing the opening with stitches to positioning and fixing a flexible sheet over the area?", "role": "user" }, { "content": "Right after tying the sutures to close the opening, when they begin placing and sewing the sheet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Scrotal Hernia Repair With Colon Involvement (4K).mp4" ] }, { "messages": [ { "content": "Between lifting the thin loops out of the basin and releasing any tethers holding things down, which action happens first?", "role": "user" }, { "content": "They lift the loops out first, then release the tethers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy and Sacrocolpopexy.mp4" ] }, { "messages": [ { "content": "At what point does the workflow move from controlling bleeding on the cut surface to reconstructing the barrier that separates the compartments?", "role": "user" }, { "content": "Immediately after hemostasis on the cut surface, they proceed to close the barrier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic transthoracic and thoracoscopic liver resection.mp4" ] }, { "messages": [ { "content": "At what moment does the scene change from a narrow keyhole view to a wide open field approach?", "role": "user" }, { "content": "When the persistent fluid escape is confirmed, they switch from ports to a larger right‑sided access to construct the bypass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Trouble Management during Laparoscopic Total Gastrectomy.mp4" ] }, { "messages": [ { "content": "After the team’s brief checkpoint, when does the first operative maneuver visibly start?", "role": "user" }, { "content": "It starts when the first small skin opening just above the belly button area is made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Cholezystektomie - So läuft die Entfernung der Gallenblase ab.mp4" ] }, { "messages": [ { "content": "When and where does the unusual protrusion first become visibly apparent during specimen handling?", "role": "user" }, { "content": "It first appears immediately after the resected segment is opened, on the inside of the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの手術と手術後の生活　安野 正道.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal mass first become clearly visible on screen?", "role": "user" }, { "content": "When the excised piece is raised onto the field and shown, the mass is pointed out and clearly visible there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/PPPD： PYLORIC PRESERVING PANCREATICODUODENECTOMY ＂ANATOMICAL AND PHYSIOLOGICAL＂ ｜WHIPPLE SURGERY.mp4" ] }, { "messages": [ { "content": "What maneuver is applied to a delicate vessel bundle during lateral widening to prevent injury?", "role": "user" }, { "content": "Gentle countertraction is applied to peel the vessel bundle down, preventing injury.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (5).mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish vessel control during this stage?", "role": "user" }, { "content": "Two occluding instruments are applied to a branch vessel at its origin from the main trunk to enable its division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right Radical Hemicolectomy with CME + CVL ｜Bagdia Cancer hospital Akola ｜ Cancer of Large Intestine.mp4" ] }, { "messages": [ { "content": "Once division and sealing are complete, when is the flat, flexible strip-like device introduced into the deepest dependent cavity?", "role": "user" }, { "content": "It is introduced at the very end of the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic assisted treatment of intestinal malrotation in an adult male.mp4" ] }, { "messages": [ { "content": "When colored dye or air is introduced to assess the new connections, at what time and location does any escape first become visible?", "role": "user" }, { "content": "No escape is visible at any point; the test shows intact seals at the newly formed connections.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y gastric bypass linear stapler gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "After a tube placed through the mouth brings a metal head into the stomach pocket, at what moment does the device that builds the new join actually begin operating?", "role": "user" }, { "content": "When the ring-making device is docked to the metal head and then closed and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Resection of Enlarged Pouch and Redo of Gastro-Jejunal Anastomosis After Roux-en-Y Gast.mp4" ] }, { "messages": [ { "content": "In the sequence where the central gland is separated near a major vein, which happens first: placing hemostatic stitches at its edges or dividing the gland with a blade?", "role": "user" }, { "content": "The hemostatic stitches are placed first, then the gland is divided with a blade.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Konventionelle Pankreaskopfresektion mit Pfortaderresektion Grützmann Chirurgie Uniklinik Erlangen.mp4" ] }, { "messages": [ { "content": "Which happens first: the internal scope-based verification or tying down the device wires to the organ surface?", "role": "user" }, { "content": "The internal verification occurs before the wires are tied down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Robotic-Assisted Heineke-Mikulicz Pyloroplasty and Gastric Electrical Stimulation Therapy.mp4" ] }, { "messages": [ { "content": "After the top of the pear-shaped organ is lifted, when does energy-based tissue separation begin?", "role": "user" }, { "content": "It begins immediately after lifting, as the adhesions are treated with coagulation right away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Лапароскопическая холецистэктомия.mp4" ] }, { "messages": [ { "content": "Once the paired nerve strands become distinctly visible, when does the team initiate work along the side margin?", "role": "user" }, { "content": "Side-margin work begins after they have carried the back-plane dissection as far as possible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TME, Total Mesorectal Excision ： Tips and Techniques.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from clearing the outer sidewall packet to working along the inner venous trunk?", "role": "user" }, { "content": "When they finish the first packet and begin dissecting along the main internal vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic prophylactic lateral pelvic lymph node dissection in advanced low rectal cancer..mp4" ] }, { "messages": [ { "content": "Which paired instruments are used together to separate the front wall layer from the specimen, and what do they do?", "role": "user" }, { "content": "A bipolar dissector retracts and pushes the layer, while a harmonic scalpel divides it to achieve separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator.mp4" ] }, { "messages": [ { "content": "In the difficult dissection around the narrowed junction, when does unexpected bleeding first become evident?", "role": "user" }, { "content": "Bleeding first becomes evident early during the adhesiolysis at the narrowed junction in the severe case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/強い炎症の胆のう手術： 危険をかわす方法とは？.mp4" ] }, { "messages": [ { "content": "At what moment does the clip move from laying the initial row to beginning the deeper second row?", "role": "user" }, { "content": "Right after the gap is opened and advancement begins, the deeper second row starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Right Hepatectomy with Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip move from pre-entry orientation to the exploratory phase inside the abdomen?", "role": "user" }, { "content": "The transition occurs at the first intra-abdominal shot where the sizable abnormality is shown, right after the external access-site rundown.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Revisional Surgery After Failed Heller Myotomy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Which device is used to enter the swollen pouch before deploying the larger expandable implant, and what task is completed with it?", "role": "user" }, { "content": "A fine needle is used to enter the pouch to aspirate its contents before placing the larger expandable implant.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/EUS-guided gallbladder drainage in a patient with Billroth II reconstruction.mp4" ] }, { "messages": [ { "content": "During the talk, when does the presenter shift from detailing the downsides of the major removal operation to proposing organ-preserving and multimodal alternatives?", "role": "user" }, { "content": "The transition occurs when he says, “So, what can you do to avoid these… The options are…,” and he begins listing alternative strategies.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Current Role of Partial Cystectomy in the Treatment of Bladder Cancer.mp4" ] }, { "messages": [ { "content": "After the tube is finally seated and the clamp tightened, when does the contrast imaging actually begin?", "role": "user" }, { "content": "Right after the graspers are released and contrast is injected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Extended (Feat. Dr. Brunt).mp4" ] }, { "messages": [ { "content": "What material is spread across the freshly exposed surface to stabilize and protect the edge?", "role": "user" }, { "content": "A glue-like sealant is applied over the cut surface to secure it and reduce leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Minimally invasive liver resection for HCC of patients with liver damage B： A propensity score based.mp4" ] }, { "messages": [ { "content": "Which instrument engages the side adhesions around the target organ, and what does it do to them?", "role": "user" }, { "content": "A fine, energized dissector is used to divide the lateral attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Endoscopically assisted extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "In the pelvic phase, which comes first: working behind the segment or addressing its front?", "role": "user" }, { "content": "Working behind the segment comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Totally robotic versus totally laparoscopic surgery for rectal c.mp4" ] }, { "messages": [ { "content": "During closure of the circular device, when does the first visible unintended fold or kink appear, and where does it occur relative to the join?", "role": "user" }, { "content": "It first appears during device closure as a kink/infolding at the join, prompting the operator to reopen and rotate to free the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details# Gastro-jejunal anastomosis The Circular Anastamotic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "What accessory is used on the specimen during extraction, and for what purpose?", "role": "user" }, { "content": "A retrieval bag is used to enclose the gallbladder so it can be removed while protecting the incision from contamination.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Da Vinci Robot Surgery.mp4" ] }, { "messages": [ { "content": "Which comes first: dividing the lateral stabilizing band of the deep pelvic tube, or transecting that tube with a long, articulating cutter?", "role": "user" }, { "content": "Dividing the lateral stabilizing band comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Ulcerative Colitis surgery.mp4" ] }, { "messages": [ { "content": "Which tool acts on which target to ensure safe use of energy or stapling during vascular division?", "role": "user" }, { "content": "The surgeon’s finger acts behind the vascular pedicle to protect and guide safe stapler or energy division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colon Resection# When Does the Hand Help#.mp4" ] }, { "messages": [ { "content": "Which instrument is used to reconnect the two bowel ends, and what action does it perform on them?", "role": "user" }, { "content": "A circular stapling instrument is used to join the two bowel ends by creating a stapled connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Vizeral Chirurgie： Laparoskopische Sigmaresektion bei benignen Indikationen.mp4" ] }, { "messages": [ { "content": "Between identifying the three-part landmark near the organ’s neck and detaching the organ from its bed, which occurs first?", "role": "user" }, { "content": "The three-part landmark is identified first; detachment from the bed occurs later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Open Cholecystectomy For Cholelithiasis Full Procedure.mp4" ] }, { "messages": [ { "content": "Between beginning along the outer edge of the organ’s covering and starting along the inner edge, which occurs first in the sequence?", "role": "user" }, { "content": "Work along the outer edge comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole (routine elective ).mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from reconstruction to final toilet of the field and drain placement?", "role": "user" }, { "content": "Immediately after completing and reinforcing the closure, they proceed to irrigate and place the pelvic drain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/腹部无辅助切口经阴道拖出标本的腹腔镜下右半结肠切除术.mp4" ] }, { "messages": [ { "content": "Between isolating and dividing a major vessel feeding the part to be removed and starting to separate the organ tissue itself, which occurs first?", "role": "user" }, { "content": "The major vessel is secured and divided first, then the tissue transection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/LAPAROSCOPIC EXTENDED LEFT HEPATECTOMY AFTER CONVERSION THERAPY FOR COLORECTAL CANCER LIVER METASTAS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from careful node clearing and vessel exposure to actually clipping the second set of vessels near the central trunk?", "role": "user" }, { "content": "Right after the central vein is fully dissected; the first clip goes on the right colic artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic CME and D3 lymphadenectomy for right-sided colon cancer.mp4" ] }, { "messages": [ { "content": "When and where does a prior-operation-related abnormality first become clearly visible?", "role": "user" }, { "content": "Early on near the upper anchoring site, adhesions around the old implant become apparent.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/redo ventral mesh rectopexy by dr Jottard MD PhD.mp4" ] }, { "messages": [ { "content": "Between checking the integrity of the new connection and draping a fatty curtain over it, which is performed first?", "role": "user" }, { "content": "The integrity check is performed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Reducing the invasiveness on Bowel Endometriosis surgical treatment ｜ Ghost ileostomy.mp4" ] }, { "messages": [ { "content": "After a small metal tag is placed on the intended cut edge of the colon, when does the surgeon begin separating the abdominal apron from that edge?", "role": "user" }, { "content": "Immediately afterward—he proceeds to split the apron right at the planned margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy - ICA (narrated ).mp4" ] }, { "messages": [ { "content": "Between closing stitches at the back of the opening above the stomach and the addition of small fasteners to back up that closure, which happens earlier?", "role": "user" }, { "content": "The closing stitches occur first, followed by the reinforcing fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Revision of Gastric Bypass for GERD, Hiatal Hernia, & Weight Regain： A Standardized Technique.mp4" ] }, { "messages": [ { "content": "As the wedge of tissue is being removed, which instrument engages the slender outflow vessel to achieve control before the split continues?", "role": "user" }, { "content": "A clip applier engages the terminal venous branch to secure it before continuing the transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Portal Lymphadenectomy and 4b⧸5 Liver Resection for Incidental Gallbladder Cancer.mp4" ] }, { "messages": [ { "content": "Which device is inserted into the small channels to ensure a controlled passage and later be removed once healing is safe?", "role": "user" }, { "content": "A thin catheter/drain is placed into the channels to stent them and is removed later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TİP 4 KLATSKİN TÜMÖRÜ İÇİN EN BÜYÜK AVANTAJ İLERİ TEKNİKLE TEMİZ AMELİYAT.mp4" ] }, { "messages": [ { "content": "Which tool acts on which channel to perform what check near the end, when a clear liquid is pushed to assess the seal?", "role": "user" }, { "content": "An injection device pushes clear fluid through a side channel to test the join for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Dr Kausar Makki - Techniques of Biliary Reconstruction in Living Donor.mp4" ] }, { "messages": [ { "content": "During preparation of the downstream pathway, which comes first: obtaining the critical view of the key vessel or cutting the intestinal tube?", "role": "user" }, { "content": "Obtaining the critical vessel view comes first, followed by cutting the intestinal tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y gastric bypass linear stapler gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the team transition from dissection to final placement of the intestinal segments across the abdomen?", "role": "user" }, { "content": "Immediately after confirming the base is wide enough, they begin positioning the bowel left and right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Ladds procedure for volvulus neonatorum due to malrotation of gut. Neonatal surgery.mp4" ] }, { "messages": [ { "content": "During construction, which occurs first: assembling the reservoir body or creating the inward-folded internal channel?", "role": "user" }, { "content": "The reservoir body is assembled before the inward-folded internal channel is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/DEBATE： The best permanent stoma in IBD patients - Continent ileostomy.mp4" ] }, { "messages": [ { "content": "When and where does unusually stubborn adherence of the inner lining become visibly apparent around the wall defect?", "role": "user" }, { "content": "It first becomes apparent at the rim of the defect, where the lining is stuck to the sides, prompting a circumferential opening in the posterior peritoneum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Chole with eTEP incisional hernia repair.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from preparing the chest-wall conduit to exposing the beating organ inside its outer sac?", "role": "user" }, { "content": "The transition occurs when they begin opening the fibrous outer sac around the heart.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Coronary Artery Bypass with Sevak Darbinian, MD.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from finishing the first layer of stitches to checking the integrity of the join?", "role": "user" }, { "content": "Right after completing the first layer, they immediately proceed to the air-based integrity check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details# Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from taking down attachments and controlling vessels to reconnecting the bowel segments?", "role": "user" }, { "content": "The transition occurs when the side‑to‑side isoperistaltic reconnection is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Totally Robotic Splenic Flexure Resection with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "When and where does a dusky, blind-ending segment first become visibly apparent in the field?", "role": "user" }, { "content": "It first appears at the end, near the blind end adjacent to the stomach–intestine connection, shortly after the initial transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of a Bilroth II with Braun anastomosis into a RNY anatomy in a patient with in.mp4" ] }, { "messages": [ { "content": "Which happens first: spotting the thin white tube that must be protected, or addressing the main blood supply to the segment?", "role": "user" }, { "content": "They spot and protect the ureter first, before addressing the main blood supply.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sticking it to Cancer： Single Incision and Lap Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "Between sealing the tiny vessel heading toward the patient’s right and dividing its adjacent pulsatile branch, which happens first during that sequence?", "role": "user" }, { "content": "The tiny rightward vessel is sealed and divided first, then the adjacent arterial branch is taken.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Learning Laparoscopic Right Hemicolectomy Part 2： D3 Dissection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from working on the right-sided portion to addressing the upper bend area?", "role": "user" }, { "content": "When the medial-to-lateral dissection reaches the mid segment and mobilization of the upper bend (hepatic flexure) begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SINGLE INCISION LAPAROSCOPIC CLOCK WISE CONTINUOUS TOTAL ABDOMINAL COLECTOMY WITH END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "During the stomach lesion case that uses an under-the-surface passage, at what moment does the clip switch from passage-making to removal of the growth?", "role": "user" }, { "content": "The transition occurs once the under-surface passage reaches the lesion, at which point removal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/What’s Next： Peroral Pyloroplasty and Beyond.mp4" ] }, { "messages": [ { "content": "At what specific moment does the scene shift from mistakenly controlling the wrong target to securing the correct supply branch to the organ?", "role": "user" }, { "content": "The shift occurs when the true supply branch is identified and then secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/V13-01： Superior Mesenteric Artery Injury During Robotic Left Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between identifying a small nodal cluster by the greater curvature and clipping a nearby vessel at its origin, which event takes place first?", "role": "user" }, { "content": "The small nodal cluster is identified before the nearby vessel is clipped.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic distal gastrectomy with D2 LN dissection in advanced gastric cancer.mp4" ] }, { "messages": [ { "content": "Between flipping the mobilized right-sided bowel segment into the pelvis and tilting the table head-down to re-engage the robot for the opposite side, which happens first?", "role": "user" }, { "content": "The flip into the pelvis happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic-Assisted Deloyers Procedure.mp4" ] }, { "messages": [ { "content": "When and where does noticeable oozing from the inner surface first become visible during the procedure?", "role": "user" }, { "content": "It first appears along the cut edge when the closure begins to capture the inner lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/SURGERY VIDEO： Laparoscopic Pyloroplasty for Gastroparesis by Dr. Michael Hughes.mp4" ] }, { "messages": [ { "content": "Which instrument engages the intrauterine mass to carry out the primary cutting maneuver, and what action does it perform?", "role": "user" }, { "content": "A loop-style cutting electrode acts on the intrauterine mass, shaving it into small pieces for resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: securing and dividing a short artery near the liver, or cutting the tube that drains the liver to finish the specimen removal?", "role": "user" }, { "content": "The short artery is secured and divided earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/External Retraction Technique for Robotic PancreatoDuodenectomy.mp4" ] }, { "messages": [ { "content": "During the moment when visualization is compromised near the curved band, which tool acts on which tissue to accomplish what?", "role": "user" }, { "content": "The suction device acts on the pooled blood/ooze to clear the view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Fluorescence laparoscopic radical gastrectomy No.11P LND 荧光腹腔镜胃癌根治术 11p组淋巴清扫.mp4" ] }, { "messages": [ { "content": "Between placing the left-side working instrument near the rib margin and inserting the long, low right-side manipulator, which is performed first?", "role": "user" }, { "content": "The left-side near-rib instrument is placed first; the low, long right-side manipulator comes afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneal Partial Nephrectomy： Patient Positioning Port Placement and Docking.mp4" ] }, { "messages": [ { "content": "After the team identifies orientation cues, when does the uncoiling maneuver actually begin?", "role": "user" }, { "content": "It begins immediately after the initial releases and orientation, starting at the proximal junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Intestine-Laparoscopic Ladds procedure for adult malrotation with midgut volvulus.mp4" ] }, { "messages": [ { "content": "When do thick scar bands from an earlier operation first show up on screen, and where are they located?", "role": "user" }, { "content": "Early in the procedure, they appear around the prior gallbladder area and along the left side of the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Purely laparoscopic left hepatectomy with choledochojejunostomy for recurrent pyogenic cholangitis.mp4" ] }, { "messages": [ { "content": "Between clearing the fat off a paired artery–vein bundle near the specimen’s base and later cutting the crosswise supply branch at its origin, which occurs earlier in the clip?", "role": "user" }, { "content": "Clearing and skeletonizing the paired artery–vein bundle occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right-sided tumors ： Tips & Techniques Lymph node dissection for Left colectomy By Songphol Malakorn.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from passage-creation to targeted muscle division?", "role": "user" }, { "content": "The transition occurs when the blade first starts cutting the muscle about 1 cm beyond the entry cut at an off-center (around 2 o’clock) orientation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Per-Oral Endoscopic Myotomy for Achalasia.mp4" ] }, { "messages": [ { "content": "When the fastening tool is brought up to the posterior ridge, at what point do the actual shots begin relative to the preceding straightening and freedom-of-movement checks?", "role": "user" }, { "content": "The shots begin after the segment is straightened and after free movement is confirmed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic ProTack Rectopexy for the Management of Full Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "After placing a circular component inside the upstream section, when does the purse-like stitching actually begin?", "role": "user" }, { "content": "During Step 6, immediately after anvil placement, when the intracorporeal purse-string suture is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy with Transanal Specimen Extraction： Step by Step.mp4" ] }, { "messages": [ { "content": "Which device acts on the freshly transected edge to seal it, and what does it accomplish?", "role": "user" }, { "content": "A mechanical stapling device closes and divides the edge, creating a sealed cut segment about 1–1.5 cm long.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/whipple_procedure/After cutting of duodenal stump of about 1–1.5 cm length using linear stapler LARS commenced from upper to lower or from lower to upper part on staple-line of duodenal stump.mp4" ] }, { "messages": [ { "content": "Between dividing the pulsatile conduit and its nearby compressible channel, which one happens first in this sequence?", "role": "user" }, { "content": "The pulsatile conduit is divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Application of Laparoscopic locating surgical margin in sigmoidectomy– a video vignette.mp4" ] }, { "messages": [ { "content": "When the team navigates to the tapered end behind the loop of intestine, at what moment does separation of the sac from the downstream channel actually begin?", "role": "user" }, { "content": "Detachment begins once they reach the narrowed distal segment and apply clips, immediately followed by the disconnection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/ROBOT Assisted Biliary Reconstruction.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the scar-like bands early on, and what action does it perform on them?", "role": "user" }, { "content": "A simple scissors is used to cut and separate the fibrous bands to create working space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Robotic end ileostomy take down, ileotransverse anastomosis.mp4" ] }, { "messages": [ { "content": "Which tool interacts with the target surface to create positional marks before treatment?", "role": "user" }, { "content": "A marking instrument taps the surface to set positional marks prior to treatment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/hysterectomy/刘开江：宫颈绒毛管状腺癌ⅡA2期，腹腔镜下广泛全子宫切除（C2型）+双侧附件切除.mp4" ] }, { "messages": [ { "content": "Near the end, which happens first: measuring the length of the long split along the tube or leaving a small round tube adjacent to the new join?", "role": "user" }, { "content": "Measuring the length of the split occurs first, then the small round tube is left near the new join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Roux-en-Y Gastric Bypass with Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which instrument initiates the opening at the junction, and what structure is it acting on?", "role": "user" }, { "content": "A monopolar hook is used to open the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Redo Hepaticojejunostomy after Open Whipple Procedure： details of the hilar dissection.mp4" ] }, { "messages": [ { "content": "When and where does the broad, sheet-like blockage first become visibly apparent—initially in the upper right area or only later lower on the left side?", "role": "user" }, { "content": "It first becomes evident in the upper right area before extending toward the lower left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation⧸ Ladds procedure in adult.mp4" ] }, { "messages": [ { "content": "When does the operation transition from removing structures to building the new connections, in terms of the specific action that marks the start of reconstruction?", "role": "user" }, { "content": "The transition occurs when the mesocolon is opened to bring up the limb for reconstruction, immediately followed by starting the pancreaticoenteric anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Pancreaticoduodenectomy for Benign Disease 腹腔鏡胰十二指腸切除手術.mp4" ] }, { "messages": [ { "content": "Between freeing the bend on the upper-left side and tacking the nearby bowel to the sidewall, which action happens first?", "role": "user" }, { "content": "Freeing the bend occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot-assisted Segmental Colectomy for Metastatic Melanoma.mp4" ] }, { "messages": [ { "content": "Which occurs first: testing the passage by advancing the instrument through the site, or the declaration that the channel is not tight?", "role": "user" }, { "content": "Advancing through the site happens first, then declaring it is not tight.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Multimodales Therapiekonzept mit endoskopischer Vollwandresektion eines Rektumkarzinoms.mp4" ] }, { "messages": [ { "content": "When and where does the unexpected routing of a major vein first become visibly apparent within the field?", "role": "user" }, { "content": "Right after the cavity is widely opened, a large vein is seen traversing the cavity space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Part 1 (VHD)： CP with Pseudocyst and EHBO with PV Involvement ｜ Izbicki Procedure & Biliary Drainage.mp4" ] }, { "messages": [ { "content": "Which tool is used to demonstrate that the freed intestinal limb courses behind the stomach, and what maneuver does it perform?", "role": "user" }, { "content": "A bowel grasper is passed posteriorly to show the limb is free from the stomach’s greater curve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Redo Gastrojejunostomy Following Perforation From Stricture Dilatation.mp4" ] }, { "messages": [ { "content": "Between relieving internal pressure from the distended target organ and securing it with a grasper for traction, which happens first?", "role": "user" }, { "content": "Pressure relief comes first; the organ is decompressed before it is grasped for traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/How I do it - Laparoskopische Resektion bei schwerer Cholezystitis ⧸ schwierige Cholezystektomie.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure switch from an insufflated, camera-based view to handling the segment outside the body?", "role": "user" }, { "content": "When the gas is closed and a small lower-abdominal incision is made, allowing the segment to be brought out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Application of Laparoscopic locating surgical margin in sigmoidectomy– a video vignette.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the small feeder vessels along the upper stomach border, and what action does it perform?", "role": "user" }, { "content": "An ultrasonic shear seals the feeder vessels as they are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Magenbypass kurze Version full HD - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "When does an unusually strong rhythmic signal first show up, and in what area is it noted?", "role": "user" }, { "content": "It appears during the signal-mapping phase over the target area when a bounding pulse is noted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Proctopexy Hemorrhoid Repair 2.mp4" ] }, { "messages": [ { "content": "Between establishing access through the throat incision into the deep chest space and stepwise widening of that tract, which happens first?", "role": "user" }, { "content": "Access is established first, followed by stepwise widening of the tract.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Endoscopic techniques in the management of esophago-jejunal dehiscence after total gastrectomy.mp4" ] }, { "messages": [ { "content": "When the view is tilted upward to better see deep behind the organ, when does the posterior dissection actually commence?", "role": "user" }, { "content": "It starts after the upward tilt, once the posterior approach is chosen and the pedicles are transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Simultaneous robot-assisted abdominoperineal rectal resection and Retzius-sparing prostatectomy.mp4" ] }, { "messages": [ { "content": "Considering the order of devascularization steps, which is performed earlier: sealing the central side supply or sealing the upper lateral pedicles?", "role": "user" }, { "content": "The central uterine supply is sealed earlier; the upper pedicles are sealed at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy (Unedited).mp4" ] }, { "messages": [ { "content": "When does the operation move from connecting the ends to testing the join with fluid visualization?", "role": "user" }, { "content": "After the stapled connection (and its reinforcement), the join is tested with colonoscopic visualization under fluid.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "After a ring-shaped joining device is inserted from below, when does the actual joining maneuver start?", "role": "user" }, { "content": "It starts when the device’s spike is brought out adjacent to the prior staple line, enabling the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Managing an ischemic splenic flexure during a laparoscopic left colectomy using a Deloyer's tech....mp4" ] }, { "messages": [ { "content": "After the upper-right rib margin retractor is pulled up and the liver edge comes into view, when does the actual peeling of the dome’s lining start?", "role": "user" }, { "content": "It starts immediately after the area is exposed by lifting the retractor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Ovarian Cancer Surgery performed by Pr. Kridelka.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: removing the vestigial tubular structure or completing the counter-rotation to relieve the twist?", "role": "user" }, { "content": "Removal of the vestigial structure happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Surgical Correction Of Adult Midgut Volvulus.mp4" ] }, { "messages": [ { "content": "After a protective pad is placed as a landmark near a vulnerable left-sided structure, at what moment does the actual division of the downstream bowel segment begin?", "role": "user" }, { "content": "It begins when the cutting-stapling device is applied to divide the distal bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹腔镜乙状结肠癌NOSES手术.mp4" ] }, { "messages": [ { "content": "After the interposed conduit is set into position, when does the stitching begin?", "role": "user" }, { "content": "Immediately after positioning, the proximal running stitch begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Major Venous Resection During Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to achieve the decompression, and what is the action performed?", "role": "user" }, { "content": "A cutting instrument divides constricting attachments over the proximal small intestine to relieve the obstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation, Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation switch from making room around the nerve to opening the channel toward that side?", "role": "user" }, { "content": "Right after the small working space is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Ultra-early optic nerve decompression for resection of anterior clinoidal meningioma.mp4" ] }, { "messages": [ { "content": "When does the demonstration move from observing a sealed site to actually lifting the square layer away from the surface?", "role": "user" }, { "content": "After confirming the site is very stable, the operator gently lifts the layer and removes it in one piece.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Demonstration of 6mm liver biopsy punch treatment.mp4" ] }, { "messages": [ { "content": "Between re-covering the inner lining over the implant and extracting the tissue fragments placed into a containment pouch, which action happens first in the clip?", "role": "user" }, { "content": "Re-covering the inner lining over the implant happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Subtotal hysterectomy and sacrocolpopexy for uterovaginal prolapse.mp4" ] }, { "messages": [ { "content": "Which component of the handpiece interacts with the inner lining to lift the target away from deeper layers, and what does it accomplish?", "role": "user" }, { "content": "The hollow-shaft nozzle delivers a focused liquid stream that acts on the lining to create a cushion, lifting the target from deeper layers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/BTESD 水刀膀胱癌剝離術.mp4" ] }, { "messages": [ { "content": "Between the moment the entry rim turns pale at two symmetric points and the moment the large endoscopic cutter first appears through the opening, which happens earlier?", "role": "user" }, { "content": "The pale change at two points occurs before the large device is brought in.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic myomectomy- bipolar TCRM.mp4" ] }, { "messages": [ { "content": "When encountering a small vessel during passage creation, which instrument acts on it and for what purpose?", "role": "user" }, { "content": "An energy-delivering tip is applied to the small vessel to cut it while controlling bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "What entry setup allows both a scope and two instruments to work through the single opening, and what does it interface with to create access?", "role": "user" }, { "content": "A single‑incision gel point sleeve; it interfaces with the peritoneal cavity via the incision to create access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Scarless Single Incision Laparoscopic Loop Ileostomy.mp4" ] }, { "messages": [ { "content": "Between the initial bedside setup (patient positioning and survey) and the moment the multi‑armed platform is rolled in and connected, which occurs first in the sequence?", "role": "user" }, { "content": "The bedside setup with positioning and survey occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic-Assisted Laparoscopic Hysterectomy (RALH).mp4" ] }, { "messages": [ { "content": "After the two opposing front-wall stitches meet and are tied in the middle, when is the outer reinforcement actually started?", "role": "user" }, { "content": "Immediately after finishing and tying the inner front-wall stitch, the outer reinforcement is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted Re do gastrojejunostomy for a giant ulcer.mp4" ] }, { "messages": [ { "content": "When and where does the unwanted reappearance of the long flexible tube into the workspace first become visible, if it happens at all?", "role": "user" }, { "content": "It does not occur; the tube is pushed down and held out of the way, so no early reappearance is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details： Gastro-jejunal anastomosis Robotic anastomosis.mp4" ] }, { "messages": [ { "content": "After freeing a boundary layer, a wispy plane appears; at what moment does the descent into the deeper space actually begin?", "role": "user" }, { "content": "It begins immediately after the wispy plane appears following the boundary release.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Pelvic dissection in an ultra-low Anterior resection for low rectal cancer. Dr Suhail Anwar..mp4" ] }, { "messages": [ { "content": "Between separating the connective layer between the front hollow organ and the central structure versus purposefully moving a slender tubular structure downward to keep it safe, which action occurs first?", "role": "user" }, { "content": "The connective layer is divided first, and then the slender tube is displaced downward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Removal of uterine sarcoma.mp4" ] }, { "messages": [ { "content": "Between the initial release of scar-like bands and the creation of a new channel between the upper stomach and the small intestine, which takes place first?", "role": "user" }, { "content": "The release of scar bands happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy Conversion To Laparoscopic Roux En Y Gastric Bypass For Treatment....mp4" ] }, { "messages": [ { "content": "During the deeper cutting phase, which tool acts on which tissue to accomplish what?", "role": "user" }, { "content": "The endoscopy knife acts on the muscle layer, dissecting it along the tube and into the upper stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM for Treatment of Achalasia.mp4" ] }, { "messages": [ { "content": "Which containment tool handles the upper‑abdominal specimen and what role does it play in removal?", "role": "user" }, { "content": "A specimen retrieval bag holds the organ until it is removed through the natural orifice.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/LESS Cholecystectomy with Concomitant Total Hysterectomy & Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from the freeing phase to the cutting phase—what visible cue marks that switch?", "role": "user" }, { "content": "When the organ is straightened and the operator moves to the right to place and close the cutting device for the first pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/sleeve резекция желудка.mp4" ] }, { "messages": [ { "content": "Which happens earlier: dividing the upper-left attachments of the neighboring organ or freeing the target organ’s central gateway using blunt and sharp maneuvers?", "role": "user" }, { "content": "Dividing the upper-left attachments occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoskopik Simple Nefrektomi.mp4" ] }, { "messages": [ { "content": "Which device is used to divide the thin tissue band connecting the upper organ to its neighbor, and what action does it perform on that band?", "role": "user" }, { "content": "An ultrasonic energy device divides the band by opening it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Hiatal Hernia Repair With Vagotomy And Heineke-Mikulicz Pyloroplasty.mp4" ] }, { "messages": [ { "content": "Between suturing the shared opening of the side-to-side linkage and sealing the gap in the supporting tissue between the loops, which one is performed earlier?", "role": "user" }, { "content": "Closing the shared opening comes first; the mesenteric defect is closed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Type I choledochal cyst, laparoscopic excision & RNY hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "What access route delivers the implant, and to which pelvic region is it placed to address the opening?", "role": "user" }, { "content": "It is delivered through an auxiliary port and placed directly into the defect deep in the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic-assisted Repair of Perineal Hernia (Bioresorbable Mesh) after Lap Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from creating room around the inflow tube to actually dividing it?", "role": "user" }, { "content": "The transition happens when the jaws are placed beyond the inflow and the first firing cuts between the triple staple lines.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to create the opening in the targeted hollow channel near the liver, and what action does it perform?", "role": "user" }, { "content": "Scissors are used to sharply open the bile duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Roux-en-Y Hepaticojejunostomy for CBD Injury.mp4" ] }, { "messages": [ { "content": "When does the most pronounced narrowing first become clearly visible on screen, and how is it indicated?", "role": "user" }, { "content": "It is first clearly seen during the mapping sequence when the third marker is placed at the tightest segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Heineke-Mikulicz and Finney strictureplasty： management of stricturing Crohn’s disease.mp4" ] }, { "messages": [ { "content": "Once the fatty apron and the transverse segment are lifted, when does the focused dissection to expose the central supply begin?", "role": "user" }, { "content": "It starts immediately after the lift, with dissection to expose the central artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from the clearing phase to the securing phase with the implant?", "role": "user" }, { "content": "The transition occurs when the first fixation of the implant at the base begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/redo ventral mesh rectopexy by dr Jottard MD PhD.mp4" ] }, { "messages": [ { "content": "After two supportive stitches anchor the bowel to the back wall, when does the continuous closure actually begin?", "role": "user" }, { "content": "Right after placing the two anchoring stitches, they proceed directly with a running closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Prolapse of the rectum , Laparoscopic approach ： anterior resection with rectopexy.mp4" ] }, { "messages": [ { "content": "Which clip types are applied to the arterial channel and in what sequence, and what precaution is taken to prevent slippage?", "role": "user" }, { "content": "A polymer clip is placed first, followed by a metal clip outside, and the artery is double‑clipped with a stump left to prevent clip slippage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic live donor hepatectomy.mp4" ] }, { "messages": [ { "content": "At precisely what point does the procedure transition from working along the artery heading into the left upper quadrant to finishing dissection and trimming along the stomach’s inner curve?", "role": "user" }, { "content": "When they leave the splenic artery area and start the number 1 and 3 node dissection with lesser‑curvature trimming.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic distal gastrectomy with D2 LN dissection in advanced gastric cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the freeing phase to the tightening phase?", "role": "user" }, { "content": "When the first closing pass is placed at a corner.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia repair.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from working down low to connecting with the earlier plane from above during the divide-and-reconvene approach to the right-sided attachment?", "role": "user" }, { "content": "The transition occurs when the upper dissection finds and enters the previously created inferior plane, visibly joining the two.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "Between two maneuvers in this sequence—hoisting a major vessel with a sling and pulling a hollow sac out through the access—which happens earlier?", "role": "user" }, { "content": "Hoisting the major vessel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/荧光腹腔镜保留十二指肠的胰头切除术 Lap-Duodenum-preserving pancreatic head resection in Chronic pancreatitis with ICG.mp4" ] }, { "messages": [ { "content": "Between positioning a tube for fluid egress and tipping the patient to pool residual fluid, which one occurs first?", "role": "user" }, { "content": "The tube is placed first, then the patient is tipped head-up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Intramural Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "Given the cue that both specimens are out, when does suturing of the pelvic opening actually commence?", "role": "user" }, { "content": "Immediately after both specimens are extracted, the pelvic opening closure begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/LESS Cholecystectomy with Concomitant Total Hysterectomy & Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "When and where does the unusual continuity between a bowel segment and an adjacent sac first become apparent on screen?", "role": "user" }, { "content": "It first appears during the initial exploration at the dome of the adjacent sac where the mass is inseparable.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic High Anterior Resection En-bloc Partial Cystectomy For Locally Advanced Sigmoid Cancer.mp4" ] }, { "messages": [ { "content": "During the postoperative imaging segment, when do mixed gas-and-fluid pockets first appear, and in which anatomical region are they seen?", "role": "user" }, { "content": "On postoperative day 6, they first appear next to the liver in the perihepatic region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SS03 Best of Video I： V012. ERCP IN A PATIENT WITH PREVIOUS ESOPHAGECTOMY AND BILLROTH II.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from freeing the tubular structure to introducing an external strip for support?", "role": "user" }, { "content": "Right after complete mobilization, when the pre-prepared strip is brought into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Dorsal Rectopexy with Pelvic Peritoneal Sac Excision for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Between a careful dissection through pale fat beside small arterial branches and the subsequent use of a clamp-like device that creates a straight sealed cut across the upper organ, which action happens first?", "role": "user" }, { "content": "The meticulous dissection through the fatty plane near the small arteries happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/2001 ｜ Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Between cutting the small vessels linking the stomach to the spleen and starting to free up the front of the swallowing tube, which occurs first?", "role": "user" }, { "content": "The vessel division occurs first, followed by freeing the front surface of the tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Treatment of Esophageal Perforation After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "When does slack in the thread first become visibly addressed, and how is it corrected?", "role": "user" }, { "content": "It’s first addressed during the running phase by using a shoe‑shining maneuver to pull out slack and eliminate looseness.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Biliary anastomosis.mp4" ] }, { "messages": [ { "content": "Which instrument applies energy along the far-side cut line to free that margin, and what action is it performing?", "role": "user" }, { "content": "An energy instrument (harmonic scalpel) frees the distal resection line by dissecting it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hohl_003131.mpg.mp4" ] }, { "messages": [ { "content": "Given the visual cue of manual palpation with the bowel flipped toward the operator, when does lesion localization actually begin?", "role": "user" }, { "content": "When the bowel is flipped and palpated, initiating tactile detection of the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colon Resection# When Does the Hand Help#.mp4" ] }, { "messages": [ { "content": "Between separating the large intestine from the left body wall and thinning the bowel’s outer layer with a handheld cutter, which happens earlier?", "role": "user" }, { "content": "Separating the large intestine from the left body wall occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Reducing the invasiveness on Bowel Endometriosis surgical treatment ｜ Ghost ileostomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to grasp the inner lining so stitches can be placed, and what region is it acting on?", "role": "user" }, { "content": "A spiral grasper (helix device) is used to grab the reservoir’s lining (the pouch) to enable stitch placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Endoscopic (Incision-less) Revision of Roux en Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which device is applied to which small arterial branch along the inner curve to stop its flow?", "role": "user" }, { "content": "A ligating device (clips) is applied to a small arterial branch along the inner curve to control bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy with Jejunal Pouch for Cancer of the Stomach.mp4" ] }, { "messages": [ { "content": "After the first opening is made, when is entry into the intended bloodless layer visually confirmed?", "role": "user" }, { "content": "It is confirmed when the two fascial envelopes are displayed and they state they have entered the intended bloodless plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic suture Rectopexy for Complete Rectal Prolapse： Dr R G Khandelwal.mp4" ] }, { "messages": [ { "content": "During the removal sequence, which occurs first: sealing a tubular feeder to the target, or slicing through the target tissue itself?", "role": "user" }, { "content": "Sealing the feeder occurs before slicing through the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Minimally Invasive Pancreas Surgery.mp4" ] }, { "messages": [ { "content": "Which powered tip acts on which layer to extend the separation toward a hardened boundary?", "role": "user" }, { "content": "A flat heated tip acts on the outer wall fibers to divide them and extend the split toward the hardened edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/SS03 Best of Video I# V004. LAPAROSCOPIC REVISION OF ESOPHAGOMYOTOMY.mp4" ] }, { "messages": [ { "content": "When and where does the unusual yellow flap first become visibly apparent in the scene?", "role": "user" }, { "content": "It first appears within the small central defect early in the exploration, right after the camera access is established.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Small Umbilical Hernia using Mishra's Knot and Dual Mesh.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from active pelvic retraction to relaxation of that traction?", "role": "user" }, { "content": "Immediately after showing the completed excision, the pelvic retraction is released.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Translevator Abdominal Perineal Resection for an Early Anastomotic Rectal Cancer Recurrence.mp4" ] }, { "messages": [ { "content": "Which jawed energy device is used to trace along the upper edge of the retroperitoneal organ under the stomach, and what plane is it developing?", "role": "user" }, { "content": "A jawed sealing shear is used to develop the plane between the transverse mesocolon/omentum and the superior border of the pancreas.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.2.2. Oncologic Laparoscopic Left Hemicolectomy for Splenic Flexure Cancer - Seon-Hahn Kim.mp4" ] }, { "messages": [ { "content": "During the second operation, when and where does the first abnormal visual sign appear, prior to any air-challenge testing?", "role": "user" }, { "content": "Right after re-entry, purulent membranes and escaping material are seen at the prior connection site, before the air test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Dehiscencia de cisto-gastro anastomosis.mp4" ] }, { "messages": [ { "content": "When and where does unexpected bleeding first become visibly noticeable during the opening sequence?", "role": "user" }, { "content": "Early in the opening, at the wound edges under retraction, before intra-abdominal work begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy for Gallbladder Disease ｜ JOMI in Honduras.mp4" ] }, { "messages": [ { "content": "At what moment does the clip move from placing the internal tube to showing the completed reconnection?", "role": "user" }, { "content": "Right after the tube is re-seated, the sequence shifts to the finished reconnection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. REDO PYELOPLASTY, Prof Ramnath Subramaniam.mp4" ] }, { "messages": [ { "content": "At what exact moment does the closure phase move from the primary line to the over-sewing layer?", "role": "user" }, { "content": "Immediately after the primary line reaches and passes the superior corner by one or two stitches, the over-sewing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It Lap ICA Left Hemicolectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: clearing the constricting tissue strands or uncoiling the twist in the digestive tube?", "role": "user" }, { "content": "Clearing the constricting strands occurs first, followed by uncoiling.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Intestine-Laparoscopic Ladds procedure for adult malrotation with midgut volvulus.mp4" ] }, { "messages": [ { "content": "Which instrument seals the side vessels at the junction between the reservoir and the gland, and what tissues does it act on?", "role": "user" }, { "content": "An energy-sealing device is used to seal and divide the lateral vascular pedicles connecting the reservoir to the gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/张骞-三孔法腹腔镜前列腺癌根治术-19分钟.mp4" ] }, { "messages": [ { "content": "Which instrument coming from the patient’s left-side access acts on the confined window near the organ’s neck, and what does it do?", "role": "user" }, { "content": "Scissors introduced through the left-side port dissect the tissue in the triangle near the organ’s neck, opening that space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Narrated Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: estimating the remaining healthy length or inserting the wound‑spreading device?", "role": "user" }, { "content": "Estimating the remaining healthy length happens before inserting the wound spreader.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Lego Surgery - Crohn's Disease, Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "Which stitching style is applied to the shaped strip, and what does it act upon to build the conduit?", "role": "user" }, { "content": "A continuous running stitch is applied to the harvested strip to form the conduit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Robotic Dismembered Tubularized Flap Pyeloplasty for Ureteropelvic Junction Obstruction.mp4" ] }, { "messages": [ { "content": "When and where does a sudden outflow of clear fluid first appear on screen?", "role": "user" }, { "content": "When the small cyst adjacent to the ovary is punctured during dissection, clear fluid suddenly appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video).mp4" ] }, { "messages": [ { "content": "What device is used to create the side‑by‑side junction between the cut end of the swallowing tube and the fashioned stomach tube beneath the large chest artery arch?", "role": "user" }, { "content": "Linear staplers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Esophageal reconstruction by gastric pull-up in a hemi-gastrectomized patient with esophageal cancer.mp4" ] }, { "messages": [ { "content": "When does unexpected bleeding first become apparent, and from which pelvic structure does it arise?", "role": "user" }, { "content": "It appears after the anterior venous plexus is divided, arising from the dorsal venous complex.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Pelvic Exenteration For Locally Advanced Rectal Cancer.mp4" ] }, { "messages": [ { "content": "When and where does a duplicated inflow pattern first become apparent to the viewer?", "role": "user" }, { "content": "It first becomes apparent during exposure of the posterior trunk, where two branches of the segmental inflow (G6) are identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from freeing the first intestinal loop off the back wall to trimming attachments of the fatty apron?", "role": "user" }, { "content": "When the view switches to the fatty apron and they begin cutting its attachments after completing the initial mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic management of reverse malrotation of mid gut.mp4" ] }, { "messages": [ { "content": "Once the metallic applicator is aligned perpendicular with support from the off-hand, when does the perimeter anchoring actually begin?", "role": "user" }, { "content": "Perimeter anchoring starts as soon as the device is fired and begins placing fasteners along the edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Umbilical Hernia.mp4" ] }, { "messages": [ { "content": "When and where does an atypical branching pattern become visibly apparent, prompting the team to encircle it with a neighboring tubular structure to prevent injury?", "role": "user" }, { "content": "Early in the case, higher up near the hilum, when they identify the variant artery and loop it with the bile duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Portal Dissection, Step 2 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "Which happens first in the clip: the step where the tubular muscle layer is cinched inward with stitches, or the moment when the peeled inner tube is trimmed off and removed?", "role": "user" }, { "content": "Cinching the muscle layer with stitches happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Procedure.mp4" ] }, { "messages": [ { "content": "Between dividing the pelvic floor muscles at their attachments and addressing the nerve‑vessel strands near the front organ, which occurs first?", "role": "user" }, { "content": "Division of the pelvic floor muscles happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Supine Extralevator Abdominoperineal Resection (ELAPE); Technique and Outcome.mp4" ] }, { "messages": [ { "content": "Which device is used to lift the top of the sac to improve exposure, and what does this maneuver accomplish?", "role": "user" }, { "content": "An auxiliary holder (out of view) grips the top and lifts it over the adjacent organ to improve exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/DaVinci Single Incision Cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from working around the organ to operating at the posterior opening where the upper tube passes through the diaphragm?", "role": "user" }, { "content": "The transition occurs when dissection reaches the posterior opening and the surrounding attachments are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "After lifting the liver out of the way to expose the area, when does the initial separation plane commence?", "role": "user" }, { "content": "The separation plane begins immediately after the exposure maneuver when they enter the plane along the diaphragmatic crura.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Roux-En-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which fine, curved instrument acts between the vessel and channel to separate them, and what maneuver does it perform?", "role": "user" }, { "content": "A fine curved dissector (Maryland) opens its jaws between the artery and duct to create a window.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Safe Way of Performing Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected issue first become visibly apparent during the operation?", "role": "user" }, { "content": "Unable to identify an abnormality without the complete audio transcript.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Total Laparoscopic Pancreaticoduodenectomy 全腹腔镜下胰十二指肠切除术.mp4" ] }, { "messages": [ { "content": "Which implement is used on the prominent vessel along the lower edge of the stomach, and what action is performed on that vessel?", "role": "user" }, { "content": "Silk ligatures encircle the right gastroepiploic artery, which is then ligated and divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/1995. Baltasar. VARY (Billroth-III). Vagotomy + Antrectomy and RNY reconstruction for duodenal ulcer.mp4" ] }, { "messages": [ { "content": "When does the workflow shift from intra‑abdominal reconstruction to specimen retrieval via a body opening?", "role": "user" }, { "content": "Immediately after reinforcing the join and confirming cleanliness, when they expose and incise the body opening to begin specimen extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/全腹腔镜下根治性右半结肠切除术.mp4" ] }, { "messages": [ { "content": "Which fastening material is used on the mobile tube, and what pattern of attachment is applied?", "role": "user" }, { "content": "Absorbable thread is used to attach it in three distal points, then two additional tiers for a total of nine stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic ventral mesh rectopexy (multiple recurrences).mp4" ] }, { "messages": [ { "content": "Between freeing the colon’s upper-left bend and dissecting around the central inflow to that segment, which one happens first in this clip?", "role": "user" }, { "content": "Freeing the upper-left bend happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left colectomy.mp4" ] }, { "messages": [ { "content": "After the clamp is visibly secured on the outlet, at what moment do they begin the pressure test?", "role": "user" }, { "content": "It starts when the scope begins insufflating and the team watches for bubbles (and later color).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Options for Testing the Anastomosis and Managing Findings： Leak, Bleed, and Others.mp4" ] }, { "messages": [ { "content": "A clamp-like device is positioned through the lower outlet; when does the intended joining actually start?", "role": "user" }, { "content": "It starts immediately after the device is inserted into the stump.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total proctocolectomy with IPAA and D3 lymph node dissection with IBD-associated colon cancer.mp4" ] }, { "messages": [ { "content": "Which robotic arm is used to lift the upper portion of the stomach’s outlet for exposure during suturing, and what function does it serve?", "role": "user" }, { "content": "The fourth arm elevates the cephalad portion of the outlet to provide exposure and retraction for suturing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/My Resident and I Robotic Pyloroplasty.mp4" ] }, { "messages": [ { "content": "Between setting up two tension loops to achieve left and right-sided countertraction and severing the small tubular connections of the pear-shaped organ, which happens first?", "role": "user" }, { "content": "The countertraction loops are set up first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for Polycystic Liver Disease.mp4" ] }, { "messages": [ { "content": "Between safeguarding the vessels adjacent to the outlet valve area and tying off the large vessel running along the outer curve, which action happens first?", "role": "user" }, { "content": "Safeguarding the vessels near the outlet side happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/[3D] Totally Laparoscopic Pylorus Preserving Gastrectomy.mp4" ] }, { "messages": [ { "content": "When and where does irregular, atypical tissue first become clearly visible in the sequence?", "role": "user" }, { "content": "It first appears when the initial-side cystic mass is exposed for removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer.mp4" ] }, { "messages": [ { "content": "While gently probing both sides of the connection between loops, which segment is seen to slide inward first—the part arriving at the join or the part continuing away from it?", "role": "user" }, { "content": "The segment arriving at the join (the distal Roux limb) is shown sliding inward first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis.mp4" ] }, { "messages": [ { "content": "When and where does unexpected surface oozing first become visible, prompting immediate cautery-like treatment?", "role": "user" }, { "content": "As the cut surface is inspected, a small spot begins to ooze, and the device is pressed directly onto it immediately.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Right Hepatectomy with Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what point does the primary outflow tube appear obviously widened on screen?", "role": "user" }, { "content": "It becomes apparent during the inspection after the first structure is secured, when the main tube is shown and noted to be very dilated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy Surgery｜ Gallbladder Surgery ｜ Complete Procedure of Open Chole. ｜ Stepwise.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which inter-structure connection to achieve separation early in the case?", "role": "user" }, { "content": "Manual shears and a heated cautery tip act on the dense inter-organ bridge to free the colon from its neighbor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish what during the clearing phase shown?", "role": "user" }, { "content": "An energy device is applied to the thin overlying lining and fibrous bands to open the area and free the bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/laparoscopic duodenojejunostomy for superior mesentric artery syndrome, @Dr.Zainalabdin.mp4" ] }, { "messages": [ { "content": "Which side shows a substantial fatty plug entering the tunnel-like passage first: the left or the right?", "role": "user" }, { "content": "The left side shows it first, then the right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Bilateral Inguinal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Outside the abdomen, which device is used on two narrow-intestine limbs to fashion a side-to-side connection, and what action does it perform?", "role": "user" }, { "content": "An external stapling device is applied to two small-intestine limbs to staple them together in a side-to-side fashion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection with en bloc Small Bowel Resection and Difficult Takedown of the.mp4" ] }, { "messages": [ { "content": "When the tissue visibly lifts after fluid is delivered through the instrument tip, at what moment does cutting actually begin in this approach?", "role": "user" }, { "content": "Cutting begins immediately after the fluid‑induced lift, without a tool exchange.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/(POEM) Per Oral Endoscopic Myotomy, Equipment and Technique： A Step-by-Step Explanation.mp4" ] }, { "messages": [ { "content": "After the view changes to the join-up between a gland remnant and a hollow organ, when does the curved needle begin placing its first series of bites?", "role": "user" }, { "content": "It starts immediately in the reconstruction segment, with the first 5–6 bites placed right after the view changes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Analysis of learning curve for laparoscopic pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "When do air-like specks first become visible within the right-sided cardiac chamber image, and where do they originate on the surgical field?", "role": "user" }, { "content": "They first appear at the time the vessel breach is identified, originating from that defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Effects of Laparoscopic Liver Resection on Cardiopulmonary Performance.mp4" ] }, { "messages": [ { "content": "After repeated contact of an instrument with the lateral wall is seen, when does the operator shift the viewing angle to obtain a better descent into the cavity?", "role": "user" }, { "content": "Right after the repeated collisions, the viewpoint is shifted to a different entry to improve the angle down into the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Proctopexy (Rectal Prolapse).mp4" ] }, { "messages": [ { "content": "After the surface visibly domes from a lift, when does the deeper layer separation actually begin?", "role": "user" }, { "content": "It begins immediately after the initial sub-surface dissection following the lift.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Intermuscular Surgical Dissection (ISD) by TAMIS for Rectal Lesions.mp4" ] }, { "messages": [ { "content": "After a visible time‑out for verification, when does transection actually begin?", "role": "user" }, { "content": "Right after the deliberate pause once both structures are clearly exposed, starting with division of the small vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/LESS Cholecystectomy with Concomitant Total Hysterectomy & Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "What device is applied to both ends of a bowel segment to divide it and later to join the sides together?", "role": "user" }, { "content": "A linear stapling device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Ovarian Cancer Surgery performed by Pr. Kridelka.mp4" ] }, { "messages": [ { "content": "After the thin film over the main vascular trunk is opened, when does the targeted control of that trunk actually begin?", "role": "user" }, { "content": "It begins immediately after that layer is incised.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/CME and central vascular ligation for locally invasive right-sided colon cancer by open approach.mp4" ] }, { "messages": [ { "content": "Which tool acts on which target to accomplish what task during the focused treatment sequence?", "role": "user" }, { "content": "A powered sealing instrument acts on a slender vessel to seal it closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Preservation of Inferior Mesenteric Vessels. Laparoscopic Sigmoidectomy for Cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from exposing a long lower conduit to beginning work at the organ’s entry gate?", "role": "user" }, { "content": "Immediately after the lower conduit is dropped, when they lift the fascial tail and start dissecting the first hilar vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Right Radical Nephrectomy for Kidney Cancer.mp4" ] }, { "messages": [ { "content": "What device acts on what tissue to achieve closure, and in which direction is the closure carried out?", "role": "user" }, { "content": "Spring-loaded clamps approximate the cut edges of the inner lining, closing from the far end toward the entry side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM for Achalasia; PerOral Endoscopic Myotomy.mp4" ] }, { "messages": [ { "content": "Between clearing the thin, filmy attachments around the upper stomach area and lifting a large solid organ upward to improve the view, which action occurs first in the clip?", "role": "user" }, { "content": "Clearing the filmy attachments occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LINX on Bypass.mp4" ] }, { "messages": [ { "content": "Which instruments are used together to separate the tissue layers as the work proceeds outward, and what portion is being mobilized?", "role": "user" }, { "content": "A combination of blunt and sharp instruments is used to mobilize the lateral attachments as the separation moves outward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis. Dr Suhail Anwar.mp4" ] }, { "messages": [ { "content": "After the front-side stitches are placed and tagged with small metallic markers, when does the leak test begin?", "role": "user" }, { "content": "Right after the front stitches are clipped and approximated, they begin irrigation and a dye-based leak check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Redo Hepaticojejunostomy after Open Whipple Procedure： details of the hilar dissection.mp4" ] }, { "messages": [ { "content": "Between placing a temporary suspension stitch on the central organ and starting the separation plane between the back tube and the front wall, which occurs first?", "role": "user" }, { "content": "The suspension stitch is placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/ACPGBI 2018： Robotic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which happens first: sweeping the left-sided bowel free laterally or spotting the cord-like structure alongside its companion vessels on the sidewall?", "role": "user" }, { "content": "Lateral mobilization occurs before the sidewall structure is visualized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection - Laparoscopic Cancer surgery.mp4" ] }, { "messages": [ { "content": "At what precise point does the operation move from cutting a thin sheet along the tube’s left edge to exposing the arched muscle border?", "role": "user" }, { "content": "Right after finishing the left-edge cut, the arched muscle border becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/esophagectomy/腹腔镜全胃切除术 第八步 食管的离断.mp4" ] }, { "messages": [ { "content": "Which device is applied to a lining surface to destroy it and reduce subsequent secretion?", "role": "user" }, { "content": "Monopolar cautery is used to cauterize and ablate the mucosa to reduce secretion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Subtotal Cholecystectomy.mp4" ] }, { "messages": [ { "content": "What device is applied to the initial entry site to accomplish closure?", "role": "user" }, { "content": "Interrupted endoscopic clips are applied to the entry site to close it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Pre-Oral Endoscopic Myotomy for Refractory Dysphagia After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "When do the unusually large, fluid-filled bulges on both sides first become evident, and in which region are they seen?", "role": "user" }, { "content": "They are evident at the beginning of the clip, seen bilaterally in the adnexal region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingooophorectomy.mp4" ] }, { "messages": [ { "content": "Between removing the small cap-like gland beside the target and enclosing the main resected tissue in a pouch, which occurs first?", "role": "user" }, { "content": "The small adjacent gland is removed first; the main tissue is enclosed and taken out afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Radical Nephrectomy with Level 1 IVC Thrombectomy... Dr. Kishore TA.mp4" ] }, { "messages": [ { "content": "Relative to completing the reconnection, when is the leak check performed?", "role": "user" }, { "content": "The leak check is performed after the reconnection is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/A Stepwise Approach to LAR. An Illustrated Video for Training Colorectal Surgeons.mp4" ] }, { "messages": [ { "content": "Between putting one bowel segment on stretch early in the sequence and beginning dissection on the opposite side of the pelvis, which happens first in the clip?", "role": "user" }, { "content": "The tensioning and mobilization occur first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hohl_003131.mpg.mp4" ] }, { "messages": [ { "content": "Which action occurs earlier: sealing the deeper vessel behind the stomach or firing the transection device?", "role": "user" }, { "content": "Sealing the deeper posterior vessel happens before firing the stapler.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Laparoscopic wedge resection for gastrointestinal stromal tumors.mp4" ] }, { "messages": [ { "content": "What visual checkpoint marks the shift from the upper-abdominal work to the next phase deeper in the pelvis?", "role": "user" }, { "content": "Seeing the common iliac artery, the left ureter, and the gonadal vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Kidwai technique of Laparoscopic Complete Splenic Flexure mobilization.mp4" ] }, { "messages": [ { "content": "Using the moment when the intraluminal camera is used to pressurize the join as a visual cue, when does the reinforcing needle work begin?", "role": "user" }, { "content": "Immediately after the pressurized check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Intracorporeal anastomosis： right and left colon.mp4" ] }, { "messages": [ { "content": "Which device engages the target organ to seal tissue before it is divided?", "role": "user" }, { "content": "An energy-enabled laparoscopic instrument acts on the womb’s tissue to coagulate it and then divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy Surgery.mp4" ] }, { "messages": [ { "content": "Between cutting the larger conduit and cutting the adjacent hollow loop, which cut is made first?", "role": "user" }, { "content": "The cut on the larger conduit is made first, followed by the cut on the adjacent hollow loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic bile duct resection with hepatico jejunostomy.mp4" ] }, { "messages": [ { "content": "Which happens first near the end: placing the pelvic suction line or bringing out the protective loop of bowel for diversion?", "role": "user" }, { "content": "The suction line (drain) is placed before the diverting stoma is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Simultaneous Robotic TME + Radical Prostatectomy & Iliac Lymphadenectomy for Synchronous Cancers.mp4" ] }, { "messages": [ { "content": "After the jaws of the cutting-sealing device visibly close on the tissue, when does the actual firing start—immediately or after a pause?", "role": "user" }, { "content": "After about a one-minute pause.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/sleeve резекция желудка.mp4" ] }, { "messages": [ { "content": "Between sealing the upstream supply branch close to the main trunk and later dividing its companion thin-walled channel with metal fasteners, which one occurs first in this clip?", "role": "user" }, { "content": "The upstream supply branch is taken first, followed by division of the companion thin-walled channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Simultaneous Robotic TME + Radical Prostatectomy & Iliac Lymphadenectomy for Synchronous Cancers.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from rolling the bowel off the sidewall to opening the fatty apron to access the space behind the stomach?", "role": "user" }, { "content": "The transition occurs when the gastrocolic ligament is divided to enter the lesser sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic-Assisted Colonic Resection for Splenic-Flexure Cancer With D3 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Once the stomach remnant appears tight upon elevation, when does the release of its attachments start?", "role": "user" }, { "content": "Right after tension is observed during elevation, the release of attachments is begun.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic repair of perforation at JJ anastomosis following Roux en Y bypass surgery.mp4" ] }, { "messages": [ { "content": "Between two actions in this clip—a brief cessation of bringing the loop outward and the first division on that loop—which one happens first?", "role": "user" }, { "content": "The pause occurs first, then the division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/孙东辉医生—地位直肠癌翻出NOSES手术详解.mp4" ] }, { "messages": [ { "content": "Once the downstream suture line between the native vein and the interposed conduit is finished, when does the flow-checking step commence?", "role": "user" }, { "content": "It begins right after the distal anastomosis is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Major Venous Resection During Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from lifting the lower bowel segment to starting the anchoring of the apical structure to its support?", "role": "user" }, { "content": "The transition occurs immediately after completing the rectal suspension, when fixation of the vaginal vault to the posterior mesh begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Ventral Rectopexy with Folded Single Mesh (RVR-FSM) Suspension for Pelvic Organ Prolapse.mp4" ] }, { "messages": [ { "content": "After placing a marker stitch on the cut end, when does the actual reintroduction of the conduit back into the cavity start?", "role": "user" }, { "content": "Immediately after the stitch is placed, the segment is delivered back into the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/A New Approach for Rectal Prolapse： Perineal Proctectomy with TAMIS Rectopexy and Mesh Fixation.mp4" ] }, { "messages": [ { "content": "Between the mechanical transection performed farther from the stomach and the one closer to it, which occurs first in the clip?", "role": "user" }, { "content": "The distal (farther from the stomach) transection occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic pancreas preserving duodenal resection with RNY reconstruction for duodenal GIST.mp4" ] }, { "messages": [ { "content": "In the initial approach shown, which occurs earlier: identifying the pale band of the deeper layer or sealing small vessels?", "role": "user" }, { "content": "Recognition of the pale deeper layer occurs before vessel sealing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/(POEM) Per Oral Endoscopic Myotomy, Equipment and Technique： A Step-by-Step Explanation.mp4" ] }, { "messages": [ { "content": "Which happens first: placing two flexible tubes for fluid removal, or tacking the fatty apron over the new join to isolate it?", "role": "user" }, { "content": "The flexible tubes are placed first, and only afterward is the fatty apron tacked to isolate the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Open Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to achieve better exposure at the narrowed site, and for what purpose?", "role": "user" }, { "content": "A traction suture is applied to the bowel wall to retract it and expose the tight connection for better visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic stricturoplasty for tight hepaticojejunostomy stricture following laparoscopic pylorus.mp4" ] }, { "messages": [ { "content": "When the thin tubes first appear exiting through the abdominal wall, at what point does the hand-sewn joining to the upper tract actually begin?", "role": "user" }, { "content": "After the tubes are secured, the hand-sewn joining begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve-Sparing Hood Cystectomy with Totally Intracorporeal Neobladder.mp4" ] }, { "messages": [ { "content": "During the peel-away phase, when and where does persistent fluid release first become noticeably apparent?", "role": "user" }, { "content": "It first becomes apparent while peeling the sac off its underside bed, prompting compression and suction at that raw surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap chole step by step & anatomy around-series 2.mp4" ] }, { "messages": [ { "content": "Which bowel segment is stapled and divided earlier: the left-sided colon segment or the small bowel loop on the right side?", "role": "user" }, { "content": "The left-sided colon segment is divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Which instrument is used on arterial branches supplying the segment to accomplish their separation?", "role": "user" }, { "content": "Small metal clips are applied to the arterial branches to seal and divide them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Low Anterior Resection with Diverting Loop Ileostomy for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "At which point do instruments from the internal team become visible from the outlet-side view, marking the transition to the rendezvous stage?", "role": "user" }, { "content": "When the posterior plane is opened enough that the internal team’s suction appears retracting the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Endoscopically assisted extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "When does the clip move from the final fluid verification to closing the opening in the upper chamber?", "role": "user" }, { "content": "Right after the final fluid check confirms no leak, they close the chamber opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Complex robotic correction for complex degenerative mitral valve.mp4" ] }, { "messages": [ { "content": "Given the visual cue of placing orientation markers around the opening, when does the reconnection actually begin?", "role": "user" }, { "content": "Reconnection begins when the team starts placing separated stitches, using the previously set markers as guides.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Prolapso Rectal.mp4" ] }, { "messages": [ { "content": "Which tool acts on the distal bowel to effect a clean transection, and what action is performed?", "role": "user" }, { "content": "A linear stapling device is fired to transect the distal bowel in a straight, sealed line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Hartmann sigmoid resection in penetrating or blunt severe colonic injuries.mp4" ] }, { "messages": [ { "content": "After the thin pouch is secured with clamps, at what point does the actual division of it begin?", "role": "user" }, { "content": "Cutting starts right after a ligature is placed on the clamped pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair at California Hernia Specialists (4K).mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the dense pelvic tissues to accomplish division with improved bleeding control?", "role": "user" }, { "content": "A bulk-sealing energy device (vessel sealer) acts on the pelvic tissue planes to divide them with better hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Ultra Low Anterior Resection - TME (Male).mp4" ] }, { "messages": [ { "content": "Which instruments and energies act on which tissues to achieve removal and reconnection during the minimally invasive portion?", "role": "user" }, { "content": "Energy-based keyhole instruments act on the abdominal organs to resect the target and then reconnect the passages.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃癌手術　福永 哲【神奈川胃癌ネッツ神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "During the approach in the second scenario, which instrument acts on the outer fatty apron to separate attachments along the broader border toward the top of the organ?", "role": "user" }, { "content": "A vessel‑sealing energy device is used on the outer attachments along the greater border to dissect toward the fundus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic partial gastrectomy for GIST.mp4" ] }, { "messages": [ { "content": "What device acts on the small bowel measured a short distance beyond the proximal landmark to divide it?", "role": "user" }, { "content": "A stapling device is used to divide the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass (Graphic).mp4" ] }, { "messages": [ { "content": "During the segment where the main channel is opened, which balloon-tipped device is used inside that channel, and what structure does it sweep to empty the contents?", "role": "user" }, { "content": "A Fogarty balloon catheter sweeps the common bile duct and ampulla to extract the stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/SAGES⧸ALACE Symposium： Common Bile duct Exploration options when you don�t have everything.mp4" ] }, { "messages": [ { "content": "Which energy instrument is used to separate dense attachments between an upper hollow organ and a neighboring solid organ, and what task does it perform?", "role": "user" }, { "content": "A monopolar hook is used to lyse adhesions between the stomach and the liver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted conversion from gastric band to Roux en Y gastric bypass.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action during the early dissection along the front of the sac-like organ?", "role": "user" }, { "content": "An energy-based cutter acts on the connective sheets to detach the sac-like organ from its neighbor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科療法〜開腹手術と腹腔鏡手術　和嶋 直紀.mp4" ] }, { "messages": [ { "content": "Which stitch pattern is used on the inner lining layer at the end to complete the closure?", "role": "user" }, { "content": "A continuous V-Loc suture is used to close the inner lining layer at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "After the table is adjusted from the earlier head-up tilt, when does the actual joining of the small upper chamber to the intestine begin?", "role": "user" }, { "content": "It begins when the chamber is brought to the bowel and the stapling device is fired to create the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/UCLA U Loop Gastric Bypass.mp4" ] }, { "messages": [ { "content": "In the sequence shown, which comes earlier: the reassurance that no fluid is escaping or the subsequent confirmation of unexpected fluid escape?", "role": "user" }, { "content": "The reassurance of no escape occurs first, followed by confirmation of escape.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Bile duct injury detection and repair during laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "After the path has been planned and a measuring element is positioned, when does the crosswise separation of the organ actually begin?", "role": "user" }, { "content": "It starts when the stapling instrument engages to divide along the planned line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Sleeve Gastrectomy Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "Which comes first: placing a helper stitch on a nearby organ or sealing the downstream end with the closing-and-firing device?", "role": "user" }, { "content": "The helper stitch is placed first, then the downstream end is closed and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Unusual Intraoperative Complications in Laparoscopic Sigmoidectomy.mp4" ] }, { "messages": [ { "content": "After the tip of a slender device is visibly expanded inside the channel, when does the pulling motion actually begin?", "role": "user" }, { "content": "The pulling begins immediately after the tip is expanded.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robot-assisted Cholecystectomy with Common bile duct exploration.mp4" ] }, { "messages": [ { "content": "In the minimally invasive case, which occurs first: inserting the camera through the navel or identifying the small connection point?", "role": "user" }, { "content": "Camera insertion happens first, followed by identifying the small connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Fibroid Surgery.mp4" ] }, { "messages": [ { "content": "When does the solo effort switch to coordinated two-team activity during the deep pelvic work?", "role": "user" }, { "content": "The transition occurs as soon as the other team’s light appears in the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/rectal_cancer/Application of transanal total mesorectal excision in natural or.mp4" ] }, { "messages": [ { "content": "As the adhesive component is placed on the body, when does firm pressing actually begin—immediately on contact or only after the piece is fully seated?", "role": "user" }, { "content": "Firm pressing begins only after the component is fully seated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/造口更換1.mp4" ] }, { "messages": [ { "content": "When the inflamed pouch is extracted, what accessory is applied to it first and for what purpose?", "role": "user" }, { "content": "A specimen sleeve is placed around it to contain it and allow clean extraction through one of the entry sleeves.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Chirurgie der kleinen Schnitte Darmoperation in Schlüssellochtechnik.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from cutting to specimen retrieval through a natural channel?", "role": "user" }, { "content": "As soon as the piece is fully freed, they switch to retrieval via the mouth.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃癌手術　福永 哲【神奈川胃癌ネッツ神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "In this clip, which happens first: forming a working space under the bowel or sliding down the outer edge attachments along its side?", "role": "user" }, { "content": "Forming the working space under the bowel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right colectomy： How to avoid intraoperative difficulties & complications.mp4" ] }, { "messages": [ { "content": "After the midline organ is elevated as a visual cue, when does the team actually start entering the adjacent passage?", "role": "user" }, { "content": "Entry begins immediately after elevation, when dissection starts at the junction with vessel control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy Procedure To Remove Bladder - SLUCare Urology.mp4" ] }, { "messages": [ { "content": "In managing a small channel during the minimally invasive phase, which action happens first: crimping it shut with a metal fastener or activating the cutter?", "role": "user" }, { "content": "Crimping with the metal fastener occurs first, followed by cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療 - 橋本 伊佐也.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from freeing attachments around the upper organ to operating within the chest area?", "role": "user" }, { "content": "The transition occurs when the ligament is divided to expose entry into the chest.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of post MGB⧸OAGB Bile reflux to RYGB.mp4" ] }, { "messages": [ { "content": "Once the surgeon visualizes a rhythmic flicker of a deep tubular structure near the pelvic brim, when does the dissection in that area actually start?", "role": "user" }, { "content": "Immediately after that flicker is seen, they open the overlying membrane in that region to begin dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right hemicolectomy (CME with CVL) with jejunal resection in a T4b Ascending colon ....mp4" ] }, { "messages": [ { "content": "Between sealing a key feeding vessel and releasing the lateral attachments of the right-sided colon, which action occurs earlier in the sequence?", "role": "user" }, { "content": "Sealing and dividing the vascular pedicle occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Colectomy With Intracorporeal Anastomosis And Liver Metastasectomy For Colon Can.mp4" ] }, { "messages": [ { "content": "In the surgeon’s two-handed setup, which instrument in the left hand acts on the raw liver surface, and what task does it perform?", "role": "user" }, { "content": "A current-enabled grasper in the left hand coagulates small bleeders for hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Difficulty score in laparoscopic liver resection.mp4" ] }, { "messages": [ { "content": "Which tool acts on which target to achieve control near the root of the left-sided blood supply?", "role": "user" }, { "content": "Clips are applied to the main arterial branch at its origin to secure and divide it (alternatively, an energy device can ligate it).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Totally robotic versus totally laparoscopic surgery for rectal c.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to reverse the spiral, and what is the action performed?", "role": "user" }, { "content": "Fine 3 mm graspers act on the small-bowel loops to derotate them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladds procedure in a neonate.mp4" ] }, { "messages": [ { "content": "Which bypass maneuver is created between which portions of the small intestine to restore flow when narrowing persists?", "role": "user" }, { "content": "A bypass is made between the proximal small bowel and the jejunum to restore flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation surgery & Lecture # (Ladd's operation) # Explaination (For Educational purposes only).mp4" ] }, { "messages": [ { "content": "Which instrument is applied to the small side channel to temporarily stop flow, and what action is achieved on that structure?", "role": "user" }, { "content": "A vascular clamp is placed on the ileal tributary to temporarily occlude flow for an edema test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus preserving whipple with superior mesenteric vein resection and reconstruction.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from freeing the left upper quadrant attachments to focusing on the central supply of the deep segment?", "role": "user" }, { "content": "Right after the flexure is fully mobilized, they immediately transition to isolating and dividing the main arterial supply.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Lap TME and hepatic resection for low rectal cancer with single synchronous liver metastases.mp4" ] }, { "messages": [ { "content": "At what moment does the clip switch from pulling the loop outward to making a tiny window and threading a crosspiece through it?", "role": "user" }, { "content": "The transition occurs when they puncture a small opening and pass the crosspiece through.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/卫生部医学视听教材—消化外科—XHW004 结肠造口术.mp4" ] }, { "messages": [ { "content": "After the team packs the field with gauze pads, at what moment does cutting into the bowel actually begin?", "role": "user" }, { "content": "Right after the packing is completed, when the heated-tip instrument contacts the bowel to create the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Feeding Jejunostomy (Tube Rationale YTT)– Modified Witzel ｜ Surgical Teaser ｜ Must-Watch.mp4" ] }, { "messages": [ { "content": "Between adjusting the table to elevate the head with a slight left tilt and beginning the focused work in the triangular region near the organ’s neck, which action occurs first in the video?", "role": "user" }, { "content": "The table adjustment (head up, left tilt) happens before the focused dissection in the triangular region begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy by Dr Sunil Kumar V.mp4" ] }, { "messages": [ { "content": "When and where does a subtle burn-like mark first become visible near the newly-made join, prompting a small reinforcement?", "role": "user" }, { "content": "Right after the join is created, on the left side of the join; it’s addressed immediately with a small reinforcement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Learn to do a Robotic Sigmoid ⧸ Low Anterior Resection ｜ A step-by-step narrative..mp4" ] }, { "messages": [ { "content": "Once the thin guide tube is advanced through the upper tract, when does the actual stitching of the tube‑to‑bowel join begin?", "role": "user" }, { "content": "Stitching starts after the guide tube is in place and the tube is re‑anchored, beginning with the posterior layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Total Gastrectomy, Splenectomy And Distal Pancreatectomy With Roux-en-Y Esophagojejunostomy.mp4" ] }, { "messages": [ { "content": "Which happens first: tying off vessels along the inner curve of the organ or cutting the large vessel along the outer curve on the right side?", "role": "user" }, { "content": "Tying off the inner-curve vessels happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Between inflating the working space and introducing the viewing instrument, which action happens first in the sequence?", "role": "user" }, { "content": "Inflating the working space occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt).mp4" ] }, { "messages": [ { "content": "At what moment does the clip switch from dividing the pedicle elements to inspecting for leaks and placing a tube?", "role": "user" }, { "content": "Right after both pedicle elements are divided, the team begins leak inspection and places the tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy - A Rarity now !.mp4" ] }, { "messages": [ { "content": "Which instrument with a narrow, pointed, hollow tip is used on the central fluid pocket to make the organ collapse, and what action is performed?", "role": "user" }, { "content": "A pointed suction tube is used to drain the central fluid pocket, collapsing and shrinking the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy for Non-Functioning Kidney in 3 year male baby.mp4" ] }, { "messages": [ { "content": "Which curved dissector is used on the deeper tube and surrounding fat to create a passage behind it and protect adjacent muscles and vessels, and what specific action does it perform?", "role": "user" }, { "content": "A right‑angle Maryland dissector gently opens a window behind the artery, separating it from lumbar vessels to avoid entrapping nearby structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy Lecture by Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "Between opening the membranes on both sides of the ridge and tying off the narrow venous channel along the roof, which takes place first in the clip?", "role": "user" }, { "content": "Opening the membranes happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Extended middle fossa approach for petroclival meningioma.mp4" ] }, { "messages": [ { "content": "Which occurs first: laying the lateral ribbons or beginning the alternating closure stitches?", "role": "user" }, { "content": "The lateral ribbons are placed before the alternating closure stitches begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Colpoclesis SD 480 p.mp4" ] }, { "messages": [ { "content": "When is the drain placed in relation to the final inspection and hemostasis check?", "role": "user" }, { "content": "After the final hemostasis check, the drain is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Right Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between dividing a narrow appendage of the gut and re-establishing flow through the main intestinal tract, which action happens first in the clip?", "role": "user" }, { "content": "Dividing the narrow appendage occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Total robot assisted laparoscopic ileal pouch construction following radical cystectomy video an.mp4" ] }, { "messages": [ { "content": "Between dividing a short hollow segment with a mechanical cutting device and tying off a prominent blood channel near the upper hollow organ, which happens earlier in the clip?", "role": "user" }, { "content": "The hollow segment is divided earlier, before the blood channel is tied off.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus preserving Pancreatoduodenectomy ｜ Full Length Surgery (Pancreatectomy).mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure shift from exposing the bright groin-side landmark to bringing the synthetic fabric into view?", "role": "user" }, { "content": "Right after both sides of the landmark are shown, as the cut synthetic fabric appears and is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Pectopexy.mp4" ] }, { "messages": [ { "content": "In the management sequence for the obstructing concretion, which comes first: attempting to snare it with a mesh-like retriever or using an inflatable device to enlarge the outlet?", "role": "user" }, { "content": "The snare-style retrieval attempt happens first, followed by enlargement of the outlet with an inflatable device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Percutaneous Management of Common Bile Duct (CBD) Pathology After Roux-en-Y Gastric Byapss.mp4" ] }, { "messages": [ { "content": "After the team clearly shows two separate slender tubes beside the organ, when do they actually begin applying occluding devices?", "role": "user" }, { "content": "Right after both small tubes are fully exposed and distinguished, the clip applier is used to place occluding clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Некоторые аспекты лечения острого холецистита.mp4" ] }, { "messages": [ { "content": "Between opening a thin connective sheet to enter a deeper space and sealing small branching vessels near the upper stomach, which action happens first in the sequence?", "role": "user" }, { "content": "The opening and division of the sheet occurs first, followed by sealing the small vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Laparoscopic wedge resection for gastrointestinal stromal tumors.mp4" ] }, { "messages": [ { "content": "When the inner lining begins to glow from a device positioned on the far side, at what point does the operator start extending the division beyond the narrow gateway into the stomach?", "role": "user" }, { "content": "Right after the glow confirms the extent, they begin extending the division roughly two centimeters beyond the gateway into the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Diagnosis and Therapy in Achalasia # Peroral Endoscopic Myotomy (POEM) # Prof. Neuhaus.mp4" ] }, { "messages": [ { "content": "Between lifting the fatty apron upward and cutting a loop of small intestine some distance from a proximal landmark, which occurs first?", "role": "user" }, { "content": "Lifting the fatty apron upward occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass (Graphic).mp4" ] }, { "messages": [ { "content": "Which device is used to close and then separate a prominent vessel early on, and what action is performed?", "role": "user" }, { "content": "A clip-based ligating device applies clips, and the vessel is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Endoscopically assisted extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "Between taking down a small arterial branch near the midline and returning to free the back compartment, which happens first?", "role": "user" }, { "content": "The arterial branch is divided first, then the team returns to free the posterior compartment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Application of sandwich method in radical rectal cancer resection– a video vignette.mp4" ] }, { "messages": [ { "content": "Which articulated instrument provides traction while the assistant applies opposing force, and on what structure is this performed?", "role": "user" }, { "content": "A fenestrated grasper on the fourth robotic arm provides traction while the assistant applies counter-traction, and this is performed on the mesenteric and adjacent lymphatic tissues.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic right hemicolectomy with complete mesocolic excision and indocyanine green.mp4" ] }, { "messages": [ { "content": "When does a side‑pocket bulge first become visually apparent, and in which area of the field does it show up?", "role": "user" }, { "content": "It first appears during the dissection near the upper opening region while freeing the prior material.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy for pseudoachalasia after failed paraesophageal hernia repair.mp4" ] }, { "messages": [ { "content": "In the sequence of dissection seen here, which comes first: beginning on one flank to enter the space behind the abdominal lining, or progressing toward the back‑center bony landmark?", "role": "user" }, { "content": "Beginning on one flank to enter the space behind the abdominal lining occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which implement is used to press the anterior hollow sac downward, and what action is being performed on it?", "role": "user" }, { "content": "A small cotton-tipped applicator is used to depress the anterior hollow sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/PM3 Chapter 50： Subtotal Hysterectomy： Classic Intrafascial Supracervical Hysterectomy (CISH....mp4" ] }, { "messages": [ { "content": "At what precise moment does the video shift from central work to freeing the lower right large bowel off the posterior wall?", "role": "user" }, { "content": "When the lower right bowel and appendix are lifted to enter the avascular layer against the back wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A Stepwise Approach to Laparoscopic Right Hemi-Colectomy with D2 Excision.mp4" ] }, { "messages": [ { "content": "Given the visible cue of lifting a soft organ to open the working space, when do the first fixation bites on the flexible implant actually start?", "role": "user" }, { "content": "Immediately after the lift maneuver, the first fixation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Prolapse Surgery- Laparoscopic Cystocoele Repair with Mesh.mp4" ] }, { "messages": [ { "content": "At what precise point does the workflow shift from open extraction back to insufflated endoscopic work?", "role": "user" }, { "content": "The shift occurs when the bowel is returned and gas insufflation is re-established.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection (TME) for Carcinoma of the Recto-Sigmoid Colon.mp4" ] }, { "messages": [ { "content": "After a glow through the thin membrane is seen from inside, when does the device that lays rows of clips actually begin traversing into the operative space?", "role": "user" }, { "content": "Right after the membrane is incised following the light-confirmation and palpation check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty# The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip switch from freeing the mass to placing the first stitch to close the gap?", "role": "user" }, { "content": "Right after the last attachment is freed, when the needle appears and extracorporeal tying begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Uterine Fibroid Surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from freeing attachments to initiating cross-division of the bowel?", "role": "user" }, { "content": "Right after the final detachment is completed, the team immediately begins transecting the large bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Extended Right Colectomy.mp4" ] }, { "messages": [ { "content": "Which energized tip is applied to which tissue, and what outcome does it produce at the start of the lower approach?", "role": "user" }, { "content": "An electrocautery tip acts on the rectal wall to create a full-thickness circular incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TME) with a Stapled Side to End Anastomosis.mp4" ] }, { "messages": [ { "content": "After the team swaps to a larger access on the lower right side, when does the cut-and-seal device actually fire across the downstream large-bowel segment?", "role": "user" }, { "content": "Immediately after the larger lower-right access is placed, the stapler is fired to divide the distal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy for Diverticular Disease： Clinical Scenarios and Technical Options.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the pelvic bowel segment, and what does it accomplish during the division near the anal landmark?", "role": "user" }, { "content": "An articulating linear device closes and divides the distal pelvic bowel, aided by external perineal pressure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Totally robotic versus totally laparoscopic surgery for rectal c.mp4" ] }, { "messages": [ { "content": "Which endoscopic tool engages a key arterial branch near the mid–large bowel to accomplish vessel control?", "role": "user" }, { "content": "A clip applier is used on the right branch of the middle colic artery to occlude/ligate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (standard) with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from pursuing a large blood channel to a delicate cord–sparing orientation task?", "role": "user" }, { "content": "When they stop advancing on the large channel and begin tagging the delicate cord with a marker and metal tag.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/APE 1.mp4" ] }, { "messages": [ { "content": "Between halting flow in the upstream conduit and pinching the larger channel entering the target side, which action occurs first?", "role": "user" }, { "content": "Halting the upstream conduit occurs first, followed by pinching the larger channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Roux-En-Y Hepaticojejunostomy for Right Hepatic Duct Transection.mp4" ] }, { "messages": [ { "content": "Which occurs first in this sequence: freeing the mass from its attachments or beginning to join the upper pouch to the downstream loop?", "role": "user" }, { "content": "Freeing and removing the mass happens first, then the new connection is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/PPPD： PYLORIC PRESERVING PANCREATICODUODENECTOMY ＂ANATOMICAL AND PHYSIOLOGICAL＂ ｜WHIPPLE SURGERY.mp4" ] }, { "messages": [ { "content": "When small side branches make encirclement difficult around the portal area, when does arterial control actually begin?", "role": "user" }, { "content": "Arterial control starts later, after negotiating the portal tributaries.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left hemi hepatectomy and left lateral sectionectomy.mp4" ] }, { "messages": [ { "content": "When does invasion into the body wall first become clearly visible, and on which side of the abdomen is it seen?", "role": "user" }, { "content": "When focus turns to the right‑sided lesion; it is seen on the right abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Hybrid robotic and laparoscopic hand-assisted proctocolectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "When does unexpected oozing become visibly apparent, and in which field region does it occur?", "role": "user" }, { "content": "It appears during the parenchymal cut at the resection bed, despite inflow control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic hepatectomy partial seg 8.mp4" ] }, { "messages": [ { "content": "In the sequence shown, which occurs first: cutting the bowel or creating the end-to-end connection?", "role": "user" }, { "content": "Cutting the bowel occurs before creating the end-to-end connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Colorectal Resection for a Giant Colonic Diverticulum.mp4" ] }, { "messages": [ { "content": "Which energy-based device is used on the scarred junction area to free it, and what maneuver is performed there?", "role": "user" }, { "content": "Electrocautery and an ultrasonic dissector act on the scarred junction, separating the complex en bloc.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/REVISIONAL RYGB： REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA.mp4" ] }, { "messages": [ { "content": "After the short bridge is taken out and the dilator is used, what precise moment marks the transition from testing the expansion to confirming that the scope can pass through?", "role": "user" }, { "content": "The transition occurs when the camera tube passes through the join and shows the downstream segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic revision of gastric bypass using plication technique： an adjustable approach.mp4" ] }, { "messages": [ { "content": "As an aide lifts a thin tissue fold and an outline is drawn, when does powered cutting actually begin?", "role": "user" }, { "content": "It starts immediately after the initial outline marking is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.1.3. Laparoscopic Left Hemicolectomy for Sigmoid Carcinoma - Amjad Parvaiz.mp4" ] }, { "messages": [ { "content": "Which occurs first: tying off the small tube from the organ or placing a metal fastener on the adjacent vessel?", "role": "user" }, { "content": "Tying off the small tube occurs before placing the metal fastener on the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Contracted Gallbladder with Solitary Large Stone.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the exposed tissue plane to achieve separation in this sequence?", "role": "user" }, { "content": "Not ascertainable from the current data; please provide the full procedural transcript.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Total Laparoscopic Pancreaticoduodenectomy 全腹腔镜下胰十二指肠切除术.mp4" ] }, { "messages": [ { "content": "When and where does unexpected fluid first become visibly apparent in the operative field?", "role": "user" }, { "content": "It first appears upon release of traction, leaking from the cut ends; soon after, it’s also seen from an opening in the organ wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Chole - Transected cystic duct.mp4" ] }, { "messages": [ { "content": "Once the jaws of a cutting device are visibly positioned across the distal bowel in the deep lower abdomen, when does the actual cut begin?", "role": "user" }, { "content": "It begins at the moment they fire the device to section the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Purulent Peritonitis.mp4" ] }, { "messages": [ { "content": "Between closing the shared opening of the new join and starting the colored‑liquid verification, which one occurs first?", "role": "user" }, { "content": "Closing the shared opening happens first; the colored‑liquid check begins afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Gastric Bypass Procedure.mp4" ] }, { "messages": [ { "content": "When does the operation switch from removing tissue to rebuilding the passage as seen on screen?", "role": "user" }, { "content": "Right after the specimen is set aside, when the two bowel segments are approximated and a stay suture is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Totally Robotic Right Hemicolectomy with the Hanging Technique for Carcinoid Tumor.mp4" ] }, { "messages": [ { "content": "Which powered instrument is used on fibrous bands to both free tissue planes and control small bleeders?", "role": "user" }, { "content": "Electrosurgical diathermy is applied to scar bands for adhesiolysis and hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus preserving Pancreatoduodenectomy ｜ Full Length Surgery (Pancreatectomy).mp4" ] }, { "messages": [ { "content": "At what exact point does the scene shift from freeing the tube to testing how much length needs to be removed by pulling it out?", "role": "user" }, { "content": "Right after full detachment, when gentle traction is applied to gauge redundancy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal channel first become clearly visible, and what landmarks border it?", "role": "user" }, { "content": "It first appears during exposure near the esophageal hiatus, bordered by the diaphragm above and the hiatus with the esophagus to the side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Robotic-Assisted Resection of Gastric Fistula and Conversion⧹.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from anchoring the patch to closing the inner lining?", "role": "user" }, { "content": "Right after the knots are tightened, they begin closing the inner lining with a continuous stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hernia Repair Large Sac TAPP Repair.mp4" ] }, { "messages": [ { "content": "When and where does the unusual widening of the bile outflow channel first become evident?", "role": "user" }, { "content": "At the start of the biliary join, when the duct is described as dilated and the bowel opening is sized to match.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatico duodenectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: making a small cut at the duct outlet or delivering the yellow obstruction into the bowel?", "role": "user" }, { "content": "The small cut at the outlet happens before the yellow obstruction is delivered into the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SS03 Best of Video I： V012. ERCP IN A PATIENT WITH PREVIOUS ESOPHAGECTOMY AND BILLROTH II.mp4" ] }, { "messages": [ { "content": "Between creating a passage toward the lateral abdominal wall and freeing the bowel at the upper-left bend beneath the diaphragm, which occurs first?", "role": "user" }, { "content": "The lateral passage is created first, then the upper-left bend is freed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/V052 Laparoscopic single incision anterior resection - SS23： Plenary Session 2.mp4" ] }, { "messages": [ { "content": "At what point does the operation transition from removing tissue to rebuilding the digestive and biliary connections?", "role": "user" }, { "content": "Right after the empty operative bed is shown, reconstruction begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Inside the Operating Room： Step-by-Step Whipple's Procedure (PPPD).mp4" ] }, { "messages": [ { "content": "While freeing the left lower attachments, do they first recognize the pale cord crossing the sidewall with its slim companions, or do they first isolate the main arterial trunk?", "role": "user" }, { "content": "They identify the sidewall cord and its slim companions first, then isolate the main trunk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Rectal Cancer Anatomy： Defining and Appropriate Total Mesorectal Excision (TME).mp4" ] }, { "messages": [ { "content": "After the hand-made join appears complete, when does the verification phase to confirm a secure join start?", "role": "user" }, { "content": "Immediately after completing the hand-sewn join, the team performs the final integrity check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected course of major vessels across the planned anchoring zone first become visibly apparent?", "role": "user" }, { "content": "Early in the approach near the intended bony landing zone, a large artery and vein crossing the area are first seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic rectopexy for full thickness rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first: laying out the length of the downstream conduit or hand suturing the new connection to the upper organ?", "role": "user" }, { "content": "Measuring the downstream conduit happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Robotic-Assisted Resection of Gastric Fistula and Conversion.mp4" ] }, { "messages": [ { "content": "After a small gauze pad is placed to shield the back layer, when does the team actually begin cutting the main outflow channel from that region?", "role": "user" }, { "content": "Immediately after the gauze is placed, they proceed to divide the major outflow channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left colectomy.mp4" ] }, { "messages": [ { "content": "During hemostasis at the cut surface, when does the scene transition from pressing to packaging the removed portion?", "role": "user" }, { "content": "Immediately after oozing is controlled by pressing, when the specimen is placed into a bag.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pure Laparascopic Right Hepatectomy ICG Immunofluorescence Imagining in Patient With HCC & Cirrhosis.mp4" ] }, { "messages": [ { "content": "When and where does an unusually elongated connecting fold to the sac first become noticeable on screen?", "role": "user" }, { "content": "It first becomes apparent during early dissection around the organ’s attachment, when the team notes a “long mesentery,” visible along the connective fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When and where does a dark discoloration on the bowel surface first come into view?", "role": "user" }, { "content": "Early during the initial inspection after entering the abdomen, on the colon a short distance downstream from the lesion site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Right colectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: placing a temporary holding thread on the tube’s front surface or creating the small opening in the loop segment?", "role": "user" }, { "content": "Placing the temporary holding thread happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/How to do a Hepatico-Jejunostomy with Continuous Sutures？ - With Tips & Explanation.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the mid-portion small vessels during upward traction, and what action does it perform on them?", "role": "user" }, { "content": "An energy-sealing forceps is used to dissect and divide the middle vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection (TME) for Carcinoma of the Recto-Sigmoid Colon.mp4" ] }, { "messages": [ { "content": "Once both jaws of the stapling device are inserted into the two openings, when does the creation of the shared passage actually begin?", "role": "user" }, { "content": "It begins when the device is clamped and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Intracorporeal Treatment of Crohn's Disease： Right Colectomy and Reversal of Loop Ileostomy.mp4" ] }, { "messages": [ { "content": "Which part of the energy instrument is kept in contact to avoid perforation, and what surface does it rest on while cutting?", "role": "user" }, { "content": "The non‑metallic jaw stays against the organ’s surface while the active tip divides its outer layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Skin to Skin Laparoscopic Cholecystectomy in 4K.mp4" ] }, { "messages": [ { "content": "In the sequence emphasizing targeted vessel control with suturing, which technique is applied to which structure to achieve what therapeutic goal?", "role": "user" }, { "content": "Dearterialization with mucopexy is applied to the hemorrhoidal pedicle and adjacent mucosa to control bleeding and suspend the prolapse.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Hemorrhoids： Goligher and the new technologies, we need more？ - Dr. G Naldini @IMoPPD.mp4" ] }, { "messages": [ { "content": "Once the curved, non-powered clamp is oriented with its rounded side toward the sac and the opposite hand steadies the outer layer, when does the actual peeling start?", "role": "user" }, { "content": "It starts immediately after orientation and stabilization, as the jaws open to spread and peel in all directions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/How to perform safe Dermoid Ovarian Cystectomy without Spillage.mp4" ] }, { "messages": [ { "content": "Which operative instrument acts on which tissues to accomplish the later visible joining of the two lumens?", "role": "user" }, { "content": "A laparoscopic needle driver places interrupted sutures to join the biliary epithelium to the intestinal mucosa using absorbable monofilament with extracorporeal sliding knots.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/APAROSCOPIC HEPATICOJEJUNOSTOMY AFTER BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "Once the working space visibly expands and the pressure gauge steadies, at what moment does the exploratory view actually commence?", "role": "user" }, { "content": "Right after insufflation stabilizes, when the scope is introduced and they proceed inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy for Non-Functioning Kidney in 3 year male baby.mp4" ] }, { "messages": [ { "content": "Which occurs first: making the holes in the two hollow organs, or laying down the first row of stitches along the hidden edge between them?", "role": "user" }, { "content": "The hidden‑edge stitch line is started before the openings are made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/GastroJejunostomy.mp4" ] }, { "messages": [ { "content": "When does the scene transition from joining two bowel loops side-by-side to closing the openings made for that join?", "role": "user" }, { "content": "Immediately after firing the stapler to create the side-by-side join, the team proceeds to close the enterotomies.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux En Y hepaticojejunostomy #apexhospital #painlesssurgery #gallbladderproblems.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene switch from work below the transverse colon to work above it?", "role": "user" }, { "content": "The switch happens when a sponge is placed as a landmark on the anterior pancreas, indicating the move to the plane above the transverse colon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Lap. Sigmoidectomy with Splenic Flexure Mobilization for Diverticulitis. Dr. Mahmoud Abd El-Naby.mp4" ] }, { "messages": [ { "content": "Between temporarily pinching off blood inflow to the operative side and using intraoperative imaging to draw the cut line, which happens first in this case?", "role": "user" }, { "content": "Temporary inflow occlusion happens first, followed by imaging-based marking of the cut line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic partial right hepatectomy using ipsilateral inflow vascular control technique.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action during the initial creation of the passage?", "role": "user" }, { "content": "An ultrasonic energy device engages the proximal bowel wall to cut it open.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Sutured Duodenojejunostomy - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from completing the lower-lying connection work to beginning dissection near the upper stomach border?", "role": "user" }, { "content": "Right after the lower connection is declared finished, the view transitions to the upper dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Magenbypass kurze Version full HD - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "After the main arterial trunk is exposed at its early branch point, when does removal of the adjacent nodal packet actually begin?", "role": "user" }, { "content": "It starts immediately upon exposing the arterial trunk at its branch origin, with block resection of the nodal tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoskopische radikale Tumornephrektomie.mp4" ] }, { "messages": [ { "content": "At what moment does the presentation switch from explaining the technique with tiny openings to describing the alternative that uses a long surface cut?", "role": "user" }, { "content": "It switches at the “Now we can compare that to the open approach” cue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Vs. Open Inguinal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which auxiliary item is used to press from inside-out to reveal the correct lateral plane, and what action does it perform on the tissue?", "role": "user" }, { "content": "A small gauze pad is used to push the inner tissue outward, delineating and opening the lateral dissection plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "Following the moment the front-side nerve strand is gently peeled off the tube-like organ, at what point does its division actually commence?", "role": "user" }, { "content": "Division begins once a roughly 2 cm segment has been freed and then cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Truncal Vagotomy with Gastrojejunostomy # Gastric Outlet Obstruction.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from widening the initial window to advancing deeper into the bowl-shaped cavity?", "role": "user" }, { "content": "Right after the opening has been widened, as the instruments proceed downward into the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy Vignette： Sacral Dissection & Fixation of biologic graft.mp4" ] }, { "messages": [ { "content": "Once a toothed instrument is introduced through the planned surface opening, when does the actual extraction of the segment through that site begin?", "role": "user" }, { "content": "It begins once the instrument grasps the tether and the pull outward through the planned opening starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Робот ассистированное интракорпоральное формирование илеального кондуита - метод марионетки.mp4" ] }, { "messages": [ { "content": "Given the cue that the deep pelvic plane with flanking nerve bundles is clearly shown, when does the sidewall mobilization of the left segment actually start?", "role": "user" }, { "content": "It begins right after the deep plane with nerves is shown.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Complete Mesocolic Excision of Left colonic lesion - A video vignette.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from working entirely inside the abdomen to creating a small low midline incision to remove the specimen?", "role": "user" }, { "content": "Right after completing all intracorporeal work, when the surgeon makes a small low midline incision to extract the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Minimally Invasive Left Colectomy in the Obese Patient, Tips and Tricks.mp4" ] }, { "messages": [ { "content": "When and where does an unusually short connector between the organ and the main channel become visibly apparent?", "role": "user" }, { "content": "Right after the window is formed, at the junction to the main channel, it appears very short.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Клинический Случай. Лапароскопическая холецистэктомия с нюансами..mp4" ] }, { "messages": [ { "content": "During the initial entry into the target area, which type of cutting instrument is used on the tissue to open it?", "role": "user" }, { "content": "A nonenergized cutting tool (cold scissors) is used to open the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy of large and oddly positioned myomas with uterine artery ligation at origin.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip switch from positioning the upward-moving intestinal segment to actually joining it to its partner?", "role": "user" }, { "content": "The transition occurs when two guiding stitches are placed and the openings are made, immediately before the joining device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Gastric Bypass Procedure.mp4" ] }, { "messages": [ { "content": "Which capture device acts on the detached segment to achieve containment?", "role": "user" }, { "content": "An endocatch retrieval bag acts on the excised tissue to contain it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Core Videos (2021)： Robotic Partial Cystectomy for MIBC of the Bladder Dome.mp4" ] }, { "messages": [ { "content": "Between unfolding the flexible implant and sealing the thin lining with stitches, which action happens first in this clip?", "role": "user" }, { "content": "Unfolding the implant happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/鼠径ヘルニアの日帰り手術 - 腹腔鏡による手術動画.mp4" ] }, { "messages": [ { "content": "Between clearing tissue along the back side of the organ and beginning work on its front side, which happens first in the clip?", "role": "user" }, { "content": "Clearing the back side happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/5 Things You Must Know About DaVinci Robotic Cholecystectomy Technique.mp4" ] }, { "messages": [ { "content": "When does elevation of the upper-right organ lobe actually start relative to the clamp-like tool approaching the edge—on first contact or only after it locks onto a bite of membrane?", "role": "user" }, { "content": "Elevation starts only after the tool locks onto a bite of membrane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy Lecture by Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "When does the misidentification of the inter-organ plane become apparent, and what marks its correction?", "role": "user" }, { "content": "It appears during delineation of the interface and is corrected when a retractor/speculum lifts the wall, revealing the proper plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/How to do a laparoscopic ventral mesh rectopexy？ step by step. Dr Suhail Anwar..mp4" ] }, { "messages": [ { "content": "When the team works around the central origin of a key supply line to the lower digestive tract, which happens first on screen: clearing the soft tissues around that area or placing clips and cutting that line?", "role": "user" }, { "content": "Clearing the surrounding soft tissue occurs first, followed by clipping and dividing the line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经直肠取标本（NOSES IV式）腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from demonstrating the blockage to showing that the passage is free?", "role": "user" }, { "content": "Right after the attachments are cut, when the obstruction is noted as relieved.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation, Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "In managing the slender conduit attached to the mass, which is handled first: the segment next to the main body or its frond-like far end?", "role": "user" }, { "content": "The segment next to the main body is handled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Abdominal Hysterectomy - Step by Step ｜ TAH Teaching Video ｜ Dr Deeksha Pandey.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from dividing the two short tubes to draining the sac’s contents?", "role": "user" }, { "content": "Immediately after the tubes are cut between the fasteners, the team begins draining the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/laparoskopische Cholezystektomie (Gallenblasen-Entfernung) - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "Once the obstructing mass is expelled, when does firm manipulation and repositioning of the organ begin?", "role": "user" }, { "content": "Immediately after the mass is removed, manipulation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole, stone stuck in neck.mp4" ] }, { "messages": [ { "content": "Between removing a metallic fastener from a thin channel and sliding in a flexible tube through a separate access point, which event happens first in the sequence?", "role": "user" }, { "content": "The fastener removal happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Roux-en-Y Hepaticojejunostomy for CBD Injury.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action during the reconstruction phase?", "role": "user" }, { "content": "A circular stapling device acts on the bowel ends to create the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经阴道取标本的腹腔镜超低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what exact point does the workflow shift from freeing the central mass to actually extracting it?", "role": "user" }, { "content": "Right after full mobilization, when the lower connection is divided and the specimen is taken out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy with ENSEAL X1 Large Jaw Tissue Sealer ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from working behind the target area to opening the front plane?", "role": "user" }, { "content": "The transition occurs right after confirming the caudal extent includes all affected pouches, when the incision is turned anteriorly.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy (sigmoid colectomy ⧸ sigmoid colon resection) For Diverticular Disease.mp4" ] }, { "messages": [ { "content": "Between stitching closed the gap within the mesenteric curtain and joining two small-bowel segments side-to-side, which step occurs first?", "role": "user" }, { "content": "Closing the mesenteric gap happens before the side-to-side join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Magenbypass kurze Version full HD - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "Given that elastic bands are placed around a large vein and pulled outward, when does the focused dissection of the adjacent deep artery actually begin?", "role": "user" }, { "content": "Right after the bands are pulled to create exposure and the imaging probe localizes the vessel, the arterial dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/External Retraction Technique for Robotic PancreatoDuodenectomy.mp4" ] }, { "messages": [ { "content": "Which device is used to secure and divide the slender cord-like structure coursing towards the pelvis?", "role": "user" }, { "content": "Hem-o-lok clips are applied to the gonadal vein, which is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robot assisted radical Nephrectomy for RCC with thrombus in the renal vein reaching up to IVC.mp4" ] }, { "messages": [ { "content": "After placing a small burn mark as a visual cue, when does the actual cutting begin relative to the dye washout?", "role": "user" }, { "content": "Cutting begins once the dye has washed out and the marked site is confirmed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy for Complicated Diverticulitis Fistula to left tube.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from addressing the front side to working on the back side of the organ?", "role": "user" }, { "content": "Right after the anterior stitches tighten to fix the rectum to the abdominal wall, when the patient is turned onto their belly.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Natural Orifice Transanal Endoscopic Rectopexy： A Novel Option for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first: removing the row of fasteners or placing the cap component into the upstream bowel segment?", "role": "user" }, { "content": "Removing the fastener line comes before placing the cap component into the proximal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Sigmoid Colon Diverticulitis.mp4" ] }, { "messages": [ { "content": "After flushing the field to clear debris, when does the thermal sealing of the upward-running vessel actually commence?", "role": "user" }, { "content": "It begins right after irrigation and suction clear the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Total Laparoscopic Hysterectomy with Bilateral Salpingo Oophorectomy.mp4" ] }, { "messages": [ { "content": "After the central vessels around the midpoint are controlled, when does the team begin stripping the attachments along the stomach’s outer curve?", "role": "user" }, { "content": "Immediately afterward—they start skeletonizing along the outer curve once the mid-vessel control is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Optimizing laparoscopic right colectomy for cancer： Video based animation.mp4" ] }, { "messages": [ { "content": "Which tool applies traction on which structure to facilitate safe separation and minimize injury?", "role": "user" }, { "content": "A grasper applies gentle traction to a small bite of tissue near the liver to aid separation while limiting injury.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Bile duct injury detection and repair during laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between broadening the membranous fan that feeds the bowel and confirming the final right-left orientation of the intestines, which occurs first?", "role": "user" }, { "content": "The broadening occurs before the orientation check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/16.191PED Laparoscopic Ladd's Procedure for Intestinal Malrotation in Newborns and Child....mp4" ] }, { "messages": [ { "content": "When does the scene move from the initial opening to a systematic survey and removal—specifically, what marks that transition on screen?", "role": "user" }, { "content": "The transition occurs once the frame retractor is placed, enabling systematic survey and resection to begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Excision of gastrohepatic ligament lesion using Ethicon bipolar .mp4" ] }, { "messages": [ { "content": "Which occurs first: opening the cleft between lobes or cutting the downward-directed arterial branch to the target area?", "role": "user" }, { "content": "The cleft is opened first, and only afterward is the arterial branch divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/S6 (Left) Robotic Superior Segmentectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence move from the primary resection and join to addressing additional fluid-filled pelvic lesions and bagging them for removal?", "role": "user" }, { "content": "Right after confirming the join’s integrity and perfusion, the team switches to excising and bagging the additional pelvic lesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Outpatient robotic natural orifice sigmoidectomy.mp4" ] }, { "messages": [ { "content": "After a colored strap is positioned above the target zone, when does the actual crosswise cut of the tube begin?", "role": "user" }, { "content": "Immediately after the strap is placed, the crosswise cut starts beneath it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Between the moment when the mass turns noticeably pale after a fluid is injected and the point when a vibrating cutter begins slicing the surface layer, which occurs first?", "role": "user" }, { "content": "The blanching from the injection happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Uterine Fibroid.mp4" ] }, { "messages": [ { "content": "Which comes first: division of the short bridging feeders on the upper outer curve, or clearance around the central inflow region?", "role": "user" }, { "content": "Division of the short bridging feeders happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Totally laparoscopic D2 radical total gastrectomy for cT3 or cT4 gastric cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the process shift from advancing the inner element to coupling with its counterpart?", "role": "user" }, { "content": "The transition occurs when docking begins—right after the orange area is seen, the anvil is coupled to the integrated trocar.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Prophylactic Colectomy Surgery Anastomosis Creation ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from left-sided work to tackling the right upper corner of the large bowel?", "role": "user" }, { "content": "When they begin incising the posterior peritoneum in front of the duodenum and pancreatic head.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with CME and CVL for mid-transverse colon cancer.mp4" ] }, { "messages": [ { "content": "Between working on the side structures to the viewer’s left versus those on the right of the central organ, which side is treated first?", "role": "user" }, { "content": "The left side is treated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/15 mn subtotal hysterectomy (full edition ).mp4" ] }, { "messages": [ { "content": "When and where does the extra fatty bump that obscures the view first become apparent?", "role": "user" }, { "content": "It first becomes apparent during setup of upper exposure along the anterior midline fold near the liver, before any cautery or lifting stitch is used.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy# Positioning, access incisions & optimizing visualization.mp4" ] }, { "messages": [ { "content": "Which takes place earlier: confirming the path of the small tubular structure along the pelvic brim, or making the first deliberate cut inside the pelvis?", "role": "user" }, { "content": "Confirming the tubular structure’s course occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic suture Rectopexy for Complete Rectal Prolapse： Dr R G Khandelwal.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from working near the central origin to freeing the upper-left bend of the tube from its side tethers?", "role": "user" }, { "content": "Immediately after finishing the central vessel division, when detachment of the upper-left bend from the sidewall begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It： Extended Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "Which energy-based handheld tool is applied to the fatty tissue surrounding the distal bowel to separate it from the plane over the sacrum, and what action does it perform?", "role": "user" }, { "content": "An ultrasonic dissector is used to separate the mesorectum off the presacral fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Top 21 Videos： Laparoscopic Sigmoid Colectomy and Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the organ wall to achieve closure, and what action does it perform?", "role": "user" }, { "content": "A suturing instrument works on the organ wall to perform multilayer closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoskopická myomektomie.mp4" ] }, { "messages": [ { "content": "What device threads a white synthetic line through the flexible back flap and into a deep muscle post, and for what purpose is this done?", "role": "user" }, { "content": "Needle drivers pass a synthetic suture through the back flap and into the muscle pillar to create short tethers that support and restrain the floppy flap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Mitral Valve Repair for Prolapse： Prevention of Systolic Anterior Motion (Graphic).mp4" ] }, { "messages": [ { "content": "Which instrument is used on the thick, inflamed connective tissue near the organ’s base to both control bleeding and gently peel layers apart?", "role": "user" }, { "content": "The bipolar Maryland dissector, which coagulates and bluntly strips inflamed tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Da Vinci Robotic Complex Cholecystectomy by Clark Gerhart, MD, FACS, FASMBS.mp4" ] }, { "messages": [ { "content": "Between the stitch that anchors the front stomach wall to the left side of the tube and the stitch that anchors it to the right side, which one is placed first?", "role": "user" }, { "content": "The left‑sided stitch is placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/V011 LAPAROENDOSCOPIC SINGLE SITE HELLER MYOTOMY AND ANTERIOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "After laying a series of loose passes, when does the final cinching of the line occur?", "role": "user" }, { "content": "At the end of the running sequence, they pull to cinch and approximate the line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hernia Repair Large Sac TAPP Repair.mp4" ] }, { "messages": [ { "content": "Which comes first: freeing the back wall of the small stomach segment or separating the fatty apron attachments?", "role": "user" }, { "content": "Freeing the back wall occurs first, followed by dividing the fatty apron attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Redo Gastrojejunostomy Following Perforation From Stricture Dilatation.mp4" ] }, { "messages": [ { "content": "At what point does it become clear that the usual avascular plane along the right colon is obliterated, necessitating removal of part of the protective layer over the kidney area?", "role": "user" }, { "content": "Early during the medial dissection, when the normal plane cannot be identified, prompting partial removal of the retroperitoneal covering.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right hemicolectomy (CME with CVL) with jejunal resection in a T4b Ascending colon ....mp4" ] }, { "messages": [ { "content": "Which device acts on the segmental inflow bundle to that target area to divide it?", "role": "user" }, { "content": "A stapling device (blue load) is used to divide the segmental pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic hepatectomy segment 6.mp4" ] }, { "messages": [ { "content": "At what precise moment does the sequence shift from creating the tunnel to actually dividing the outlet muscle?", "role": "user" }, { "content": "The transition occurs the moment the tunnel reaches the outlet ring and its fibers are exposed, after which division begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Per oral endoscopic pyloromyotomy after esophagectomy.mp4" ] }, { "messages": [ { "content": "When a small oozing appears, which instrument acts on which tissue to perform what action?", "role": "user" }, { "content": "A dual-prong energy forceps acts on the mesenteric/mesorectal plane to coagulate and stop the oozing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Inferior Mesenteric Artery Preservation.mp4" ] }, { "messages": [ { "content": "Between hands-on inspection inside the body and confirming there is no hidden spread, which occurs first?", "role": "user" }, { "content": "The hands-on inspection comes first, followed by confirming no hidden spread.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/ALPPES -Associating Liver Partition and Portal VeinLigation.mp4" ] }, { "messages": [ { "content": "In the minimally invasive setup, which occurs first: the abdomen being expanded, or the lens-tipped instrument being inserted to view inside?", "role": "user" }, { "content": "Expansion of the abdomen happens first, then the viewing instrument is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療　坂本 快郎.mp4" ] }, { "messages": [ { "content": "Which is divided first: the tube leading from the sac-like organ or the small adjacent vessel?", "role": "user" }, { "content": "The tube is divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Innovation in Robotic Surgery： Emergence of Skin to Skin Robotic Cholecystectomy Using Mantra Robot.mp4" ] }, { "messages": [ { "content": "When and where does a yellowish, fatty-looking material first become visibly apparent in the field?", "role": "user" }, { "content": "Right after the specimen is removed, in the center of the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Multimodales Therapiekonzept mit endoskopischer Vollwandresektion eines Rektumkarzinoms.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the mid-portion of the gland to separate it?", "role": "user" }, { "content": "An electrocautery cutting tip is used to divide the mid-portion of the gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/COMPLETE ROBOTIC ASSISTED PANCREATODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "After a pale, blanched patch appears beneath the cut line, when does the team start their internal bubble check for leakage?", "role": "user" }, { "content": "Right after recognizing the blanched area, they begin the leak check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy for achalasia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from unpacking the small intestines out of the encasing membrane to actively cutting away that membrane?", "role": "user" }, { "content": "The transition occurs when they begin excising the internal sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Ladd's procedure.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from sealing the specimen to cutting out a portion of the sealed edge for immediate analysis?", "role": "user" }, { "content": "When they cut out a segment of the sealed edge for frozen section.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. James O. Peabody： Robotic Partial Cystectomy.mp4" ] }, { "messages": [ { "content": "When and where in the field does the target abnormality first become clearly visible to the camera?", "role": "user" }, { "content": "It first becomes clearly visible immediately after the wall is opened, within the lumen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Transduodenal Ampullectomy.mp4" ] }, { "messages": [ { "content": "After an internal guiding line is retrieved externally, when does the cutting across the valve begin?", "role": "user" }, { "content": "Right after the cutter is guided along the retrieved line into the duct, the cutting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Hybrid Transgastric Rendezvous Technique for Common Bile Duct Stones After Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Do the operators open the posterior plane behind an upper abdominal organ before or after finishing the mobilization of the upper-left bend of the large intestine?", "role": "user" }, { "content": "They open the posterior plane first, then finish mobilizing the upper-left bend.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Subtotal Colectomy for Ulcerative Colitis.mp4" ] }, { "messages": [ { "content": "Which occurs first: positioning the glowing guide tube (A) or using it intraoperatively to verify the course of the channel (B)?", "role": "user" }, { "content": "A precedes B.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Fluorescence urethral navigation for transperineal minimally invasive abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "Given the visible placement of a thin entry device into the abdominal wall, when does the gas delivery actually begin: before or after the triple verification sequence?", "role": "user" }, { "content": "After the irrigation, suction, and hanging drop tests are completed, the tubing is attached and insufflation starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller's Myotomy with Appendectomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a newly punched round opening on the heart’s main trunk under a side clamp, when does the stitching into that opening actually start?", "role": "user" }, { "content": "It starts immediately after the hole is punched, when the fine sutures are placed into the opening under the side clamp.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/卫生部医学视听教材—心胸外科—XW009 冠状动脉搭桥术.mp4" ] }, { "messages": [ { "content": "During the glow-dye check of the remaining stomach, when does the first clearly dim area appear, and where is it located?", "role": "user" }, { "content": "Right after initiating the dye assessment, the first dim area appears at the distal tip of the remnant stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer# You Never Know What You're Going to Get.mp4" ] }, { "messages": [ { "content": "When and where do the frond-like growths along the rear inner surface first come into view?", "role": "user" }, { "content": "They first appear during the initial inspection, on the rear inner surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/BTESD 水刀膀胱癌剝離術.mp4" ] }, { "messages": [ { "content": "Between hitching a small saclike organ to the front wall and driving the right-sided large-bowel mobilization down toward its tip, which action happens first in this clip?", "role": "user" }, { "content": "Hitching the organ to the front wall happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Extended Kocher, Step 1 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "When does the workflow move from working along the patient’s left flank to the point where that effort merges with the back-side plane?", "role": "user" }, { "content": "It transitions when the left-side effort meets and merges with the back-side plane to complete the circle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for rectal prolapse： An alternative to use of Mesh.mp4" ] }, { "messages": [ { "content": "During top-down mobilization, at what moment does the dissection move into the deeper space behind the stomach?", "role": "user" }, { "content": "The transition is marked by entry into the lesser sac and taking down the lesser omentum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Right Hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "Which energy instrument acts on the main side vessels to both seal and divide them?", "role": "user" }, { "content": "An advanced bipolar/sealing energy device is used to seal and divide the side vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy ｜ Dr Kunal Rathod.mp4" ] }, { "messages": [ { "content": "Which implement acts on which structure to accomplish definitive hemostasis near the large venous confluence?", "role": "user" }, { "content": "A stapling device is applied to the renal vein near its junction with the cava to seal it and stop bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Nightmare Laparoscopic Nephrectomy for non-functioning Kidney.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action when amputating remaining membranous portions?", "role": "user" }, { "content": "Electrocautery (including bipolar) acts on the membranous hernia sac to amputate and trim it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic paraesophageal hiatal hernia repair in a 13 month old infant.mp4" ] }, { "messages": [ { "content": "Following placement of the specimen into a container for removal, when does sealing of the tiny skin openings begin?", "role": "user" }, { "content": "Sealing begins right after the specimen is placed for retrieval, as they proceed to close the access sites.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Gallbladder Stone Surgery Bangalore ｜ Best Laparoscopic Surgeon, Best Cost & hospital.mp4" ] }, { "messages": [ { "content": "When does the operation shift from upper-tract work to removing the lower connection near the reservoir without repositioning the patient?", "role": "user" }, { "content": "After finishing the downward freeing and re-aiming the ports, the lower removal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Komplett extraperitoneale nephroureterektomie roboterassistierte technik ohne positionsveränderu.mp4" ] }, { "messages": [ { "content": "Which happens first: cutting the small vessels along the upper stomach or stripping the fatty tissue from the left side of the connection between the tube and the stomach?", "role": "user" }, { "content": "Cutting the small vessels occurs before clearing the fatty tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty： The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "Which instrument holds the bowel to create exposure, and what tissue layer is being separated at that time?", "role": "user" }, { "content": "An auxiliary grasper holds the bowel, while the outer lining attachments (peritoneal attachments) are being dissected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Left Hemicolectomy Utilizing All Three Robotic Arms.mp4" ] }, { "messages": [ { "content": "Which tool is used to free a narrow tube from a stuck surface while minimizing heat spread?", "role": "user" }, { "content": "Delicate dissection with minimal cautery is used to lyse adhesions and free the tubular structure from the attached surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic redo Proctopexy for recurrent prolapse.mp4" ] }, { "messages": [ { "content": "At what point does the scene shift from freeing the hollow tube to tightening the supportive muscles behind it?", "role": "user" }, { "content": "Immediately after full mobilization, when focus shifts to grasping and tightening the posterior supportive muscles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Asvide： Redo perineal rectosigmoidectomy with posterior levatorplasty.mp4" ] }, { "messages": [ { "content": "Which tool acts on the small bowel and mid‑colon to create their new internal link, and how is the opening closed afterward?", "role": "user" }, { "content": "A laparoscopic linear stapler creates the connection, and the common opening is closed with a double‑layer running PDS suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic right colectomy after previous colonic surgery： 3D-CT angiography and ICG fluorescence.mp4" ] }, { "messages": [ { "content": "Between opening a fold on the right side of the pelvis and clearing a prominent nodal basin near a deep vessel root, which takes place earlier in the clip?", "role": "user" }, { "content": "Opening the right-side fold happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜无切口直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from peeling away flimsy bands to treating the narrow stalk of the lesion?", "role": "user" }, { "content": "It shifts right after the flimsy bands have fallen away and the mass is fully mobilized, when they immediately begin sealing and dividing the stalk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy- subserous pedunculated fibroid stuck to abdominal wall & bowel.mp4" ] }, { "messages": [ { "content": "When does the operation progress from freeing both the front and back aspects to actually dividing the tube?", "role": "user" }, { "content": "At the moment they reach the planned level and perform the actual transection after adequate anterior and posterior mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectal Prolapse, Perineal Repair (Perineal Rectosigmoidectomy： Altemeier procedure).mp4" ] }, { "messages": [ { "content": "Between fully freeing the organ off its bed and pulling it outward to one side as far as possible, which occurs first?", "role": "user" }, { "content": "Freeing the organ off its bed happens first, then strong lateral traction follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy for Mirizzi syndrome.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the delicate membrane to lengthen the pathway, and what is the intended benefit?", "role": "user" }, { "content": "A Ligasure (or similar energy device) opens the mesentery to increase reach and reduce tension on the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Jejuno-Jenunostomy in Laparoscopic Gastric bypass.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected side branch that needs control first become visibly apparent?", "role": "user" }, { "content": "During left-sided dissection, when a small vessel appears that needs clipping.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection Rectal Prolapse Three Step.mp4" ] }, { "messages": [ { "content": "When is poor expansion of the lumen first noticeable during the attempt to retrieve the lost component with the camera?", "role": "user" }, { "content": "At the start of the second endoscopic retrieval attempt, insufflation is inadequate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Distal Gastrectomy With Billroth I Reconstruction.mp4" ] }, { "messages": [ { "content": "Exactly when does the workflow shift from taking the specimen out to rebuilding the pathway for flow?", "role": "user" }, { "content": "Right after the mini-incision is closed and insufflation is restored, the reconstruction starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Right Hemicolectomy with Complete Mesocolic Excision for a T4 Caecal Tumour.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from freeing the upper attachments to working around the deep-centered tube?", "role": "user" }, { "content": "The shift occurs when the team incises the anterior fold to begin the deep-phase work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for low rectal cancer - A step by step approach.mp4" ] }, { "messages": [ { "content": "When and where does a swollen, nodular structure along the side of the sac first come into view, suggesting prior inflammation?", "role": "user" }, { "content": "It first appears during exposure of the lateral side of the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from detaching tissue around the upper abdominal gland to creating a new channel between two hollow structures?", "role": "user" }, { "content": "The transition occurs when the stapling device is introduced and fired to join the cut small intestine, starting the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療 - 橋本 伊佐也.mp4" ] }, { "messages": [ { "content": "When and where does a new defect first become visibly apparent, relative to the dissection around the large cystic structure and the neighboring pelvic organ?", "role": "user" }, { "content": "Right after completing the cyst dissection, a defect becomes visible in the wall of the adjacent pelvic organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Colorectal Resection for a Giant Colonic Diverticulum.mp4" ] }, { "messages": [ { "content": "After placing a collection tube along the cut surface, when is the low-pressure inspection for venous leakage performed?", "role": "user" }, { "content": "Immediately after the tube is placed, they lower the pressure to check for venous bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for Polycystic Liver Disease.mp4" ] }, { "messages": [ { "content": "Along the central vertical structure, which tool is used to peel the loose plane while preserving the slender cordlike elements, and what action is performed?", "role": "user" }, { "content": "The sealing cutter is used to gently peel the areolar plane along the main axis, skeletonizing it while preserving the slender bundles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/朱玉萍：腹腔镜下直肠根治术.mp4" ] }, { "messages": [ { "content": "Which occurs first: entering an avascular plane between two major conduits or clipping the loop near the glandular organ above?", "role": "user" }, { "content": "Entering the avascular plane happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic radical extended right hemicolectomy with CME using an artery first approach.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from separation to removal of the detached piece?", "role": "user" }, { "content": "The transition occurs the moment the tethering tract is divided, freeing the piece.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Minimally Invasive Surgery ｜ Redo Proctectomy ｜ Patients with Chronic Anastomotic Leak.mp4" ] }, { "messages": [ { "content": "Once two hollow loops are aligned and held with guiding stitches, when does the cutting energy actually begin to open them—before or after the alignment is completed?", "role": "user" }, { "content": "After the alignment and guiding stitches are completed, the cutting energy begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot-assisted repair of E1 - Biliary ductal injury with Roux-en-Y hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "After the camera reveals a dark dye mark on the bowel, when does the actual tissue separation start relative to that cue?", "role": "user" }, { "content": "Immediately after spotting the mark, tissue work begins beneath the first exposed bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.1.5. Robotic Right Hemicolectomy - Julio Garcia - Aguliar.mp4" ] }, { "messages": [ { "content": "Between excising a fatty lump behind the passage and deploying the clamp-and-fire device on the bulging sac, which happens first?", "role": "user" }, { "content": "The fatty lump is excised first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC EPIPHRENIC DIVERTICULECTOMY WITH HELLER ESOPHAGOMYOTOMY AND DOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "Which device is used on which structure to achieve the upper fixation of the strip, and how is it supplemented?", "role": "user" }, { "content": "A metal fastener applicator secures the strip to the fascia over the upper ridge, supplemented by through-wall stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectum- ventral Mesh Rectopexy for rectal prolapse.mp4" ] }, { "messages": [ { "content": "During separation between the top of the specimen and the neighboring gland using a rounded-tip instrument, when and where does the first sudden red surge become visible?", "role": "user" }, { "content": "It first appears while creating the plane at the interface between the organ’s top and the nearby gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Unexpected Torrential bleeding during Radical Nephrectomy - How to Manage.mp4" ] }, { "messages": [ { "content": "When do the unusually numerous nodules first become evident, and how is their abundance characterized on-screen?", "role": "user" }, { "content": "As the camera surveys the organ, the abundance becomes evident and is characterized as just over ninety in total.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Incredible surgery to remove over 100 fibroids ｜ Your Body Uncovered With Kate Garraway - BBC.mp4" ] }, { "messages": [ { "content": "Once a bulging bleb forms under the inner lining from a dye-tinted injection, at what moment do they begin the first cut to enter that plane?", "role": "user" }, { "content": "Right after the lift is created, they make a 1.5 cm incision through the inner lining to enter the raised plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Per Oral Pyloromyotomy for Gastroparesis： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "After the ring-shaped dissection around the food reservoir’s outlet is visibly complete, when does the actual separation start?", "role": "user" }, { "content": "Right after completing the circumferential dissection, they begin the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Experience the Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which happens first: placing a protective anti‑stick sheet over the repair or closing the deep layer at the navel?", "role": "user" }, { "content": "The protective anti‑adhesion sheet is placed first, before the deep umbilical closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/LESS Cholecystectomy with Concomitant Total Hysterectomy & Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "Between the circumferential dissection around the distal outlet and the entry into the upper cavity, which step is performed first in the sequence shown?", "role": "user" }, { "content": "The circumferential distal dissection occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/STANADARDIZATION OF THE APPROACH TO TRANSANAL NOTES TOTAL MESORECTAL EXCISION TME IN PATIENTS WITH R.mp4" ] }, { "messages": [ { "content": "When do neighboring tubular elements first appear uncomfortably close to the planned biting action, prompting a corrective pause?", "role": "user" }, { "content": "Right before the last planned bite, adjacent tubular structures drift close, prompting a pause for extra clearing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Medial to lateral dissection of the inferior mesenteric artery p.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from separating the three lateral attachments to securing them with thread?", "role": "user" }, { "content": "Right after the three attachments are fully released, when knotting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy- Hands on Hysterectomy Work shop.mp4" ] }, { "messages": [ { "content": "Which instrument is used to gently separate the thin fatty curtain along the bowel’s supporting membrane, and what is it accomplishing there?", "role": "user" }, { "content": "An ultrasonic energy tool is used to separate mesenteric fat, opening a limited window to improve mobility while preserving the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/2001 ｜ Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which device acts on the lateral support band near the lower uterus to separate it, and what action is performed?", "role": "user" }, { "content": "A straight clamping instrument is applied to the lateral support band, which is then divided and tied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy ｜ Atlas of Gynecologic Surgery.mp4" ] }, { "messages": [ { "content": "Which cutting tool acts on a bloodless plane to achieve layer separation during the deep approach?", "role": "user" }, { "content": "A cold, sharp dissection tool is used to separate the avascular plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Anatomy and Techniques of Laparoscopic Intersphincteric Resection (ISR) for Low Rectal Cancer.mp4" ] }, { "messages": [ { "content": "During exteriorization of the segment, which instrument acts on which tissue to perform what action?", "role": "user" }, { "content": "Graspers/clamps pull on the bowel segment to evert it outside, then a cutting device divides the specimen for removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/低位直肠前切除术NOSES I式B法.mp4" ] }, { "messages": [ { "content": "Given the visible cue that pulsatile inflow has returned to the organ, when is the insufflation pressure reduced?", "role": "user" }, { "content": "Right after the inflow occlusion is removed and pulsation returns.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to control a vein branch during clearing near the gland base to aid complete removal?", "role": "user" }, { "content": "A vein hook is used to control and clear the vein branch to facilitate complete resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparascopic pancreaduodenectomy using artery first approach.mp4" ] }, { "messages": [ { "content": "Between clearing the surrounding fatty layer and separating the gland from the adjacent fluid reservoir, which occurs earlier in the operation?", "role": "user" }, { "content": "Clearing the surrounding fatty layer happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Roboter-assistierte Prostataentfernung (radikale Prostatektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "Between the moment when a sudden red gush appears after the assistant’s hand releases pressure, and the later scene where the team begins splitting along the lower part of the tube, which one happens first?", "role": "user" }, { "content": "The sudden gush happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy for achalasia.mp4" ] }, { "messages": [ { "content": "At what moment does the team switch from stitching to verifying that the closure is leak-free?", "role": "user" }, { "content": "Immediately after completing the running closure, they transition to testing the repair for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Partial Cystectomy for Large Complex Urachal Cyst.mp4" ] }, { "messages": [ { "content": "After the intestines are swept aside to expose a bony landmark, at what moment does the scene shift from exposure to actually entering the plane in front of the spine?", "role": "user" }, { "content": "The transition occurs when the membrane over the exposed landmark is incised to enter the pre-spinal plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic mesh proctopexy with modified Ripstein procedure for rectal prolapse..mp4" ] }, { "messages": [ { "content": "When in the sequence does an unexpected duplication of the main supply first become visibly apparent, and in what region relative to the organ is it seen?", "role": "user" }, { "content": "It first becomes apparent during dissection around the entry region, where separate top and bottom branches are seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy for small sub hepatic upper pole tumor.mp4" ] }, { "messages": [ { "content": "Given the visual cue of docking the two ends of the ring-shaped stapling device, at what point does the firing actually occur?", "role": "user" }, { "content": "After the two parts are locked and the device is closed to firing range with no extra tissue caught.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos# Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "When does the scene shift from simply aligning the openings with holding threads to running the inner seam of the connection?", "role": "user" }, { "content": "It occurs when they begin the continuous inner run with the two barbed threads after placing the holding threads.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Robotic KONO-S Anastomotic Technique： a step by step approach.mp4" ] }, { "messages": [ { "content": "At what point in the first scenario does the scene shift from active freeing maneuvers to assessing whether the affected segment appears recoverable?", "role": "user" }, { "content": "Right after both obstructions are released, when they note the segment’s condition improving.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/The Laparoscopic Approach to Small Bowel Obstruction.mp4" ] }, { "messages": [ { "content": "Which internal device provides structural support inside the hollow organ, and what visual aid does it offer when the outer layer is cut?", "role": "user" }, { "content": "An illuminated internal guide supplies a platform and its light makes the inner lining stand out during cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy： Why, when & how.mp4" ] }, { "messages": [ { "content": "During the central feeder work, which instrument with jaws acts on the pulsatile structure to carry out separation?", "role": "user" }, { "content": "An energy-jawed sealing device acts on the artery to seal and divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It： Extended Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "Between preparing the target site on the intestinal segment with a circular hold and delivering the device inside the belly through a small cut, which occurs earlier?", "role": "user" }, { "content": "Preparing the site occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Technique of completely diverted tube ileostomy.mp4" ] }, { "messages": [ { "content": "After the reconnection is created, once the abdomen is reinflated, when is the underwater bubble check actually initiated?", "role": "user" }, { "content": "Immediately after the circular stapled connection is completed under the re-established insufflation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended left hemicolectomy with complete mesocolic excision & transverse colon - r....mp4" ] }, { "messages": [ { "content": "Which takes place first: lowering the front-facing sheet off the main mass, or sealing the side inflow trunks near the narrow isthmus?", "role": "user" }, { "content": "Lowering the front-facing sheet happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Abdominal Hysterectomy - Step by Step ｜ TAH Teaching Video ｜ Dr Deeksha Pandey.mp4" ] }, { "messages": [ { "content": "What material is applied around which hardware post to bunch the tissue and safeguard the formation of complete rings?", "role": "user" }, { "content": "A purse-string suture is placed around the anvil’s post to gather the tissue and preserve complete rings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the team transition from building the flap and abdominal preparations to closing the deep fascia cranially?", "role": "user" }, { "content": "The transition occurs when the team begins suturing the cranial deep fascial layer after the flap and vessels have been fully mobilized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Video Rektumexstirpation mit VRAM-Lappen.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from general surveying to committing to removal of the diseased segment?", "role": "user" }, { "content": "The transition occurs when they immediately decompress and place vascular clips, beginning the resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Almanya’dan Gelen Hastanın Kuru Temiz Kolon Kanseri Ameliyatı.mp4" ] }, { "messages": [ { "content": "Between elevating the lining membrane and approaching the vessel bundle on the left side of the canal, which occurs first?", "role": "user" }, { "content": "The elevation of the lining happens first, followed by work near the left vessel bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Male Patients： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "After guidance marks appear on the viewer indicating the direction of closure, when do the surgeons actually begin sewing the reservoir shut?", "role": "user" }, { "content": "Immediately after completing mobilization, they start the first of two suture layers to close it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/robotic sigmoid resection with en bloc partial cystectomy for malignant fistula.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from freeing the left upper bend of the colon to preparing the reconnection between the two bowel ends?", "role": "user" }, { "content": "Immediately after the left upper bend is fully freed by dividing its ligamentous attachments, the team shifts to preparing the reconnection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Fully Robotic TME for Rectal cancer in a Patient with Intravesical Prostatic Protrusion.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from specimen extraction to repairing the internal access openings?", "role": "user" }, { "content": "Right after the specimen is extracted and the cavity is let down, the team begins closing the internal openings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Trans-gastric resection of GE junction mass.mp4" ] }, { "messages": [ { "content": "Which tool acts on a small-intestinal loop near an anatomical bend in the upper abdomen, and what does it do?", "role": "user" }, { "content": "A stapling device is used to transect the small intestine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to achieve a calibrated gap during tightening?", "role": "user" }, { "content": "Two cylindrical gauges are used: a thicker one sits inside the channel and a slimmer one goes between the strip and the channel wall to set a reproducible slack before traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Sling TOT con vector TVT.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the central bridge to enable detachment, and what is done to that structure afterward?", "role": "user" }, { "content": "A clamp is applied to the central bridge to facilitate its division, and the cut surface is then closed with a running stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Hemithyreoidektomie (Entfernung Schilddrüse) Lehrfilm Schilddrüsenoperation Erlangen 2019.mp4" ] }, { "messages": [ { "content": "Between creating an opening in the central channel and extracting foreign material from within it, which action occurs first in the clip?", "role": "user" }, { "content": "Creating the opening occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis.mp4" ] }, { "messages": [ { "content": "Which happens first: managing small side branches with clips or tying off the prominent vein along the stomach curve?", "role": "user" }, { "content": "Clipping the side branches occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Pylorus Preserving Pancreatico Duodenectomy (Whipple's Procedure).mp4" ] }, { "messages": [ { "content": "Which instrument is used on the small side branches near the outlet to separate them from the main arcade, and what does it achieve?", "role": "user" }, { "content": "Ultrasonic shears divide the small side branches off the main arcade to detach them from the outlet segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Stomach-Laparoscopic distal gastrectomy with billroth 2 reconstruction with Braun loop.mp4" ] }, { "messages": [ { "content": "During exposure of the central area, when and where does the obstruction of the main channel with the appearance of bypassing tributaries first become clearly visible?", "role": "user" }, { "content": "When the field centers on the mass–vessel interface, where the main channel is interrupted and collateral pathways are visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/パープルリボンキャラバン2011ｉｎ名古屋 中尾先生2.mpg.mp4" ] }, { "messages": [ { "content": "Which comes first: placing the central viewing port or swapping the initial small access for a larger robotic one?", "role": "user" }, { "content": "The camera port placement happens before the small port is exchanged for the larger robotic one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot-Assisted Laparoscopic Repair of Hepatic Duct Stricture.mp4" ] }, { "messages": [ { "content": "When and where does an unusual early split of the arteries heading to the liver first become visibly apparent in the clip?", "role": "user" }, { "content": "It first appears during the hepatoduodenal dissection, near the portal vein, where the right and left hepatic branches are seen dividing earlier than usual.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 Sub-total Gastrectomy.mp4" ] }, { "messages": [ { "content": "In the sequence where the outer strands of the swallowing tube’s front wall are first separated and later a deeper band is gently lifted off the shiny inner surface, which of these two maneuvers happens earlier?", "role": "user" }, { "content": "The separation of the outer strands happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Houghton, Caitlin Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Between addressing the small draining channel and dividing its companion feeding branch, which is performed first?", "role": "user" }, { "content": "The draining channel is handled first, followed by division of the feeding branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right colectomy with co-axial port setting.mp4" ] }, { "messages": [ { "content": "In the imaging sequence, when and where does the large postoperative collection first become visibly apparent, displacing nearby hollow anatomy?", "role": "user" }, { "content": "It first appears just behind the front pelvic bone, where it visibly pushes the urine reservoir backward on the imaging view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Sling TOT con vector TVT.mp4" ] }, { "messages": [ { "content": "Between securing the high lateral vascular attachment on the patient’s right side and treating the comparable structures on the left, which one occurs first in the sequence you see?", "role": "user" }, { "content": "The right side is secured and divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/本編　婦人科がんの手術基本手技 1．単純子宮全摘術.mp4" ] }, { "messages": [ { "content": "At what moment does the process switch from securing vessels to moving the specimen toward the pre-made lower abdominal opening?", "role": "user" }, { "content": "Right after the outflow vein is stapled, when the already placed pouch is guided down to the lower incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic live donor hepatectomy.mp4" ] }, { "messages": [ { "content": "Which happens earlier: confirmation of delicate paired fibers flanking the field, or palpation of the mass by hand?", "role": "user" }, { "content": "The paired fibers are identified first, before the mass is palpated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Open TME.mp4" ] }, { "messages": [ { "content": "When does it first become evident on screen that the orientation of the intestine is mirrored compared to the standard setup?", "role": "user" }, { "content": "Early in the orientation check, when the segment runs to the right and the setup is reversed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/A LAPAROSCOPIC ROUX-EN-Y AFTER A HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Between rotating the swallowing tube and the stomach edge to face front-to-back and activating the fastener to create a narrow channel, which action occurs first?", "role": "user" }, { "content": "Rotation occurs first, followed by firing the fastener.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty： The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "Which jawed device acts on the prior stomach–bowel junction, and what action does it accomplish?", "role": "user" }, { "content": "A linear, jawed device is used to resect the old stomach–bowel junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Roux-En-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "When the team abandons the usual approach because the area is visually confusing, at what moment does the alternative mid-bed dissection actually begin?", "role": "user" }, { "content": "It begins right after acknowledging the poor definition, when dissection starts from the middle of the bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Multi-Port Cholecystectomy for Severe Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "When and where does malignant involvement first become evident in the workflow?", "role": "user" }, { "content": "At the pathology assessment after resection, in the perivesical fat (PT3a), with aggressive grading.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radikale roboterassistierte Zystektomie mit intrakorporalem orthotopem Ileumpouch bei der Frau.mp4" ] }, { "messages": [ { "content": "Exactly when does the dissection shift from working along the side to sweeping behind the target?", "role": "user" }, { "content": "Right after the anterior–lateral opening to the upper compartment is made, the dissection turns posterior.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Minimally Invasive Surgery ｜ Redo Proctectomy ｜ Patients with Chronic Anastomotic Leak.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from having a small artery prepared to actually cutting it using energy?", "role": "user" }, { "content": "After isolation, the transition occurs when the artery is divided with energy, leaving the clip in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Robotic Cholecystectomy - Gallbladder Removal Surgery Explained.mp4" ] }, { "messages": [ { "content": "After the team finishes confirming the measured length of the upstream segment, when does the actual cut commence?", "role": "user" }, { "content": "Immediately after confirming the length, they proceed to transect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of post MGB⧸OAGB Bile reflux to RYGB.mp4" ] }, { "messages": [ { "content": "When the running stitch reaches the meeting point where a placeholder thread sits, when do they remove that placeholder and start using the running thread for counter-traction?", "role": "user" }, { "content": "They remove the prior holder and use the running thread for traction as soon as the run reaches that meeting point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Robotic KONO-S Anastomotic Technique： a step by step approach.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: opening the canal floor and assessing the adjacent gap area, or starting the multi-row reinforcement?", "role": "user" }, { "content": "Opening and assessing the floor and femoral space happen before the reinforcement begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Shouldice Procedure.mp4" ] }, { "messages": [ { "content": "At what moment does the removed bowel segment become fully detached and set aside, marking the shift to reconstruction tasks?", "role": "user" }, { "content": "The transition occurs when the specimen is declared completely free and set aside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Sigmoid Colon Diverticulitis.mp4" ] }, { "messages": [ { "content": "Which approach happens first: progressing outward from the central retroperitoneal plane or advancing inward from the flank sidewall?", "role": "user" }, { "content": "Progressing outward from the central plane occurs first, before advancing inward from the flank.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for Rectal Cancer (RCSI Charter Day Video Session 2016).mp4" ] }, { "messages": [ { "content": "When does the sequence shift from alignment and depth readout to actual tissue traversal?", "role": "user" }, { "content": "At the moment the planned depth is set and the applicator is guided forward through the positioning aid into tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/How I do it - Stereotaktische Ablation von Lebertumoren - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Which kind of slim, rod-like device acts on the distal bowel segment to reverse its downward displacement in this clip?", "role": "user" }, { "content": "Camera-guided port instruments manipulate the distal bowel to lift and secure it back into position.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/laparoscopic suture rectopexy @Dr.Zainalabdin عملية إصلاح هطول المستقيم منظاريا.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from freeing attachments to actually cutting along the junction between the tube and the pouch?", "role": "user" }, { "content": "The transition occurs when a sizing device is placed and the fat at the junction is divided to start the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Between exposing the backside of the hollow organ within a newly opened space and preparing the junction with the adjacent tube, which action is shown first in the clip?", "role": "user" }, { "content": "Exposing the backside in the newly opened space occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/HTO Gastrec.mp4" ] }, { "messages": [ { "content": "In this sequence, which comes earlier: threading the flexible camera into the downstream channel, or using energy on the cut edges to stop oozing?", "role": "user" }, { "content": "The camera placement occurs before energy is applied to the cut edges for bleeding control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Omega Loop Bypass to Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "During the dissection beneath a prior surface patch, when and where does the unusually extreme thinness of the inner lining first become evident?", "role": "user" }, { "content": "Early in the under‑patch segment, in that region, the inner lining’s extreme thinness becomes evident.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Clinical Challenges in Hernia Surgery： Open Preperitoneal Ventral Hernia Repair.mp4" ] }, { "messages": [ { "content": "After a tie is placed on the far end of the diseased segment, when does the washing of the tract begin?", "role": "user" }, { "content": "It begins immediately after the distal end is tied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经直肠取标本（NOSES IV式）腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Once the inner-to-inner stitches are set, when is the small temporary tube actually taken out?", "role": "user" }, { "content": "It is removed just before they proceed to tie the main anastomotic knots.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus Resecting Pancreaticoduodenectomy & Blumgart's Duct-to-mucosa Pancreaticojejunostomy(DMPJ).mp4" ] }, { "messages": [ { "content": "Between entering the plane behind the intestinal tube and opening the left-sided corridor that connects to it, which action occurs first?", "role": "user" }, { "content": "Entry into the posterior plane occurs first, followed by opening the left-sided corridor to connect to it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Bowel endometriosis “3D” The essentials for bowel resection - A Video Vignette.mp4" ] }, { "messages": [ { "content": "When and where do two side-by-side, actively moving tubular structures first become apparent in the field?", "role": "user" }, { "content": "During the left-sided dissection, when two fluorescent, peristaltic tubes are seen side-by-side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "At what exact on-screen moment does the sequence shift from identifying the narrow conduit and nearby vessel to sealing and dividing them?", "role": "user" }, { "content": "The transition occurs when metal fasteners are applied to the conduit and vessel just before they are cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/外科医の私が受けたい最新の胆石症手術とは　手術映像あり.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from using the line-making device to divide the tissue to removing the separated piece from the field?", "role": "user" }, { "content": "Immediately after completing the last division with the linear device, when the specimen is lifted and moved out of the operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic partial gastrectomy for GIST resection.mp4" ] }, { "messages": [ { "content": "During dissection, which comes first: peeling off the adherent tissue or the moment a paler plane is revealed?", "role": "user" }, { "content": "Peeling off adhesions happens first, and then the paler plane becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/犬の膀胱-尿道腫瘍全摘出　尿路変更術.mp4" ] }, { "messages": [ { "content": "During setup, which occurs first: freeing the organ from its midline tether or flipping the left portion over to the right side?", "role": "user" }, { "content": "Freeing the midline tether occurs first, followed by flipping the left portion over to the right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver resection; laparoscopic removal of liver segments 2 and 3.mp4" ] }, { "messages": [ { "content": "When do the untied stitches along the backside actually get tightened—before or after the loop is brought close to the opening?", "role": "user" }, { "content": "They are tied after the loop is approximated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "Which implement acts on the thin vascular sheet to divide it, and what device is used when a thicker channel is encountered?", "role": "user" }, { "content": "The thin sheet is divided with an energy device, and thicker channels are handled with clamps or a vessel-sealing device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How to do Altemeier procedure - Perineal rectosigmoidectomy - for rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which access platform interfaces with the small abdominal opening to permit tools and gas, and what function does it serve?", "role": "user" }, { "content": "A single-port platform is seated at the small opening to provide a sealed pathway for insufflation and instrument entry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (ta-TME) for Rectal Cancer - Dr. Karen Zaghiyan.mp4" ] }, { "messages": [ { "content": "As the surgeon rotates a fine needle around the inner ring, at what point does the fluid delivery visibly start relative to the rest of the procedure?", "role": "user" }, { "content": "Right at the beginning—immediately after the needle tip is positioned circumferentially, before any tissue stripping begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Operation for Full-thickness Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs first: sealing the blood-supply branch along the inner border of the upper digestive sac, or transecting its downstream muscular outlet?", "role": "user" }, { "content": "The blood-supply branch is sealed and divided first, before the downstream muscular outlet is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Open Whipple Procedure.mp4" ] }, { "messages": [ { "content": "When and where does an unplanned oozing first become visibly apparent?", "role": "user" }, { "content": "It first appears while handling the second mass, when the spiral grasper slips on it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Step by Step Video.mp4" ] }, { "messages": [ { "content": "Between elevating the right side of the organ and making the initial cut in the thin membrane over it, which happens earlier in the clip?", "role": "user" }, { "content": "Elevation occurs first, followed by the membrane incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder.mp4" ] }, { "messages": [ { "content": "When does the difficulty in grasping the thickened target organ become visually evident during the case?", "role": "user" }, { "content": "Early in the case, during the initial survey, it’s clear that the thickened organ is difficult to grasp.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic management of intra-hepatic gall bladder perforation.mp4" ] }, { "messages": [ { "content": "What instrument is used to separate the tethering strands connecting the first part of the small intestine to nearby tissues, and what exactly is being acted upon?", "role": "user" }, { "content": "Blunt dissection and electrocautery are used to divide adhesive bands tethering the upper small intestine to surrounding tissues.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in an adult.mp4" ] }, { "messages": [ { "content": "Which happens first: separating the outer muscle band of the tube or revealing the inner lining?", "role": "user" }, { "content": "Separating the outer muscle band occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy For End Stage Achalasia.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the side vessel, and what effect does it have on the downstream organ segment?", "role": "user" }, { "content": "An occluding device is applied to the side vessel, stopping flow so the downstream segment does not light up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Use of Firefly for Margin Assessment in Robotic Partial Nephrectomy (Differential Fluorescence).mp4" ] }, { "messages": [ { "content": "After a clamp lifts an arterial bundle upward, at what moment does the main clearance along that central pathway actually begin?", "role": "user" }, { "content": "It starts immediately after the bundle is elevated—when the operator begins clearing tissue closely along the trunk before clipping at the roots.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/splenectomy/Huang’s three-step maneuver for laparoscopic spleen-preserving N.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from placing the fixation points to verifying that the lines can slide freely?", "role": "user" }, { "content": "The shift happens right after each fixation point is inserted, when the team checks for smooth sliding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Haglund's Syndrome.mp4" ] }, { "messages": [ { "content": "Between sealing a prominent vascular branch and dividing the upstream bowel segment, which action occurs earlier in the clip?", "role": "user" }, { "content": "The vascular ligation occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/PROPHYLACTIC USE OF PERINEAL AND PERISTOMAL MESH IN LAPAROSCOPIC ABDOMINOPERINEAL AMPUTATION.mp4" ] }, { "messages": [ { "content": "Which closure system acts on the inner lining to seal it and keep the graft behind it, and what property of the system enables a straightforward continuous run?", "role": "user" }, { "content": "A continuous barbed suture (V-lock) closes the inner lining; its self-locking feature enables a simple continuous closure that maintains the graft behind it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/DynaMesh®-PRS - OR Video (short)： Lap. Cervicosacropexy for the Treatment of Descensus Uteri.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation move from pulling the displaced organ down to actually tightening the gap’s edges?", "role": "user" }, { "content": "The transition occurs when the first stitch is placed and tightened across the rim to start narrowing the gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/إصلاح فتق كبير متكررفي الحجاب الحاجز وإعادة عمل تحويل مسار مصغر بالمنظار.mp4" ] }, { "messages": [ { "content": "Which device is used to finish cutting the thin attachments between the specimen and the breathing muscle near the top?", "role": "user" }, { "content": "A 5 mm energy-sealing ligature.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Totally Laparoscopic Right Hepatectomy by Caudate Hepatotomy Technique.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from tracing the main trunk to managing the small cross‑branch?", "role": "user" }, { "content": "The transition occurs the instant the small branch behind the vein is fully exposed and freed, right after the bridge is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/钟鸣：腹腔镜直肠癌手术中左结肠动脉的处理 Management of left colonic artery in laparoscopic rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from setting up vascular access to actual deployment under live imaging?", "role": "user" }, { "content": "When they switch from contrast confirmation to injecting the material under live imaging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "After the support is set, when do they start closing the initial incision compared to when the completed opening is shown?", "role": "user" }, { "content": "Closure begins before the new opening is unveiled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Laparoscopic Loop Ileostomy Creation Step by Step.mp4" ] }, { "messages": [ { "content": "Which proceeds first: sealing the access openings or performing the intraoperative leak check?", "role": "user" }, { "content": "Sealing the access sites happens before the leak test is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Transgastric GIST Resection.mp4" ] }, { "messages": [ { "content": "During the rebuilding phase, which tool acts on which tissue to achieve what result?", "role": "user" }, { "content": "A needle and thread act on the organ’s parenchyma to close the defect with stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/【89】腹腔镜切除肾脏1.mp4" ] }, { "messages": [ { "content": "Once luminous pathways appear in the field, when does the team actually begin targeting the highlighted clusters?", "role": "user" }, { "content": "They begin sampling the highlighted clusters immediately after the glowing pathways and targets are visualized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "Between isolating several small blood channels and then cutting them at a single plane, which occurs first?", "role": "user" }, { "content": "Isolation of the branches occurs before their division at a single level.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/机器人中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from mobilizing the upstream curve to actually dividing the downstream end?", "role": "user" }, { "content": "When the linear cutter is introduced and fired across the distal bowel under direct view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sticking it to Cancer： Single Incision and Lap Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "What material is used to tack the cut end of the bowel to a neighboring organ, and for what purpose?", "role": "user" }, { "content": "A suture is used to tack the distal bowel end to the adjacent organ to mark its orientation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic R-Y choledochojejunostomy via retrocolo-gastric route, an uncommon approach.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from clearing tissue planes to actually securing and cutting the connections?", "role": "user" }, { "content": "Immediately after the key view is confirmed, the securing and cutting begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy, unedited, efficient.mp4" ] }, { "messages": [ { "content": "Between dividing the food reservoir and cutting the narrow channel that drains bile from the liver area, which happens first in the sequence shown?", "role": "user" }, { "content": "Dividing the stomach occurs first, followed by cutting the bile duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Dzień z życia chirurga. Operacja raka trzustki..mp4" ] }, { "messages": [ { "content": "At what exact moment does the video shift from the exploratory survey inside the abdomen to active reinforcement using nearby fatty apron tissue?", "role": "user" }, { "content": "The transition occurs when they start bringing in the nearby fatty apron to cover the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/PER-ORAL ENDOSCOPIC MYOTOMY FOR REFRACTORY DYSPHAGIA AFTER HELLER MYOTOMY.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal leak first become visibly apparent?", "role": "user" }, { "content": "During the initial x-ray test injection into the proximal small bowel, fluid is seen escaping outside the lumen into a contained space connected to the surgical drain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy with suturing and closure of pylorus.mp4" ] }, { "messages": [ { "content": "After a tubular platform is docked and gas flow is connected, when does the circular dissection around the target structure actually begin?", "role": "user" }, { "content": "It starts immediately after the plane is identified following connection of the device, when the team begins circumferential dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME with Retroileal-Colorectal Anastomosis： Combining Old & New Techniques.mp4" ] }, { "messages": [ { "content": "During the right-sided work, when and where does unexpected oozing first become visibly apparent?", "role": "user" }, { "content": "As the right lateral connective tissue is being separated, small bleeders from tiny vessels begin to ooze.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/手術視頻轉播｜羅寧教授＆劉潔教授－腹腔鏡下子宮動脈阻斷＋子宮肌瘤切除術.mp4" ] }, { "messages": [ { "content": "Between highlighting a right-sided arterial branch and bringing up a loop of bowel to be used for the reconstruction, which occurs first?", "role": "user" }, { "content": "The arterial branch is shown first, then the bowel loop is prepared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/TWO-STAGE LAPAROSCOPIC APPROACH FOR A BILE DUCT INJURY WITH A TWO-WEEK BILIARY PERITONITIS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the main resection phase to removing the small organ tucked beneath the liver?", "role": "user" }, { "content": "Right after the specimen is resected, the sequence shifts to gallbladder removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Uncinate Dissection, Step 3 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "At the end, what hardware is applied to the central bone to hold it closed, and what action does it perform?", "role": "user" }, { "content": "Stainless steel wires are applied to the sternum to secure it closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/British Heart Foundation - Your guide to Coronary Bypass Surgery, heart disease treatment.mp4" ] }, { "messages": [ { "content": "When and where does the abnormality first become visibly apparent as brisk venous bleeding?", "role": "user" }, { "content": "It first appears during the live dissection at the posterior large venous structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left hemi hepatectomy and left lateral sectionectomy.mp4" ] }, { "messages": [ { "content": "Once the pressure gauge steadies at the target level, when does the team begin the initial entry with the larger access tube?", "role": "user" }, { "content": "Immediately after the gauge reaches the target, they remove the initial needle and enlarge the incision to place the first access tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hernia Repair Large Sac TAPP Repair.mp4" ] }, { "messages": [ { "content": "During the end sequence, does any unexpected issue become visible, and if so, when and where?", "role": "user" }, { "content": "No—nothing unexpected becomes visible; the final field appears dry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy explained.mp4" ] }, { "messages": [ { "content": "Between the branch feeding the back portion of the right side and the one feeding the front portion, which one is clipped and cut first in the sequence shown?", "role": "user" }, { "content": "The branch to the back portion is clipped and cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic right portal vein ligation⧸Robotic right trisegmentectomy with caudate lobectomy + RYHJ.mp4" ] }, { "messages": [ { "content": "After completing the join, at what point does the new junction slip back inside—before or after the temporary holders come off?", "role": "user" }, { "content": "It slips back inside after the temporary holding stitches are removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Emergency Altemeier Procedure for Incarcerated Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "At what precise point does the workflow change from locating openings to evaluating the surrounding muscle ring?", "role": "user" }, { "content": "It switches when the guide is left in place through the openings and assessment of the muscle ring begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/ADJOINING ANAL FISTULAS 邻近肛瘘 FÍSTULAS ANALES CONTIGUAS.mp4" ] }, { "messages": [ { "content": "When and where does the first clearly abnormal visual finding appear—does the encircling tie on the central channel show up first, and at what point is it initially seen?", "role": "user" }, { "content": "The first obvious abnormality is the encircling tie on the main channel, first seen during the initial focused exploration of that region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Repair of Common bile duct (CBD) injury.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish the midline opening of the chest?", "role": "user" }, { "content": "A powered cutting device divides the breastbone, creating the midline opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Coronary Artery Bypass with Sevak Darbinian, MD.mp4" ] }, { "messages": [ { "content": "When and where does any unexpected red fluid spurt first become visibly apparent?", "role": "user" }, { "content": "It never appears; even during division of large pulsatile structures, none is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Open Colectomy Surgery - THUNDERBEAT - Olympus Surgical - Dr. Steven Cohen.mp4" ] }, { "messages": [ { "content": "After the lower margin is superficially scored, when does the actual transection of that segment begin?", "role": "user" }, { "content": "Immediately after marking, as the energy device starts dividing the surrounding tissue and then the bowel wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic sigmoid colectomy with transanal extraction.mp4" ] }, { "messages": [ { "content": "After the first offshoot alongside the main channel comes into view, at what moment do the cut-and-seal maneuvers begin?", "role": "user" }, { "content": "Division begins immediately after the first offshoot is fully cleared and clipped.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy (sigmoid colectomy ⧸ sigmoid colon resection) For Diverticular Disease.mp4" ] }, { "messages": [ { "content": "At exactly what point does the clip switch from freeing the tubular segment to narrowing the gap with stitches?", "role": "user" }, { "content": "The transition occurs when the mobilization concludes and the team begins closing the opening with stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Nissen Fundoplication with Hiatal Hernia Repair - Animation & Actual Surgical Footage.mp4" ] }, { "messages": [ { "content": "Which occurs first: division of the small branch running cranially from the outflow channel, or identification of the deeper posterior conduit?", "role": "user" }, { "content": "Division of the suprarenal vein occurs before identification of the left renal artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robot assisted radical Nephrectomy for RCC with thrombus in the renal vein reaching up to IVC.mp4" ] }, { "messages": [ { "content": "After a second band is positioned above the first, when does tightening commence and from which side is it closed initially?", "role": "user" }, { "content": "Tightening starts immediately after placement, beginning with a posterior closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/PM3 Chapter 50： Subtotal Hysterectomy： Classic Intrafascial Supracervical Hysterectomy (CISH....mp4" ] }, { "messages": [ { "content": "Which material is used on the paired edges to build the back seam, and how are the bites applied?", "role": "user" }, { "content": "A fine absorbable suture takes full-thickness, interrupted bites through both edges to construct the back seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Duodeno-duodenostomy Diamond Anastomsis for Duodenal Atresia. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "Which illuminated guide is used to highlight which tubular channel to steer the separation, and for what purpose?", "role": "user" }, { "content": "An illuminated catheter highlights the urethral channel to guide dissection and prevent injury.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Fluorescence urethral navigation for transperineal minimally invasive abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "Between clearing the outer lining along the sides of the gland and securing the thick vessel band at its front, which one happens earlier in this clip?", "role": "user" }, { "content": "Clearing the outer lining on the sides occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/prostatectomy/叶定伟：腹腔镜下前列腺根治性切除术（含讲解）.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from careful sidewall tube handling to deeper work in the basin?", "role": "user" }, { "content": "Right after the sidewall tube is mobilized, the transition occurs when dissection into the basin begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Muellheim Technique for the Laparoscopic Sigma Resection.mp4" ] }, { "messages": [ { "content": "During the initial dissection around the canal, which happens first: entering the surrounding fatty layer or recognizing the thin divider between the canal and the neighboring organ?", "role": "user" }, { "content": "Entering the surrounding fatty layer happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier’s Procedure for Full-Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which powered device acts on the soft organ tissue to separate it along vascular planes during the cut?", "role": "user" }, { "content": "A cavitron ultrasonic aspirator is applied to the organ parenchyma to dissect it along vascular planes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hepatocellular Carcinoma： role of Hepatectomy versus Liver Transplantation.mp4" ] }, { "messages": [ { "content": "When does the video move from dividing the small connections to peeling the organ sac off its bed?", "role": "user" }, { "content": "Immediately after the two connections are cut, detachment from the bed begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Abendvisite - Wie läuft eine Operation an der Galle ab？.mp4" ] }, { "messages": [ { "content": "Between tethering the upper chamber to the lower loop using a thread pulled to the outside and making the first opening in the lower loop, which happens earlier in the clip?", "role": "user" }, { "content": "Tethering with the exterior thread occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/22ndMESDA： Laparoscopic gastrojejunostomy by Dr.Poon Wongvisavavit.mp4" ] }, { "messages": [ { "content": "Given the visual cue of creating a small window in the mid-portion membrane of the large bowel, when does the vessel division actually begin?", "role": "user" }, { "content": "It starts right after the window is created, as they immediately proceed to divide the central arterial branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopy for Crohn's Colitis - Total Abdominal Colectomy： Kirk Ludwig, M.D..mp4" ] }, { "messages": [ { "content": "At what moment does the video transition from freeing the upper-left bend of the bowel to focusing on the large cystic mass near a pelvic organ?", "role": "user" }, { "content": "Immediately after the bend is freed, the team shifts to dissecting the large cyst adjacent to a pelvic organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Colorectal Resection for a Giant Colonic Diverticulum.mp4" ] }, { "messages": [ { "content": "When in the sequence do we first see that the upper digestive organ is absent from its usual area and a beating structure is seen ahead of the instruments?", "role": "user" }, { "content": "Right after initial entry, when the team is operating within the chest; the organ is absent from the abdomen and the beating structure is visible ahead.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/إصلاح فتق كبير متكررفي الحجاب الحاجز وإعادة عمل تحويل مسار مصغر بالمنظار.mp4" ] }, { "messages": [ { "content": "After a suction instrument highlights a nodal landmark near a major vessel, when does the opening maneuver of the central dissection actually commence?", "role": "user" }, { "content": "It begins immediately after the landmark is highlighted, as they start opening that area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic or robot pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Between lifting the central hollow segment and starting separation along the taut band behind it, which action occurs first in the sequence?", "role": "user" }, { "content": "Elevation of the central segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/からだにやさしい直腸がん手術　切除可能ボーダーライン直腸がんに対する術前治療とロボット手術.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure transition from working with instruments inside the corner to concluding with medications in the chamber?", "role": "user" }, { "content": "Right after the surgeon states they are finished, they transition to administering intra‑chamber medications.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/手术演示：使用 Kahook Dual刀行超声乳化术并房角切开术.mp4" ] }, { "messages": [ { "content": "When and where do extensive internal scar bands first become visible on screen?", "role": "user" }, { "content": "At the very first look inside the abdomen, between the fatty apron and the small intestines.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic Salvage Abdominoperineal Resection with Robotic Groin Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "After the surgeon places a tension‑relieving anchor around the planned join, when does the actual opening of the upstream bowel begin?", "role": "user" }, { "content": "Immediately after finishing the tension‑relieving anchor, the opening starts on the upstream segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Sutured Duodenojejunostomy - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "After controlling a pinpoint ooze on a freshly divided surface, when is the final misted coating applied—before or after the gel-like material and waiting period?", "role": "user" }, { "content": "After the gel is applied and the brief waiting period, at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Intraoperative MIS Liver Complications： How to Avoid and Manage.mp4" ] }, { "messages": [ { "content": "Which tool acts on which site to perform the integrity check of the newly formed connection?", "role": "user" }, { "content": "A bendable scope is used at the new connection to perform an insufflation-based integrity test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SILS for ostomy takedowns- The platform for NOTES.mp4" ] }, { "messages": [ { "content": "At the exact moment when freeing the upper left colon is completed, when does the workflow shift into the deep pelvic dissection?", "role": "user" }, { "content": "The transition occurs immediately after the final flexure attachments are divided, when TME dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Sept 2020 Medial to Lateral Approach ｜ Laparoscopic Low Anterior Resection ｜ Diseases Colon & Rectum.mp4" ] }, { "messages": [ { "content": "Comparing the front-side needle work to the side/back needle work, which segment is addressed first in the sequence?", "role": "user" }, { "content": "The front side is addressed first, followed by the sides and back.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme’s Procedure for Complete Rectal Prolapse - key points for the surgery.mp4" ] }, { "messages": [ { "content": "Which instrument manipulates the anterior layer, and on which tissue does it act to create the forward dissection plane?", "role": "user" }, { "content": "Fine forceps grasp and manipulate the anterior layer to push the front hollow structure downward, creating the forward dissection plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy Surgery - THUNDERBEAT - Olympus Surgical - Dr. Francois Blaudeau.mp4" ] }, { "messages": [ { "content": "Which instrument links the upstream bowel to the downstream stump, and how does it create the join?", "role": "user" }, { "content": "A circular stapling device couples the proximal bowel (carrying an anvil) to the distal stump and, when fired, simultaneously cores out the center and staples both edges to complete the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/42 教学录像 结直肠肛管疾病（第二节） 中山大学 外科学.mp4" ] }, { "messages": [ { "content": "Which instrument is used to seal and divide the main blood-supplying stalk to the resected segment?", "role": "user" }, { "content": "An energy-sealing device (vessel sealer) is used to divide that blood-supplying stalk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/17 Steps of a Robotic Right ⧸ Ascending Colectomy with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "After the tip of the energy device hovers above the target, at what moment does cutting truly begin?", "role": "user" }, { "content": "It starts the instant the tip visibly vibrates and the tissue blanches, at the moment of activation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy with Intracorporeal Anastomosis using the “Vijan Pop” Technique.mp4" ] }, { "messages": [ { "content": "Near the end, which action happens first: laying down a reinforcing sealant along the new edge, or placing a soft outflow line exiting the field?", "role": "user" }, { "content": "The sealant application occurs first, followed by placement of the outflow line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Sleeve Gastrectomy Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "When does it first become apparent that the gland tissue requires an extra pass of the stapler, and at which portion is this seen?", "role": "user" }, { "content": "It becomes apparent during stapling that a second firing is needed, and this is at the body of the gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Total Gastrectomy, Splenectomy And Distal Pancreatectomy With Roux-en-Y Esophagojejunostomy.mp4" ] }, { "messages": [ { "content": "Which curved energy tip is used to gently pry and lift adherent layers off the nearby large organ, and what maneuver does it perform?", "role": "user" }, { "content": "A curved cautery tip applies gentle push-up retraction to peel adherent tissue off the large organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy - 65 Year Old Morbidly Obese Alcoholic.mp4" ] }, { "messages": [ { "content": "Given the visible cue of toggling into the imaging mode that highlights normal tissue, when does the cutting actually proceed?", "role": "user" }, { "content": "Cutting proceeds once the enhanced view shows a bright margin indicating safe tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Use of Firefly for Margin Assessment in Robotic Partial Nephrectomy (Differential Fluorescence).mp4" ] }, { "messages": [ { "content": "Which instrument is used to transform the widened food reservoir into a narrow channel, and how does it act on the tissue to achieve this?", "role": "user" }, { "content": "A linear stapling device that lays two rows and divides between them, converting it into a tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Esophagus Resection.mp4" ] }, { "messages": [ { "content": "Which energy instrument is used on the posterior attachments of the first small-intestinal segment to free it, and what action is performed?", "role": "user" }, { "content": "An ultrasonic, bipolar, or vessel-sealing device acts on the posterior attachments to dissect and free the proximal small intestine, straightening it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Lap Ladd's procedure.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish the initial entry, and what action does it perform?", "role": "user" }, { "content": "A sharp cannula pierces the wall of the fluid conduit under cross‑sectional imaging to create an access point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Creation of Biliary Bypass - EUS guided biliary access.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide thin bands near the organ, and what are those bands being peeled off from?", "role": "user" }, { "content": "An energized cutting tip divides the flimsy bands, peeling them off the organ’s wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Клинический Случай. Лапароскопическая холецистэктомия с нюансами..mp4" ] }, { "messages": [ { "content": "What disposable material is used on the multi‑fire device to accomplish contamination prevention at the entry port?", "role": "user" }, { "content": "Temporary gauze cleans the device to prevent port contamination.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EIGHT TYPES OF LAP INTRACORPOREAL ANASTOMOSES DURING SUPRAPUBIC SINGLE-INCISION RIGHT HEMICOLECTOMY.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from the intra-abdominal work to the posterior external stage?", "role": "user" }, { "content": "Right after desufflation, closure, and stoma creation, when the patient is turned prone to begin the next stage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video demonstrates our technique of combining multiple surgical .mp4" ] }, { "messages": [ { "content": "Given the device is positioned closed across the narrow channel, at what moment is the trigger pulled to complete the seal?", "role": "user" }, { "content": "It is triggered after the assistant’s camera check confirms complete exclusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/16.156URO Exclusion Technique While Performing Robotic Partial Cystectomy for Urothelium Carci.....mp4" ] }, { "messages": [ { "content": "After a thin wire is seen coiling freely inside the target cavity, when does the energy-delivering catheter actually begin its advance?", "role": "user" }, { "content": "It begins immediately after the wire is seen coiling within the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/EUS-guided gallbladder drainage in a patient with Billroth II reconstruction.mp4" ] }, { "messages": [ { "content": "Between clearing fibrous bands around the upper stomach region and beginning dissection along its outer curve, which action occurs first in the clip?", "role": "user" }, { "content": "Clearing the fibrous adhesions occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/REVISIONAL RYGB： REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA.mp4" ] }, { "messages": [ { "content": "At what moment does the construction move from completing the back seam to folding the structure into a rounded shape?", "role": "user" }, { "content": "Immediately after completing the posterior seam, the fold into a rounded shape begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/RARC With Intracorporeal Urinary Diversion Dr. N. Peter Wiklund.mp4" ] }, { "messages": [ { "content": "Between compressing the target segment to expel its contents and delivering energy to transform the tissue, which step occurs first?", "role": "user" }, { "content": "Compression to expel contents happens first, followed by energy delivery that dehydrates and fuses the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 1.mp4" ] }, { "messages": [ { "content": "Which tool in the operator’s right hand works with the left-hand device to separate the underlayer, and what action does it perform?", "role": "user" }, { "content": "A right-hand monopolar energy instrument performs careful cautery/dissection to separate and maintain the underlayer plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Umbilical Hernia Repair # Dr. Samrat Jankar & Dr Satish Pattanshetti # Jupiter Hospital Pune.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from securing the base connections to peeling the target free from its bed?", "role": "user" }, { "content": "Right after the base channel is cut, the team transitions to peeling the organ off its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/実際の手術写真をお見せします。胆石症の治療【医師解説】2022年最新版.mp4" ] }, { "messages": [ { "content": "Which device acts on the thin inner lining of the cavity, and what does it accomplish?", "role": "user" }, { "content": "An energy-based surgical instrument is used on the inner lining to incise and open it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Left Transverse Colon Carcinoma in Ulcerative Colitis - Laparoscopic Total Colectomy with Comple....mp4" ] }, { "messages": [ { "content": "Which tool acts on the bundled supply structures to two adjacent sectors, and what action does it perform?", "role": "user" }, { "content": "A straight, jawed vascular stapling device divides the bundled supply pedicle to the two adjacent sectors en bloc.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Left Hepatectomy for Metastatic Colon Cancer.mp4" ] }, { "messages": [ { "content": "Between the blood supply to the small sac organ and its outflow channel, which one is managed first in the sequence shown?", "role": "user" }, { "content": "The blood supply is managed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Totally Laparoscopic Right Hepatectomy by Caudate Hepatotomy Technique.mp4" ] }, { "messages": [ { "content": "When and where do tethering bands first become visibly apparent during the case?", "role": "user" }, { "content": "Right after initial access during the survey, bands are seen tethering loops to the inner wall and to the fat apron.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LAPAROSCOPIC ROBOTIC-ASSISTED CONVERSION FROM DUODENAL SWITCH TO GASTROJEJUNOSTOMY FOR SEVERE RE....mp4" ] }, { "messages": [ { "content": "Between the moment the assistant establishes taut elevation of the tissue curtain and the moment small bumps visibly shrink under energy, which occurs first?", "role": "user" }, { "content": "Taut elevation by the assistant occurs first, followed by the energy-induced shrinkage of the bumps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜保留左结肠动脉乙状结直肠癌根治术（NOSES IV 式）.mp4" ] }, { "messages": [ { "content": "Which occurs first: controlling and cutting the long blue-tinged conduit under tension near the back wall, or moving on to manage the main arterial supply from the midline?", "role": "user" }, { "content": "The tensioned conduit is clipped and divided first, then the main arterial supply is addressed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left hemicolectomy： an annotated video vignette..mp4" ] }, { "messages": [ { "content": "Which powered joining device engages the two bowel limbs through side windows, and what is achieved by its activation?", "role": "user" }, { "content": "An endoscopic stapler engages both limbs and, when fired, creates a side-to-side bowel join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic Roux-en-y hepaticojejunostomy for primary intrahepatic lithiasis after laparoscopic.mp4" ] }, { "messages": [ { "content": "Considering the sequence around revealing the retroperitoneal plane, which happens first: slicing the fibrous envelope or pushing the inner lining toward the midline?", "role": "user" }, { "content": "Slicing the fibrous envelope occurs first, then the inner lining is pushed medially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Nephrektomie - GeSRU Steps.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to achieve separation: what is used to secure a conduit before it is divided?", "role": "user" }, { "content": "Clips are applied to a vein, which is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultralow anterior resection combined with trans-anal transection and coloanal anastomosis.mp4" ] }, { "messages": [ { "content": "When and where does an unusually thick lining or false passage risk first become apparent in the clip?", "role": "user" }, { "content": "It first becomes apparent during creation of the opening on the larger organ, where the wall’s thickness can cause a false passage risk, recognized before confirming entry and seeing contents.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "After an energized tip finishes creating a small entry into the target channel, at what moment does the actual removal of the obstructing object begin?", "role": "user" }, { "content": "It begins when the extraction instrument engages and pulls the object through the newly created opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/V079 LAPAROSCOPIC LATERAL PANCREATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "After the table is angled and the view settles, when does the very first deliberate tissue separation actually begin?", "role": "user" }, { "content": "It starts right after positioning, when the dissection begins under the target vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Extended Right Hemicolectomy for Locally AdvancedSplenic Flexure Tumou.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: relocating the looped intestine toward the upper abdomen or freeing a major blood channel near the colon’s root?", "role": "user" }, { "content": "Relocating the intestine comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down-To-Up Transanal Rectal Resection With TME Assisted By Single-Incision Laparoscopy.mp4" ] }, { "messages": [ { "content": "Which is completed first: joining the cut ends or leaving tubes in the deep cavity?", "role": "user" }, { "content": "The joining of the cut ends is completed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下高位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "When do unexpected filament-like structures first become visibly apparent, and where in the hollow organ do they originate?", "role": "user" }, { "content": "They first appear early, at the dome region of the organ, seen as hair follicles arising from the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Bladder Dermoid Cyst Surgery ｜ Laparoscopic Partial Cystectomy for Bladder Dermoid Cyst.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the side support bands to divide them?", "role": "user" }, { "content": "An ultrasonic energy device (harmonic scalpel) cuts the lateral ligaments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Which happens first: spotting a thin pale tube running alongside the target organ, or seeing the thick posterior muscle band?", "role": "user" }, { "content": "The thin pale tube is seen first, before the posterior muscle band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in an adult.mp4" ] }, { "messages": [ { "content": "Which device acts on the adnexal attachments to free the specimen, and what action does it perform?", "role": "user" }, { "content": "A single sealing/dividing handpiece acts on the ligamentous attachments to separate and free the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Transvaginal Extraction of Ovary by Laparoscopic Salpingo-Oophorectomy for Optimal Patient Care.mp4" ] }, { "messages": [ { "content": "When and where does any unexpected leakage or bleeding first become visually apparent during the clip?", "role": "user" }, { "content": "No abnormality becomes apparent; the sealing is uneventful and the following plane work proceeds without visible issues.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Preservation of Inferior Mesenteric Vessels. Laparoscopic Sigmoidectomy for Cancer.mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to accomplish closure around the opening at the diaphragm behind the tube?", "role": "user" }, { "content": "Sutures are placed into the posterior diaphragmatic pillars to repair the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophagomyotomy.mp4" ] }, { "messages": [ { "content": "Which instrument with a straight, elongated cartridge acts on the lower intestinal segment to achieve separation during the clip?", "role": "user" }, { "content": "A straight-line stapling/cutting device is fired to transect the distal bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/机器人中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Once multiple anchors have been placed along the front of the channel, when is the upward tension test actually performed?", "role": "user" }, { "content": "It begins immediately after those multiple front stitches are in place, with simultaneous support from below.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How I do it - Anteriore Mesh Rektopexie - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Between lifting the primary instrument to provide traction and the team deciding to add another layer of packing, which occurs earlier in the clip?", "role": "user" }, { "content": "Lifting the primary instrument occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Modified Kugel Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which tool acts on which surface to fasten a lattice-like implant, and what is the action performed?", "role": "user" }, { "content": "A suture needle places multiple stitches into the front surface of the lower bowel to fix the implant.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic supracervical hysterectomy & colpo-procto-sacropexy with folded titanized polypropylene mesh.mp4" ] }, { "messages": [ { "content": "Once the joined area is visually inspected and the ring test is satisfactory, when does the team add any reinforcing stitches?", "role": "user" }, { "content": "Reinforcement is added after inspecting the staple line, and only if deemed necessary.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TA-TME) ｜ Dr. Vinay Samuel Gaikwad ｜ CK Birla Hospital.mp4" ] }, { "messages": [ { "content": "After the initial wide-angle look around is underway, when does the actual repositioning of the intestinal loops out of the pelvis begin?", "role": "user" }, { "content": "Repositioning starts immediately after the exploratory look, at the next step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/21 Steps of Robotic Low Anterior Resection with Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "During the dissection around the upper mid-abdominal structures, which occurs first: gently lowering the gland or seeing the unusual course of the key supply vessel?", "role": "user" }, { "content": "Lowering the gland happens first; the atypical vessel path becomes visible afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Unexpected intraoperative findings of the gallbladder, liver & pancreas.mp4" ] }, { "messages": [ { "content": "Between safeguarding the threadlike structure near the entry site and safeguarding it near the vessel’s origin, which is performed first?", "role": "user" }, { "content": "Safeguarding near the entry site is performed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Single Incision Robotic Surgery plus One for Left-sided Colon Cancer.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected rhythmic movement in a blood channel first show up, causing the team to avoid using that spot?", "role": "user" }, { "content": "It appears just under a planned anchoring point during implant placement, prompting immediate avoidance of that spot.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic-assisted Repair of Perineal Hernia (Bioresorbable Mesh) after Lap Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "Which soft layer is deliberately kept intact so that later stitches can secure the support patch to the back and sides of the organ?", "role": "user" }, { "content": "The pararectal fat is preserved to anchor the mesh posteriorly and laterally.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Repair For Rectal Prolapse with Intussusception.mp4" ] }, { "messages": [ { "content": "Which tool is applied to a rightward branch to steady it for a safer cut?", "role": "user" }, { "content": "A thread loop (ligature) is applied to the rightward branch to stabilize it for division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap-CME right hemicolectomy step-by-step using critical view concept.mp4" ] }, { "messages": [ { "content": "When does the workflow shift from constructing the internal reservoir to anchoring it to the body wall?", "role": "user" }, { "content": "Right after leak and continence testing, when they start fixing the pouch to the abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Continent Ileostomy Formation- How To Make a ＂Kock's Pouch＂.mp4" ] }, { "messages": [ { "content": "While forming the join between two intestinal loops, which surface is addressed first: the surface away from the camera or the one facing the camera?", "role": "user" }, { "content": "The surface away from the camera is joined first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass in a Patient with Situs Inversus.mp4" ] }, { "messages": [ { "content": "When does the clip shift from careful planning to initiating the blind step of bringing the segment out?", "role": "user" }, { "content": "Right after team confirmation, when they proceed to the creation step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Laparoscopic Loop Ileostomy Creation Step by Step.mp4" ] }, { "messages": [ { "content": "During closure of the access opening made to join the two bowel limbs, what material acts on the opening to achieve closure?", "role": "user" }, { "content": "A 3-0 V-Loc suture is used to close the enterotomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Single incision plus one port laparoscopic left hemicolectomy with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Which instrument is used to detach the stuck loop of bowel from the pear-shaped sac, and how is that separation performed?", "role": "user" }, { "content": "Fine scissors are used to sharply separate the adherent bowel loop from the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt).mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from moving structures for exposure to actually cutting them?", "role": "user" }, { "content": "It shifts once the tissues have been repositioned and the instruments begin cutting and dissecting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy Surgery.mp4" ] }, { "messages": [ { "content": "At what moment do they shift from placing individual ties at the two ends of the seam to running a continuous pass along the join?", "role": "user" }, { "content": "Immediately after securing single ties at the lower and upper ends, they proceed with a continuous run along the seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing tissues to the patch-placement phase?", "role": "user" }, { "content": "The transition occurs when the surgeon says the hard part is done and begins the reconstruction, immediately followed by fitting the pre-marked patch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Right Inguinal Hernia by Jonathan Carter, MD ｜ Full Case.mp4" ] }, { "messages": [ { "content": "What tool acts on which tissues to create the final join between the two bowel ends?", "role": "user" }, { "content": "A circular stapler is used to join the colon to the rectum, creating the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopy Sigmoid Colectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "When does the risk of a sudden heavy red surge become a concern, and in what region is it highlighted before control is demonstrated under endoscopic conditions?", "role": "user" }, { "content": "The concern is highlighted near the major outflow region; control is then shown under the endoscopic approach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/国際医療福祉大学病院 オンライン市民公開講座　「消化器外科のトピックス」～諦めていた病気が治る時代を迎える～⑥腹腔鏡下肝切除について(14分34秒).mp4" ] }, { "messages": [ { "content": "At what moment does the scene transition from tentative central work to a committed perforation step?", "role": "user" }, { "content": "At the moment the surgeon issues the transition cue—“Then I’m going to make a hole in the middle.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/膀胱下垂，怎麼辦？ cystocele repair.mp4" ] }, { "messages": [ { "content": "After bringing the intestinal limb up toward the newly fashioned chamber, when does the connection to that chamber actually start?", "role": "user" }, { "content": "It starts when the posterior layer of the connection is begun with a running suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted conversion from gastric band to Roux en Y gastric bypass.mp4" ] }, { "messages": [ { "content": "Given that openings are created on both sides of the new chamber-to-chamber connection, at what point does the front-wall stitching commence?", "role": "user" }, { "content": "It begins once the two posterior running sutures are carried forward to the front side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic conversion of RYGB to BPD⧸DS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from creating the tunnel to actually delivering the implant into it?", "role": "user" }, { "content": "The transition occurs when the shaped implant is drawn into the newly created space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Transverse Perineal Suppor by dr Adolfo Renzi.mp4" ] }, { "messages": [ { "content": "After a syringe needle is seen delivering fluid into the interface, at what moment does the plane between tissues actually start opening?", "role": "user" }, { "content": "Right after the fluid is injected, when a bulging bleb appears and the separation plane begins to open.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Uterine Fibroid.mp4" ] }, { "messages": [ { "content": "Which tool acts on the narrow channel from the bile sac to create a small opening?", "role": "user" }, { "content": "Precision shears act on the channel to make a small partial opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Hybrid Transgastric Rendezvous Technique for Common Bile Duct Stones After Gastric Bypass.mp4" ] }, { "messages": [ { "content": "After the assistant tents up the initial tether near the lower-right bowel, when does the cutting actually begin?", "role": "user" }, { "content": "Immediately after the tenting, the surgeon initiates a sharp incision below it to enter the correct plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Learning Laparoscopic Right Hemicolectomy Part 1： Introduction, Approaches and Mobilization.mp4" ] }, { "messages": [ { "content": "Once the basin in the deep field is filled with clear fluid, at what moment does the air‑injection test actually begin?", "role": "user" }, { "content": "Immediately after the fluid fill, air is injected to perform the leak test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection - English.mp4" ] }, { "messages": [ { "content": "Given the visual cue of sustained lift that exposes a shiny natural plane, when does the actual midline-to-side separation begin?", "role": "user" }, { "content": "It starts immediately after traction exposes the glistening plane, when the mesocolic plane is entered and dissection proceeds.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robo-gut： Robotic Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "What handheld device lifts the organ’s narrow end to improve exposure, and what downstream setup does that enable?", "role": "user" }, { "content": "A locking alligator grasper lifts the organ’s narrow end, enabling placement of the subsequent ports.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/SAGES Top 21 Videos： Cholecystectomy.mp4" ] }, { "messages": [ { "content": "After multiple stitches are parked on clamps, when does the actual tightening phase start?", "role": "user" }, { "content": "It starts after the tagging stage, when the stitches are tied and the muscle folds.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How to treat rectal prolapse in a male patient？ Delorme’s Procedure with Levatorplasty.mp4" ] }, { "messages": [ { "content": "Between showing the left‑sided thin tubular structure and the right‑sided one during the deep dissection, which is seen first?", "role": "user" }, { "content": "The left-sided structure is shown first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision -- Mayo Clinic.mp4" ] }, { "messages": [ { "content": "Which instrument connects the two bowel ends and what tissue effect confirms it has been applied correctly?", "role": "user" }, { "content": "A circular stapler creates the connection, confirmed by a complete ring of excised tissue (the donut).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME： Changing the landscape of rectal cancer.mp4" ] }, { "messages": [ { "content": "Between flushing out trapped air from the conduit and tying the knot at that junction, which occurs first?", "role": "user" }, { "content": "De-airing happens first, followed by knot-tying.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/卫生部医学视听教材—心胸外科—XW009 冠状动脉搭桥术.mp4" ] }, { "messages": [ { "content": "Which instrument is used to pierce the upstream intestinal segment to start the tract?", "role": "user" }, { "content": "A 19‑gauge EUS needle pierces the upstream segment to initiate access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/2015 October VideoGIE-Joan Gornals.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: removing the auxiliary port or returning the loop of intestine back down into the lower abdominal cavity?", "role": "user" }, { "content": "The auxiliary port is removed first, then the intestinal loop is returned to the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Prophylactic Colectomy Surgery Anastomosis Creation ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from meticulous teasing and identification to definitive sealing and division of the two key conduits?", "role": "user" }, { "content": "The transition occurs when the surgeon first divides the pulsating strand and then immediately seals and cuts the short outlet from the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Безопасная холецистэктомия-практикум..mp4" ] }, { "messages": [ { "content": "Between placing a short pre-tipped strand with tiny metal tabs on the organ surface and tightening it to compress the area, which action happens first?", "role": "user" }, { "content": "Placement comes first, then tightening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Intraoperative MIS Liver Complications： How to Avoid and Manage.mp4" ] }, { "messages": [ { "content": "An on-screen pointer highlights branching pathways; relative to that cue, when does cutting actually begin?", "role": "user" }, { "content": "Cutting starts after the highlighted branches, once clips are placed and the distal end is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Type IV Choledochal Cyst Excision With Roux en Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "After one arm elevates the tube toward the ceiling, when does the cut along its undersurface proceed?", "role": "user" }, { "content": "Once elevated, the undersurface transection proceeds immediately beneath the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Stercoral Peforation： Minimally Invasive Colorectal Surgery in the Emergent Setting.mp4" ] }, { "messages": [ { "content": "When and where does diffuse watery swelling first become visibly apparent during the dissection?", "role": "user" }, { "content": "Mid-dissection around the central organ, where diffuse watery swelling is noted and tissue appears fibrotic.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Stöckle⧸Ohlmann： Radikale Cystoprostatovesiculektomie mit Anlage einer Ileum-Neoblase.mp4" ] }, { "messages": [ { "content": "During the pelvic multi-organ repair, which comes first: attending to the wall of the fluid-holding organ or cutting the bridge between the two tubular structures?", "role": "user" }, { "content": "They address the wall of the fluid-holding organ first, then cut the bridge between the tubular structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Approach Fistulous Disease, Abscess, and Strictures： Petachia Reissman, M.D..mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene switch from clearing tissue around a nearby artery to exploring a small canal within the gland?", "role": "user" }, { "content": "The transition occurs when the probe is introduced into the gland’s duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/How I Do It Video Series： Pylorus-preserving Pancreatoduodenectomy Germany.mp4" ] }, { "messages": [ { "content": "After the two loops are aligned and the long‑jawed instrument is closed across their edges, at what moment does the actual joining cut take place?", "role": "user" }, { "content": "Right after a deliberate 10‑second pause with the device closed, they fire to create the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Right colectomy.mp4" ] }, { "messages": [ { "content": "In this sequence, once two glinting fasteners are visibly placed on the small tube-like structures, at what point does cutting actually begin?", "role": "user" }, { "content": "Right after both structures are securely fastened, cutting starts millimeter by millimeter.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Abendvisite - Wie läuft eine Operation an der Galle ab？.mp4" ] }, { "messages": [ { "content": "When and where does diffuse surface oozing first become visibly apparent, prompting a change in the method of hemostasis?", "role": "user" }, { "content": "After the major divisions are completed, oozing appears on the transected liver surface, leading to argon plasma coagulation for hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder.mp4" ] }, { "messages": [ { "content": "Which device is used to close the stomach opening, and what action does it perform on that tissue?", "role": "user" }, { "content": "A short stapling device closes the stomach opening by stapling it shut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Mass.mp4" ] }, { "messages": [ { "content": "Between the appearance of a thin red sheen along the fresh edge and the moment a clear coating is laid over it, which happens first?", "role": "user" }, { "content": "The oozing appears first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Minimally invasive liver resection for HCC of patients with liver damage B： A propensity score based.mp4" ] }, { "messages": [ { "content": "Which occurs first: undermining the base of the target or taking the single piece out of the cavity?", "role": "user" }, { "content": "Undermining the base happens first, and removal of the single piece occurs afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/BTESD 水刀膀胱癌剝離術.mp4" ] }, { "messages": [ { "content": "When and where does an unusual pause become visibly apparent during energy use?", "role": "user" }, { "content": "Immediately after activation at the target site, there is a brief visible delay.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy for hepatic flexure cancer： primary vascular approach..mp4" ] }, { "messages": [ { "content": "Between grasping a bifurcating pedicle to help locate a deeper vessel and sealing the branch at its origin, which comes first?", "role": "user" }, { "content": "Grasping the pedicle occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/An approach for vessel's management in laparoscopic right colectomy with CME.mp4" ] }, { "messages": [ { "content": "When the operator lifts two needle-driving forceps at once, at what moment does the knot-tying actually begin?", "role": "user" }, { "content": "It begins immediately after the surgeon takes both needle drivers to secure the thread with an intra-abdominal knot.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/DynaMesh®-PRS - OR Video (short)： Lap. Cervicosacropexy for the Treatment of Descensus Uteri.mp4" ] }, { "messages": [ { "content": "Between sliding a flexible pouch into view and beginning to pull out small segments through a side opening, which action occurs first?", "role": "user" }, { "content": "The pouch placement occurs first, followed by the piece-by-piece removal through the small opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Life after Removing a Large Fibroid.mp4" ] }, { "messages": [ { "content": "Which occurs first: lifting the curtain between the stomach and the mid-bowel to reveal the deeper cavity, or sealing the prominent right-side vessel along that midsection?", "role": "user" }, { "content": "Opening the deeper cavity occurs first, followed by sealing the prominent right-side vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Port placement strategies and management of the robotic system during colo⧸proctectomy for cancer.mp4" ] }, { "messages": [ { "content": "Early in the case, while releasing the curved loop that hugs the large bowel, which instrument works on which tissue to achieve the separation, and what energy choice is made?", "role": "user" }, { "content": "Fine cutters and blunt tips separate the loop from the mesenteric sheet, and thermal energy is intentionally avoided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A Stepwise Approach to Laparoscopic Right Hemi-Colectomy with D2 Excision.mp4" ] }, { "messages": [ { "content": "Using the moment when the lumen glows from within as the visual cue, when does the internal integrity check actually begin?", "role": "user" }, { "content": "It starts as soon as the intraluminal light appears, right after finishing the myotomy and mucosal inspection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy.mov.mp4" ] }, { "messages": [ { "content": "When and where does the unexpected protrusion of non-target tissue become visible in the operative field?", "role": "user" }, { "content": "It first appears at the front of the field when coils of intestine protrude into view as the thin anterior membrane is approached.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier treatment for rectal prolapse.mp4" ] }, { "messages": [ { "content": "After the targeted bony tip is extracted, when and where does the first unexpected oozing become apparent?", "role": "user" }, { "content": "Right after the bone tip is removed, oozing appears in the space it occupied (the clinoidal space).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Extradural clinoidectomy for resection of clinoidal meningioma.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected side channel off the main venous trunk first become visibly apparent?", "role": "user" }, { "content": "While dissecting the hilum next to the vena cava, a branch of the renal vein is first seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between securing stitches along the back side of a gland and making an opening in the attached hollow loop, which happens first?", "role": "user" }, { "content": "The back-side suturing occurs first, followed by opening the loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus-preserving Pancreatoduodenectomy ｜ Full Length Surgery (Pancreatectomy).mp4" ] }, { "messages": [ { "content": "After the team measures out a segment along the bowel, when does construction of the new connection actually begin?", "role": "user" }, { "content": "Right after completing the measurement, they start the stapled connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of post MGB⧸OAGB Bile reflux to RYGB.mp4" ] }, { "messages": [ { "content": "Between dividing a small branch to the front-upper region and addressing the larger feeder to that same region, which comes first?", "role": "user" }, { "content": "The small branch is divided first, followed by division of the larger feeder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/LAPAROSCOPIC EXTENDED LEFT HEPATECTOMY AFTER CONVERSION THERAPY FOR COLORECTAL CANCER LIVER METASTAS.mp4" ] }, { "messages": [ { "content": "When and where does a visible abnormality first appear as the thread unexpectedly snaps?", "role": "user" }, { "content": "It first appears during continued pulling while sewing, at the previously frayed segment where the line snaps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/✅ Laparoscopic Myomectomy operation.mp4" ] }, { "messages": [ { "content": "Which comes first: checking the new connection for leakage or joining the two downstream bowel loops together?", "role": "user" }, { "content": "The leak check is performed before the two downstream loops are joined.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer： Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "Which comes first: establishing a safety buffer around a target or making the initial surface incision?", "role": "user" }, { "content": "They establish the safety buffer first, then make the initial cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/大腸がん肝転移に対する手術治療　齋浦 明夫.mp4" ] }, { "messages": [ { "content": "At what moment does the footage move from one example to another featuring a larger protrusion being pared down?", "role": "user" }, { "content": "When the narrator says it’s another example, followed by the scene of a larger bulge being shaved.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy or Hysteroscopic Resection of Submucous Fibroid.mp4" ] }, { "messages": [ { "content": "Once a white gauze is placed and the pressure is lowered, at what point is the field judged dry?", "role": "user" }, { "content": "When the white gauze stays white at low pressure, indicating no bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Hand Assisted Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between freeing the lining on the right side and working on the front surface, which one happens first in this sequence?", "role": "user" }, { "content": "The right-sided release occurs first, then the anterior/front surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectopexia laparoscópica con malla para tratamiento del prolapso rectal.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene switch from tissue removal to rebuilding connections?", "role": "user" }, { "content": "It shifts when suturing begins to reconnect the gland to the intestinal loop right after the specimen is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Experience the Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which instrument is used to join the two bowel limbs side-by-side after openings are created?", "role": "user" }, { "content": "A stapler acts on the colon and small intestine to create a side-by-side anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Dr. Joseph R. Karam - Robotic Right Hemicolectomy for cancer.mp4" ] }, { "messages": [ { "content": "Between extending the cut along the side fold to reach the front surface of the hollow organ and beginning the stitch series that binds a flexible strip to that surface, which occurs first in the clip?", "role": "user" }, { "content": "Extending the side cut to reach the front surface happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectum- ventral Mesh Rectopexy for rectal prolapse.mp4" ] }, { "messages": [ { "content": "Given the cue of a slender structure being pulled out through the navel opening, when does the outside-the-body removal actually proceed?", "role": "user" }, { "content": "It proceeds immediately after the structure is externalized through the navel opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/16.191PED Laparoscopic Ladd's Procedure for Intestinal Malrotation in Newborns and Child....mp4" ] }, { "messages": [ { "content": "After the flexible tubing is introduced on screen, when does the actual test of flow begin during this sequence?", "role": "user" }, { "content": "It begins after the tubing is secured, at the moment the colored contrast is injected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/V083 ROBOTIC-ASSISTED PLACEMENT.mp4" ] }, { "messages": [ { "content": "In the early portion of the clip, which happens first: the attempt to inject a solution around the lesion’s cavity or the initial cut over the most protruding area?", "role": "user" }, { "content": "The fluid injection attempt occurs first, followed by the initial cut over the most protruding area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Large Degenerated Anterior Fibroid.mp4" ] }, { "messages": [ { "content": "After the team visibly secures flow control with a detour line, when does the actual division of the central vessel begin?", "role": "user" }, { "content": "Division starts only after the detour is running, during that protected interval.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/パープルリボンキャラバン2011ｉｎ名古屋 中尾先生2.mpg.mp4" ] }, { "messages": [ { "content": "Which happens earlier: withdrawing the outer guide or starting inflation of the device’s expandable section?", "role": "user" }, { "content": "The outer guide is withdrawn before inflation starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Digestive bleeding control with FloSeal.mp4" ] }, { "messages": [ { "content": "Given the visual cue of upward tension and the tip being presented to a rounded edge, when does the separation maneuver actually begin?", "role": "user" }, { "content": "It begins right after the upward traction and tip alignment to the rounded margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Луцевич： холецистэктомия ножницами ⧸⧸ laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "When and where does the first unexpected tethering or displacement of tissue become visibly apparent?", "role": "user" }, { "content": "Immediately upon entry, in the upper abdomen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/2164594.mp4" ] }, { "messages": [ { "content": "Between the initial balloon-based measurement and the deeper dye mark near the stomach, which is performed first?", "role": "user" }, { "content": "The balloon-based measurement is performed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/STS University 2019 - Course 10： Peroral Endoscopic Myotomy (POEM) Skills.mp4" ] }, { "messages": [ { "content": "Which tensioning device is placed around the top segment to aid exposure, and what structure does it encircle?", "role": "user" }, { "content": "A vessel loop encircles the upper neck to provide traction for exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Type I choledochal cyst, laparoscopic excision & RNY hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "When does the field move from managing inflow on the right side to showing a distinct color boundary on the organ surface?", "role": "user" }, { "content": "Right after the inflow to the right side is clamped, the demarcation line appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pure Laparascopic Right Hepatectomy ICG Immunofluorescence Imagining in Patient With HCC & Cirrhosis.mp4" ] }, { "messages": [ { "content": "Between severing the support band on the left side and the one on the right side, which action happens earlier in the clip?", "role": "user" }, { "content": "The left-side support band is severed before the right-side one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "Following completion of the high-vessel management, when is the side-to-side freeing of the bowel initiated?", "role": "user" }, { "content": "It is initiated immediately afterward, starting the side-to-side mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Single Docking Ultra Low L A R.mp4" ] }, { "messages": [ { "content": "When and where does an irregular bulge with surrounding stiffness first become clearly visible in the field?", "role": "user" }, { "content": "During the left-sided pelvic work, near the lower organ, when the mass with induration is noted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection (APR) Dr Atul MISHRA Ludhiana.mp4" ] }, { "messages": [ { "content": "Between the first lateral target and its contralateral counterpart, which one is addressed earlier?", "role": "user" }, { "content": "The first lateral side is addressed earlier, followed by the contralateral side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/TRRPCS – A New Promising Technique in Treatment of Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When does the operation transition from removing the central organ complex to clearing the sidewall filters?", "role": "user" }, { "content": "Right after the main removal is declared complete, when the clearing phase begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Female Radical Cystectomy Procedure ｜ Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from pelvic dissection to the actual division of the narrow distal passage?", "role": "user" }, { "content": "When the stapling device is fired after prolonged compression, immediately followed by the clear view of the pelvic floor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Ultra Low Anterior Resection With Coloanal Stapled Anastomosis for Low Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Which instrument is used to evaluate the integrity of the newly formed channel, and how is it employed during the check?", "role": "user" }, { "content": "A flexible endoscopic camera is inserted to the outlet and withdrawn with insufflation while irrigation is applied to check for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy： Surgical Technique.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence switch from making a longitudinal opening along the side opposite the support stalk to beginning the reconstruction of the rear layer?", "role": "user" }, { "content": "When the opening is completed and the first sutures for the rear layer are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Radical Cystectomy with Intracorporeal Neobladder Formation.mp4" ] }, { "messages": [ { "content": "After the gap between the two cut vessel ends is assessed, when does the stitching actually begin?", "role": "user" }, { "content": "Once the method is chosen based on the measured span, the first stitches start on the back wall and proceed to the front.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection： Anterior SMA first approach.mp4" ] }, { "messages": [ { "content": "At what moment does the team switch from a back approach to working at the front of the rectum?", "role": "user" }, { "content": "Once the initial dorsal dissection is completed, they transition to ventral mobilization limited to the 11–1 o’clock sector.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Nervenschonende offene tiefe anteriore Rektumresektion bei Rektumkarzinom.mp4" ] }, { "messages": [ { "content": "After the scope is moved to a higher central entry and the table tilt is reversed, when does the incision of the thin tether near the C-shaped loop actually start?", "role": "user" }, { "content": "It starts as they move laterally after midline separation, immediately following the camera shift and tilt change.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic right hemicolectomy for right colon cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from sweeping the right-sided bowel free to cutting its main blood supply?", "role": "user" }, { "content": "When the stapling device is placed across the main vessels and they are transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Intracorporeal Treatment of Crohn's Disease： Right Colectomy and Reversal of Loop Ileostomy.mp4" ] }, { "messages": [ { "content": "Given the visual cue that a clear corridor exists behind the target inflow tube, when does the jawed fastener–cutter actually get deployed?", "role": "user" }, { "content": "Right after creating posterior space by dropping the organ, the device is advanced beyond the midpoint of the inflow tube and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which powered device is used on a small branch near the midline, and what is achieved by its application?", "role": "user" }, { "content": "An energy device (Harmony) is used to divide the small branch, achieving a clean transection of that vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Pancreaticoduodenectomy and mesopancreas resection 腹腔鏡胰十二指腸切除手術.mp4" ] }, { "messages": [ { "content": "Which instrument engages which two tissues to accomplish the running posterior layer, and what is the action?", "role": "user" }, { "content": "A double‑armed suture engages the stomach wall and the intestinal wall to create a running posterior closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/How I do it - Gastro Jejunostomie handgenaeht - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Which device is used to transect the main supply vessel close to its takeoff?", "role": "user" }, { "content": "A powered vascular stapling instrument is used.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laproscopic Abdomino-Perineal-Resection for distal rectal cancer @drbishwanathironman9529.mp4" ] }, { "messages": [ { "content": "When and where does the unusual mass first become clearly visible on camera?", "role": "user" }, { "content": "During the initial camera-guided inspection along the inner curve near the upper stomach junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Mass.mp4" ] }, { "messages": [ { "content": "When and where does the unusual forward positioning of the narrow channel first become visibly apparent?", "role": "user" }, { "content": "It first becomes evident during the clearing near the organ’s neck, where the small duct is seen lying more anteriorly than usual.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy with Laparoscopic Clipping.mp4" ] }, { "messages": [ { "content": "Which occurs first: threading the opening closed with discrete needlework or custom-sizing an implant for placement?", "role": "user" }, { "content": "Threading the opening closed happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic-assisted Repair of Perineal Hernia (Bioresorbable Mesh) after Lap Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "What substance acts on the incision edges to complete the finish, and what does it do?", "role": "user" }, { "content": "A clear adhesive is applied to the skin edges to seal the incision as the final dressing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Umbilical Hernia Repair at California Hernia Specialists (4K).mp4" ] }, { "messages": [ { "content": "Between trying a powered cutter on a dense bridge and switching to hand-operated shears or a heated tip, which action happens first in this clip?", "role": "user" }, { "content": "The powered attempt happens first, followed by switching to shears or a heated tip.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "Which happens earlier: sealing the main blood supply to the target section or identifying the thin tubular urinary conduit in the back plane?", "role": "user" }, { "content": "Sealing the blood supply occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Challenging Emergency Laparoscopic Right Colectomy for Completely Obstructing Caecal Carcinoma.mp4" ] }, { "messages": [ { "content": "A dotted outline is drawn on the distal bowel to indicate where to cut. When does the actual transection begin relative to this cue?", "role": "user" }, { "content": "Transection starts when the ring-shaped stapler is applied and fired after the marking and purse-string.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜低位直肠癌适形切除术.mp4" ] }, { "messages": [ { "content": "Between cinching a thread loop around the larger tube and placing a single metal fastener on the smaller vessel, which happens first in this clip?", "role": "user" }, { "content": "The thread loop cinching around the larger tube happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Unedited Laparoscopic Cholecystectomy surgery by Dr. R K. Mishra in 15 minutes.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to do what in order to both create operative space and prevent contamination at the start of the bottom-up approach?", "role": "user" }, { "content": "A circumferential stitch is placed around the distal bowel to seal it, enabling expansion of the dissection plane while preventing leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TRANSANAL TOTAL MESORECTAL EXCISION FOR RECTAL CANCER： A TRAINING PATHWAY.mp4" ] }, { "messages": [ { "content": "After the two ends are positioned for connection, when does the actual joining begin?", "role": "user" }, { "content": "The joining begins after the upstream end is secured with the anvil, when the end-to-end anastomosis is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Open left hemicolectomy for proximal sigmoid cancer.mp4" ] }, { "messages": [ { "content": "In the early left-sided portion of the operation, which comes first: severing the links between a sac-like organ and its neighbor, or lifting the target and clearing fat from its underside?", "role": "user" }, { "content": "Severing the inter-organ links happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Minimally Invasive Pancreas Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument serves as the pathway to deliver a long flexible support into the newly created channel?", "role": "user" }, { "content": "A metal laparoscopic suction tube is used as the conduit for the stent.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Робот ассистированное интракорпоральное формирование илеального кондуита - метод марионетки.mp4" ] }, { "messages": [ { "content": "At what exact moment does the case move from inside-the-abdomen dissection to constructing the connection between the two ends?", "role": "user" }, { "content": "When the circular stapler is deployed to create the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy for Chronic Complicated Diverticular Disease.mp4" ] }, { "messages": [ { "content": "Which device acts on which portion of intestine to accomplish division during this clip?", "role": "user" }, { "content": "An articulating stapler divides the terminal narrow bowel first, then the large-bowel segment near the upper mid portion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Challenging Emergency Laparoscopic Right Colectomy for Completely Obstructing Caecal Carcinoma.mp4" ] }, { "messages": [ { "content": "Which angled dissector slides between the central tube and the small adjacent tube to enable encirclement, and what action does it facilitate?", "role": "user" }, { "content": "A right‑angle clamp passes between the main pedicle and the G1C to facilitate looping around the main conduit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Dr Manjuraj K P, Pedicle Isolation in ICG guided Liver Resection, ASGKCON Trivandrum 2023.mp4" ] }, { "messages": [ { "content": "When does degenerative change first become apparent on the exposed level, and where is it located?", "role": "user" }, { "content": "It’s first noted during level identification—the body at C6 is described as very arthritic.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Spine Surgery： Anterior Cervical Corpectomy.mp4" ] }, { "messages": [ { "content": "Early in the procedure, which instrument is used to detach and seal the small conduits feeding the target area, and what is it acting on to control bleeding?", "role": "user" }, { "content": "An energy device acts on the blood-supplying attachments to separate and seal them, preventing bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Sleeve Gastrectomy Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "Between dropping a white marker cloth near the upper dissection plane and opening the fatty curtain to access a deeper space, which action happens first?", "role": "user" }, { "content": "The marker cloth is placed first, before opening the fatty curtain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EXTENDED RIGHT HEMICOLECTOMY WITH CENTRAL LIGATION OF THE MIDDLE COLIC VESSELS.mp4" ] }, { "messages": [ { "content": "When the organ is pulled toward the patient’s right to open the opposite side, at what point does the left-side work actually commence?", "role": "user" }, { "content": "It starts as soon as exposure is achieved, with division of the loose anterior membrane on the left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Single Incision Posterior Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which energy-based tool acts on the tiny blood connections between the stomach and the nearby organ, and what action does it perform?", "role": "user" }, { "content": "An ultrasonic dissector divides the small vascular bridges between the stomach and the spleen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Total Gastrectomy for remnant cancer after subtotal B II gastrectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from establishing entry points to actively working on internal structures?", "role": "user" }, { "content": "The transition occurs when the tools are passed through the newly created channels and begin cutting and dissecting inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy Surgery.mp4" ] }, { "messages": [ { "content": "Which happens first: cutting the front supporting bands and venous web, or peeling the distal channel all the way around?", "role": "user" }, { "content": "Cutting the front supporting bands and venous web happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Die extraperitonale roboterassistierte radikale Prostatektomie.mp4" ] }, { "messages": [ { "content": "Once a sheet-like implant enters the frame, when do they begin positioning it around the organ?", "role": "user" }, { "content": "They begin positioning it immediately after it is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/GERD after Sleeve Gastrectomy = Laparoscopic Management By Daniel Cottam, MD.mp4" ] }, { "messages": [ { "content": "Between dividing the more compressible tubular structure and dividing the sturdier pulsatile tube near it, which happens first?", "role": "user" }, { "content": "The more compressible tubular structure is divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Complete Mesocolic Excision Extended Right Colectomy (SMV-First Approach).mp4" ] }, { "messages": [ { "content": "At what moment does the presentation transition from highlighting benefits of a less invasive approach to emphasizing that timing and judgment outweigh the choice of technique?", "role": "user" }, { "content": "The shift occurs when he states that judgment and timing are more important than the specific technique.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Impact of Laparoscopy on Outcome for Crohn�s Disease： Andre D�hoore, M.D..mp4" ] }, { "messages": [ { "content": "Between securing the slender line emerging from the duct with a small catcher and widening the abdominal access port, which happens earlier in the clip?", "role": "user" }, { "content": "Securing the line with the basket occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SS03 Best of Video I： V012. ERCP IN A PATIENT WITH PREVIOUS ESOPHAGECTOMY AND BILLROTH II.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from active freeing of tissue to a view of an emptied cavity with nothing left behind?", "role": "user" }, { "content": "Immediately after the specimen is delivered and the circumferential dissection is completed, the view changes to the cleared, empty cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic TME.mp4" ] }, { "messages": [ { "content": "When and where in the sequence does the hidden abnormality first become evident on camera?", "role": "user" }, { "content": "Right after the first gentle pass over the suspected spot on the inner wall, it becomes visibly apparent.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Resection of Deep Sub Endometrial Fibroid FIGO stage III bordering on hybrid stage II.mp4" ] }, { "messages": [ { "content": "Which instrument is repurposed as a blunt tool to peel tissue planes during lateral dissection?", "role": "user" }, { "content": "The ligature device is used as a blunt dissector to separate lateral tissue planes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominal Resection for T4 Rectal Cancer.mp4" ] }, { "messages": [ { "content": "During removal of the pear‑shaped sac near the large upper organ, when does the obscured‑landmark issue first appear?", "role": "user" }, { "content": "It first appears during the dissection phase when the enlarged upper organ makes the critical landmarks hard to see.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Management of biliary tract disease after RYGB： Gallstones, choledocholithiasis & biliary dyskinesia.mp4" ] }, { "messages": [ { "content": "In the pelvic portion, which occurs first: sealing the slender tubular structure near the adnexa or placing the front-facing stitch on the central organ?", "role": "user" }, { "content": "Sealing the slender tubular structure occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Sigmoid Endometriosis – Laparoscopy NOSE Sigmoidectomy and Histerectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from the phase of emptying and repositioning the bowel to the phase of closing the tissue gap?", "role": "user" }, { "content": "Immediately after releasing the lifted tissue and confirming proper bowel position, suturing starts to close the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/An Unusual Complication After Revisional Laparoscopic Gastric Bypass Surgery.mp4" ] }, { "messages": [ { "content": "Between temporarily blocking the main feeder to the operative side and drawing incision guides on the organ’s surface, which action happens first?", "role": "user" }, { "content": "The temporary block of the inflow happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic liver resection. Right hepatectomy. Hepatectomia direita laparoscópica.mp4" ] }, { "messages": [ { "content": "Which device creates the deliberate opening near the rectal staple line, and on what tissue is this done?", "role": "user" }, { "content": "Electrocautery creates an enterotomy in the rectal wall near the staple line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoidectomy with end-to-side colorectal anastomosis & transanal extraction.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the upper stomach region’s connecting bands, and what action does it perform?", "role": "user" }, { "content": "An energy device divides the fibrous bands linking the upper stomach to the nearby structures, freeing them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Simplified Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "During the detachment of that pouch, at what exact moment does the video transition from securing the structures to actually dividing them?", "role": "user" }, { "content": "The transition occurs when the cutting instrument appears through the entry sleeve and begins dividing between the fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Chirurgie der kleinen Schnitte Darmoperation in Schlüssellochtechnik.mp4" ] }, { "messages": [ { "content": "Which comes first in the sequence: addressing the sidewall bundle of vessels and nerves or cutting the outflow tube?", "role": "user" }, { "content": "Addressing the vessel–nerve bundle comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Prostataentfernung mit dem DaVinci-Roboter (Prostatektomie).mp4" ] }, { "messages": [ { "content": "In the segment where a contrast overlay is used, when does the asymmetry in brightness between the organ’s right and left sides first become evident, and which side appears dimmer?", "role": "user" }, { "content": "It appears as soon as the contrast view is shown; the right side is dimmer than the left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy after Right Hemiliver Radiation Lobectomy.mp4" ] }, { "messages": [ { "content": "At the very start of the operation, which happens first: a systematic survey of the abdomen or entry into the main dissection plane?", "role": "user" }, { "content": "The systematic survey of the abdomen occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经阴道取标本的腹腔镜超低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "When does the disruption of the main bile channel first become clearly visible in the field, and where is it located relative to the liver?", "role": "user" }, { "content": "It becomes evident after meticulous dissection at the liver hilum, where the channel is seen cut across.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic Minimally Invasive Repair of Bile Duct Injury After Cholecystectomy.mp4" ] }, { "messages": [ { "content": "After the new connection is completed, when does the leak check in liquid begin—before or after the team inspects the circular tissue rings?", "role": "user" }, { "content": "After inspecting the circular tissue rings, they begin the leak test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Assisted Single Incision Laparoscopic Sigmoid Colectomy for Diverticulitis.mp4" ] }, { "messages": [ { "content": "In the live case, which happens first: mechanically fixing the inner channel or passing a tube to confirm it accepts passage?", "role": "user" }, { "content": "Mechanical fixation of the inner channel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Continent Ileostomy Formation- How To Make a ＂Kock's Pouch＂.mp4" ] }, { "messages": [ { "content": "What implement is used to close the opening after removal, and how is the seam fashioned?", "role": "user" }, { "content": "A continuous run of permanent suture is used to close the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Resection of Challenging Gastric Tumors.mp4" ] }, { "messages": [ { "content": "Which instrument uses energy to act on small vessel bridges along the upper stomach, and what action does it perform?", "role": "user" }, { "content": "An energy-sealing device divides the small vessel bridges along the upper stomach to clear the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller myotomy with giant esophageal diverticulum.mp4" ] }, { "messages": [ { "content": "During the first removal, which instrument applies counterpressure to which tissue to quell oozing?", "role": "user" }, { "content": "A handheld instrument is used to press on the kidney tissue to tamponade bleeding at the raw surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/EAU 2016 - Robotic Partial Nephrectomy Superselective clamping multiple tumors - Pr Bernhard.mp4" ] }, { "messages": [ { "content": "Between the second and the third activations of the cutting device, which one completes the specimen’s detachment?", "role": "user" }, { "content": "The third activation completes the detachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Gastric Wedge Resection of a Gastric Schwannoma.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from cutting out the lesion to rebuilding the wall?", "role": "user" }, { "content": "The shift occurs when the first running stitches are placed to close the defect, immediately after the specimen is bagged and removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC RESECTION OF GIANT SUBMUCOSAL GASTRIC TUMOR.mp4" ] }, { "messages": [ { "content": "Between inflating the abdomen and placing the main viewing port, which action occurs first?", "role": "user" }, { "content": "Inflating the abdomen happens before placing the main viewing port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopic Surgery for Subacute Small Bowel Obstruction.mp4" ] }, { "messages": [ { "content": "When does the procedure transition from the stomach–bowel connection to creating a side‑to‑side link between the two bowel loops further downstream?", "role": "user" }, { "content": "Right after identifying the incoming and outgoing loops, they begin the side‑to‑side connection between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/GastroJejunostomy.mp4" ] }, { "messages": [ { "content": "Between releasing scar-like bands tethering a solid organ to a nearby hollow organ and moving up to the upper junction area, which action occurs first?", "role": "user" }, { "content": "Releasing the tethering bands occurs first, followed by moving to the upper junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of Roux-en-Y gastric bypass for the treatment of a complex gastro-gastric fist.mp4" ] }, { "messages": [ { "content": "When does the clip transition from gesturing over anatomy to outlining post-procedure meal adjustments?", "role": "user" }, { "content": "It transitions at the point where the anatomical pointing ends and the narrator begins, “Instead of eating three meals a day, she has to eat six meals a day.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Partial Gastrectomy for Distal Gastric Cancer.mp4" ] }, { "messages": [ { "content": "At the precise moment the speaker shifts from discussing what was done earlier to describing what is being done now, what marks that transition?", "role": "user" }, { "content": "The transition is marked when the speaker says, “Today we have performed …”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Teaching in Pandemic time： Uniportal VATS course with live surgery and cadaveric lab.mp4" ] }, { "messages": [ { "content": "Which articulated device acts on the local circulation to the operative area, and what action does it perform to enable precise tissue removal?", "role": "user" }, { "content": "The articulated surgical system’s arms interrupt the local blood flow, enabling precise excision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/「腎がん手術の最新治療 RAPN」山口大学医学部附属病院泌尿器科　井上　亮　助教.mp4" ] }, { "messages": [ { "content": "Once the protective ring is seated in the small access incision, at what point do they start pulling the specimen out?", "role": "user" }, { "content": "Immediately after the protector is placed, extraction begins, with the terminal ileum brought out first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/SAGES Top 14 Part 11： Laparoscopic Right Hemi-Colectomy.mp4" ] }, { "messages": [ { "content": "After the tubular implant is shifted to expose a discolored patch, when does the removal of that implant actually start?", "role": "user" }, { "content": "Removal begins right after the implant is shifted and the discolored area is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Severe portal venous bleed during ERCP treated with EUS-guided hepaticogastrostomy.mp4" ] }, { "messages": [ { "content": "When and where does the discontinuity of the main channel first become visibly obvious in the clip?", "role": "user" }, { "content": "It becomes visibly obvious right after the puncture and cut reveal multiple isolated branches with no central continuity in the central operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic bile duct resection with hepatico jejunostomy.mp4" ] }, { "messages": [ { "content": "Which happens first: evacuation of small tissue fragments from the cavity or the drop in internal fluid pressure?", "role": "user" }, { "content": "Evacuating the fragments happens first, then the internal pressure drops.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Challenging hysteroscopic myomectomy with the resecare＊.mp4" ] }, { "messages": [ { "content": "After the specimen is turned over to display its back side, when does the formal check of the tube‑like outer sleeve begin?", "role": "user" }, { "content": "Immediately upon flipping to the back side, the quality assessment begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Analyzing APR Specimens (Part 1 YTT, @yamdoctor)： Mastering TME & Avoiding Complications #APR #ELAPE.mp4" ] }, { "messages": [ { "content": "After a special color overlay begins to cover almost the whole cavity, at what point do the team actually switch that overlay off?", "role": "user" }, { "content": "They switch it off immediately before opening the base and entering the posterior pelvic plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (4).mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the two side-by-side intestinal loops to form a longer reservoir, and what action does it perform?", "role": "user" }, { "content": "A linear stapler is applied to the aligned loops, stapling and cutting to create the reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY - HUNT LAWRENCE POUCH.mp4" ] }, { "messages": [ { "content": "Which instrument delivers thermal energy to a small tubular channel to stop flow and permit separation?", "role": "user" }, { "content": "An electrocautery tip acts on the small arterial channel to coagulate and then divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy, unedited, efficient.mp4" ] }, { "messages": [ { "content": "Which happens first: recognizing the boundary of healthy tissue to avoid cutting into it, or declaring that the abnormal mass has been removed?", "role": "user" }, { "content": "Recognizing the healthy boundary occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Witt⧸Wagner： Nierenteilresektion li..mp4" ] }, { "messages": [ { "content": "Which instrument with a padded tip is used against the thin lining behind the target to widen the working tunnel, and what does it accomplish?", "role": "user" }, { "content": "A blunt, padded-tip dissector (peanut) is used on the posterior lining to widen the window between the cystic artery and the liver surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Safe Way of Performing Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between gently compressing the sides of the protruding segment and cinching the encircling stitch around the opening, which happens first?", "role": "user" }, { "content": "Compressing the sides occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Emergency Life Saving Thiersch Surgery In Obstructed Coconut Size Rectal Prolapse by Ashwin Porwal.mp4" ] }, { "messages": [ { "content": "What tool is used to carve the internal path, and toward which target structure is it directed?", "role": "user" }, { "content": "A standard ESD knife creates the path toward the pylorus muscle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Case Presentation # Gastric Peroral Endoscopic Myotomy (GPOEM) for Gastroparesis.mp4" ] }, { "messages": [ { "content": "When does the unexpected extra spot near the target first become visible, and where is it located relative to the initially treated area?", "role": "user" }, { "content": "It first appears during the attempted through-the-skin segment, adjacent to the originally targeted left-side area and close to the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/MIS Liver Ablation and Image Guidance for CRLM.mp4" ] }, { "messages": [ { "content": "Which tool works on the connective attachments to free the narrow channel from the floor, and what action does it perform?", "role": "user" }, { "content": "A small rounded blunt dissector performs blunt separation on the connective attachments to free the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Prophylactic Prepubic Urethrectomy During Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "After the inside camera is pulled back to line up the views, when do they actually resume extending the release further downward?", "role": "user" }, { "content": "Once the pull-back shows matched inside and outside views, they proceed by extending the dissection farther down across the lower junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Esophagogastroscopy During Endosurgical Heller Myotomy.mp4" ] }, { "messages": [ { "content": "When the protective sleeve is introduced through the natural orifice as a cue, when does the specimen extraction actually begin?", "role": "user" }, { "content": "Right after the specimen is bagged within the sleeve and they start pulling it out through the natural orifice.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/保留左结肠动脉的腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which happens earlier: creating the initial access into the abdomen, or positioning the upper retractor beneath the solid organ?", "role": "user" }, { "content": "The initial access is created first, followed by placing the upper retractor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Totally Robotic Roux-en-Y Gastric Bypass (RYGB) with hand sewn Gastro-jejunostomy (GJ).mp4" ] }, { "messages": [ { "content": "When does the procedure switch from working entirely inside to pulling the specimen out of the body?", "role": "user" }, { "content": "At the moment the specimen is withdrawn through the sleeve to the outside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下高位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which sewing tool acts on which parts to perform the initial immobilizing run during the repair?", "role": "user" }, { "content": "A running 3-0 silk suture is used to sew the distal Roux limb to the end of the staple line on the biliopancreatic limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis.mp4" ] }, { "messages": [ { "content": "When and where does an abnormal looseness and looping of a bowel segment first become visibly apparent in the operative field?", "role": "user" }, { "content": "Early in the procedure, when the pelvis is first shown, the looped, redundant bowel segment is visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Resection Rectopexy for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "During reconnection after closing the external bowel opening, which tool acts on the outer border of each limb to open them?", "role": "user" }, { "content": "Robotic scissors excise the outer (anti-mesenteric) borders of both limbs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Intracorporeal Treatment of Crohn's Disease： Right Colectomy and Reversal of Loop Ileostomy.mp4" ] }, { "messages": [ { "content": "At what point does a clearly visible pile of dried solids first appear on the gauze, and what action is happening around that time?", "role": "user" }, { "content": "During the irrigation-and-suction phase, a pile of dried solids appears on the gauze.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Gastrojejunal Bypass in a patient with gastric outlet obstruction.mp4" ] }, { "messages": [ { "content": "When does active bleeding first become visibly apparent, and in which area does it occur?", "role": "user" }, { "content": "It first appears laterally on the gallbladder as a small arterial branch bleed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole, stone stuck in neck.mp4" ] }, { "messages": [ { "content": "After a gap is created behind the bulging pouch, when does the traction‑enhancing hooking maneuver begin?", "role": "user" }, { "content": "Immediately after the gap is made, they start hooking the instrument shaft to pull and separate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hernia Repair Large Sac TAPP Repair.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from trying to tease tissues apart to decisively cutting across the sac?", "role": "user" }, { "content": "The transition occurs when separation is declared unsafe and the surgeon proceeds to transect the organ above the obstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy for Mirizzi syndrome.mp4" ] }, { "messages": [ { "content": "When does a blockage to advancing a sizing rod first become obvious on screen, and in which bowel segment is it encountered?", "role": "user" }, { "content": "It first becomes apparent while trying to advance into the outgoing segment, where adhesions between the two loops prevent passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of post MGB⧸OAGB Bile reflux to RYGB.mp4" ] }, { "messages": [ { "content": "Where and at what point is a small breach in the inner lining of the swallowing tube identified?", "role": "user" }, { "content": "On the left side of the tube to the stomach, recognized during a difficult dissection in that region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Truncal vagotomy and heineke mikulicz pyloroplasty.mp4" ] }, { "messages": [ { "content": "Which maneuver acts on which hollow organ segment to open a path toward the area where the target organ’s vessels enter?", "role": "user" }, { "content": "A Kocher-type mobilization of the second part of the duodenum is performed to expose the renal hilum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Radical Nephrectomy - Renal Cancer - Operative Surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from panoramic scanning to the first targeted energy sealing on a vascular pedicle?", "role": "user" }, { "content": "The transition occurs when the right lateral pedicle is sealed with the energy device, following the survey sweep.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/An insight into： Laparoscopic total hysterectomy and bilateral salpingoophorectomy.mp4" ] }, { "messages": [ { "content": "When and where does an over-dissection become visibly apparent, with the operator noting they’ve gone a bit too far while delicate fibers remain intact?", "role": "user" }, { "content": "It’s noticed during the anterior view after the low vertical closure line is created; the plane is a bit too deep, but the fine autonomic fibers remain intact.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic rectal TME with or without Robotic Tools.mp4" ] }, { "messages": [ { "content": "When the jaws close around a pale band, at what moment does the actual separation of that band begin?", "role": "user" }, { "content": "Separation starts only after the seal is completed, when the device switches into the cutting pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectopexy Procedure with THUNDERBEAT OEJ - Olympus - Dr. Lane.mp4" ] }, { "messages": [ { "content": "Which device acts on a thin vessel near the colon to enable its separation, and what action does it accomplish?", "role": "user" }, { "content": "Vascular clips are applied to the venous branch to allow safe division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic low anterior resection with extended TME for locally advanced rectal cancer.mp4" ] }, { "messages": [ { "content": "When does the small protrusion near the stomach’s outlet first become visible in the field?", "role": "user" }, { "content": "After the stomach is opened and probed, the protrusion is worked into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Resection of Challenging Gastric Tumors.mp4" ] }, { "messages": [ { "content": "At what exact moment in the sequence does the scene shift from general right-side mobilization to focused exposure of the large outflow vessel on the right?", "role": "user" }, { "content": "The transition occurs once the posterior plane is fully freed so that only the right outflow vein remains attached and becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/How I do it - Mobilisation der Leber - Pringle Manöver - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Given the visual cue of the assistant seizing the suture tail, when does the actual cinching of the closure begin?", "role": "user" }, { "content": "It begins immediately after the assistant secures the suture tail and the surgeon pulls to bring the edges together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/إصلاح فتق كبير متكررفي الحجاب الحاجز وإعادة عمل تحويل مسار مصغر بالمنظار.mp4" ] }, { "messages": [ { "content": "During vessel control near the upper abdominal gland, which device engages the vessel and what action does it accomplish?", "role": "user" }, { "content": "A clip-applier is used to ligate the vessel with clips, and then it is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with CME and CVL for mid-transverse colon cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from working along the inner side of the target segment to working from the outer side?", "role": "user" }, { "content": "The transition occurs right after the medial dissection is completed, when they turn to the lateral approach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹腔镜左半结肠癌根治术内镜下辅助下经自然腔道取标本手术.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: starting the sewing pass from the top side with a carefully oriented piercing tip, or placing a subsequent pass after most oozing has been controlled?", "role": "user" }, { "content": "Starting from the top side with an oriented piercing tip occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Renorrhaphy Techniques during Partial Nephrectomy YouTube.mp4" ] }, { "messages": [ { "content": "After customizing the cutout and shaping the soft gasket, when does the actual stick-on step begin?", "role": "user" }, { "content": "It begins when the backing is peeled off and the base is pressed onto the skin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/How to change your Stoma Bag with the 2-Piece Pouching System？.mp4" ] }, { "messages": [ { "content": "Which occlusion component acts on the outlet to seal it for pressurization, and what target does it engage to achieve that seal?", "role": "user" }, { "content": "A plug-like port seals the distal canal, engaging the distal rectal end to enable pressurization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/New techniques for rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "When and where does an abnormal escape of gas become visible around the wound retractor during wide instrument angulation?", "role": "user" }, { "content": "During extreme instrument angulation, a small gas leak appears at the rim of the wound protector.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SILS for ostomy takedowns- The platform for NOTES.mp4" ] }, { "messages": [ { "content": "In the two-pass sealing sequence, which happens first—the short-length pass or the long-length pass?", "role": "user" }, { "content": "The short-length pass (30 mm) happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/A new intracorporeal stapled end-to-end anastomosis in laparoscopic left-colectomy for colon cancer.mp4" ] }, { "messages": [ { "content": "At what point in the operation does a suspicious intraluminal mass first become visibly apparent, and where is it located?", "role": "user" }, { "content": "Early during the initial survey, a mass appears in the transverse segment of the colon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Hybrid robotic and laparoscopic hand-assisted proctocolectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "Once two atraumatic clamps are applied to steady the cut edges, at what moment does needle-driving actually begin?", "role": "user" }, { "content": "Immediately after the clamps are placed, suturing starts with the first central pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Heineke-Mikulicz and Finney strictureplasty： management of stricturing Crohn’s disease.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the externalized tabs to hold them outside while the team gauges the proper tension?", "role": "user" }, { "content": "A clamp (artery forceps) holds the externalized tabs outside during tension assessment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Prolapse Surgery- Laparoscopic Cystocoele Repair with Mesh.mp4" ] }, { "messages": [ { "content": "Between dividing the tight intestinal segment and sealing its feeding vessels, which happens first in this clip?", "role": "user" }, { "content": "Division of the segment happens first, followed by sealing the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Lego Surgery - Crohn's Disease, Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the build phase move from closing the back seam to folding the segment into a pouch shape?", "role": "user" }, { "content": "Immediately after the posterior seam is completed, the folding begins to form the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radical Cystectomy for Bladder Cancer- Prof. Karel Decaestecker.mp4" ] }, { "messages": [ { "content": "Given the cue that the clear occlusive covering is prepared, when is it actually placed over the skin incisions?", "role": "user" }, { "content": "At the very end, immediately after the closure steps are completed, the dressing is applied over the skin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy.mp4" ] }, { "messages": [ { "content": "When and where does a dark, wet fold first appear in view?", "role": "user" }, { "content": "It first appears at the outlet during the moment of straining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/28 Prolapso Rectal Dr Miguel Tapia.mp4" ] }, { "messages": [ { "content": "After an opening is fashioned in the target loop for that organ’s outflow hookup, when does stitching actually begin?", "role": "user" }, { "content": "Right after the opening is made, suturing begins to join the structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Experience the Whipple Procedure.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from removing the growth to rebuilding the connection?", "role": "user" }, { "content": "The shift occurs right after the specimen is taken off and handed out, when suturing the two small tubes together begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Transduodenal Ampullectomy.mp4" ] }, { "messages": [ { "content": "After a loop is placed around the main pedicle on the side being removed (visible cue), when does the actual division of that inflow begin?", "role": "user" }, { "content": "It begins in the second session, after the pressure check, when the main feeder is tied and cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Associating Liver Partition and Portal Vein Ligation for Stage Hepatectomy (ALPPS).mp4" ] }, { "messages": [ { "content": "During the planned organ-conserving removal, which kind of instrument engages the organ’s surface to achieve the primary goal, and what is that goal?", "role": "user" }, { "content": "A cutting or energy-based resection tool acts on the organ’s outer surface to excise the small mass while preserving the rest of the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Off Clamp Partial Nephrectomy - Dr Celhay Olivier - Clinique Tivoli Bordeaux France.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from removing the mass to rebuilding the defect cavity?", "role": "user" }, { "content": "Immediately after bagging the specimen, when the first running suture on the cavity begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/AUA 2016 - Robotic partial nephrectomy hilar tumor - Pr Bernhard CHU BX.mp4" ] }, { "messages": [ { "content": "Which instrument applies a sealing cut to the hollow organ to separate the growth?", "role": "user" }, { "content": "A stapling device acts on the bladder, dividing and sealing it to separate the tumor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. James O. Peabody： Robotic Assisted Partial Cystectomy.mp4" ] }, { "messages": [ { "content": "When and where does tissue swelling first make the dissection more confusing in this case?", "role": "user" }, { "content": "Swelling becomes apparent during the anterior plane dissection, where edema makes the work more confusing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Ultra-low Anterior Resection for Rectal Cancer by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "When and where does limited working space first become clearly visible in the operative field?", "role": "user" }, { "content": "Midway through the dissection in the deep field around the target; it first appears before the internal expander is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/SIL Proctectomy Ileal JPouch - Mayo Clinic.mp4" ] }, { "messages": [ { "content": "Which happens first at the end: confirming the rerouted segment’s orientation or placing the suction drain?", "role": "user" }, { "content": "Orientation confirmation happens before drain placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Sleeve to RY Gastric bypass for persistent sleeve stenosis.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: securing the main inflow to the right half of the organ or elevating the posterior tongue of tissue to expose the large rear channel?", "role": "user" }, { "content": "Securing the main inflow happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for hepatoma in a Child A cirrhotic patient.mp4" ] }, { "messages": [ { "content": "Which paired instruments are used to free the tangled intestinal loops, and what outcome do they achieve?", "role": "user" }, { "content": "An energy-assisted scissor and a bipolar grasper work together to mobilize the intestinal loops by blunt and sharp dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic Repair of perineal hernia after extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "Which energy instrument is used on the natural plane behind the target organ to detach it?", "role": "user" }, { "content": "Monopolar diathermy is used to dissect avascular planes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Between lifting the growth out through the opening and placing guiding stitches at the edge, which action happens first?", "role": "user" }, { "content": "Lifting the growth out through the opening occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Single staple tissue preserving excision of intraluminal gastric.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from preparation to active intervention?", "role": "user" }, { "content": "The transition occurs right after «Сейчас обезболен достаточно», when «Все, я кресикаю кушку» is said.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Резекция кишки у собаки. Паховая грыжа.mp4" ] }, { "messages": [ { "content": "Between placing a concentric closing stitch and making a circular cut above the dentate area, which happens first?", "role": "user" }, { "content": "The closing stitch is placed first, then the circular cut is made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Laparoscopic proctectomy and J-pouch reconstruction with trans a.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from removing the mass to repairing the defect?", "role": "user" }, { "content": "It transitions right after the mass comes out, when suturing starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Intramural Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "When in the sequence is the abnormal growth first visibly obvious on the target bowel segment?", "role": "user" }, { "content": "Right after the segment is first identified early in the case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Transverse Colectomy for Mid-Transverse Colon Cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from cutting along the tube above the pinch point to extending that cut onto the downstream segment below it?", "role": "user" }, { "content": "The shift occurs when the team begins working below the tight segment to extend the cut at least 2 cm onto the distal side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/e-LHCM(ENDOSCOPIC GUIDED LAPAROSCOPIC HELLER'S CARDIOMYOTOMY WITH DOR FUNDOPLICATION).mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from tracking along the fat-lined tissue plane toward the intended endpoint to actually severing the far segment of gut?", "role": "user" }, { "content": "It shifts once they reach the segment and start skeletonizing in preparation for stapled transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "Given the visible cue that insufflation is lowered and the table is leveled, when does the careful tightening of the back-layer stitches actually begin?", "role": "user" }, { "content": "It begins once the rear-layer reconstruction starts, after the pressure and positioning adjustments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Radical Cystectomy with Intracorporeal Neobladder Formation.mp4" ] }, { "messages": [ { "content": "After sealing a small branch vessel in the pelvis, when is the forward dissection toward the front organ initiated?", "role": "user" }, { "content": "Right after the branch vessel is sealed, the anterior dissection proceeds toward and up to the front organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Lap Circumferential Extended-TME for Non-responding Low-rectal cancer postNeoadjuvant Chemoradiation.mp4" ] }, { "messages": [ { "content": "After a slender tube on the left is encircled and its reach across the midline is tested, when does the cut on that tube actually begin?", "role": "user" }, { "content": "Immediately after confirming it can reach across, it is cut distally and a margin is sent for frozen section.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Open High Anterior Resection with Subtotal Cystectomy.mp4" ] }, { "messages": [ { "content": "Once the lower drainage tube from the organ is isolated and secured, when does the actual cut on that tube occur?", "role": "user" }, { "content": "Immediately after it is double-secured, the tube is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left Nephrectomy ｜ Non functional kidney ｜ Chronic PUJ Obstruction ｜ Dr Keyur Bhatt.mp4" ] }, { "messages": [ { "content": "When and where does unexpected bleeding first become visibly apparent during the procedure?", "role": "user" }, { "content": "During the initial 1–2 cm of inner lining separation near the start site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme’s Procedure for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When and where does the first unexpected oozing become visible during the clip?", "role": "user" }, { "content": "Right after activation, at the freshly cut colonic margin, a small ooze first appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy with Intracorporeal Anastomosis using the “Vijan Pop” Technique.mp4" ] }, { "messages": [ { "content": "Which circular joining device acts on the two bowel ends, and what outcome does it achieve?", "role": "user" }, { "content": "A circular stapling device (EEA) connects the two ends to create a watertight anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Assisted Low Anterior Resection for Carcinoma of the Rectum.mp4" ] }, { "messages": [ { "content": "Which medium passively suppresses minor bleeding during the interior work, and how does it act on the tissues?", "role": "user" }, { "content": "Insufflated gas presses the tissues from within, passively tamponading and reducing minor bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/国際医療福祉大学病院 オンライン市民公開講座　「消化器外科のトピックス」～諦めていた病気が治る時代を迎える～⑥腹腔鏡下肝切除について(14分34秒).mp4" ] }, { "messages": [ { "content": "After the team establishes extra abdominal access points, when does the first needle pass through tissue to begin the fixation sequence?", "role": "user" }, { "content": "It starts right after the extra access points (including the larger left-sided port) are placed, when the two drivers begin the first suture pass for the fixation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic assisted treatment of intestinal malrotation in an adult male.mp4" ] }, { "messages": [ { "content": "Based on the team's synchronized motions before initiating the key maneuver, when does the actual maneuver begin?", "role": "user" }, { "content": "It begins right after the cadence ends, at the moment of the assertive cue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic salpingoophorectomy for a huge left ovarian cyst.mp4" ] }, { "messages": [ { "content": "Which instrument is used to separate the fatty apron’s tethering bands from the organ’s surface, and what task does it perform?", "role": "user" }, { "content": "An energy dissector divides the fatty apron’s bands to free the organ’s surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole (routine elective ).mp4" ] }, { "messages": [ { "content": "Between detaching the tubular segment just beyond the outlet valve and completing the final release of the organ’s back tethering, which happens earlier in the clip?", "role": "user" }, { "content": "Detaching the tubular segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy for Juvenile Polyposis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from intra-abdominal dissection to specimen removal and reconstruction?", "role": "user" }, { "content": "The transition occurs when the mini-laparotomy is opened for specimen removal, immediately followed by anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3 trocar technique of left colectomy： Organization & execution of the procedure.mp4" ] }, { "messages": [ { "content": "When and where does dense scarring first become visibly apparent around a key arterial branch near the stomach outlet region?", "role": "user" }, { "content": "It first appears near the gastroduodenal artery by the pyloric region during that dissection segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Total Pancreatectomy and Islet Autotransplantation (TPIAT).mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from mobilizing the segment along the left side to deep sidewall work?", "role": "user" }, { "content": "The transition occurs when the lining over the sidewall vessels is scored to start the nodal dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic assisted extralevator abdominoperineal resection with lateral lymphadenectomy.mp4" ] }, { "messages": [ { "content": "When does the suspicious target first become highlighted on-screen, and from which vantage point is it revealed?", "role": "user" }, { "content": "It first appears when the assistant identifies it from inside via cystoscopic view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Partial Cystectomy for Urachal mass.mp4" ] }, { "messages": [ { "content": "Between dividing the first small-bowel segment and measuring out the downstream limb length, which event happens first?", "role": "user" }, { "content": "Dividing the first segment occurs before measuring the downstream limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/DS Duodenal Switch with Nissen Fundoplication for Bile reflux.mp4" ] }, { "messages": [ { "content": "Which instrument engages the slender band tethering the tube, and what placement precaution is followed during detachment?", "role": "user" }, { "content": "An energy-sealing device grasps the infundibulo-ovarian ligament, placed as close to the tube as possible to protect the ovarian artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Learn Steps of Total Laparoscopic Hysterectomy in 15 Minutes with Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "Once the long staple line of the reshaped upper stomach is complete, when is liquid sealant applied along it?", "role": "user" }, { "content": "Immediately after clipping for hemostasis and before the drain is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Revision of Gastric Bypass for GERD, Hiatal Hernia, & Weight Regain： A Standardized Technique.mp4" ] }, { "messages": [ { "content": "Which is controlled first: the right-side blood inflow to the organ or the left-side one?", "role": "user" }, { "content": "The right side is controlled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/15 mn Laparoscopic Supra Cervical Hysterectomy (full movie ).mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from working around a bag-like layer to pushing the contents inward?", "role": "user" }, { "content": "Immediately after the sac is fully freed, when they begin pushing everything back inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Scrotal Hernia Repair With Colon Involvement (4K).mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from removal to reconstruction, joining the reservoir to the channel?", "role": "user" }, { "content": "When the first pass of the running stitch is placed to join the reservoir and the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/张骞-三孔法腹腔镜前列腺癌根治术-19分钟.mp4" ] }, { "messages": [ { "content": "Which instrument lifts the draping fatty layer off the bowel, and which instrument separates the thin shiny layer to enter the hidden cavity behind?", "role": "user" }, { "content": "The grasper elevates the fatty drape, and the heat-based dissector opens the shiny plane to enter the space and work around the posterior structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right colectomy： How to avoid intraoperative difficulties & complications.mp4" ] }, { "messages": [ { "content": "In the first stage, which happens earlier: division of the right‑side inflow branch at the main venous split, or closure of the large central outflow trunk emerging from the cut surface?", "role": "user" }, { "content": "The right‑side inflow branch is divided first; the central outflow trunk is closed at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/In Situ Leber-OP engl. kurz.mp4" ] }, { "messages": [ { "content": "When during the procedure does the first obvious contamination become visible, and where does it appear relative to the organ?", "role": "user" }, { "content": "Right after initial adhesiolysis, cloudy fluid appears near the organ and the adjacent right-sided cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Without Energised Dissection For Perforated Empyema Gall Bladder ....mp4" ] }, { "messages": [ { "content": "At the very start, does trimming the thin fatty apron over the bowel happen before the separation of the upper attachment between the bowel and the organ above it, or after?", "role": "user" }, { "content": "Trimming the fatty apron happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Complete Mesocolic Excision with “Top to Down-No Touch” Technique for Right Colon Cancer.mp4" ] }, { "messages": [ { "content": "Which stitch pass orientation on the two cut edges ensures the knots end up buried internally and helps turn the lining inward?", "role": "user" }, { "content": "Inside-to-out passes centered between the cut margins bury the knots and facilitate mucosal inversion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Hepatico jejunostomy post PPPD.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the very lowest segment of bowel to create the bottom-end cut, and what action does it perform?", "role": "user" }, { "content": "A cut‑and‑seal stapling device is applied to divide the lowest segment of bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Assisted Ultralow Anterior Resection with Colonic J Pouch-Anal Anastomosisis.mp4" ] }, { "messages": [ { "content": "When and where does the central abnormality first become visibly apparent within the operative field?", "role": "user" }, { "content": "After removing 2–3 cm of cortex and rescanning, the mass first appears within the depth of the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy for Completely Intra-Renal Tumor： Dr. N. Ragavan.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from placing stay stitches and shaping to tying and completing a straight end-to-end join?", "role": "user" }, { "content": "The transition occurs when the threads are tied after the shaping step, initiating lapping and converting to an end-to-end configuration.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Selective Stoma Use： Watch and Wait Policy to Defer Protective Stoma After Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "When and where is the first visible sign that the planned larger removal did not capture the abnormal growth?", "role": "user" }, { "content": "It’s first seen on the internal camera view showing the growth isn’t within the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Roux-en-Y gastric bypass with pyloroplasty & excision of duodenal mass.mp4" ] }, { "messages": [ { "content": "Given the point when the viewing sensor is stabilized on the surface of the organ, when does the actual sampling action begin?", "role": "user" }, { "content": "Right after the sensor is steady, when the thin rod is advanced into the target under live view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/MIS Liver Ablation and Image Guidance for CRLM.mp4" ] }, { "messages": [ { "content": "Which shearing instrument is used on the junction to create a notch that allows passage of a guide?", "role": "user" }, { "content": "A snipping instrument (scissors) is used to open the junction for guide insertion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic treatment of common bile duct cyst.mp4" ] }, { "messages": [ { "content": "When does an unexpected disruption become noticeable, and where would it first be visible in relation to the operative field?", "role": "user" }, { "content": "It appears after the assistant engages, noticeable in the team’s communication near the operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic partial gastrectomy with Roux-en-Y Gastrojejunostomy ｜ Gastroparesis ｜ Dr. S Vithalani.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from work around the neck region to peeling the organ off its bed?", "role": "user" }, { "content": "Right after the small tube is divided and the vessel is secured, the operation transitions to separating the organ from its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Лапароскопическая холецистэктомия.mp4" ] }, { "messages": [ { "content": "Given the visual cue of instruments turning toward the patient’s left side, when does the actual detachment of the left upper corner start?", "role": "user" }, { "content": "It starts as soon as the team turns laterally and begins freeing the attachments at the left upper corner.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Adequate Lymphadenectomy in Advanced Mid-Transverse Colon.mp4" ] }, { "messages": [ { "content": "Between freeing the apron-like fatty layer on the patient’s left side versus the right, which occurs first?", "role": "user" }, { "content": "The left side is freed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC TOTAL GASTRECTOMY, OMENTECTOMY, SPLEENECTOMY FOR GASTRIC ADENOCARCINOMA.mp4" ] }, { "messages": [ { "content": "During the side approach within the ribcage region, which occurs first: the expandable element inside the viewing device is widened to open a groove, or the energized dissector begins separating the outer fiber layer?", "role": "user" }, { "content": "The internal expander is widened first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Tailored Approach to Minimally Invasive Surgery for Achalasia.mp4" ] }, { "messages": [ { "content": "Given the on-screen marker highlighting a thin translucent inner lining, when does the team switch to a restrained approach using non-heated cutting?", "role": "user" }, { "content": "Right after the thin lining is highlighted, they begin cautious, non-heated cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/SS03 Best of Video I# V004. LAPAROSCOPIC REVISION OF ESOPHAGOMYOTOMY.mp4" ] }, { "messages": [ { "content": "Which tool acts on the tissues between the stomach, bowel, and nearby colon to eliminate the residual gap?", "role": "user" }, { "content": "Needle-and-thread closure acts on the tissue planes between the stomach, bowel, and colon to shut the gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/عملية تحويل المسار الكلاسيكي مع شرح صوتي للخطوات - الدكتور حمزة الحلواني.mp4" ] }, { "messages": [ { "content": "Which happens first: closing the outer layers over the defect or releasing the inflow restriction to restore perfusion?", "role": "user" }, { "content": "Closure occurs first; restoring flow follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic left partial nephrectomy in morbid obesity.mp4" ] }, { "messages": [ { "content": "What device is used on the target region to map out structures for planning, and what purpose does it serve?", "role": "user" }, { "content": "A sound-based imaging probe is applied to delineate the anatomy and assist in planning the next steps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy (HJ) Revision for Benign Stricture After Laparoscopic Whipple.mp4" ] }, { "messages": [ { "content": "Between dialing the gas delivery to the system’s highest setting after seating the first camera-bearing port, and introducing a working access beneath the right rib line, which occurs first?", "role": "user" }, { "content": "The escalation of gas delivery to the highest setting occurs before the third port is introduced beneath the right rib line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle.mp4" ] }, { "messages": [ { "content": "Which retriever engages the thin line exiting the opening, and what does this accomplish?", "role": "user" }, { "content": "A mini-basket grasps the line, allowing the scope and line to be removed together through the access site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SS03 Best of Video I： V012. ERCP IN A PATIENT WITH PREVIOUS ESOPHAGECTOMY AND BILLROTH II.mp4" ] }, { "messages": [ { "content": "Once concentric ring patterns become visible along the existing seam, when does the active dividing actually begin with a heat-based tip?", "role": "user" }, { "content": "It begins when the cut is initiated with the energy device immediately after those ringed fibers are identified within the seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Recurrent achalasia after myotomy： Diagnosis, workup & technique.mp4" ] }, { "messages": [ { "content": "Which tool is used to close the small internal opening made for tissue removal?", "role": "user" }, { "content": "A running suture is used to repair the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3-port laparoscopic D3 right hemicolectomy with transvaginal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "After the operator positions a handheld sensor over the tissue, at what moment does the actual scanning sequence commence?", "role": "user" }, { "content": "It starts when the device is activated and the signal is acknowledged as “right there.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Proctopexy Hemorrhoid Repair 2.mp4" ] }, { "messages": [ { "content": "At what point does the work extend above the diaphragm into the chest as the muscle splitting continues?", "role": "user" }, { "content": "When the split is advanced to about 5 cm within the chest.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy in Patient with Prior Roux En Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the video move from working around the outside of the tube to peering inside it to check how far down the end point is?", "role": "user" }, { "content": "The transition occurs when a flexible scope is introduced into the lumen to assess the distal margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME.mp4" ] }, { "messages": [ { "content": "Once the crosswise bowel is lifted and a clear window appears in the thin membrane, at what moment do they actually start advancing the loop from below into the upper field?", "role": "user" }, { "content": "Immediately after the membrane window is opened, they lift the loop through the opening into the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/卫生部医学视听教材—消化外科—XHW012 胃肠道吻合术.mp4" ] }, { "messages": [ { "content": "Given the visible cue of outside hand pressure tenting the abdominal wall inward, when does edge-fastening actually begin?", "role": "user" }, { "content": "Fastening begins once external counterpressure is applied to make the wall perpendicular to the device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Umbilical Hernia HD Video.mp4" ] }, { "messages": [ { "content": "During control of the central venous channel, does isolation begin before the control tape is applied, or after?", "role": "user" }, { "content": "Isolation begins before the loop is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Major Venous Resection During Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Once the camera light is angled downward to look upward, at what point in the peel-off does that viewing approach actually begin?", "role": "user" }, { "content": "It begins once roughly half of the organ has been separated from its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Safe Way of Performing Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from working around the hiatus area to actually cutting the upper digestive tube?", "role": "user" }, { "content": "When vascular clamps are applied to the upper tube and it is divided layer by layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/GASTRECTOMY.mp4" ] }, { "messages": [ { "content": "At what precise point does the workflow shift from aligning the two bowel segments in parallel to activating the device that creates their connection?", "role": "user" }, { "content": "The transition occurs once the device is positioned through the low central port and the side-to-side connection is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "Between exposing the lateral pelvic floor muscles and introducing the pre-shaped implant, which one happens first?", "role": "user" }, { "content": "Exposing the lateral pelvic floor muscles happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy - Dr. Roy Patankar ⧸ Zen Hospital (With Audio).mp4" ] }, { "messages": [ { "content": "After the resected piece is placed on the side table, when does the interior demonstration actually start?", "role": "user" }, { "content": "It begins when they incise the specimen open on the table immediately after removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Almanya’dan Gelen Hastanın Kuru Temiz Kolon Kanseri Ameliyatı.mp4" ] }, { "messages": [ { "content": "When and where does a visibility‑degrading artifact first become visibly apparent?", "role": "user" }, { "content": "It first appears early during circumferential dissection around the lower remnant, when energy use produces smoke that clouds the view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down To Up TaTME or Proctectomy in Reverse 18⧸02⧸2015.mp4" ] }, { "messages": [ { "content": "When does the clip move from the internal inspection phase to the stitching phase to keep the opening patent?", "role": "user" }, { "content": "Immediately after the turned-back internal view confirms the distal reach, they begin placing stitches to hold it open.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Esophageal Balloon-Assisted Laparoscopic Heller Myotomy for Achalasia.mp4" ] }, { "messages": [ { "content": "When does the sequence move from finishing the first side of the repair to commencing stitching on the opposite side?", "role": "user" }, { "content": "Right after securing the lower side, the team begins stitching the opposite side from the corner down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pyloroplasty after gastric stimulator.mp4" ] }, { "messages": [ { "content": "Between vessel-sealing along the stomach’s outer curve and removing the fat cap near the esophagogastric junction, which happens first?", "role": "user" }, { "content": "The vessel-sealing along the outer curve occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic duodenojejunal bypass with sleeve gastrectomy.mp4" ] }, { "messages": [ { "content": "Between repositioning the lifting paddle higher on the organ and the next activation of the line-forming device, which action happens first?", "role": "user" }, { "content": "The lifting paddle is repositioned first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Sleeve Gastrectomy Narrated.mp4" ] }, { "messages": [ { "content": "Between occluding the intestinal venous trunk and occluding the central liver-directed venous trunk, which happens first in this clip?", "role": "user" }, { "content": "The intestinal venous trunk is occluded first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Major Venous Resection During Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which tool is used on the small vessels along the organ’s inner curve, and what action does it perform?", "role": "user" }, { "content": "An ultrasonic energy device seals and divides small vessel branches along the inner curve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Billroth 1 The Movie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from work on the central reservoir organ to clearing tissue tracks along the sidewall vessels?", "role": "user" }, { "content": "Right after the watertight integrity check of the central organ, the team moves laterally to clear tissue along the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Core Videos (2021)： Robotic Partial Cystectomy for MIBC of the Bladder Dome.mp4" ] }, { "messages": [ { "content": "After the third metallic fastener is placed on the narrow tube, when does the actual division between fasteners begin?", "role": "user" }, { "content": "The cut is made immediately after the third fastener is placed, between the second and third fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole for Gall Stone.mp4" ] }, { "messages": [ { "content": "When does the team switch from using a top-end grasper to single-hand traction, and what event triggers that change?", "role": "user" }, { "content": "After reaching the organ’s top end, the top grasper is removed, and the procedure transitions to single-hand traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Unedited Laparoscopic Cholecystectomy surgery by Dr. R K. Mishra in 15 minutes.mp4" ] }, { "messages": [ { "content": "At what moment does the work shift from below the diaphragm to the space above it?", "role": "user" }, { "content": "The shift occurs when the team stops working around the upper stomach and proceeds upward to start the higher dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller myotomy with giant esophageal diverticulum.mp4" ] }, { "messages": [ { "content": "Which comes earlier: checking that the two intended cut ends can meet without tension, or placing small metallic markers on the outside of the bowel to mark those cut zones?", "role": "user" }, { "content": "Checking the ends for a tension-free meet comes earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Pediatric Laparoscopic Sigmoidectomy For Sigmoid Volvulus.mp4" ] }, { "messages": [ { "content": "Once a rounded bulge appears at the back wall of the canal from the packed swab, when does the cutting begin to create the internal opening?", "role": "user" }, { "content": "Immediately after the bulge appears, the device starts cutting a few centimeters below the landmark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene move from freeing the deeper loop to positioning two loops side by side for connection?", "role": "user" }, { "content": "When the adjacent intestinal loop is brought alongside the deeper loop to lie parallel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Duodeno-Jejunostomy For Superior Mesenteric Artery Syndrome.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected risk first become visually evident, such as a sharp tip encroaching on a sensitive region?", "role": "user" }, { "content": "It first appears when the sharp tip is noted half-out near the liver, prompting caution.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Beaumont First in Michigan to Perform Single-Incision Robotic Surgery to Remove Gallbladder.mp4" ] }, { "messages": [ { "content": "When and where does a tear in the thin covering first become visibly apparent in the clip?", "role": "user" }, { "content": "It first appears on the lateral side while separating the pocket.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/【有声扯淡版】腹腔镜下全腹膜外右侧疝修补术TEP.mp4" ] }, { "messages": [ { "content": "Which implement acts on which structure to accomplish the sealing of an intestinal end?", "role": "user" }, { "content": "A closing device acts on the bowel end to seal it shut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/4K荧光导航下腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "During closure of the largest access site, when is the final cinch applied relative to taking the stitching tip out of the body?", "role": "user" }, { "content": "The final cinch is tightened first, and then the stitching tip is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Intramural Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "Given the cue that reinforcement stitches on either side of the connection are complete, when does the final wash and bleed-check occur?", "role": "user" }, { "content": "After the reinforcement stitches are finished and near the end of the case, just before placing the drain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis.mp4" ] }, { "messages": [ { "content": "When does the operation transition from rebuilding the backside of the join to suspending the repair to the front supports?", "role": "user" }, { "content": "Right after the posterior wall is adapted, they switch to anterior suspension to the front supports.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Die extraperitonale roboterassistierte radikale Prostatektomie.mp4" ] }, { "messages": [ { "content": "What device is slid alongside the channel to test the snugness of the seam, and what observable action confirms appropriate tightness?", "role": "user" }, { "content": "A balloon catheter is passed and inflated; appropriate tightness is confirmed when the inflated balloon exits easily.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatus Hernia Repair with Nissen's Fundoplication- Dr. Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from separating the diseased segment to beginning the reconstruction with the circular device?", "role": "user" }, { "content": "Immediately after the proximal division frees the specimen, they start the reconstruction with the circular device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Colorectal Surgery： Application & Advantages of Robotics.mp4" ] }, { "messages": [ { "content": "Which implement is used to create the initial working pocket under the front abdominal wall, and how is it used?", "role": "user" }, { "content": "The surgeon’s index finger is used to bluntly create the pocket along the inner surface of the front abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Totally extraperitoneal (TEP) for right direct inguinal hernia.mp4" ] }, { "messages": [ { "content": "Between opening the upstream bowel end and bringing the specimen out through a natural passage, which occurs first?", "role": "user" }, { "content": "Opening the upstream end happens before the specimen is extracted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/NOSES II式.mp4" ] }, { "messages": [ { "content": "When does the clip move from probing around the midline bony ridge to clearly opening the separation plane that lifts the colon off the back wall with an air-spreading effect?", "role": "user" }, { "content": "It happens right after exposing the ridge and opening the thin layer, when air spreads the plane and the mesentery lifts off the back wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Multiport left colectomy： Anatomic highlights & danger areas--How to organize to succeed.mp4" ] }, { "messages": [ { "content": "Relative to finishing the join, when is the tension-relief stitch placed?", "role": "user" }, { "content": "It is placed immediately after completing the front side of the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Total Laparoscopic Excision of Type I Choledochal Cyst with RNY Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from surveying the intestines to closing the defect?", "role": "user" }, { "content": "The transition occurs right after testing confirms no leak and the team begins closing the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic repair of perforation at JJ anastomosis following Roux en Y bypass surgery.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the upstream segment has been occluded, when does the lower-lumen insufflation actually begin?", "role": "user" }, { "content": "It begins after the upstream occlusion is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (ta-TME) for Rectal Cancer - Dr. Karen Zaghiyan.mp4" ] }, { "messages": [ { "content": "After the multi-arm platform is positioned at the lower end of the table, when does the deep pelvic dissection visibly begin?", "role": "user" }, { "content": "It begins immediately after docking and instrument deployment, as the team initiates dissection at the posterior landmark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video demonstrates our technique of combining multiple surgical .mp4" ] }, { "messages": [ { "content": "Given the visible cue of bubbles disappearing in the sealed conduit, at what moment does the surgeon begin the division of that channel?", "role": "user" }, { "content": "Immediately after the bubbling stops.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Step by step laparoscopic subtotal hysterectomy (fully narrated technique).mp4" ] }, { "messages": [ { "content": "Which device acts on the pelvic sidewall to secure the synthetic fabric in place?", "role": "user" }, { "content": "A titanium tack applicator fastens the fabric to the sidewall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Pectopexy.mp4" ] }, { "messages": [ { "content": "Which comes first: reaching the key confirmation view or securing the conduit with knots?", "role": "user" }, { "content": "Reaching the key confirmation view comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy： Step- by- Step Surgical guide for Patients and Professionals＂.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from constructing the join to scrutinizing it?", "role": "user" }, { "content": "The transition occurs when the verification phase begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap Sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "During the sequence where a tubular channel is secured and then divided, which happens first: the placement of the final fastener or the actual cut?", "role": "user" }, { "content": "The final fastener placement occurs before the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic 3 Port Chole.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from burrowing through fat layers to showing the inner passage openly?", "role": "user" }, { "content": "The transition occurs when the clip presents the fully exposed inner passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Wide local excision (WLE) of perianal Paget’s disease (PPD) with.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from identifying the small tube leaving the organ to securing it with ties?", "role": "user" }, { "content": "The transition occurs right after the tube is clearly defined, when the first tie is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Contracted Gallbladder with Solitary Large Stone.mp4" ] }, { "messages": [ { "content": "After the internal camera is left in position as a safety cue, when does the actual tissue division begin?", "role": "user" }, { "content": "Division begins right after the camera is left in place, at the first series of stapler firings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Two Techniques For Laparoscopic Resection Of Gastric Gists.mp4" ] }, { "messages": [ { "content": "Between elevating the intestines out of the pelvis and initiating the first thin-layer cut, which occurs earlier in the sequence?", "role": "user" }, { "content": "Elevating the intestines occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first: spotting the left-sided peristaltic tube running lateral to the main trunk, or placing clips across that trunk?", "role": "user" }, { "content": "The peristaltic tube is seen first; the clipping of the main trunk occurs afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/3 Easy step Laparoscopic low anterior resection ⧸ Pelvic anatomy ⧸ Rectal cancer - Dr. Archit Pandit.mp4" ] }, { "messages": [ { "content": "Between sealing the outlet and making the full-thickness cut, which one occurs first?", "role": "user" }, { "content": "Sealing occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/New techniques for rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "Which instrument is used on which structure to secure control before it is cut?", "role": "user" }, { "content": "A clip applier places a polymer clip on the targeted vessel to secure it, and then the vessel is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/王贵玉：经自然腔道腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "When and where does the unusually elongated bowel segment first become evident on screen?", "role": "user" }, { "content": "At the beginning, when an elongated loop is lifted upward toward the top of the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy - Dr. Roy Patankar ⧸ Zen Hospital (With Audio).mp4" ] }, { "messages": [ { "content": "Given the setup for an integrity check using fluid or air after a new connection is created, when does that test actually start?", "role": "user" }, { "content": "It starts after the connection is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC TOTAL GASTRECTOMY, OMENTECTOMY, SPLEENECTOMY FOR GASTRIC ADENOCARCINOMA.mp4" ] }, { "messages": [ { "content": "When and where does gentle red oozing first become visibly apparent along the fresh seam after the wedge is taken?", "role": "user" }, { "content": "Near the end of the resection segment, at the fresh seam on the upper organ’s cut edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "Between anchoring the two structures together with a temporary holding tie and creating a small inlet in the narrow channel, which action occurs first in the clip?", "role": "user" }, { "content": "They anchor the two structures first, then create the small inlet in the narrow channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from isolating the main supply channel to actually cutting it?", "role": "user" }, { "content": "The shift occurs when the vessel is double clamped and then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for Rectal Cancer (RCSI Charter Day Video Session 2016).mp4" ] }, { "messages": [ { "content": "Which powered instrument acts on which layer of the tube to achieve separation, once a sliding plane has been created?", "role": "user" }, { "content": "The energy-sealing device divides the circular muscle layer after the submucosal plane is made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Lap Heller's cardiomyotomy with Toupet fundoplication (with narration) - Dr. Siddhartha Bhattacharya.mp4" ] }, { "messages": [ { "content": "At what precise moment does the operation move from exposing the target region to actively shutting down its inflow?", "role": "user" }, { "content": "Right after full exposure of the vessels and upper pole, at the start of arterial ligation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Technik der daVinci -- assistierten laparoskopischen Adrenalektomie.mp4" ] }, { "messages": [ { "content": "After the surgeon singles out a side vein along the omental margin to prepare the area, when does the actual division of the main trunk commence?", "role": "user" }, { "content": "It starts immediately after that side vein is isolated—right when the trunk is subsequently divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right-sided tumors ： Tips & Techniques Lymph node dissection for Left colectomy By Songphol Malakorn.mp4" ] }, { "messages": [ { "content": "After the support has been anchored to both the bony ridge and the sidewalls, when does the continuous closure of the outer lining actually begin?", "role": "user" }, { "content": "It starts immediately after the support is fully stitched and anchored.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Redo Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the process move from implant fixation to reattaching the central landmark back to the underlying layer?", "role": "user" }, { "content": "It shifts when the team begins placing the tie that pulls the central landmark back down to the deep layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia Repair at California Hernia Specialists.mp4" ] }, { "messages": [ { "content": "Which fine curved-tipped instrument is used on the intestine to create the initial openings, and what action does it perform?", "role": "user" }, { "content": "A 3-mm hook-tip cautery is used to incise and enlarge the openings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Lap Duodenal Atresia and Ladd's Procedure - Narrated - 3mm JustRight Sealer & JustRight 5mm Stapler.mp4" ] }, { "messages": [ { "content": "Given the visual cue of sealing the single access site, when does the actual cavity expansion begin?", "role": "user" }, { "content": "Expansion begins as soon as gas is injected through the sealed single access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/単孔式腹腔鏡下胆嚢摘出術についてテレビで紹介されました。.mp4" ] }, { "messages": [ { "content": "In the deep plane behind the gland, what type of tools are used on the branching vessels, and what do they accomplish?", "role": "user" }, { "content": "Energy-based sealing devices are used to take and control the branches, sealing and dividing them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Experience the Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which happens first: closing off the main vessel feeding the upper stomach region or removing the fatty apron?", "role": "user" }, { "content": "The vessel is closed first, followed by removal of the fatty apron.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Outcomes of total and subtotal laparoscopic gastrectomy with D2 lymphadenectomy....mp4" ] }, { "messages": [ { "content": "Between opening the front layer to access the inner cavity and dividing the supporting attachments for the selected segment, which occurs first?", "role": "user" }, { "content": "Opening the front layer to enter the inner cavity occurs first, then the supporting attachments are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Perineal Proctosigmoidectomy with Levatorplasty Procedure for Rectal Prolapse ｜ Didactic Video.mp4" ] }, { "messages": [ { "content": "Between freeing the fatty apron from the upper bowel and splitting the double-layered membrane just beneath a retroperitoneal organ, which action occurs first?", "role": "user" }, { "content": "Freeing the fatty apron from the upper bowel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.6. Left Hemicolectomy for Locally Advanced Sigmoid Carcinoma - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from the inside dissection to a new working space created just beneath the skin at the top of the leg?", "role": "user" }, { "content": "When the skin incision is made in the upper‑thigh crease and a subcutaneous working space with four ports is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic Salvage Abdominoperineal Resection with Robotic Groin Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "Between sealing the organ’s primary inflow channel with a powered jaw device and separating the thin tubular drains using small locking fasteners and a cutter, which happens first?", "role": "user" }, { "content": "Sealing the primary inflow channel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Radical Left Nephrectomy with IVC Level III Thrombectomy.mp4" ] }, { "messages": [ { "content": "After a tourniquet around the inflow is tightened to dry the field, at what moment does the fine, tip-controlled dissection of the cut surface actually begin?", "role": "user" }, { "content": "It begins immediately after tightening the inflow occlusion, as the surgeon proceeds with fine-tip dissection right away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Glissonian Pedicle Approach to Robotic Right Hepatectomy..mp4" ] }, { "messages": [ { "content": "Which occurs first: relocating the small intestinal loops toward the patient's right side, or dividing the thin band that tethers the colon to the upper-left abdominal organ?", "role": "user" }, { "content": "Relocating the small intestinal loops happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Left Colectomy with Complete Mesocolic Excision for Splenic flexure tumour.mp4" ] }, { "messages": [ { "content": "Between initiating flow on the console and the disappearance of rhythmic motion in the central field, which happens first?", "role": "user" }, { "content": "Starting console-driven flow happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Perfusion in Belgium.mp4" ] }, { "messages": [ { "content": "Once a clear boundary line appears on the organ surface, when do they begin cutting along it?", "role": "user" }, { "content": "They start dividing immediately after the boundary line becomes clearly visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for hepatoma in a Child A cirrhotic patient.mp4" ] }, { "messages": [ { "content": "Once the central access is enlarged to deliver a loop of intestine, when does suturing of the join actually start?", "role": "user" }, { "content": "Suturing starts immediately after the intestinal limb is brought up through the enlarged access, when construction of the biliary-enteric join begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Hepaticojejunostomy after Strasberg E4 Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "Which access is established first: the upper midline one or the right-side small one?", "role": "user" }, { "content": "The upper midline access is established first, followed by the right-side small access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy explained.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from object removal to leak assessment?", "role": "user" }, { "content": "Right after the object flies out of the field, the remnant is inspected for leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Mirizzi Syndrome, robotic cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between the first entry into the abdomen and the placement of additional working sleeves under visualization, which occurs first?", "role": "user" }, { "content": "Initial entry occurs first, followed by placement of additional ports.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Distal Gastrectomy With Billroth I Reconstruction.mp4" ] }, { "messages": [ { "content": "Which instrument is used to gently widen the small openings after they’re created?", "role": "user" }, { "content": "A Maryland dissector is used to carefully spread the openings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It Lap ICA Left Hemicolectomy.mp4" ] }, { "messages": [ { "content": "When is the narrowed bowel segment first shown, and on which side of the frame is the dark marking that highlights its extent?", "role": "user" }, { "content": "At the very start during the initial survey; the marking is on the right side of the screen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended left hemicolectomy with complete mesocolic excision & transverse colon - r....mp4" ] }, { "messages": [ { "content": "Once the central venous channel within the organ is fully exposed during division, when does its transection actually occur?", "role": "user" }, { "content": "It is divided at the end of the parenchymal transection phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structures to establish the new connection near the end of the procedure?", "role": "user" }, { "content": "A circular stapling device acts on the reservoir and the distal rectal cuff to create the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Fluorescence Angiography during Transanal Trans-stomal Proctectomy and Ileal Pouch Anal Anastomosis.mp4" ] }, { "messages": [ { "content": "When does the outward bulge with extra folds first become clearly visible, and in what region?", "role": "user" }, { "content": "It first appears during the initial exam, at the outlet region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier’s Procedure for Full-Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action during the stripping along a tubular track?", "role": "user" }, { "content": "A bladed dissector works on the surrounding soft tissue to skeletonize the tubular track.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Totally laparoscopic D2 radical total gastrectomy for cT3 or cT4 gastric cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from managing the outside structures to examining the inside ones?", "role": "user" }, { "content": "The transition occurs when the operator begins showing the inner structures and notes no need for lifting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/StopPiles from MedTech Devices # Laser Vaporisation # Part 5.mp4" ] }, { "messages": [ { "content": "Which occurs first: sealing the cut end with a straight-line fastener or drawing the stapled edge out through the natural opening?", "role": "user" }, { "content": "Linear closure occurs first, followed by extraction of the stapled edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument is applied to right-sided attachments to free the organ?", "role": "user" }, { "content": "Ultrasonic shears act on perihepatic attachments to mobilize the right liver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Total Laparoscopic Living Donor Right Hepatectomy： World First Report.mp4" ] }, { "messages": [ { "content": "Which occurs first: freeing the sidewall attachments of the right-sided bowel or securing and dividing the central midsection vessels with locking clips?", "role": "user" }, { "content": "Freeing the sidewall attachments happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy in an Obese Patient of BMI 50kg⧸m2.mp4" ] }, { "messages": [ { "content": "Given the visible cue that two adjacent intestinal openings are prepared and a linear handheld device is positioned between them, when does the actual creation of the side‑to‑side channel begin?", "role": "user" }, { "content": "It starts when the linear device is applied across the two prepared openings to join them side‑to‑side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/How I do it - Mesenterica Superior Syndrom - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "When does the operation move from extracting the lump to placing internal stitches in the defect?", "role": "user" }, { "content": "Right after the mass is extracted, the clip transitions to placing closure stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Posterior Degenerated Lower Segment Fibroid.mp4" ] }, { "messages": [ { "content": "Which instrument surface is used against the undersurface of the pear-shaped organ to sweep it off its bed without puncturing it, and what action is being performed?", "role": "user" }, { "content": "The non-cutting back of the hook (used like a spatula) acts on the organ’s undersurface to bluntly peel it off its bed during detachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy by Dr Sunil Kumar V.mp4" ] }, { "messages": [ { "content": "When the straight stapling device is positioned across the downstream tube beyond the muscular ring, when does the transection actually start?", "role": "user" }, { "content": "Transection starts when the linear stapler is fired across the segment beyond the ring, completing the division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Prophylactic Laparoscopic Total Gastrectomy for Hereditary Gastric Cancer Gene (CDH-1).mp4" ] }, { "messages": [ { "content": "Which instrument is applied to which bony structure to open the tunnel for the visual nerve?", "role": "user" }, { "content": "A diamond drill is used on the orbital roof to remove bone and unlock the optic canal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Extradural clinoidectomy for resection of clinoidal meningioma.mp4" ] }, { "messages": [ { "content": "After a white pad appears deep in the dissection cleft, when does the team actually link the sidewall work to the central tunnel created earlier?", "role": "user" }, { "content": "Right as the pad comes into view, they immediately enter and connect to the previously created central plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/robotic sigmoid resection with en bloc partial cystectomy for malignant fistula.mp4" ] }, { "messages": [ { "content": "At what moment does the video shift from demonstrating positions for supportive material around the organ to discussing removal of a portion of that organ?", "role": "user" }, { "content": "Right after the list of posterior, anterior, lateral, and ventral placements, it transitions to resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectal Prolapse： Introduction, Clinical features, Diagnosis, Management： Surgery.mp4" ] }, { "messages": [ { "content": "After the capture device is shown cinched, when does the actual removal through the posterior opening begin?", "role": "user" }, { "content": "Once the cinched device is brought to the outlet and the assistant opens it to drain the contents—the removal begins immediately.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Salpingo-Oophorectomy for Recurrent Endometrioma and Retrieval through Colpotomy.mp4" ] }, { "messages": [ { "content": "Between applying a heat-based sealing maneuver at the base of the sac-like lesion and the moment it is seen completely freed, which happens first?", "role": "user" }, { "content": "The sealing at the base occurs first, followed by complete separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic removal of Para Ovarian Cyst I Dr. Rajeev Agarwal.mp4" ] }, { "messages": [ { "content": "In the robotic setup segment, which occurs first: attaching the multi‑armed device at the patient side or the operator beginning control from the remote console?", "role": "user" }, { "content": "Attaching the device to the patient comes first, followed by operating from the console.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/胃がんの外科治療 ～頑張る手術と優しい手術～　藪崎 裕.mp4" ] }, { "messages": [ { "content": "After traction exposes the lateral side attachments of the target organ, at what moment does their division actually commence?", "role": "user" }, { "content": "Division starts at the moment the team begins cutting the lateral side attachments, announced as they proceed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic rectopexy and resection for rectal prolapse.mp4" ] }, { "messages": [ { "content": "After the view drops into a deeper area, when does the inward probing by the working arms actually begin?", "role": "user" }, { "content": "It begins immediately after the view shifts deeper, when the two instrument tips start pressing inward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/An assessment tool for oncologic quality of robotic proctectomy.mp4" ] }, { "messages": [ { "content": "When does the approach shift from pulling out obstructions to modifying the channel for deeper access, and what maneuver signals this change?", "role": "user" }, { "content": "The shift occurs when the channel is shortened to enable access to deeper stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy with trans-cystic common bile duct exploration and stones extraction in ....mp4" ] }, { "messages": [ { "content": "Which occurs first: the final rinse-and-inspection of the field, or placement of flexible tubing near the support panel?", "role": "user" }, { "content": "The final rinse-and-inspection happens before tubing placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic rectopexy and resection for rectal prolapse.mp4" ] }, { "messages": [ { "content": "During the circular opening around the lower part of the central organ, at what exact moment does the clip transition from cutting the back wall to cutting the front wall?", "role": "user" }, { "content": "The transition occurs when the posterior wall is completed and the anterior wall transection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "After switching to a longer curved blade, when does the actual tissue separation commence relative to the edge of the abnormal area?", "role": "user" }, { "content": "Separation begins once the curved blade is placed slightly away from the edge and then follows along it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/義大醫院大腸直腸外科 陳致一醫師 laparoscopic TME on M1c lesion.mp4" ] }, { "messages": [ { "content": "When and where does a visible surge of red fluid first appear during the lower-pole removal?", "role": "user" }, { "content": "It first appears at the resection bed shortly after the lower-pole removal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/OP-Video nur für Fachkreise： Roboter-Assistierte Nierenteilresektion komplexer Nierentumoren.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: stowing the extracted lumps in the right lower quadrant or bringing in the bladed coring device for fragment removal?", "role": "user" }, { "content": "Stowing the masses in the right lower quadrant happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for multiple fibroids - Nuances and fundamentals of surgery.mp4" ] }, { "messages": [ { "content": "Which accessory is used to tension open the cut surface into two flaps, and what functional effect does that retraction produce?", "role": "user" }, { "content": "A rubber band is used to retract the edges, creating a wide opening that improves exposure to continue deeper and divide the bile duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic liver resection right hepatectomy： How I do it.mp4" ] }, { "messages": [ { "content": "In the sequence, which comes first: narrowing the pelvic floor with stitches or joining the two ends of the bowel tube?", "role": "user" }, { "content": "Stitching to narrow the pelvic floor occurs before joining the tube ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Altemeier Procedure： Then and Now ｜ Didactic Video.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from the right-sided bowel phase to the upper stomach phase?", "role": "user" }, { "content": "The transition occurs when the colonic dissection has finished and the scope is moved to the umbilical port to start the upper-abdomen work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Surgical technique for synchronous D23 subtotal gastrectomy and CME right colectomy.mp4" ] }, { "messages": [ { "content": "Between dissecting along the right-side attachment of the breathing muscle and spotting the slender nerve running on the tubular structure, which happens first?", "role": "user" }, { "content": "Dissecting along the right-side attachment happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Which energy-enabled instrument works within the thin fascial plane around the cylindrical pelvic organ to separate tissues sharply?", "role": "user" }, { "content": "A cautery instrument performs sharp dissection in the plane between the visceral and parietal endopelvic fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Ultra-low Anterior Resection for Rectal Cancer by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the device’s jaws are aligned perpendicular to the target segment, when does the actual cut begin?", "role": "user" }, { "content": "The cut begins after the distal margin is confirmed and the device is aligned perpendicularly.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Low Anterior Resection and Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "When and where does the first unintended breach of the lesion become apparent on screen?", "role": "user" }, { "content": "It first appears during the distal opening at the tumor site, when the lesion is inadvertently opened before prompt closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME： Changing the landscape of rectal cancer.mp4" ] }, { "messages": [ { "content": "Between securing the two short tubes at the neck of the small sac and cutting them, which occurs first in the video?", "role": "user" }, { "content": "Securing them with metal fasteners happens first, followed by cutting between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/laparoskopische Cholezystektomie (Gallenblasen-Entfernung) - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "After a clamp is applied on the cut edge to hold the remaining lining, when does the tightening of the tube begin?", "role": "user" }, { "content": "Immediately afterward—the lengthwise plication of the muscle starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Delorme Procedure.mp4" ] }, { "messages": [ { "content": "Which tool is used to traverse the scar-like tissue enveloping the targeted vessels, and what action does it perform there?", "role": "user" }, { "content": "A hook cautery is used to pass through the fibrotic lymphovascular tissue, dissecting across it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic or robot pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Between the on-screen depiction of the pelvic bowel problem and the start of the port-based correction, which happens first?", "role": "user" }, { "content": "The problem is shown first, followed by the port-based correction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/laparoscopic suture rectopexy @Dr.Zainalabdin عملية إصلاح هطول المستقيم منظاريا.mp4" ] }, { "messages": [ { "content": "At what point and location does an unexpected difficulty with snapping the thread by tension become apparent, requiring scissors instead, and where is this happening relative to major vessels?", "role": "user" }, { "content": "It appears while anchoring near the back-of-pelvis ridge between two large vessels; the thread won’t snap by tension and scissors are brought in.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy (RVR) for Rectal Prolapse and Obstructive Defecation - Chinese Simplified.mp4" ] }, { "messages": [ { "content": "Which instrument is applied across the two intestinal loops to establish the new passage between them?", "role": "user" }, { "content": "A 45-mm linear stapler is applied across both bowel segments to create the side-to-side connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Duodeno-Jejunostomy For Superior Mesenteric Artery Syndrome.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from making the slit to sewing it closed sideways?", "role": "user" }, { "content": "The transition occurs when the suture is introduced and the first transverse bite is taken after completing the 5 cm slit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/My Resident and I Robotic Pyloroplasty.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to perform what task during the downward extension below the junction?", "role": "user" }, { "content": "A curved-tip energized dissector acts on the oblique fiber bundles just below the junction to separate them layer by layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic Heller myotomy.mp4" ] }, { "messages": [ { "content": "After the access points are displayed, at what moment does the actual tissue freeing begin—specifically the pass that starts near the vessel origin and proceeds outward?", "role": "user" }, { "content": "It begins at the moment they initiate the first pass described as “medial to lateral.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Pearls Session： Laparoscopic Sigmoid Colectomy Introduction - Peter Marcello.mp4" ] }, { "messages": [ { "content": "In the management flow for irritation of a small preserved lining near the outlet, which happens first: a local medication trial or a deeper workup with scans and an asleep examination?", "role": "user" }, { "content": "The local medication trial occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Management of chronic postoperative complications in IBD patients.mp4" ] }, { "messages": [ { "content": "Which happens first: returning the yellow protruding tissue back into the working space, or stripping a thin membrane away from the paired tubular structures that descend toward the lower field?", "role": "user" }, { "content": "Returning the protruding tissue happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Inguinal Hernia Repair (4k).mp4" ] }, { "messages": [ { "content": "Between the moment the surface begins to dome from fluid beneath it and the moment a blade starts separating tissue planes, which one happens first in this clip?", "role": "user" }, { "content": "The under-surface doming happens first, followed by the blade-based tissue separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/胃腸癌症之內視鏡治療暨預防新趨勢(臺南市立安南醫院).mp4" ] }, { "messages": [ { "content": "Which occurs first: sealing and cutting the organ’s main inflow/outflow channels, or placing the specimen into a retrieval bag for removal?", "role": "user" }, { "content": "Sealing and cutting the main vessels happens before the specimen is bagged and removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left Nephrectomy ｜ Non functional kidney ｜ Chronic PUJ Obstruction ｜ Dr Keyur Bhatt.mp4" ] }, { "messages": [ { "content": "Given that the cheeks are taped apart for exposure, when does the circular stitch that seals the central outlet actually start?", "role": "user" }, { "content": "It starts immediately after the cheeks are taped apart for exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Extralevator Abdominoperineal Resection..mp4" ] }, { "messages": [ { "content": "Which instrument is used like a spatula to sweep along the tissue plane at the upper-left abdominal colon, and what tissue layers is it separating?", "role": "user" }, { "content": "A sealing energy instrument is used like a spatula to sweep and separate the fatty apron and adherent tissue off the colon in that region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Minimally Invasive Left Colectomy in the Obese Patient, Tips and Tricks.mp4" ] }, { "messages": [ { "content": "Given the visible cue that instrument-only dissection fails to define planes, when does the hand-assisted phase begin?", "role": "user" }, { "content": "It starts after prolonged dissection once planes remain unclear, when the hand access is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic hepaticojejunostomy for obstruction by biliary stent.mp4" ] }, { "messages": [ { "content": "When the energy sealing instrument is applied to the sidewall bundle, which vessels are being controlled and what is accomplished?", "role": "user" }, { "content": "The energy sealer controls the ovarian vessels within the lateral pedicle, achieving sealed, hemostatic transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Best Practices for Performing a Risk-Reducing Bilateral Salpingo-oophorectomy.mp4" ] }, { "messages": [ { "content": "Which device engages the fluid emerging from the open channel to clear the field while the passage is held open?", "role": "user" }, { "content": "A suction instrument is used to remove the fluid from the opened channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Hepatico jejunostomy post PPPD.mp4" ] }, { "messages": [ { "content": "At the end of the procedure, what technique and tool are used to close the top of the lower passage, and where do they start?", "role": "user" }, { "content": "Interrupted and mattress sutures are used to close the vaginal vault, beginning at the right angle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene shift from marking how far the mobile segment should reach to completing the tie-offs that free it?", "role": "user" }, { "content": "Immediately after the fixed point is marked, the clip transitions to completing the mesocolon ligations.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier’s Procedure for Full-Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which handheld device acts on the flat sheet and the inner lining to achieve attachment, and what surfaces does it link together?", "role": "user" }, { "content": "A tack-applicator (tacker) is used; it fastens the sheet to the inner abdominal wall by placing tacks through the sheet into the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Вентральная грыжа Лапароскопическая коррекция сетчатым имплантом.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from removing structures to rebuilding connections?", "role": "user" }, { "content": "The shift occurs immediately after the specimen is sent for frozen section, when the reconstruction phase begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Konventionelle Pankreaskopfresektion mit Pfortaderresektion Grützmann Chirurgie Uniklinik Erlangen.mp4" ] }, { "messages": [ { "content": "At what precise point does the workflow transition from freeing tissue planes to actually dividing the bowel?", "role": "user" }, { "content": "The transition occurs when dissection ends and the straight stapler is applied to transect the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Application of sandwich method in radical rectal cancer resection– a video vignette.mp4" ] }, { "messages": [ { "content": "During the check of the repaired vessel, what instrument is used on it and for what purpose?", "role": "user" }, { "content": "A syringe flushes clear solution through the repair to wash it and verify patency.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection： Anterior SMA first approach.mp4" ] }, { "messages": [ { "content": "After the operating surface is inclined downward at the lower end to improve exposure, when does the lifting of the sac begin?", "role": "user" }, { "content": "Lifting begins immediately after the tilt.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lehrvideo⧸Real Surgery： Entferung der Gallenblase - Surgical Removal of the Gallbladder.mp4" ] }, { "messages": [ { "content": "At the exact moment when the obstructing strand is divided, when does the scene change from decompression to reorienting the central tissue fan?", "role": "user" }, { "content": "Right after the thick band is lysed, they shift to bringing in the remainder of the mesentery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd procedure.mp4" ] }, { "messages": [ { "content": "Which stitching technique is applied to the muscular partition to seal the opening at the end of the case?", "role": "user" }, { "content": "A continuous single-serial suture is placed on the diaphragm to close the created opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Simultaneous Hepatic and Transdiaphragmatic Lung Resection.mp4" ] }, { "messages": [ { "content": "Between the moment a sharp two-tone boundary appears on the organ surface and the instant the thick central bundle is visibly severed, which happens first?", "role": "user" }, { "content": "The two-tone boundary appears first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic and Robotic Glissonian Hemi Hepatectomy at 2021 ILLS 3rd World Congress.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from progress on the first flank to addressing attachments on the other flank?", "role": "user" }, { "content": "The switch occurs immediately after completing the thorough progress on the initial side, when the remaining attachments on the opposite side are taken down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Pelvic dissection in an ultra-low Anterior resection for low rectal cancer. Dr Suhail Anwar..mp4" ] }, { "messages": [ { "content": "When a synthetic segment is used to bridge the vessel, at what point is the regimen switched from a short-acting to a longer-term blood thinner?", "role": "user" }, { "content": "Before discharge, the short-acting agent is switched to a long-term anticoagulant.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection & reconstruction.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which layer to achieve the long split that relieves the blockage?", "role": "user" }, { "content": "A cutting instrument divides the outer muscular layer of the lower swallowing tube lengthwise.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Achalasia cardia⧸Lap. Heller's myotomy.mp4" ] }, { "messages": [ { "content": "After the pre‑knotted pair of threads is brought into view, at what moment does the actual joining of the two cut edges begin?", "role": "user" }, { "content": "It begins with the first outside‑to‑inside stitch that positions the pre‑tied knot externally at the inner corner.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TRANSITION OF TECHNIQUES TO TREAT CHOLEDOCHAL CYST DISEASE IN CHILDREN.mp4" ] }, { "messages": [ { "content": "Which viewing device is used when working through tiny openings, and what area is being inspected?", "role": "user" }, { "content": "A camera is used to inspect the surgical field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Vs. Open Inguinal Hernia Repair.mp4" ] }, { "messages": [ { "content": "What implements are applied to the paired narrow channels leading into the organ to provide temporary protection during the operation?", "role": "user" }, { "content": "Temporary splints/stents are placed in the paired conduits to protect them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Blasenekstrophieverschluss mit Blasenhalsaufbauplastik, Genitalrekonstruktion, Mons pubis Aufbau.mp4" ] }, { "messages": [ { "content": "Which comes first: the broad survey of the operative field or outlining the intended cut boundary with color markings?", "role": "user" }, { "content": "The broad survey comes first, then the color outlining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/【2024年度市民のための学術講演会】（消化器外科 片岡智史医師）3．大腸がんを知ろう：検診、予防、治療.mp4" ] }, { "messages": [ { "content": "Which instrument creates the internal connection between the bowel ends after resection?", "role": "user" }, { "content": "A circular 33 mm stapler is used to construct the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic subtotal colectomy with antiperistaltic ceco-rectal anastomosis for the treatment of sl.mp4" ] }, { "messages": [ { "content": "Between freeing the stuck loops from the pelvic organ’s surface and beginning to seal the first side attachments, which happens earlier?", "role": "user" }, { "content": "Freeing the stuck loops happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Day Care Hysterectomy for a Large Uterus- Dr Jay Mehta.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the small artery beside the organ, and what action does it perform as the dissection proceeds?", "role": "user" }, { "content": "An energy sealing instrument seals and divides the small artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Choledochal Cyst Excision & Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Once the two intestinal loops are aligned side-by-side and a marker stitch is visible at their tip, at what moment does the cutting device actually begin its action?", "role": "user" }, { "content": "After insertion and a brief 30-second compression, the device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY - HUNT LAWRENCE POUCH.mp4" ] }, { "messages": [ { "content": "Between separating the front attachment of the initial right-sided colon segment and beginning to open the plane next to the central vertical vessel, which action occurs first?", "role": "user" }, { "content": "The front attachment release occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Radical Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "What instrument is used to peel the fatty apron off the bowel surface, and what dual function does it provide during that maneuver?", "role": "user" }, { "content": "A vessel-sealing device is used; it both grasps and seals/cuts to separate the apron from the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Presentation on Transverse Colon Cancer Treatment.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: the broad rinse with clear solution or the later application of diluted cleansing agents?", "role": "user" }, { "content": "The broad clear-solution rinse happens first; diluted cleansers are applied at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Lap Necrosectomy # Laparoscopic Pancreatic necrosectomy # Necrosectomy # Laparoscopic drainage WOPN.mp4" ] }, { "messages": [ { "content": "After the dissection plane is clearly displayed, when does the transection device actually begin cutting across the right-sided colon segment?", "role": "user" }, { "content": "It starts immediately after the plane is identified and the stapler is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Resection Terminal Ileum and Cecum in Endometriosis.mp4" ] }, { "messages": [ { "content": "When and where does the unusually enlarged central organ first become visibly apparent in the clip?", "role": "user" }, { "content": "It first becomes clear when the organ is pulled to the left to expose the right side, appearing distended and displaced from the working area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Tips and tricks .Subtotal hysterectomy for 1340 grammes uterus.mp4" ] }, { "messages": [ { "content": "After the organ is divided, once a collection bag appears in view, when does removal through the central access site actually start?", "role": "user" }, { "content": "Extraction begins after division, when the specimen is bagged and pulled out through the central site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic distal gastrectomy with D2 LN dissection in advanced gastric cancer.mp4" ] }, { "messages": [ { "content": "At exactly what point does the workflow shift from broad plane creation to a side-focused pursuit of the target?", "role": "user" }, { "content": "The transition occurs when an unusual vessel pattern is noted, prompting a left-directed focus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/The robot assisted technique for the resection of the retrorecta.mp4" ] }, { "messages": [ { "content": "When and where does the removed specimen first appear on screen as a separate view?", "role": "user" }, { "content": "Near the end, it appears in a corner inset showing the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Type IV Choledochal Cyst Excision With Roux en Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Given the cue of right-sided mobilization, when does the deep separation of the buried segment actually start?", "role": "user" }, { "content": "The deep separation begins immediately after the right-sided mobilization is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic bile duct resection with hepatico jejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from routing the lifted bowel to beginning work on the narrow channel near the liver?", "role": "user" }, { "content": "The transition occurs as soon as the bowel reaches the upper field; immediately afterward, they start cutting the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic R-Y choledochojejunostomy via retrocolo-gastric route, an uncommon approach.mp4" ] }, { "messages": [ { "content": "Which compress‑and‑seal tool operates on the major vessel to stop flow and permit division?", "role": "user" }, { "content": "A clamp‑like stapling device acts on the arterial branch, sealing it to prevent bleeding and enabling division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Colorectal Cancer Surgery.mp4" ] }, { "messages": [ { "content": "When the maneuver is mirrored on the opposite side, which occurs first: freeing the conduit or addressing the nodal basin?", "role": "user" }, { "content": "Freeing the conduit occurs first, followed by addressing the nodal basin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/V08-01： Single Port Robotic Radical Cystectomy with Intracorporeal Creation of Neobladder.mp4" ] }, { "messages": [ { "content": "After a circular-headed tool is shown being introduced, at what point does the actual joining of the two ends begin?", "role": "user" }, { "content": "It starts in Step 7, when the circular stapler is used to create the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy with Transanal Specimen Extraction： Step by Step.mp4" ] }, { "messages": [ { "content": "During creation of the working space, does control of small vessels occur before or after the tunnel extends beyond the outlet into the next segment?", "role": "user" }, { "content": "Small-vessel control occurs during the tunneling and thus before the tunnel is extended past the outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Per oral endoscopic pyloromyotomy after esophagectomy.mp4" ] }, { "messages": [ { "content": "Between extracting a core from the central organ and placing the first constricting band around its neck, which action happens earlier in the clip?", "role": "user" }, { "content": "The core extraction happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/PM3 Chapter 50： Subtotal Hysterectomy： Classic Intrafascial Supracervical Hysterectomy (CISH....mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to accomplish simultaneous division and closure?", "role": "user" }, { "content": "A linear stapling device acts on the stomach wall, dividing it while sealing with multiple rows of staples.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/減重專家蔡明憲教授介紹減重手術--袖狀胃切除(附黑白真實手術影片)的奧秘.mp4" ] }, { "messages": [ { "content": "Between placing a small metal fastener on a central branch and energizing that branch, which happens first?", "role": "user" }, { "content": "The fastener is applied first, then the branch is energized to divide/ligate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/How I Do It： Limited Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "Between closing the long seam of the lifted lining and stitching up the small openings created earlier, which happens first?", "role": "user" }, { "content": "The long seam is closed first, then the small openings are stitched afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Right Inguinal Hernia by Jonathan Carter, MD ｜ Full Case.mp4" ] }, { "messages": [ { "content": "Which happens earlier: isolating and dividing the main vessel at the bowel junction or creating the openings used to join two segments?", "role": "user" }, { "content": "Dividing the main vessel happens before the openings are created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (standard) with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "When does a stalked outgrowth first become visible, and alongside which midline fold of the organ is it shown?", "role": "user" }, { "content": "Right after the initial removal step, the stalked mass is shown next to the falciform ligament.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Partial Hepatectomy for Benign Liver Tumor Without Vascular Clamping.mp4" ] }, { "messages": [ { "content": "At what moment does the clip change from reconstruction work to the start of layer closure?", "role": "user" }, { "content": "Right after the reinforcement is secured and the loop is removed, when they reposition the nerve and begin closing the fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair at California Hernia Specialists (4K).mp4" ] }, { "messages": [ { "content": "After the ends are aligned and the guide is lifted, when does the joining device actually fire to create the connection?", "role": "user" }, { "content": "Right after the guide is lifted and alignment is set, the device is fired to complete the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/腹腔镜低位直肠前切除术.mp4" ] }, { "messages": [ { "content": "Which occurs first: making small entry cuts on the two structures or introducing the linear device into the lumen?", "role": "user" }, { "content": "The entry cuts are made first, before the device is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy for treatment of Gastric Outlet obstruction.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument is used to free the stuck bowel loop, and what segment is being released?", "role": "user" }, { "content": "The harmonic device is used to free the adhered duodenum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Full HD Video.mp4" ] }, { "messages": [ { "content": "Between the internal camera check and constructing the wrap around the upper stomach, which happens first in the clip?", "role": "user" }, { "content": "The internal camera check occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Making do with less： Our decade of experience with LESS Heller myotomy.mp4" ] }, { "messages": [ { "content": "When and where does an unintended breach of the organ first become apparent in the video?", "role": "user" }, { "content": "It first appears right after managing the vessel stump and is located on the organ wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Лапароскопическая холецистэктомия.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: freeing the colon’s upper-left bend or addressing the main mesenteric draining vessel?", "role": "user" }, { "content": "Freeing the upper-left bend occurs before addressing the mesenteric vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colon Resection# When Does the Hand Help#.mp4" ] }, { "messages": [ { "content": "What energy modality is applied to the cut surface of the organ to stop oozing after the lesion is removed?", "role": "user" }, { "content": "Argon coagulation is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Colectomy With Intracorporeal Anastomosis And Liver Metastasectomy For Colon Can.mp4" ] }, { "messages": [ { "content": "During removal, when and where does an unexpected outward flipping of the front wall first become clearly visible?", "role": "user" }, { "content": "It becomes apparent during enucleation, as the anterior wall visibly everts outward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy of large and oddly positioned myomas with uterine artery ligation at origin.mp4" ] }, { "messages": [ { "content": "Which approximating device engages both end segments to bring them together, and what does it accomplish?", "role": "user" }, { "content": "A metal stitch/wire engages both ends to approximate them, and the suture ties the walls together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/New Techniques for Totally Laparoscopic Anastomosis (TLA) After Colon Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow change from positioning the anvil-like piece to actually forming the new connection between the two lumens?", "role": "user" }, { "content": "When the oval piece is coupled to the ring-shaped stapler and the end-to-end anastomosis is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Radical Gastrectomy.mp4" ] }, { "messages": [ { "content": "Which device acts on the left-side major vessels and what follow-up tool completes the division?", "role": "user" }, { "content": "An energy-sealing device treats the left major vessels, and a cutting tool (scissors) divides them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Hysterectomy Patient Video.mp4" ] }, { "messages": [ { "content": "Given that pre-placed stitches are visible along the front edge of the target opening, when does the actual tying begin relative to those markers?", "role": "user" }, { "content": "Tying starts after finishing the posterior line and after placing all corresponding anterior bites from the bowel, then knots are tied from right to left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Hepaticojejunostomy for post cholecystectomy right posterior duct injury with biliary fistula.mp4" ] }, { "messages": [ { "content": "Which fastener is applied to the deep-layer stitch to lock the closure in place?", "role": "user" }, { "content": "A Hem-o-lok clip is used to secure the running suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic assisted laparoscopic partial nephrectomy (RaLPN) 達文西腹腔鏡部分腎臟切除術 周博敏醫師.mp4" ] }, { "messages": [ { "content": "In the guided-mapping portion, which comes first: placing the tracer around the target area, or seeing the glowing channels and highlighted nodes?", "role": "user" }, { "content": "The tracer placement comes first, followed by visualization of the glowing channels and nodes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "During the internal join of two bowel segments, does the surgeon separate the segments first or create the connection while they are still continuous?", "role": "user" }, { "content": "They are separated first, and then the connection is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Intracorporeal anastomosis： right and left colon.mp4" ] }, { "messages": [ { "content": "Which implement manipulates the layer beneath the initial plane to create working space, and what maneuver is performed?", "role": "user" }, { "content": "A powered grasper engages the deeper layer and lifts it to open the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/anterior resection with transvaginal natural orifice specimen extraction in a patient with high BMI.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from preparation focused on preserving healthy tissue to the actual cutting phase?", "role": "user" }, { "content": "At the moment the blood flow is interrupted, marking the start of cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/「腎がん手術の最新治療 RAPN」山口大学医学部附属病院泌尿器科　井上　亮　助教.mp4" ] }, { "messages": [ { "content": "At what exact point does the procedure shift from removing marked nodal packets to dividing two bowel limbs?", "role": "user" }, { "content": "Right after nodal excision and assessment, when attention shifts to transecting the two limbs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Limited Gastric Resection With Sentinel Lymph Node Biopsy For Early Gastric Cancer ....mp4" ] }, { "messages": [ { "content": "After the closure tool has crossed the gap on both sides and the loop is visible, at what moment does the actual cinching begin?", "role": "user" }, { "content": "Cinching starts right after the device releases the needle, when the plastic collar is applied and the line is pulled tight.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Revision Of Dilated Gastro-Jejunostomy.mp4" ] }, { "messages": [ { "content": "After a metal‑tipped component is seated, when does the downward delivery of the reservoir actually begin?", "role": "user" }, { "content": "It begins right after the component is placed, when they start guiding the reservoir downward to the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Best approach to completion proctectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from external preparation to an inside-the-lumen view with visible signal enhancement?", "role": "user" }, { "content": "The transition occurs when the access tube is placed and the optical system is inserted, just as the dye arrives and the luminal tissues light up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Fluorescence imaging in colorectal surgery.mp4" ] }, { "messages": [ { "content": "Between the flexible line traversing a tight narrowing and the outer tube being pulled back, which occurs first?", "role": "user" }, { "content": "The flexible line crosses the narrowing first, then the outer tube is withdrawn.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/卫生部医学视听教材—内窥镜技术—NKJ007 消化道内窥镜－十二指肠镜与胆道内镜.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from isolating the tumor-bearing organ to dividing its downstream tube and an associated slender vein?", "role": "user" }, { "content": "The transition occurs when they begin cutting the downstream tube and the adjacent slender vein after completing isolation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Nefrectomia radicale sinistra, trombectomia totale e sostituzione cavale.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from feeding the cross‑cutting device through an oblique side entry to feeding it from just above the front midline?", "role": "user" }, { "content": "The switch happens when the operator stops using the oblique side port and begins introducing the cutter from just above the front midline.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "What adhesive items are arranged around the access site and how do they interact with the overhead unit to enable guidance?", "role": "user" }, { "content": "Adhesive fiducial markers are placed around the entry area, and the overhead camera detects them to register the patient for guidance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/How I do it - Stereotaktische Ablation von Lebertumoren - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "After the tail of the support is laid along the front‑side and lifted toward the pelvic brim, when do the anchoring stitches get placed, and what do they engage?", "role": "user" }, { "content": "Immediately afterward, stitches are placed into the ligament along the front of the spine—not into bone.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Rectal Prolapse in young male patient ｜ Dr.Parveen Bhatia.mp4" ] }, { "messages": [ { "content": "Which device is used to sever a slender nerve encountered along the inner curve of the stomach, and what is done to that structure?", "role": "user" }, { "content": "A harmonic scalpel is used to divide the vagus nerve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic distal gastrectomy with D2 LN dissection in advanced gastric cancer.mp4" ] }, { "messages": [ { "content": "Between clearing the view with the suction–irrigation wand and cauterizing the bleeding point, which action happens first in this sequence?", "role": "user" }, { "content": "Clearing the view with suction–irrigation occurs before cauterizing the bleeder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/pancreatectomy/张宇华：腹腔镜根治性顺行模块化胰脾切除术2.mp4" ] }, { "messages": [ { "content": "Given the cue of two parallel rows of stitches being completed, when is the temporary elevator removed to prevent visible over-lift?", "role": "user" }, { "content": "Immediately after the two rows are secured, the elevator is withdrawn to avoid over-elevation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Sacrocolpopexy with Rectopexy for Combined Treatment of Rectal and Pelvic Organ Prolapse.mp4" ] }, { "messages": [ { "content": "When and where does a bulge at the opening through the breathing muscle first become visibly apparent?", "role": "user" }, { "content": "Early during exposure, at the diaphragm’s opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/How I Do It： Video and Technical Pearls for Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which happens first: dealing with the deeper supply branches or moving on to span the tissue plane along the intestine itself?", "role": "user" }, { "content": "The deeper supply branches are addressed first, then the tissue plane along the intestine is spanned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Open Colectomy Surgery - THUNDERBEAT - Olympus Surgical - Dr. Steven Cohen.mp4" ] }, { "messages": [ { "content": "When and in which region does an unexpected arterial branch first become visible?", "role": "user" }, { "content": "Early during the medial-side dissection near the upper stomach, when an accessory arterial branch off the left gastric is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy with Toupet fundoplication with voice over by Dr. Samrat Jankar.mp4" ] }, { "messages": [ { "content": "Given a clear bright layer and steady traction on the tissues, when does the actual cutting begin?", "role": "user" }, { "content": "It begins once the pale layer is clearly seen and tension is set, at which point energy dissection starts along that line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Keynote Lecture： TME surgery as seen by the creator.mp4" ] }, { "messages": [ { "content": "Which small auxiliary component acts on the upper organ on the patient's right side, and for what purpose?", "role": "user" }, { "content": "A 5‑mm static retractor lifts the liver on the right to improve exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneal Partial Nephrectomy： Patient Positioning Port Placement and Docking.mp4" ] }, { "messages": [ { "content": "What instrument is used on the outer surface of the intestines to gently separate visible deposits, and what is the intended effect of that maneuver?", "role": "user" }, { "content": "Blunt scissors peel deposits off the bowel’s outer surface to limit resections and preserve surface continuity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Ovarian Cancer Surgery performed by Pr. Kridelka.mp4" ] }, { "messages": [ { "content": "Since the team divides the work into equal-length portions, when are the follow-up measurements taken in relation to each portion?", "role": "user" }, { "content": "They pause to measure after finishing each segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Poem with Incremental Myotomy and Intraoperative Endoflip.mp4" ] }, { "messages": [ { "content": "At what point does the dissection reach the basin’s floor, marked by cutting superficial sling fibers to complete the lowest part of the operation?", "role": "user" }, { "content": "When the superficial sling fibers are divided, indicating the operation has reached the floor of the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/3 Easy step Laparoscopic low anterior resection ⧸ Pelvic anatomy ⧸ Rectal cancer - Dr. Archit Pandit.mp4" ] }, { "messages": [ { "content": "Which device is used to divide the main vessel at its origin during the early part of the operation?", "role": "user" }, { "content": "A vascular stapler is used to transect the right colic artery at its base.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Dr. Joseph R. Karam - Robotic Right Hemicolectomy for cancer.mp4" ] }, { "messages": [ { "content": "Which happens first: forming a window behind the organ with a blunt pass from right to left, or lifting and cutting the vessel bundle at the top?", "role": "user" }, { "content": "Creating the posterior window occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos： Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "Between excising the outer skin–fat block and later incorporating the deepest inner lining into the removed piece, which happens first?", "role": "user" }, { "content": "The excision of the outer skin–fat block happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Wide local excision (WLE) of perianal Paget’s disease (PPD) with.mp4" ] }, { "messages": [ { "content": "Between sealing a vein that drains the right-sided bowel and sealing the corresponding artery, which step happens first in the sequence shown?", "role": "user" }, { "content": "The vein is sealed first, followed by the artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Surgical technique for synchronous D23 subtotal gastrectomy and CME right colectomy.mp4" ] }, { "messages": [ { "content": "When do the crystalline blockages first become visibly apparent, and in which portion of the glandular channel do they appear?", "role": "user" }, { "content": "They first appear once the duct is laid open in the head of the pancreas, where stones are seen and removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreas Stones ( Chronic Pancreatitis ) Treatment Dr Avinash Tank, Dwarika hospital, Ahmedabad..mp4" ] }, { "messages": [ { "content": "Which instrument is used to cut across the low end of the intestine, and what job does it perform?", "role": "user" }, { "content": "A linear stapling device is used to transect the distal bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Optimizing the safety of laparoscopic anterior resection： our approach.mp4" ] }, { "messages": [ { "content": "When does the unusually bulky side-wall mass that displaces the womb first become obvious, and toward which direction is the organ shifted?", "role": "user" }, { "content": "Right at the start, a large lateral mass is seen, and the womb is shifted toward the left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy for Large Lateral Wall Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "When the sticky bands become too dense for the hollow tube, which device is switched to, and what does it do to those bands?", "role": "user" }, { "content": "A vibrating energy blade (ultrasonic scalpel) is used to divide the dense bands while reducing bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/9 Laparoscopic Cholecystectomy - Subtotal to Total Cholecystectomy (Intra Op Decision).mp4" ] }, { "messages": [ { "content": "After upward traction is applied to the downstream channel, at what moment does the deep dissection into the adjacent gland begin?", "role": "user" }, { "content": "It starts immediately after traction is applied, as the intrapancreatic segment is dissected toward its junction with the pancreatic duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot-Assisted Hepatectomy & Complete Excision of the Extrahepatic Bile Duct.mp4" ] }, { "messages": [ { "content": "Considering the sequence near the end, which happens earlier: the moment loose objects tumble out of the organ bed or the arrival of the retrieval pouch into the field?", "role": "user" }, { "content": "The loose objects spill out before the retrieval pouch arrives.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Without Energised Dissection For Perforated Empyema Gall Bladder ....mp4" ] }, { "messages": [ { "content": "During the integrity check with air, when and where does any abnormal leakage first become visibly apparent?", "role": "user" }, { "content": "No leak is seen; there is no visible abnormal leakage during the endoscopic air test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Prophylactic Laparoscopic Total Gastrectomy for Hereditary Gastric Cancer Gene (CDH-1).mp4" ] }, { "messages": [ { "content": "After the firm layer underneath is exposed, at what moment does edge-to-edge tightening actually commence?", "role": "user" }, { "content": "It starts with the very first pass placed at a corner immediately after the deep layer is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia repair.mp4" ] }, { "messages": [ { "content": "In the early dissection, which action happens first: the camera angle change or the retraction adjustment?", "role": "user" }, { "content": "The camera sweep occurs first, followed by the retraction adjustment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy(DaVinci X) by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "When and where does a distinct deep, rounded nodule within the fatty tissue first become clearly visible?", "role": "user" }, { "content": "It first appears in the deep fat near the central venous confluence in front of the posterior gland, at the moment that area is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/LAPAROSCOPIC RIGHT HEMICOLECTOMY WITH EXTENDED LYMPHADENECTOMY.mp4" ] }, { "messages": [ { "content": "At what exact point does the workflow switch from securing the tubular connections to removing the organ?", "role": "user" }, { "content": "Immediately after the ureter, artery, and vein are ligated and transected, the organ is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Nephrektomie - GeSRU Steps.mp4" ] }, { "messages": [ { "content": "After the long, narrow piece is removed, which energy device is applied to the raw edges to halt bleeding, and what does it accomplish?", "role": "user" }, { "content": "Bipolar cautery is applied to the wound edges to achieve hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Ultrashort-segment Hirschsprung's disease complicated by megarectum – a video vignette.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow move from taking out the single piece to making small sampling bites from the base?", "role": "user" }, { "content": "Right after the single piece is removed at the end, the workflow transitions to taking small base samples.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/BTESD 水刀膀胱癌剝離術.mp4" ] }, { "messages": [ { "content": "Between pulling a thin tube out through the front wall to use it for traction and securing the side attachments with a suture, which one occurs first?", "role": "user" }, { "content": "The thin tube is exteriorized and fixed for traction first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Die extraperitonale roboterassistierte radikale Prostatektomie.mp4" ] }, { "messages": [ { "content": "Which takes place first: bringing the flexible tube into the field or creating the bowel wall opening?", "role": "user" }, { "content": "The tube is brought in first, and only afterward is the bowel opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Feeding Jejunostomy (Tube Rationale YTT)– Modified Witzel ｜ Surgical Teaser ｜ Must-Watch.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: placing two gauze pads around the lower bowel to seal off the cavity, or attaching the distal adapter and advancing the scope from below?", "role": "user" }, { "content": "The pads are placed first; the distal adapter is attached and the scope enters from below afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/MedizinKompakt： Behandlung des Darmkrebs mit dem TAMIS Verfahren.mp4" ] }, { "messages": [ { "content": "After the implanted piece is positioned in the patient, when does the team actually start reconnecting the circulatory pathways?", "role": "user" }, { "content": "Right after the implant is positioned, they begin the reconnections to restore flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/「生体肝移植」 山口大学医学部附属病院肝胆膵・移植外科　永野浩昭 教授.mp4" ] }, { "messages": [ { "content": "Which instrument applies energy to which part of the tube to achieve the muscle division shown?", "role": "user" }, { "content": "An energy-based dissector acts on the circular muscle layer of the tube to split it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Repair Of Hiatal Hernia, Diverticulectomy And Completion Esophagomyotomy, For ....mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from creating the channel through the wall to bringing the intestinal segment to the surface?", "role": "user" }, { "content": "The transition occurs when two fingers are inserted and the segment is first pulled out through the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/BROOKE'S END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the distal thread used for traction being moved to the upper edge and secured, when does the actual closure of the shared opening start?", "role": "user" }, { "content": "Closure begins immediately after the distal traction thread is repositioned and tied at the top edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "Which tools are used to secure and then divide the key blood channels near the colon during the abdominal phase?", "role": "user" }, { "content": "A clip-delivery device secures the main vein, and curved scissors are used to divide the main artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down-To-Up Transanal Rectal Resection With TME Assisted By Single-Incision Laparoscopy.mp4" ] }, { "messages": [ { "content": "During the initial detachment on the right side, at what moment does cutting with energy actually begin relative to the assistant’s pull to create tension?", "role": "user" }, { "content": "It starts immediately once counter‑traction is established, as thermal energy is applied to divide the adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd procedure.mp4" ] }, { "messages": [ { "content": "During pouch construction, when does the process switch from measuring and aligning the two limbs to fixing them together?", "role": "user" }, { "content": "It switches at the moment the holding sutures are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Intracorporeal Completion Proctectomy with Restorative IPAA： NICE Approach.mp4" ] }, { "messages": [ { "content": "Between initiating entry from the flank to open the working plane and addressing the front wall, which happens first in the clip?", "role": "user" }, { "content": "Entry from the flank happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/pure taTME procedure for rectal cancer.mp4" ] }, { "messages": [ { "content": "Which jawed device acts on the cut end to seal it shut, and what action does it perform?", "role": "user" }, { "content": "A linear jawed cutter seals the cut end by transecting and closing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic subtotal gastrectomy and anterior resection for synchronous gastric and rectal cancer.mp4" ] }, { "messages": [ { "content": "When and where in the field does the abnormal bulge first become clearly visible?", "role": "user" }, { "content": "It first becomes clearly visible during the chest dissection right after the left diaphragmatic pillar is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Transhiatal Robotic Esophageal Epiphrenic Diverticulectomy, Heller Myotomy, Lateral Fundoplication.mp4" ] }, { "messages": [ { "content": "After the team signals they are ready to deal with the primary supply channel at its root, when does the cutting/sealing actually begin?", "role": "user" }, { "content": "It begins immediately after the cue, at the moment the surgeon says, “I’ve cut it.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/丁克峰：腹腔镜下右半结肠癌根治术.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the cutter is fully seated and entirely within view, when does activation actually begin?", "role": "user" }, { "content": "Power is applied only after the cutter is pressed firmly against the target and is completely visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy ｜ Dr Kunal Rathod.mp4" ] }, { "messages": [ { "content": "Between freeing the left-sided bowel from the sidewall and opening the space above the pancreas by dividing the apron-like membrane, which action occurs first in this clip?", "role": "user" }, { "content": "Freeing the bowel from the sidewall occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Totally robotic versus totally laparoscopic surgery for rectal c.mp4" ] }, { "messages": [ { "content": "Which device acts on the mass to reduce its volume from within?", "role": "user" }, { "content": "An ultrasonic aspirator is used to internally debulk the tumor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Extradural clinoidectomy for resection of clinoidal meningioma.mp4" ] }, { "messages": [ { "content": "Between the initial panoramic look inside the abdomen with the camera and placing the patient in a head-down tilt, which happens first?", "role": "user" }, { "content": "The camera survey happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Placement of Peritoneal Dialysis Catheter (E. Peden MD, S. Timbalia MD, K. Livingston).mp4" ] }, { "messages": [ { "content": "When does the supporting plane of the organ visibly sag, and in what area relative to the organ bed does this first appear?", "role": "user" }, { "content": "It visibly sags at the attachment plane, appearing as the organ is shown to sit deep within its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy for Acute Cholecystitis ＂Call-bladder＂.mp4" ] }, { "messages": [ { "content": "Which powered instrument is used to peel and divide the thin connective sheet on the colon’s attachment, and what action does it perform?", "role": "user" }, { "content": "An ultrasonic energy device is used to perform fine dissection, dividing the thin mesenteric fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/腹部无辅助切口经阴道拖出标本的腹腔镜下右半结肠切除术.mp4" ] }, { "messages": [ { "content": "Between layered closure of the wound and application of a supportive splint, which comes first?", "role": "user" }, { "content": "Layered closure occurs first, then the splint is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Haglund's Syndrome.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from working on the right side to beginning mobilization on the opposite side?", "role": "user" }, { "content": "The transition occurs when two additional ports are placed (suprapubic and right lower quadrant) and mobilization begins on the left side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopy for Crohn's Colitis - Total Abdominal Colectomy： Kirk Ludwig, M.D..mp4" ] }, { "messages": [ { "content": "During access, what slim device passes through the tiny midline opening, and what capability does it provide the team inside the body?", "role": "user" }, { "content": "A camera-bearing scope passes through the small central opening to provide internal visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/What is Laparoscopic Myomectomy？.mp4" ] }, { "messages": [ { "content": "Between securing the main blood supply to the segment and tagging the upstream cut point, which occurs earlier in the video?", "role": "user" }, { "content": "Securing the main blood supply happens first, and the upstream cut point is tagged afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Sigmoid Volvulus with Natural Orifice Transrectal Extraction.mp4" ] }, { "messages": [ { "content": "Do they confirm the path of a thin tubular structure on the left side before or after trimming the attachments there?", "role": "user" }, { "content": "They confirm the tubular structure’s course before trimming the attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Distal Rectal Cancer Surgery - LAR vs APE.mp4" ] }, { "messages": [ { "content": "Once the front surface attachments are cleared and roughly eight centimeters of wall are in view, when does the actual cutting begin relative to that preparation?", "role": "user" }, { "content": "It begins shortly after the exposure, starting a little upstream of the transition zone.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Houghton, Caitlin Heller Myotomy.mp4" ] }, { "messages": [ { "content": "After decompression, which occurs earlier: completing the preoperative studies or proceeding with the keyhole resection?", "role": "user" }, { "content": "Completing the preoperative studies comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Approach for Obstructing Colorectal Cancer： Nicolas Demartines, M.D..mp4" ] }, { "messages": [ { "content": "Which instrument is used to peel away the thin sheath from the first target vessel, and what does it do to that tissue?", "role": "user" }, { "content": "A slender curved electrocautery tip is used to strip the adventitial sheath off the first target artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "When do they switch from specimen exteriorization to restoring continuity of the passage?", "role": "user" }, { "content": "After the proximal stump is returned and gas is re-established, they begin reconnection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Application of Laparoscopic locating surgical margin in sigmoidectomy– a video vignette.mp4" ] }, { "messages": [ { "content": "Which energized tip is used to peel the thin shiny layer off the fatty curtain, and what is it doing?", "role": "user" }, { "content": "A hook-shaped energy tip is used to dissect and peel the thin membrane off the fatty layer, maintaining the intended layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌本指数-NOSES2式.mp4" ] }, { "messages": [ { "content": "Which energy‑tipped device acts on which surface to perform what action?", "role": "user" }, { "content": "The cautery‑enhanced delivery system acts on the bowel wall of the target loop to gain access and deploy the stent in one step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/EUS guided jejunojejunostomy for afferent limb syndrome.mp4" ] }, { "messages": [ { "content": "After a small occlusion device is brought into view, when does the actual interruption of flow visibly begin in the operation?", "role": "user" }, { "content": "When the occlusion device is applied to the vessel shortly after it appears in the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robot Assisted Laparoscopic Partial Nephrectomy - Step by Step Contemporary Technique.mp4" ] }, { "messages": [ { "content": "After a circular device is positioned internally, when does the cut at the back actually begin?", "role": "user" }, { "content": "It begins in the very next step, immediately after the front entry over the inserted device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoskopische Hysterektomie - Laparoscopic hysterectomy.mp4" ] }, { "messages": [ { "content": "When does the operation shift from the usual lift to pulling in the opposite direction to free the organ from the surface beneath it?", "role": "user" }, { "content": "During the detachment phase, after initial lifting proves difficult, the team switches to pulling opposite the usual direction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/ICG Failure ｜ Disaster in cholecystectomy ｜ Completion cholecystectomy ｜ Lap chole.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the shiny outer sheet to create the entry into the passage, and what is done to that layer?", "role": "user" }, { "content": "Scissors are used to spread beneath the layer and then cut it open.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair at California Hernia Specialists (4K).mp4" ] }, { "messages": [ { "content": "Which happens first: the assistant secures the final tie/clip, or the team restores flow to the field?", "role": "user" }, { "content": "The assistant secures the final device first, and flow is restored afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/徳島大学病院「TVいきいきらいふ」第84回腎癌の低侵襲治療～ロボット支援腎部分切除術について～.mp4" ] }, { "messages": [ { "content": "When the operator elevates a pair of small channels running upward on the inner wall, at what point does the sideways pocket creation actually start?", "role": "user" }, { "content": "It begins immediately upon elevating those channels, with horizontal sweeping to create the lateral pocket.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Laparoscopic totally extraperitoneal (TEP) repair of right ingui.mp4" ] }, { "messages": [ { "content": "Following the first operation, when and where is the inflamed lining of the food pipe first seen on evaluation?", "role": "user" }, { "content": "About two weeks later, during endoscopic evaluation, it is seen in the esophagus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Duodenal Crohn’s disease, gastro-jejunal bypass vs. duodenal-jejunal bypass.mp4" ] }, { "messages": [ { "content": "When and where does a small bulging defect at the diaphragm opening first become visibly apparent?", "role": "user" }, { "content": "It first appears during the anterior dissection near the diaphragmatic hiatus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic partial gastrectomy and Roux en Y reconstruction for severe gastroparesis after 10 prev.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the thin membrane near the organ’s inner curve to carry out tissue separation, and what auxiliary tool supports this maneuver?", "role": "user" }, { "content": "Bipolar scissors perform the separation on the thin connective fold, aided by Russian forceps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Excision of gastrohepatic ligament lesion using Ethicon bipolar .mp4" ] }, { "messages": [ { "content": "Which instrument is used to detach fibrous attachments at the suspensory fold near the upper abdomen?", "role": "user" }, { "content": "Robotic scissors are used to take down the attachments at that suspensory fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic anterior resection with pre-aortic lymphadenectomy.mp4" ] }, { "messages": [ { "content": "During the initial operation, when does the surprise extra involvement become apparent, and where in the operative field?", "role": "user" }, { "content": "It first shows up during the early exploration inside the abdomen, when extra involvement is noticed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/ALPPES -Associating Liver Partition and Portal VeinLigation.mp4" ] }, { "messages": [ { "content": "Which instrument is used to separate a long tube-like structure along the lower limb, and what is done with that structure afterward?", "role": "user" }, { "content": "An endoscopic scope with a tip dissector frees the lower‑limb vessel, which is then removed to serve as a graft.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/WATCH Triple Bypass Open Heart Surgery.mp4" ] }, { "messages": [ { "content": "At what point does the scene shift from simple lifting to a broad exposure of the bed beneath the organ?", "role": "user" }, { "content": "When the organ is elevated about a third of the way, revealing the underlying plate and marking the exposure phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "After the operator gently nudges a pale, lobulated structure away from the work zone, when do they begin cutting the attached strands?", "role": "user" }, { "content": "Immediately after the careful push, they begin cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Totally laparoscopic D2 radical total gastrectomy for cT3 or cT4 gastric cancer.mp4" ] }, { "messages": [ { "content": "Which step is performed first: placing the initial stitches between the left pillar and the cut muscle edge, or tacking the angle region to the root of the breathing muscle?", "role": "user" }, { "content": "Left-sided suturing is done before tacking the angle to the root.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic Heller Myotomy and Dor Fundoplication.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from choosing the reconnection site with a perfusion check to beginning specimen extraction?", "role": "user" }, { "content": "Immediately after marking the well-perfused segment, when they proceed to extract the specimen through the lower abdominal incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robo-gut： Robotic Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "Once the right pillar of the diaphragm becomes clearly visible, when does the actual division into the back-wall region commence?", "role": "user" }, { "content": "Division begins as they cut into the posterior wall area near the left side of the portal region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrectomy/腹腔镜全胃切除术 第七步 胰腺上缘左侧淋巴结清扫.mp4" ] }, { "messages": [ { "content": "At what precise point does the operation shift from specimen removal to rejoining the digestive tract?", "role": "user" }, { "content": "When the stapling device is introduced and fired to create the join, marking the start of reconstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/こうすれば治る、胃癌治療の最前線～さらなる生存率の延長を目指して～　吉田 和弘.mp4" ] }, { "messages": [ { "content": "Which substance is spread over the reinforcement panel before closure, and what component does it cover?", "role": "user" }, { "content": "Fibrin sealant and glue are applied over the reinforcement mesh.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted redo Heller myotomy： Improved vision with fluorescence.mp4" ] }, { "messages": [ { "content": "After a brief tactile check confirms the back-side release, when does the team actually begin working on the front side?", "role": "user" }, { "content": "Immediately after that confirmation, they begin the front-side release by incising the anterior layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Suture Rectopexy for Complete Rectal Prolapse by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "After the clamping device is aligned around the target segment, at what moment does the actual division begin?", "role": "user" }, { "content": "It starts at the moment indicated by the division step (“断”), immediately after the distal segment has been prepared and closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出切除标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which occurs first: cutting the pelvic fascia or exposing the paired posterior structures?", "role": "user" }, { "content": "The fascia is cut first, followed by exposure of the paired posterior structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Roboter-assistierte radikale Zysto-Prostatektomie mit intrakorporaler Hautmann-Ileumneoblase-.mp4" ] }, { "messages": [ { "content": "Which happens first: securing the central vessel pedicle or freeing the left-sided colon from its lateral attachments?", "role": "user" }, { "content": "Securing the central vessel pedicle happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior and Inter-sphincteric Resection of Low Rectal Cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from developing a plane behind the target to encircling it with a soft loop for traction?", "role": "user" }, { "content": "Right after the backside plane is created, when the encircling loop is passed around the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Choledochal cyst excision with intracorporeal Roux en Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "After the new connection looks complete, the view switches to a special imaging mode; at what point does that perfusion check actually begin?", "role": "user" }, { "content": "It begins right after the connection is seen to be complete on both ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/机器人中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what moment does the reconstruction phase begin relative to bringing the new bowel limb up to the upper abdomen?", "role": "user" }, { "content": "It begins once the limb is brought up and the enterotomy is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Delayed Robotic Roux-en-Y Hepaticojejunostomy Repair of an Iatrogenic Type E Bile Duct Injury fr....mp4" ] }, { "messages": [ { "content": "What device is applied to the first short segment beyond the outlet valve of the upper pouch, and what does it accomplish?", "role": "user" }, { "content": "A trilinear stapler is used to divide the first segment beyond the outlet valve (the proximal duodenum).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Total Gastrectomy with D2 dissection.mp4" ] }, { "messages": [ { "content": "Which instrument is used to open the junction between the two upper channels, and what tissue is acted upon to accomplish this?", "role": "user" }, { "content": "A cautery device is used to incise the junctional tissue at the confluence of the upper channels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Hepaticojejunostomy after Strasberg E4 Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "During detachment of the small sac, when do clustered hard specks first become visibly apparent clogging its narrow outlet?", "role": "user" }, { "content": "As the sac is being taken down, layered stones first appear in its narrow duct (the cystic duct).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Trans-gastric Approaches to Common Bile Duct Stones in the Gastric Bypass Patient.mp4" ] }, { "messages": [ { "content": "What hand-held device with opposing jaws is used to separate a hollow intestinal segment to create the downstream limb?", "role": "user" }, { "content": "An endoscopic linear stapler is used to divide the jejunum and create the limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreas Stones ( Chronic Pancreatitis ) Treatment Dr Avinash Tank, Dwarika hospital, Ahmedabad..mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from setting the insert to closing the overlying plane?", "role": "user" }, { "content": "Immediately after the insert is flattened and covering the area, the continuous closure of the overlying muscular layer begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Инцизионная боковая грыжа L4W3R0..mp4" ] }, { "messages": [ { "content": "After the target segment is pulled forward, when does the deep posterior dissection actually begin?", "role": "user" }, { "content": "It starts as soon as the pre-sacral plane is opened and continues downward in the loose areolar plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Between the first division of the major draining vein at its root and the second division near the arterial ligation site, which cut happens earlier?", "role": "user" }, { "content": "The division at the root happens first; the second cut near the arterial ligation site follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Резекция сигмовидной кишки.mp4" ] }, { "messages": [ { "content": "Which happens first: releasing the side bands or reaching the lowest bony landmark behind the organ?", "role": "user" }, { "content": "Releasing the side bands (dividing the lateral ligaments) occurs before reaching the coccyx.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic rectopexy for prolapse rectum by Dr Hitesh Chavda, Ahmedabad.mp4" ] }, { "messages": [ { "content": "When and where does the first abnormal color change become visibly apparent on the central organ?", "role": "user" }, { "content": "Right after bilateral low tie‑downs, pallor appears on the central organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Dr. Panicker's Caesarean Hysterectomy - Animation.mp4" ] }, { "messages": [ { "content": "At what moment does the view shift from working on the front channel to dissecting the deeper conduit behind it?", "role": "user" }, { "content": "Right after identifying the anterior vein, the dissection transitions to the deeper artery behind it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Master Class on Laparoscopic Nephrectomy by Dr.R.K.Mishra.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissues to achieve separation when breaking down the sticky bands between the underside of the organ and an adjacent loop of bowel?", "role": "user" }, { "content": "A sharp dissecting instrument is used to divide adhesions between the liver and the adjacent bowel (duodenum).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Completion Cholecystectomy After Prior Subtotal Reconstituting Cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the case move from lining up the proximal loops to starting the step that broadens their narrow attachment?", "role": "user" }, { "content": "When the surgeon begins the “biting” step to widen the narrow attachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/LAPAROSCOPIC LADD'S BAND PROCEDURE # LADD'S PROCEDURE # MALROTATION OF GUT.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on which layer to create the passage toward the pelvis, and what action does it perform?", "role": "user" }, { "content": "A cautery device acts on the deep fascia to develop the tunnel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Pelvic Floor Reconstruction with Bilateral Gracilis Flaps After Extralevator APE.mp4" ] }, { "messages": [ { "content": "Which side is handled first: the surgeon’s right-hand side of the field or the left-hand side?", "role": "user" }, { "content": "The right-hand side is handled before the left-hand side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/pure taTME procedure for rectal cancer.mp4" ] }, { "messages": [ { "content": "Once red flow appears from the new opening, when does the operator begin deploying the thin square layer onto it?", "role": "user" }, { "content": "Immediately after the opening starts to bleed, the layer is laid flat and begins to stick.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Demonstration of 6mm liver biopsy punch treatment.mp4" ] }, { "messages": [ { "content": "During the intraluminal camera verification near the end, when and where does a large volume of stagnant material first become visible?", "role": "user" }, { "content": "As the camera reaches the lower segment of the tube before entering the stomach, a large amount of retained material—about 300 ml—appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC HELLER'S CARDIOMYOTOMY WITH DOR FUNDOPLICATION FOR SIGMOID ACHALASIA - DR SAMRAT JANKAR.mp4" ] }, { "messages": [ { "content": "When and where do unusually bulky rounded structures first become visibly prominent in relation to a major vessel?", "role": "user" }, { "content": "They first appear as several large rounded masses at the origin of the major branch from the central vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic anterior resection with pre-aortic lymphadenectomy.mp4" ] }, { "messages": [ { "content": "After the circumferential loop is visibly complete, at what moment does the cinching maneuver begin?", "role": "user" }, { "content": "It begins immediately after the loop fully surrounds the opening, when they proceed to fix and tighten it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Thiersch Stich for Rectal Prolapse ｜ Educational Purpose ｜.mp4" ] }, { "messages": [ { "content": "Which device is used to divide the upper conduit, and what structure is being acted upon?", "role": "user" }, { "content": "A stapler acts on the esophagus to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy and Omentectomy with Roux-en-Y Reconstruction.mp4" ] }, { "messages": [ { "content": "When does the unexpected bleeding along the freshly divided edge first become visibly apparent?", "role": "user" }, { "content": "Right after the stapled division; the team remarks that the staple line is bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/pancreatectomy/张宇华：腹腔镜根治性顺行模块化胰脾切除术2.mp4" ] }, { "messages": [ { "content": "After lifting a broad tissue fold near the upper abdomen, when does cutting in that plane actually start?", "role": "user" }, { "content": "When the peritoneal line is identified and the first incision is made after traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoskopische radikuläre Sigmaresektion.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene shift from tissue-releasing to completion, as indicated by the head of a nearby gland becoming fully uncovered and the last wispy strands being parted?", "role": "user" }, { "content": "When the gland’s head is fully uncovered and the final thin fibers are cut, the phase transitions to completion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I do it - Komplette mesokolische Exzision - Teil 2 - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from mapping out entry points to tackling internal sticking points?", "role": "user" }, { "content": "Right after the first viewing entry is placed and the field is visualized, they begin releasing adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneal Partial Nephrectomy： Patient Positioning Port Placement and Docking.mp4" ] }, { "messages": [ { "content": "At exactly what moment does the clip shift from completing the rear layer to starting the front layer closure?", "role": "user" }, { "content": "Right after the posterior layer is completed, checked, and tied; they place the tube and begin the anterior closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/How I do it - Gastro Jejunostomie handgenaeht - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Which occurs first: anchoring the small pear-shaped pouch in the upper right to the inner lining, or creating the working window behind the stomach?", "role": "user" }, { "content": "The anchoring of the pouch occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Total Pancreatectomy and Islet Autotransplantation (TPIAT).mp4" ] }, { "messages": [ { "content": "During the backside phase, which hand-held device in the operator’s left hand applies non-grasping upward pressure on the fatty envelope, and for what purpose?", "role": "user" }, { "content": "The left-hand bipolar gently pushes the mesorectal envelope upward without grasping to avoid fracturing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/How I Do It： Robotic Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which happens earlier: shaping the edge of the inner lining around the target area, or opening the hole wide enough to reveal the bulge from the outside?", "role": "user" }, { "content": "Shaping the inner lining occurs first, before widening the opening to reveal the bulge externally.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Full-thickness resection of colonic metastasis using endo- laparoscopic approach - a video vignette.mp4" ] }, { "messages": [ { "content": "Which comes first: targeted inner-layer cuts in the upper portion of the passage or complete-layer cuts in the lower portion?", "role": "user" }, { "content": "The targeted inner-layer cuts in the upper portion occur before the complete-layer cuts in the lower portion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device.mp4" ] }, { "messages": [ { "content": "When setting up for the metal post to traverse the loop wall, which happens first: the assistant angling the loop sharply, or the post emerging through the wall?", "role": "user" }, { "content": "The assistant angles the loop first; the post emerges afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details： Gastro-jejunal anastomosis The Circular Anastamotic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Which implement is used on a narrow conduit to achieve a dry division, and what is the intended effect?", "role": "user" }, { "content": "A clasping fastener is placed on the conduit to occlude it, ensuring a dry division that avoids spillage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy with Diversion by Jonathon Wright, M.D..mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from creating the connection to closing the access opening in the organ wall?", "role": "user" }, { "content": "Right after the fired device is removed, when the closure device is applied to the access opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophagogastrostomy# A New Option for End Stage Achalasia.mp4" ] }, { "messages": [ { "content": "Once both limbs of the joining tool are visibly seated inside the two lumens, at what moment does the cutting-and-sealing action actually begin?", "role": "user" }, { "content": "It begins after proper tissue alignment is confirmed with both limbs seated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastro-jejunostomy (GJ) by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "At what point do they change over to the method that uses a short incision for direct‑touch access?", "role": "user" }, { "content": "As soon as the specimen’s bulk is recognized, they promptly switch to the short‑incision direct‑touch method.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from expanding the lateral plane to entering the upper sac behind the stomach?", "role": "user" }, { "content": "At the instant the upper sac is opened after advancing the dissection to the superior landmark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/The five step process of laparoscopic left hemicolectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from reinforcing the back compartment to addressing the front side repair?", "role": "user" }, { "content": "Immediately after the posterior support sheet is seen lying flat, the team proceeds to the anterior paravaginal repair.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy+Bilateral Salpingectomy｜Dr. Hafeez Rahman｜Legends Go Live 2024.mp4" ] }, { "messages": [ { "content": "At what specific moment does the mass become fully detached from the organ?", "role": "user" }, { "content": "At the final firing of the articulating clamp device, when the specimen lifts free.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Minimally Invasive Partial Hepatectomy (Liver Resection) - TriHealth Surgical Oncology.mp4" ] }, { "messages": [ { "content": "Which tool acts on what structure to separate the segment between the two connections and complete the looped configuration?", "role": "user" }, { "content": "A stapling device divides the bowel segment between the two anastomoses (after a mesenteric window is made) to complete the loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/UCLA U Loop Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which tool with thick jaws is used to seal and divide the narrow channel connecting the sac to the main drainage pathway, and what action does it perform?", "role": "user" }, { "content": "A stapling device is used, and it divides the cystic duct at its origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy for Mirizzi syndrome.mp4" ] }, { "messages": [ { "content": "During the peeling of the lesion, which instrument with energized blades acts on the small feeding branches, and what action does it perform on them?", "role": "user" }, { "content": "An energized scissor tool treats the small feeding branches by cauterizing them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "In the first sequence, which happens earlier: using the smaller cone at the entrance of the tight segment or switching to the larger one for the next pass?", "role": "user" }, { "content": "Using the smaller cone occurs first, followed by switching to the larger one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic bougienage - The bougie cap - A new method.mp4" ] }, { "messages": [ { "content": "Which cartridge-based device is used to divide the intestine and its supporting fold, and what actions does it perform?", "role": "user" }, { "content": "A laparoscopic echelon stapler (white load) divides the small bowel and mesentery and later fires to create and close the anastomotic channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis.mp4" ] }, { "messages": [ { "content": "Which happens first: mobilizing the fatty apron over the stomach or using an internal camera to locate the target?", "role": "user" }, { "content": "Mobilizing the fatty apron occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Mass.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the sheet being fed through an access port, when does the unfurling actually begin?", "role": "user" }, { "content": "It starts once the sheet is inside the working space, immediately after insertion through the port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Bilateral Inguinal Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "In the sequence of controlling major vessels on the left side, which is tackled first: the arterial supply or the distally located vein?", "role": "user" }, { "content": "The arterial supply is controlled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Single incision plus one port laparoscopic left hemicolectomy with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Which device is used to finish dividing the far end of the specimen, sometimes requiring two passes?", "role": "user" }, { "content": "A linear stapler is used on the colon to complete the distal transection, often with two loads.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Dr. Joseph R. Karam - Robotic Right Hemicolectomy for cancer.mp4" ] }, { "messages": [ { "content": "When and where does the defect first become visibly apparent during the viewing sequence?", "role": "user" }, { "content": "Right after exposure, it first appears at the enlarged opening above the stomach, with part of the prior wrap seen protruding toward the chest.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Reoperative Hiatal Hernia Repair - Dr. Ninh T. Nguyen.mp4" ] }, { "messages": [ { "content": "Between parting the straight-running bands on the front of the tube and cutting the ring-like bands with a hooked tip, which action happens first in the clip?", "role": "user" }, { "content": "Parting the straight-running bands happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Dor procedure.mp4" ] }, { "messages": [ { "content": "Following repeated emptying of multiple fluid pockets to make space, when do they begin actual tissue separation with the sealing-cutting device?", "role": "user" }, { "content": "They start division immediately after decompressing the fluid pockets, proceeding to stapled transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for Polycystic Liver Disease.mp4" ] }, { "messages": [ { "content": "When and where does the first unplanned disengagement of a placed item become visibly apparent?", "role": "user" }, { "content": "It first appears immediately after attempting to add another layer of packing, at the active packing site in the center of the operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Modified Kugel Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which device is used to separate the two ends of the hollow segment, and what action does it carry out?", "role": "user" }, { "content": "A linear cutting stapling device is used to divide the hollow segment at its junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection (APR) Dr Atul MISHRA Ludhiana.mp4" ] }, { "messages": [ { "content": "Between inserting the device through the lower passage and withdrawing it afterward, which occurs first?", "role": "user" }, { "content": "Insertion occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの外科的治療（手術） 板橋 道朗.mp4" ] }, { "messages": [ { "content": "When and where does an unusual bulge in the main drainage tube first become clearly visible during the operation?", "role": "user" }, { "content": "It first becomes obvious right after the front covering is peeled, appearing in the segment near the liver but outside it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Choledochal cyst excision with intracorporeal Roux en Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Which instrument is inserted into the lower bowel, and what does it help define during stitching of the rear support?", "role": "user" }, { "content": "An EESizer is inserted into the rectum to delineate the rectal wall during suturing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Rectopexy.mp4" ] }, { "messages": [ { "content": "Once the suspicious inner lining of the defect becomes clearly visible, at what point does the separation maneuver actually commence?", "role": "user" }, { "content": "It starts when the hook is used to divide the connection at the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Robotic-Assisted Resection of Gastric Fistula and Conversion.mp4" ] }, { "messages": [ { "content": "Between dividing the branch that feeds the left bowel and creating the side‑to‑side reconnection, which happens earlier?", "role": "user" }, { "content": "The arterial division occurs first, followed by the side‑to‑side reconnection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Totally Robotic Splenic Flexure Resection with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from thinning out the distal segment’s covering to the actual cutting across it with the stapling gun?", "role": "user" }, { "content": "The transition occurs when the stapling device is engaged and fired to transect the distal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection - English.mp4" ] }, { "messages": [ { "content": "When does the distinctive dark marking on the removed segment first come into view, and where is it seen?", "role": "user" }, { "content": "It appears after extracorporeal handling, on the resected transverse colon specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "After creating the connection between the stomach and small intestine with a cartridge device, what method is used to close the device’s entry openings?", "role": "user" }, { "content": "They are closed with hand-sewn sutures, including a serosa-to-serosa layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple operation technique.mp4" ] }, { "messages": [ { "content": "Between applying ligating devices to the thicker pulsatile tube and to the compressible bluish trunk, which one is performed first?", "role": "user" }, { "content": "The thicker pulsatile tube (artery) is clipped first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Asvide： Narrated hand-assisted left laparoscopic nephrectomy for kidney transplant..mp4" ] }, { "messages": [ { "content": "Which happens first: adding extra anchoring with helical fasteners, or sealing the inner abdominal lining?", "role": "user" }, { "content": "The helical fasteners are placed first, and the lining is closed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/DynaMesh®-PRS - OR Video (short)： Lap. Cervicosacropexy for the Treatment of Descensus Uteri.mp4" ] }, { "messages": [ { "content": "As the device applying small metal fasteners comes into view near a blood channel, at what moment does the actual vessel occlusion begin?", "role": "user" }, { "content": "It starts as soon as the fasteners are applied and closed on the vessel, just before any cutting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Retroperitoneoskopische Nephrektomie： Neue Technik bei Zugang und Gefäßversorgung.mp4" ] }, { "messages": [ { "content": "After a prominent fold at the front becomes visible, at what point does the operator actually start dissecting into that plane?", "role": "user" }, { "content": "Right after exposing the deep front crease, when the operator states they will commence dissection in that plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic proctopexy for rectal prolapse.mp4" ] }, { "messages": [ { "content": "After the esophagus-to-loop connection is fired, when does the closure of the entry opening actually commence?", "role": "user" }, { "content": "Closure begins right after traction stitches are placed and the device is fired to seal the entry opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastrectomia Total Oncológica -Passo a Passo.mp4" ] }, { "messages": [ { "content": "During detachment from the liver bed, which device is oriented so its protective side faces the organ while it separates the thin outer lining to avoid puncture?", "role": "user" }, { "content": "The harmonic scalpel is kept with its flange toward the gallbladder while it divides the peritoneal folds to avoid puncturing the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle.mp4" ] }, { "messages": [ { "content": "Which device is used to detach the upper left attachments of the hollow sac, and what small vessels are divided during that maneuver?", "role": "user" }, { "content": "An energy-sealing clamp is used, and the short gastric vessels are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Blackmon Novel LapHellerMyotomy 2018.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from removing contents to placing a long flexible conduit for postoperative drainage?", "role": "user" }, { "content": "The transition occurs when the flexible tube is introduced and positioned in the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/İLERİ SAFRA YOLU KANSERİNE AMELİYAT ŞANSI VERDİK.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from attempting a large external removal to opening the outlet for internal excision?", "role": "user" }, { "content": "Right after the internal check shows the growth isn’t in the specimen—once the clamp is removed and anchors are placed leading directly to the transverse opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Roux-en-Y gastric bypass with pyloroplasty & excision of duodenal mass.mp4" ] }, { "messages": [ { "content": "When and where does an unusually stiff membrane first become visibly apparent?", "role": "user" }, { "content": "It first appears during the left-sided deep dissection, in an area described as denser peritoneum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Muellheim Technique for the Laparoscopic Sigma Resection.mp4" ] }, { "messages": [ { "content": "Which device delivers energized gas to the remaining abnormal surface, and what does it accomplish there?", "role": "user" }, { "content": "A gas-plasma coagulation probe is applied to the residual lesion to ablate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Endoscopic treatment of a large intraductal papillary mucinous neoplasm of the bile duct.mp4" ] }, { "messages": [ { "content": "At what precise point does the scene move from clearing connective tissue around the junction to securing the channels with fasteners?", "role": "user" }, { "content": "Right after the clearance creates a visible window at the junction, the team transitions to applying the fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy(DaVinci X) by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "What handheld applicator is used on a small bleeder along the left side, and for what purpose?", "role": "user" }, { "content": "A clip applier is used to place clips on the small vessel to control it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection Rectal Prolapse Three Step.mp4" ] }, { "messages": [ { "content": "As the large clamping-cutting device approaches the side bundles supplying the organ, at what point does the actual clamp-and-fire sequence begin?", "role": "user" }, { "content": "Right after the side and back dissections are finished—when the side pedicles are clearly visible and the stapler is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Laparoscopic Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "Between placing suspensory stitches that elevate the overlying tissue and beginning the careful peel from the inner side of the bulging sac, which happens first?", "role": "user" }, { "content": "The suspensory stitches are placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/ROBOT Assisted Biliary Reconstruction.mp4" ] }, { "messages": [ { "content": "After adjusting the orientation so that one side sits downward relative to gravity, at what moment does the actual fixation to the body wall begin?", "role": "user" }, { "content": "Fixation begins right after the orientation is confirmed, when sutures are passed through the loop and the body wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Loop Ileostomy Creation – Step-by-Step Surgical Tutorial ｜ Dr. T K Swamy ｜ 38 Years of Experience.mp4" ] }, { "messages": [ { "content": "When and where does the culprit bump that drove the inward folding first become visibly evident?", "role": "user" }, { "content": "It first becomes evident during ongoing reduction after flipping, seen within the involved segment with an outward projection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopic Management of Small Bowel Intussusception In A Young Adult,.mp4" ] }, { "messages": [ { "content": "At what exact moment does the activity shift from working entirely with long instruments inside to delivering the bowel through an exterior opening?", "role": "user" }, { "content": "The transition occurs when the small vertical incision is created and the bowel is brought out through it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Right Hemicolectomy for Right Colon Cancer GI Surgery.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from internal division to exteriorizing the specimen through the belly-button port?", "role": "user" }, { "content": "Right after the deep tube is divided, when they enlarge the navel incision and deliver the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "When and where does scarring first become visibly apparent during the anterior pelvic flap development in the second case?", "role": "user" }, { "content": "Early in the flap raise between the rectal surface and the posterior vault, scarring appears as silvery fibrosis in that plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Indo-UK SURGICON Week 6, Day 2： Master Videos (How I Do It).mp4" ] }, { "messages": [ { "content": "When and where is an unexpected extra small artery first recognized, and relative to the main drainage tube, where does it appear?", "role": "user" }, { "content": "During the posterior–lateral clearance around the central area, adjacent to and just behind the main drainage tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Assisted Portal Lymphadenectomy and Partial Hepatectomy.mp4" ] }, { "messages": [ { "content": "Between finishing the release around the back and sides of the target organ (A) and beginning work on its front surface (B), which happens first?", "role": "user" }, { "content": "A happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Fluorescence urethral navigation for transperineal minimally invasive abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "Which instrument is used on which structure to achieve division of the deep pelvic hollow tube?", "role": "user" }, { "content": "A linear stapler is used to transect the distal rectal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultralow anterior resection, enbloc hysterectomy and unilateral ureterectomy.mp4" ] }, { "messages": [ { "content": "At what point does the video transition from the intra-abdominal reconstruction to the final wrap-up phase?", "role": "user" }, { "content": "When the skin openings on the abdomen are closed, marking the start of the final wrap-up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Vizeral Chirurgie： Laparoskopische Sigmaresektion bei benignen Indikationen.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from creating the anterior space to actually placing stitches into the reinforcement?", "role": "user" }, { "content": "The transition occurs immediately after the patch is cut to size; the first stitch is placed to fix it to the anterior surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy in Men： ICS 04012020.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from central supply-line work to dividing the apron along the stomach?", "role": "user" }, { "content": "When the posterior wall of the stomach first comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A novel technique for laparoscopic right hemicolectomy with CME： The caudal-to-cranial approach.mp4" ] }, { "messages": [ { "content": "After placing two opposing holding stitches on the upper conduit to prevent retraction, when does the actual transection begin?", "role": "user" }, { "content": "Transection begins immediately after the stays are secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy with Jejunal Pouch for Cancer of the Stomach.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow move from opening the outer layers to actively controlling small leaks?", "role": "user" }, { "content": "Right after the outer layer is opened and small vessels are cut, the team begins controlling the small leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 1.mp4" ] }, { "messages": [ { "content": "In the deep channel beneath the sidewall vessels, which is addressed first: the small pulsatile branch or the accompanying thin-walled channel?", "role": "user" }, { "content": "The small arterial branch is divided before the accompanying vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic assisted extralevator abdominoperineal resection with lateral lymphadenectomy.mp4" ] }, { "messages": [ { "content": "After the multi‑arm device is docked to the access points, when does operator‑guided manipulation actually begin?", "role": "user" }, { "content": "It starts immediately after docking and confirmation, when she begins directing the instruments backward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Fixer des bandelettes pour traiter le prolapsus - Le Magazine de la Santé.mp4" ] }, { "messages": [ { "content": "Which happens first: the recognition of a branching vessel or the opening of the thin lining on the backside?", "role": "user" }, { "content": "Recognition of the branching vessel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the clip progress from an initial tentative opening to a more definitive central breach?", "role": "user" }, { "content": "The progression occurs when the wording shifts from making a small central opening to making the central opening outright.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Right Side Hemicolectomy ｜ Dr. Anurag Singh ｜ Adarsh Hospital.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from establishing access points to performing the internal dissection?", "role": "user" }, { "content": "Right after the access ports are placed, the view shifts to the first internal dissection under the upper organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Idimed Lap Ladd's for Malrotation 3mm Sealer Narrated 2016.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the bleeding site and what action does it perform to stop the leak?", "role": "user" }, { "content": "A dual‑prong sealer clamps the bleeding site and fuses it to stop the leak.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver： Go Wakabayashi, M.D..mp4" ] }, { "messages": [ { "content": "During the colored-liquid test, when and where does leakage first become visibly apparent?", "role": "user" }, { "content": "Right after the first dye test following the initial clamp, at the treated fistula site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic management of late post-esophagectomy complications： Per-oral endoscopic pyloromyotom....mp4" ] }, { "messages": [ { "content": "During the size-reduction step inside the containment pouch, which instrument acts on which part of the specimen to achieve what effect?", "role": "user" }, { "content": "A morcellation device acts on the specimen’s top portion, fragmenting it within the containment pouch to reduce its size.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Contained Power Morcellation - Subtotal Hysterectomy.mp4" ] }, { "messages": [ { "content": "Which implement is used at the end to snug down a side stitch, and what is it acting on to do so?", "role": "user" }, { "content": "A knot pusher is used to tighten the traction (side) suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TRANSITION OF TECHNIQUES TO TREAT CHOLEDOCHAL CYST DISEASE IN CHILDREN.mp4" ] }, { "messages": [ { "content": "During the anterior procedure on the right, when does a long, crack-like line along the root first become apparent, and where is it shown?", "role": "user" }, { "content": "It first appears immediately after the end segment of the root is removed at the anterior right site, where a line-like defect running down toward the tip is demonstrated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/PART I： Piezotome apisectomies and cystectomies and bone reconstruction with CalciOss and aPRF.mp4" ] }, { "messages": [ { "content": "Between the outward-to-inward sweep along the sidewall and the inward-to-outward sweep along the same side, which one occurs first?", "role": "user" }, { "content": "The outward-to-inward sweep occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection with en bloc Small Bowel Resection and Difficult Takedown of the.mp4" ] }, { "messages": [ { "content": "Which occurs first in the clip: tying and dividing three sequential side branches off the main vessel, or using the transection device on the target tube?", "role": "user" }, { "content": "Tying and dividing the three side branches happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Inferior Mesenteric Artery Preservation.mp4" ] }, { "messages": [ { "content": "Which tools are used together on the side to separate the outer sheet from the thickened muscle fibers and the sac?", "role": "user" }, { "content": "A Hopkins clamp and a Russian forceps are used together to separate the outer fascia from the thickened cremasteric fibers and the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Male Patient).mp4" ] }, { "messages": [ { "content": "When does the clip transition from dissecting near the transverse bowel to definitive vascular control of its supply?", "role": "user" }, { "content": "The transition occurs once the supply vessels are clearly identified; definitive clipping and division start at that point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SS03 Best of Video I V003. LAPAROSCOPIC ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from widening the channel with hemostatic work to extracting the obstructive concretions inside it?", "role": "user" }, { "content": "Once the duct is laid open in the head and coring is completed, when stone removal from the duct begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreas Stones ( Chronic Pancreatitis ) Treatment Dr Avinash Tank, Dwarika hospital, Ahmedabad..mp4" ] }, { "messages": [ { "content": "While laying the forward seam loosely without cinching each pass, when does the tension-reducing anchoring maneuver occur?", "role": "user" }, { "content": "Right after beginning the loose front-side stitches, the bowel is anchored to reduce tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Isolated Mid-Bile Duct Cholangiocarcinoma Resection with Roux-en-Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the grasper lifting muscle strands while scissors align just beneath them, when does the main separation movement truly begin?", "role": "user" }, { "content": "It begins as soon as the right‑hand scissors engage the plane beneath the muscle and start lifting cephalad.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/2164594.mp4" ] }, { "messages": [ { "content": "Which happens first: beginning the sideways closure of the slit or switching to an angled camera view?", "role": "user" }, { "content": "The sideways closure begins before switching to the angled view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/My Resident and I Robotic Pyloroplasty.mp4" ] }, { "messages": [ { "content": "During freeing of the bulging area, which instrument acts on the yellowish layer to perform what action?", "role": "user" }, { "content": "A fine-tip dissector works on the fatty layer, lifting and pushing it upward to separate the pocket.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/【有声扯淡版】腹腔镜下全腹膜外右侧疝修补术TEP.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from gentle exposure to decisive treatment?", "role": "user" }, { "content": "The transition occurs at the first activation of energy to cut or ablate the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Reduced port surgery for choledocho-jejunostomy using manual manipulators.mp4" ] }, { "messages": [ { "content": "Which implement is used to corral the redundant inner lining, and what function does it serve?", "role": "user" }, { "content": "A capturing thread is used to gather the redundant lining so it can be drawn into the resection apparatus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/STARR Operation STARR： Stapler Trans Anal Rektum Resektion.mp4" ] }, { "messages": [ { "content": "During the sequence where a grasper draws the main stalk to the right, when does the definitive seal-and-separate maneuver actually begin?", "role": "user" }, { "content": "After full exposure, when multiple ligating clips are applied and it is cut between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A Stepwise Approach to Laparoscopic Right Hemi-Colectomy with D2 Excision.mp4" ] }, { "messages": [ { "content": "Which occurs earlier in the sequence: the final knot that closes the main seam, or the tightening of the side stay stitch along the edge?", "role": "user" }, { "content": "The final knot of the main seam happens first; the side stay stitch is tightened afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TRANSITION OF TECHNIQUES TO TREAT CHOLEDOCHAL CYST DISEASE IN CHILDREN.mp4" ] }, { "messages": [ { "content": "After an auxiliary arm raises a structure to expand the view, when does the deep plane dissection actually begin?", "role": "user" }, { "content": "It starts immediately after the lift creates the open space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/How I Do It： Robotic Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from tactile probing to instrument insertion?", "role": "user" }, { "content": "The shift occurs when the instrument is introduced into the pathway.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/VAAFT and excision, reconstruction of fistula in ano.mp4" ] }, { "messages": [ { "content": "When does it first become clear that the narrowing extends farther upstream than expected, prompting a change in the reconstruction strategy?", "role": "user" }, { "content": "Right after the initial cut on the reservoir organ, when the resection margin reveals more proximal involvement, leading to a switch in reconstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Stomach-Laparoscopic distal gastrectomy with billroth 2 reconstruction with Braun loop.mp4" ] }, { "messages": [ { "content": "Triggered by crowding along the lateral boundary, when does the operator initiate repositioning of the viewing system?", "role": "user" }, { "content": "Once the right-side instrument contacts the lateral vessels, the optics are moved to a different entry to improve the view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Rectopexy for full thickness rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs first: finishing the back dissection down to the pelvic floor, or identifying the slender sidewall conduit before releasing the lateral attachments?", "role": "user" }, { "content": "The back dissection to the pelvic floor is completed before the sidewall conduit is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Posterior Suture Rectopexy for Complete Rectal Prolapse by Dr. Sumanta Dey.mp4" ] }, { "messages": [ { "content": "What type of energy-based tool is used to quell minor bleeding from small branches during the dissection?", "role": "user" }, { "content": "Bipolar electrocoagulation is used to control the small bleeders.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Робот ассистированное интракорпоральное формирование илеального кондуита - метод марионетки.mp4" ] }, { "messages": [ { "content": "Between lifting the lump with a single suture and dividing it with a stapling device, which happens first?", "role": "user" }, { "content": "Lifting with the suture happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Mass.mp4" ] }, { "messages": [ { "content": "After the junction between the swallowing tube and the stomach is exposed and surrounding fat is cleared, when does the muscle-splitting actually begin relative to that junction and the prior bypass connection?", "role": "user" }, { "content": "It begins 2–3 cm below the junction and 1–2 cm above the prior bypass connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy in Patient with Prior Roux En Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "At what moment does the clip move from closing the shared side opening to securing the gap in the supporting membrane?", "role": "user" }, { "content": "Immediately after finishing the one-layer closure of the shared opening, they start closing the supporting membrane gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from securing the sheet at the top to closing the overlying lining layer?", "role": "user" }, { "content": "Right after the top fixation is completed and reinforced, when the lining is re-sutured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/CONCOMITANT VENTRAL MESH RECTOPEXY WITH TAPP YOUTUBE.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from the outside connection work back to internal inspection with a reinflated abdomen?", "role": "user" }, { "content": "Right after the joined bowel is returned inside and the abdomen is reinflated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/May 2021 ｜ 20-1225 ｜ Didactic Video Collection ｜ Laparoscopic Right Hemicolectomy ｜.mp4" ] }, { "messages": [ { "content": "Which circular joining device engages the internal surfaces to create the connection, and how is it brought together to complete the join?", "role": "user" }, { "content": "A circular stapling device engages the lumen and is coupled to its cap piece; joining the two completes the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Sigmoid Colon Diverticulitis.mp4" ] }, { "messages": [ { "content": "Which occurs first: combining the peritoneal cuts or cutting the narrow urine conduit from the kidney?", "role": "user" }, { "content": "Combining the peritoneal cuts occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/#168 Surgical Techniques to Improve Erectile Function Following Robotic Cystoprostatectomy Dr. A. Ta.mp4" ] }, { "messages": [ { "content": "Which occurs first: sweeping a delicate nerve bundle off the left side of the work area, or opening the thin lining on the right side?", "role": "user" }, { "content": "The nerve sweep on the left happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/SIL Proctectomy Ileal JPouch - Mayo Clinic.mp4" ] }, { "messages": [ { "content": "Which bend of the large bowel is freed first: the one tucked under the liver or the one near the left upper quadrant organ?", "role": "user" }, { "content": "The bend under the liver is freed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic subtotal colectomy with complete mesocolic excision for colonic adenocarcinoma.mp4" ] }, { "messages": [ { "content": "When and where does the unusual thickening first become visibly apparent, as shown by the fine dissector being unable to pass until more cutting is done?", "role": "user" }, { "content": "Just before the initial entry through the outlet ring—when the fine-tip dissector cannot pass and incremental cuts are required.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Lap Pyloroplasty for Gastroparesis - Severely Thickened Pylorus.mp4" ] }, { "messages": [ { "content": "When and where does any leak first become visible during the integrity check of the new connection?", "role": "user" }, { "content": "No leak becomes visible at any time; the integrity check is negative.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Open left hemicolectomy for proximal sigmoid cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from working around the lower curvature to addressing the lymphatic tissue along the upper left side?", "role": "user" }, { "content": "The transition occurs when they state they are moving to the upper-left lymphatic area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/本編　胃癌に対する胃全摘術.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the material inside the collection pouch, and what does it do to enable retrieval?", "role": "user" }, { "content": "A vacuum-like device is applied to the pouch’s contents to evacuate and reduce them, facilitating retrieval.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Left Salpingo - oophorectomy for Ruptured Dermoid with Right Ovarian Cystectomy.mp4" ] }, { "messages": [ { "content": "What device is used to transect the upper rectal segment, and on which tissue does it act?", "role": "user" }, { "content": "A stapling device transects the proximal rectum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/LAPAROSCOPIC SIGMOIDECTOMY AND PARTIAL CYSTECTOMY WITH THE AID OF ICG FLUORESCENCE.mp4" ] }, { "messages": [ { "content": "Which device acts on a small blood conduit to create a safer passage between adjacent structures?", "role": "user" }, { "content": "A clip applier places two clips on a small blood conduit to create a safe corridor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Lap Necrosectomy # Laparoscopic Pancreatic necrosectomy # Necrosectomy # Laparoscopic drainage WOPN.mp4" ] }, { "messages": [ { "content": "Which instrument is used to seal and divide the larger channels while the organ is being cut?", "role": "user" }, { "content": "A stapling device is used to seal and divide the larger channels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Right Hepatectomy with Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "After marking the limits on the small bowel, when does cutting actually commence?", "role": "user" }, { "content": "Cutting starts once the mesenteric vessels are skeletonized and the segment is fully exposed, at the moment they proceed to transect the small bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/全腹腔镜下根治性右半结肠切除术.mp4" ] }, { "messages": [ { "content": "Given the visible cue of lifting a thin tissue layer off the inner wall, when does the targeted dissection of the protruding pouch actually begin?", "role": "user" }, { "content": "It begins after the direct region is cleared, following the lift of the thin layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Robotic TAPP mesh repair of an inguinal hernia using the Hugo™ R.mp4" ] }, { "messages": [ { "content": "During specimen retrieval, when does a potential blockage at the opening become apparent, and when is it seen to resolve?", "role": "user" }, { "content": "It briefly appears during extraction when the piece seems too large, then moments later it passes through smoothly.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/segmental resection of duodenal jejunal junction for benign tumor.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the initial internal viewing phase to the phase of placing additional access points?", "role": "user" }, { "content": "The transition occurs when the additional access devices are placed under visual control after the inspection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lehrvideo⧸Real Surgery： Entferung der Gallenblase - Surgical Removal of the Gallbladder.mp4" ] }, { "messages": [ { "content": "After the surgeon marks the planned cut line, when does the first horizontal transection actually start?", "role": "user" }, { "content": "Immediately after marking, the horizontal transection starts beneath the strap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "During the deep-plane work, at what visible cue does the scene transition to having reached the body’s side boundary?", "role": "user" }, { "content": "When the sidewall or outer colonic wall first comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Kidwai technique of Laparoscopic Complete Splenic Flexure mobilization.mp4" ] }, { "messages": [ { "content": "Which occurs first: peeling the thin lining off the bulging sac or dissecting its stalk?", "role": "user" }, { "content": "Peeling the lining off happens before dissecting the stalk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC EPIPHRENIC DIVERTICULECTOMY WITH HELLER ESOPHAGOMYOTOMY AND DOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "When does an unusually close approach of the cutting device to a large central trunk first become visibly apparent, and where is it seen?", "role": "user" }, { "content": "Just before firing across the anterior vein, the device appears very close to the vena cava at the hilum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Master Class on Laparoscopic Nephrectomy by Dr.R.K.Mishra.mp4" ] }, { "messages": [ { "content": "When and where does the unusual cut through the tailbone first become visibly apparent in the procedure?", "role": "user" }, { "content": "Just before the posterior entry into the abdomen, at the base of the spine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/PROPHYLACTIC USE OF PERINEAL AND PERISTOMAL MESH IN LAPAROSCOPIC ABDOMINOPERINEAL AMPUTATION.mp4" ] }, { "messages": [ { "content": "Which instrument is used to peel the thin lining over the dissection area, and what action does it perform on that layer?", "role": "user" }, { "content": "An ultrasonic energy device is used to separate the peritoneal lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/HD Lap Chole by Mishra's Knot.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow transition from placing multiple pre-positioned stitches to actually tightening them along the backside line?", "role": "user" }, { "content": "After both corner knots are tied, they begin tightening the posterior stitches one by one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy： Dr Atul Mishra, Ludhiana.mp4" ] }, { "messages": [ { "content": "Given the visible fullness of the organ, when does the measured trimming along the lesion border actually begin?", "role": "user" }, { "content": "Right after a small controlled entry is made at the lesion edge and fluid is suctioned, the team begins trimming the inner lining with a defined margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Partial Cystectomy for suspected Urachal Mass.mp4" ] }, { "messages": [ { "content": "Which occurs first: taking out the access sleeves or stitching the deep layer of the abdominal wall?", "role": "user" }, { "content": "The access sleeves are removed first, then the deep (fascia) layer is sutured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/DynaMesh®-PRS - OR Video (short)： Lap. Cervicosacropexy for the Treatment of Descensus Uteri.mp4" ] }, { "messages": [ { "content": "During the later procedure, when and where does a bulging defect near the diaphragm first become apparent, and what is seen within it?", "role": "user" }, { "content": "Early during exploration, a defect near the diaphragm becomes visible with a fat pad protruding through it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Undo of Gastric Plication and Conversion to RNY Gastric Bypass and repair of Hiatal Hernia.mp4" ] }, { "messages": [ { "content": "In this clip, which happens first: the flexible internal camera is used to locate the outlet passage, or the surgeons create and extend the cut across that passage?", "role": "user" }, { "content": "The internal camera localization occurs first, before the cut is created and extended across the outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pyloroplasty after gastric stimulator.mp4" ] }, { "messages": [ { "content": "After the scene briefly clears, when does the operator actually begin separating layers along the organ’s lower outer edge?", "role": "user" }, { "content": "Immediately when the field clears, the operator starts dissecting along the lower outer side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic interval cholestectomy Perc Chole High BMI.mp4" ] }, { "messages": [ { "content": "At what point in the course does the narrowed lumen stabilize around a centimeter in diameter?", "role": "user" }, { "content": "After three and a half months of treatment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/РАЗРЫВ СТЕНКИ ТОЛСТОЙ КИШКИ ПОСЛЕ БАЛЛОННОЙ ДИЛЯТАЦИИ РУБЦОВОЙ СТРИКТУРЫ ОБЛАСТИ АНАСТОМОЗА.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected need to cut a side branch of a vein first become evident?", "role": "user" }, { "content": "It first becomes apparent during encirclement above and below the lesion, at a posterior venous branch that must be divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/External Retraction Technique for Robotic PancreatoDuodenectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from lateral freeing of the right colon to central division of the small-intestinal attachments?", "role": "user" }, { "content": "The transition occurs when they begin dividing the small-intestinal mesentery from the high-ligation point toward the planned cut line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/SAGES Top 14 Part 11： Laparoscopic Right Hemi-Colectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working around the organ’s exterior to operating inside it?", "role": "user" }, { "content": "The transition occurs when they make and enter through the wall incision into the organ’s interior.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC PARTIAL GASTRECTOMY FOR INCIDENTAL GIST TUMOR.mp4" ] }, { "messages": [ { "content": "Between realigning the twisted intestinal loops and taking out the small finger-like pouch at the junction of small and large bowel, which happens first in this clip?", "role": "user" }, { "content": "Realignment of the intestinal loops happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation surgery & Lecture # (Ladd's operation) # Explaination (For Educational purposes only).mp4" ] }, { "messages": [ { "content": "When and where does an abnormal color change on the bowel first become visibly apparent?", "role": "user" }, { "content": "During preparation for exteriorization, a bluish discoloration first appears on the distal bowel with a sharp demarcation line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME with Retroileal-Colorectal Anastomosis： Combining Old & New Techniques.mp4" ] }, { "messages": [ { "content": "After the implant is seated and fixed, when does sealing the inner lining over it begin?", "role": "user" }, { "content": "It begins at the final step, when they start closing the lining over the implant.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy - Dr. Roy Patankar ⧸ Zen Hospital (With Audio).mp4" ] }, { "messages": [ { "content": "Given that the organ is rotated to a posterolateral orientation by the assistant, when does the downward mobilization of the adjacent hollow organ actually start?", "role": "user" }, { "content": "It starts immediately after the rotation toward the posterolateral position, when the pillars are divided and the hollow organ is pushed down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/The Art of TLH： A Surgeon's Perspective： Total Laparoscopic Hysterectomy (TLH) Walkthrough.mp4" ] }, { "messages": [ { "content": "After traction threads are placed at the top and bottom of the outlet ring and brought out through the body wall, when does the opening cut actually begin?", "role": "user" }, { "content": "Immediately after both threads are externalized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/SURGERY VIDEO： Laparoscopic Pyloroplasty for Gastroparesis by Dr. Michael Hughes.mp4" ] }, { "messages": [ { "content": "At what moment does the phase change from a puckered, narrow support to a widened, relaxed configuration around the small–large junction?", "role": "user" }, { "content": "When the widening is completed and confirmed by the final run from the upper bend to the small–large junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in adult.mp4" ] }, { "messages": [ { "content": "During glow-guided mapping, once the first green-highlighted focus appears, when does the removal of that focus actually start?", "role": "user" }, { "content": "Right after the first green-highlighted site is seen and localized, the surgeon proceeds to remove it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/oophorectomy/刘开江：子宫内膜癌手术治疗的新进展和新理念.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a thorough cavity rinse, when does the lifting of a small-bowel loop into the upper compartment actually begin?", "role": "user" }, { "content": "It starts immediately after the rinse, when the loop is brought up to the upper compartment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatico duodenectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: recognizing that there is no separate right-sided branch off the transverse trunk, or closing and dividing the rightward limb of the bifurcation?", "role": "user" }, { "content": "They recognize the absence of a separate branch first, then clip and divide the rightward limb of the bifurcation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Single Incision Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the swollen nodules along the main vascular roots, and what does it achieve?", "role": "user" }, { "content": "Single-electrode cutting forceps perform nodal clearance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection - How I do it.mp4" ] }, { "messages": [ { "content": "When does the workflow transition from removing the organ to checking the cut ends for any issues?", "role": "user" }, { "content": "Immediately after removal and securing the bed, the team inspects the cut ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Open Cholecystectomy For Cholelithiasis Full Procedure.mp4" ] }, { "messages": [ { "content": "Once a segment is pulled inward toward the midline, when does the actual cut into its supporting curtain of tissue begin?", "role": "user" }, { "content": "It starts immediately after the inward pull, when the mesenteric layer is incised.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Optimizing the safety of laparoscopic anterior resection： our approach.mp4" ] }, { "messages": [ { "content": "When and where does the unusually large gap at the operative bottom first become visibly apparent?", "role": "user" }, { "content": "At the end of the bottom-side phase, the perineal region shows a large defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Distal Rectal Cancer Surgery - LAR vs APE.mp4" ] }, { "messages": [ { "content": "Between the creation of small access openings on the two hollow segments and the activation of the device that links them, which happens first?", "role": "user" }, { "content": "The small access openings are created first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastro-jejunostomy (GJ) by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "Between reflecting the bowel and dividing a small vein from the gland above the kidney, which happens first?", "role": "user" }, { "content": "Reflecting the bowel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Operative Management？ - Laparoscopic donor nephrectomy： tips & tricks - Dr. Ahmad Alzahrani.mp4" ] }, { "messages": [ { "content": "After the retrieval pouch is brought into view and opened, when does the team actually load the freed tissue into it?", "role": "user" }, { "content": "Immediately after nodal clearance is completed, they place the specimen into the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder.mp4" ] }, { "messages": [ { "content": "What device is used to transect the upper portion of the bowel tube deep in the lower abdomen during this procedure?", "role": "user" }, { "content": "A stapler is used to transect the upper pelvic bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left colectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working behind the rectal tube to the front-facing plane?", "role": "user" }, { "content": "The transition occurs when the anterior plane is entered and the fascia of Denonvilliers is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/A Novel Technique for lap abdomino-perineal resection in case of locally advanced low rectal cancers.mp4" ] }, { "messages": [ { "content": "During the initial presentation, when do the preprocedure visuals first reveal continued encroachment on paired anterior structures and the posterior sheet?", "role": "user" }, { "content": "When the preprocedure images are displayed, showing persistent involvement of the paired anterior structures and the posterior fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Lap Circumferential Extended-TME for Non-responding Low-rectal cancer postNeoadjuvant Chemoradiation.mp4" ] }, { "messages": [ { "content": "Which auxiliary device interacts with the field to improve visibility during energy use, and what does it remove?", "role": "user" }, { "content": "An evacuation wand clears smoke and blood from the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Redo Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on tiny offshoots from the main surface blood channel to seal them before they are divided, and what does it do to the tissue?", "role": "user" }, { "content": "Thermal cautery (bipolar) is applied to the small arterial offshoots to coagulate them before division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/SVIN 2019： Surgical Treatment of High Grade Spetzler Martin AVMs.mp4" ] }, { "messages": [ { "content": "Once the new duct-to-bowel connection has been sewn, at what point is dye-based imaging used to verify that it is open?", "role": "user" }, { "content": "Right after the connection is completed, dye imaging is performed to confirm patency.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic Roux-en-y hepaticojejunostomy for primary intrahepatic lithiasis after laparoscopic.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from clearing small tissue clusters around a major vessel to initiating vascular transections?", "role": "user" }, { "content": "Right after the surrounding tissue clearance, when clips are applied to the main vessels and cutting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection： Anterior SMA first approach.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action: which bladed end-effector divides the side tethers of the lower bowel, and for what purpose?", "role": "user" }, { "content": "The bladed end-effector (robotic scissors) divides the lateral side attachments of the lower bowel to mobilize it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/rectopexy/Key principles of posterior suture rectopexy..mp4" ] }, { "messages": [ { "content": "Which instrument is used on the wall of the urine‑holding organ to deliberately open it and extend the cut?", "role": "user" }, { "content": "Fine robotic scissors are used to incise and extend the opening in the reservoir wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/robotic sigmoid resection with en bloc partial cystectomy for malignant fistula.mp4" ] }, { "messages": [ { "content": "Between extracting a lattice-like insert from a narrow channel near the liver and cutting across that channel, which happens first in the clip?", "role": "user" }, { "content": "The extraction happens first, followed by cutting across the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic R-Y choledochojejunostomy via retrocolo-gastric route, an uncommon approach.mp4" ] }, { "messages": [ { "content": "Between clearing nodes in front of a major vein and clipping a principal artery on the left side of the field, which happens first?", "role": "user" }, { "content": "Node clearance in front of the vein happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 lymph node dissection with total gastrectomy and jejunal pouch reconstruction for ea.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish separation under the curved upper organ: does the energy handpiece act on the vertical conduit to divide it, or does the grasper act on the sheet to peel it?", "role": "user" }, { "content": "The energy handpiece acts on the vertical conduit to divide it beneath the curved upper organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection Medial to Lateral Dissection Techniques.mp4" ] }, { "messages": [ { "content": "After a window is opened in the supporting tissue of the small bowel, when does the actual cut through the bowel segment begin?", "role": "user" }, { "content": "It begins immediately after the window is created, when the stapling device is applied to transect the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/ROBOTIC BILIARY RECONSTRUCTION UTILIZING HEPP COUINAUD TECHNIQUE WITH ROUX EN Y HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "After the curved passer is attached to the tube and tied, when does the under‑skin passage toward the side exit actually begin?", "role": "user" }, { "content": "It begins right after the passer is secured to the tube, when they start advancing it under the skin toward the lateral exit path.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Placement of Peritoneal Dialysis Catheter (E. Peden MD, S. Timbalia MD, K. Livingston).mp4" ] }, { "messages": [ { "content": "When and where does an unusual speckled pattern first become visibly apparent along the inner lining?", "role": "user" }, { "content": "It first appears on the inner abdominal wall during the initial view, before the later scene that shows only fluid.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "Which happens earlier: the internal camera-and-air check of the new connection or the final repeat fluorescence check before removing the specimen?", "role": "user" }, { "content": "The scope-and-air test occurs earlier; the fluorescence recheck comes afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic-Assisted Deloyers Procedure.mp4" ] }, { "messages": [ { "content": "At the start, which handheld grasper is applied to the protruding segment, and what task does it perform on that tissue?", "role": "user" }, { "content": "Babcock forceps grasp the protruding segment to control and present it for the subsequent steps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Complete rectal prolapse｜ Perineal Rectopexy｜ Delorme procedure｜ DR. Pandiaraja.mp4" ] }, { "messages": [ { "content": "Which tool is used to separate the thin inner membrane from its attachments near the groin, and what action does it perform on that layer?", "role": "user" }, { "content": "Monopolar scissors act on the peritoneal layer, scoring and opening it to create a flap and sweeping it to free and drop adjacent vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Right Inguinal Hernia by Jonathan Carter, MD ｜ Full Case.mp4" ] }, { "messages": [ { "content": "Which device interacts with the thin abdominal lining to accomplish the final sealing step?", "role": "user" }, { "content": "A barbed running suture (V-Loc) is used to close the peritoneum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Ventral Rectopexy with Folded Single Mesh (RVR-FSM) Suspension for Pelvic Organ Prolapse.mp4" ] }, { "messages": [ { "content": "Given the visual cue of two stay stitches placed along the upper and lower edges of the tissue bridge, when does the actual crosswise division start?", "role": "user" }, { "content": "Immediately after those two border stitches are placed, the division begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Pylorus Preserving Pancreatico Duodenectomy (Whipple's Procedure).mp4" ] }, { "messages": [ { "content": "When do the enlarged nodules along the cut fatty sheet first become visibly apparent?", "role": "user" }, { "content": "They first appear during early vascular control as the fatty sheet is transected—visible when the mesentery is cut and the bulky nodes are noted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy - ICA (narrated ).mp4" ] }, { "messages": [ { "content": "Which muscle layer is cut to reveal the lengthwise fibers beneath, and what action exposes them?", "role": "user" }, { "content": "The ring‑like (circular) muscle layer is cut, which exposes the underlying lengthwise fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/STS University 2019 - Course 10： Peroral Endoscopic Myotomy (POEM) Skills.mp4" ] }, { "messages": [ { "content": "Which happens first: looping a soft band around the junction area or cutting the last strands tethering the lower channel to the central cavity?", "role": "user" }, { "content": "Looping the band around the junction occurs before cutting the remaining strands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatus Hernia Repair with Nissen's Fundoplication- Dr. Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "Which happens first: spotting the rhythmic tubular structure in the lower field or starting along the side attachment line?", "role": "user" }, { "content": "Spotting the ureter (by its peristalsis) occurs before starting the lateral dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Modular approach of robotic total mesorectal excision for the trainees.mp4" ] }, { "messages": [ { "content": "When and where does the first unexpected tearing of a main branching vessel become visibly apparent?", "role": "user" }, { "content": "It first appears during retraction at the mesenteric confluence region when the main branch tears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple converted to open...mp4" ] }, { "messages": [ { "content": "After a thin tube is steered into the target branch, at what point does delivery of the blocking material actually begin?", "role": "user" }, { "content": "It begins once the tube is already seated in the target branch on the right side—deployment starts immediately after positioning.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hepatocellular Carcinoma： role of Hepatectomy versus Liver Transplantation.mp4" ] }, { "messages": [ { "content": "Which happens first: freeing the nearby C-shaped loop from the large bowel’s supporting sheet, or securing and dividing the primary stalk feeding the segment?", "role": "user" }, { "content": "Freeing the curved loop comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A Stepwise Approach to Laparoscopic Right Hemi-Colectomy with D2 Excision.mp4" ] }, { "messages": [ { "content": "Which handheld cutting implement is used on the gland itself to complete its division after the outer covering is opened, and what action does it perform?", "role": "user" }, { "content": "A handheld blade is used to transect the gland’s parenchyma after opening its covering.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple procedure.mp4" ] }, { "messages": [ { "content": "When does the clip transition from bulk reduction with the spinning cutter to post-extraction inspection of the operative field?", "role": "user" }, { "content": "The transition occurs once all pieces are removed and the spinning cutter is taken out (“The blade is no longer required”).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy or Laparoscopic Removal of Fibroids in the Uterus I Dr. Rajeev Agarwal.mp4" ] }, { "messages": [ { "content": "Which happens earlier in the sequence: clearing small nodal tissue near the portal area, or encircling three adjacent tubes with brightly colored bands?", "role": "user" }, { "content": "Clearing the small nodal tissue occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Radical Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When preparing the upper connection, after confirming the reservoir’s apex is oriented without twist and the tip stitch is visible, when is the opening at the apex actually created?", "role": "user" }, { "content": "Right after confirming alignment without twist, the opening is made near the mesenteric side of the apex, not at the tip stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY - HUNT LAWRENCE POUCH.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the tiny red strands along the outermost layer to both divide tissue and prevent them from obscuring the view?", "role": "user" }, { "content": "A heat-based energy tip is used to cut and coagulate them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy- Hands on Hysterectomy Work shop.mp4" ] }, { "messages": [ { "content": "Which comes first: removing the diseased bowel segment or bringing a loop of intestine out to the skin to form a new external opening?", "role": "user" }, { "content": "The segment is removed first, and the external opening is created afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Splenic flexure colon cancer with bowel obstruction. Obstructive left hemicolectomy..mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from controlling bleeding around vessels to freeing the descending tubes?", "role": "user" }, { "content": "Right after vascular control is achieved, mobilization of the ureters begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Radical Cystectomy And Orthotopic Bladder Replacement In Female Patients.mp4" ] }, { "messages": [ { "content": "In the sequence of connections, which is done first: linking the outlet channel to the pouch, or attaching the two inflow tubes to its limbs?", "role": "user" }, { "content": "The outlet channel connection comes first; the inflow tube attachments happen later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystectomy LRC and Intracorporeal Urinary Diversion ICUD 1.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from freeing the mass to inspecting nearby structures for unintended injury?", "role": "user" }, { "content": "Immediately after complete separation, as inspection of the adjacent tube begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic removal of Para Ovarian Cyst I Dr. Rajeev Agarwal.mp4" ] }, { "messages": [ { "content": "After a small entry is created in the upstream bowel wall, when does threading of the guiding tip through and out the opposite side actually begin?", "role": "user" }, { "content": "It begins right after the opening is made, as the scissors puncture through and the guiding tip is threaded out the opposite border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from creating the access cuts to initiating placement of the encircling loop?", "role": "user" }, { "content": "The transition occurs when the suture is first taken and introduced for the initial pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Thiersch Stich for Rectal Prolapse ｜ Educational Purpose ｜.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from freeing the organ to anchoring it to the posterior wall?", "role": "user" }, { "content": "The transition occurs when the first anchoring stitch is placed into the posterior bony surface immediately after confirming adequate mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Posterior Suture Rectopexy for Complete Rectal Prolapse by Dr. Sumanta Dey.mp4" ] }, { "messages": [ { "content": "Which is seen first: the central darkening within the square layer or the complete cessation of flow from the opening?", "role": "user" }, { "content": "The central darkening occurs first, followed by complete cessation of flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Demonstration of 6mm liver biopsy punch treatment.mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to enable a full-around freeing maneuver?", "role": "user" }, { "content": "A broad-jawed clamp is applied around the small tubular structures to enable circumferential dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap-CME right hemicolectomy step-by-step using critical view concept.mp4" ] }, { "messages": [ { "content": "What tool is used to collect the small nodal clusters, where are they taken from, and what action is accomplished?", "role": "user" }, { "content": "An endobag is used to collect nodal clusters from around the arterial area and remove them from the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Whipple procedure.mp4" ] }, { "messages": [ { "content": "When does the scene switch from freeing upper attachments to work in the lower region?", "role": "user" }, { "content": "Right after the last bridging bands are divided and the curved segment is straightened, the team shifts focus to the lower region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/A Case of Malrotation & Situs Inversus Totalis.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from working on the outlet opening to working on the reservoir chamber?", "role": "user" }, { "content": "Right after completing the final outlet sutures, the focus transitions to the reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Endoscopic (Incision-less) Revision of Roux en Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "During the early deep-plane separation on the left side, which device is used to peel apart the layers, and what layers are being separated?", "role": "user" }, { "content": "A hook-shaped electrosurgical instrument separates the mesocolon from the retroperitoneal fascia along the fusion plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Emergency Laparoscopic Left Hemicolectomy ：TB descending colon presenting as Massive Haematochezia.mp4" ] }, { "messages": [ { "content": "During the sequence where two loops are freed, when does the workflow change from releasing attachments to cutting the bridge, and what marks that change?", "role": "user" }, { "content": "Right after complete mobilization, the workflow shifts to cutting; the transition is marked by beginning the division of the bridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Approach Fistulous Disease, Abscess, and Strictures： Petachia Reissman, M.D..mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from sealing the inner membrane to taking out the instruments?", "role": "user" }, { "content": "The shift occurs immediately after finishing the peritoneal closure, when the main port fascia is closed and the other ports are removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy with Biologic Mesh ｜ Case Review ｜ ASCRS 2019 Best Video.mp4" ] }, { "messages": [ { "content": "At what moment in the follow-up footage does the connection appear widened compared to the immediate post-procedure view?", "role": "user" }, { "content": "At the 15-day follow-up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/New Techniques for Totally Laparoscopic Anastomosis (TLA) After Colon Resection.mp4" ] }, { "messages": [ { "content": "During the operation, which occurs first: using a handheld imaging probe to verify the boundary of the mass, or briefly halting blood inflow to the organ?", "role": "user" }, { "content": "Boundary verification with the probe occurs first, followed by the brief inflow halt.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/【2020 台大全民泌尿抗癌日】民08 周博敏醫師—腎臟癌的手術治療—腎臟全切除，還是部分切除？(達文西機器手臂、腹腔鏡、傳統開放手術的比較).mp4" ] }, { "messages": [ { "content": "After the moment when a bright internal glow is visible through the wall, at what point does the actual wall-cutting begin?", "role": "user" }, { "content": "Cutting begins after the traction stitches are placed, when they start incising the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic partial gastrectomy for GIST.mp4" ] }, { "messages": [ { "content": "After the segment is brought outside the body, when does the internal cap piece get seated into the upstream segment?", "role": "user" }, { "content": "Immediately after exteriorization and cleansing, the cap is inserted into the proximal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (5).mp4" ] }, { "messages": [ { "content": "Which comes first: securing the top-end connector under the scope or triggering the bottom-up device to create the join?", "role": "user" }, { "content": "Securing the top-end connector happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/colorectal Ca 2nd discussion.mp4" ] }, { "messages": [ { "content": "What handheld tool manipulates the intestinal limb to fold into itself, and what tissue does it grasp to achieve creation of the one-way channel?", "role": "user" }, { "content": "Atraumatic graspers (Babcock-type clamps) grasp the intestinal segment to fold it into itself and create the one-way channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Continent Ileostomy Formation- How To Make a ＂Kock's Pouch＂.mp4" ] }, { "messages": [ { "content": "After the circular outline around the mass is completed, when does the true tissue-splitting begin?", "role": "user" }, { "content": "It starts in the next phase, when vessel skeletonization and division begin (Step 3).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Partial Hepatectomy for Benign Liver Tumor Without Vascular Clamping.mp4" ] }, { "messages": [ { "content": "Which occurs first: securing and cutting the lower narrow channel leading into the gland, or beginning preparation of the intestinal limb for the eventual join?", "role": "user" }, { "content": "Securing and cutting the lower channel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision RouxenY Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Between setting up the visualization system and passing the internal support tube into the reconstructed channel, which occurs first in the clip?", "role": "user" }, { "content": "The system setup occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Robotic Dismembered Tubularized Flap Pyeloplasty for Ureteropelvic Junction Obstruction.mp4" ] }, { "messages": [ { "content": "Which occurs first: inspecting the rows of fasteners for integrity or advancing the transection toward the upper inlet?", "role": "user" }, { "content": "Inspection of the fastener rows happens before advancing upward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "Which device passes through a cut in the middle intestine to connect it to the newly formed stomach pouch, and what action does it perform?", "role": "user" }, { "content": "A round joining tool traverses the intestinal opening and creates the stapled connection to the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Diverticulectomy, Myotomy, and Roux-en-Y Gastric Bypass for Epiphrenic Diverticulum and.mp4" ] }, { "messages": [ { "content": "When minor oozing is observed during the split, at what point is pressure applied to stop it?", "role": "user" }, { "content": "Compression is applied immediately after the minor oozing is seen during the split.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller's Cardiomyotomy & dor fundoplication.mp4" ] }, { "messages": [ { "content": "After the front-most membrane is opened, when do the surgeons begin separating the nearby hollow sac from the central organ?", "role": "user" }, { "content": "Immediately after opening the anterior membrane, they separate the bladder from the uterus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure transition from removing the stomach to beginning the separate resection of adjacent left‑upper quadrant structures?", "role": "user" }, { "content": "The transition occurs when they begin mobilizing the left colon and splenic flexure immediately after deciding to proceed with the additional resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Total Gastrectomy, Splenectomy And Distal Pancreatectomy With Roux-en-Y Esophagojejunostomy.mp4" ] }, { "messages": [ { "content": "As the auxiliary robotic hand backs out of the field, when does the operator begin stitching on their own?", "role": "user" }, { "content": "Right after the assisting arm moves away, the operator proceeds with suturing independently.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Bleeding Sigmoid Diverticulosis – Urgent Staperless Totally Robotic Sigmoidectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the video shift from schematic diagrams to real imaging of a case?", "role": "user" }, { "content": "At the moment the narration invites looking at a patient example and the CT images appear.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Хирургия для чайников. Классификация послеоперационных грыж..mp4" ] }, { "messages": [ { "content": "Between sealing the gap in the tissue and introducing a flexible pouch for specimen handling, which occurs first in the clip?", "role": "user" }, { "content": "Sealing the gap happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Fibroids.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from a wide intra-abdominal panorama to a close-up, tunnel-like view where two instruments operate beside a lens?", "role": "user" }, { "content": "The transition occurs right after the access device is seated internally, when the view switches to the endoluminal scene with one camera and two working channels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Trans-anal total mesorectal excision using combined approach (TaTME ) by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "What visual enhancement is applied to outline the area before cutting, and how is it used?", "role": "user" }, { "content": "A contrast-enhanced, dye-assisted magnified endoscopic view is applied to highlight and delineate the boundaries before cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/胃腸癌症之內視鏡治療暨預防新趨勢(臺南市立安南醫院).mp4" ] }, { "messages": [ { "content": "Using the visual cue of the assistant pressing from outside to make the right-side muscle belly stand out, when does the deep bite on that side actually start?", "role": "user" }, { "content": "Once the right side bulges from external pressure, the deep stitch is immediately taken into that muscle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy (RVR) for Rectal Prolapse and Obstructive Defecation - Chinese Simplified.mp4" ] }, { "messages": [ { "content": "When during the operation does a bulge on the organ first come into view, and on which surface is it seen?", "role": "user" }, { "content": "Early in the operation, on the front surface near the larger curve of the lower stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/ANTRECTOMIA VIDEOLAPAROSCÓPICA COM RECONSTRUÇÃO BILLROTH I -TRATAMENTO DE LINFOMA PRIMÁRIO GÁSTRICO.mp4" ] }, { "messages": [ { "content": "Between configuring the path on the planning display and reviewing the post-treatment blended view that shows coverage, which happens first?", "role": "user" }, { "content": "Configuring the path on the planning display happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/How I do it - Stereotaktische Ablation von Lebertumoren - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "When does the closure phase shift from internal depth-taking passes to the final edge-to-edge run?", "role": "user" }, { "content": "It occurs when the second needle is introduced and the final continuous run proceeds from left toward the right angle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy of large and oddly positioned myomas with uterine artery ligation at origin.mp4" ] }, { "messages": [ { "content": "At what point does the workflow move from completing the wall split to anchoring the wrap to the tube?", "role": "user" }, { "content": "Immediately after completing the split, once mobilization is confirmed, anchoring sutures begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Long Myotomy and Fundopexy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Which step comes first: creating a broad window by splitting the fat curtain over the intestines, or measuring a set length of small bowel and dividing it?", "role": "user" }, { "content": "Splitting the fat curtain to create the window occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Treatment of intractable GERD after sleeve gastrectomy by hiatal hernia repair & conversion to RYGB.mp4" ] }, { "messages": [ { "content": "When, relative to opening the thin abdominal lining, does the working space visibly clear due to gas entering?", "role": "user" }, { "content": "Immediately after the lining is opened, as gas enters and clears the space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/High ligation of the inferior mesenteric artery in anterior resection for rectal cancer.mp4" ] }, { "messages": [ { "content": "In the upper-field dissection where a vertical channel is lifted, which happens first: entry into the clear plane behind it, or visualization of the smooth, pale crescent-shaped structure above?", "role": "user" }, { "content": "Entry into the clear plane occurs first, followed by visualization of the smooth, pale structure above.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection Medial to Lateral Dissection Techniques.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from freeing the final attachment to initiating removal through the left-side access?", "role": "user" }, { "content": "As soon as the final attachment is cut, a claw is applied and extraction begins via the left-side access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Innovation in Robotic Surgery： Emergence of Skin to Skin Robotic Cholecystectomy Using Mantra Robot.mp4" ] }, { "messages": [ { "content": "Given the appearance of a pre-placed marker along the left-sided path, when does the cross-over of that tube to the opposite side actually start?", "role": "user" }, { "content": "It starts immediately after the marker from the opposite side is visualized and grasped, when the assistant pulls it across.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy with Diversion by Jonathon Wright, M.D..mp4" ] }, { "messages": [ { "content": "Given the visible cue of the viewing device aligning parallel to the inner wall, when does the actual insertion begin?", "role": "user" }, { "content": "Immediately after the device is aligned parallel to the wall, insertion begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SLEEVE GASTRECTOMY WITH LOOP BIPARTITION (HD 1080p, Audio) - Dr. V. AMAR, www.drvamar.com.mp4" ] }, { "messages": [ { "content": "After the object is broken into smaller pieces, when does the actual retrieval start?", "role": "user" }, { "content": "Retrieval starts once the fragments are small enough, immediately followed by using the capture device to remove them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/卫生部医学视听教材—内窥镜技术—NKJ007 消化道内窥镜－十二指肠镜与胆道内镜.mp4" ] }, { "messages": [ { "content": "When and where does the first visible plume of escaping gas appear during the procedure?", "role": "user" }, { "content": "It appears during insufflation at the defect site, seen as bubbles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Anastmotic Leakage After Gastric Bypass Surgery and a Later Occurring Cardia.mp4" ] }, { "messages": [ { "content": "Which instrument encloses the specimen and enables its removal through the enlarged access, and what does it act upon?", "role": "user" }, { "content": "A retrieval bag is used to encase the tumor, enabling extraction through the enlarged port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "After a loop is placed around a major inflow channel, when is that conduit finally closed?", "role": "user" }, { "content": "It is clipped closed shortly after the platform is disconnected, during the conventional phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robot assisted Left Hepatectomy for HCC.mp4" ] }, { "messages": [ { "content": "In the sequence where a bowel loop is brought near the target and the bulging sac is emptied, which action precedes the other?", "role": "user" }, { "content": "Positioning the loop occurs before emptying the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Congenital billiary dilatation.mp4" ] }, { "messages": [ { "content": "Between depicting tiny portals used with a viewing scope and showcasing a long cut made directly over the bulge, which sequence appears first in the clip?", "role": "user" }, { "content": "The tiny portals with the scope appear first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Vs. Open Inguinal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which instrument is advanced through the body wall to snag and pull out the guide-threads so the chamber can be suspended?", "role": "user" }, { "content": "A suture passer is used through the abdominal wall to externalize the sutures and suspend the remnant stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Trans-gastric Approaches to Common Bile Duct Stones in the Gastric Bypass Patient.mp4" ] }, { "messages": [ { "content": "Which device that both cuts and seals is rotated to change the cut angle, and what structure does this help reshape to aid alignment?", "role": "user" }, { "content": "The cut-and-seal device is rotated, reshaping the stomach side to a more favorable plane for alignment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details# Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "When does unexpected oozing first become visible, and where along the new seam does it appear?", "role": "user" }, { "content": "Early on, at the distal portion of the seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Sleeve Gastrectomy Narrated.mp4" ] }, { "messages": [ { "content": "Between extracting the specimen through the lower-right opening and removing the access tubes, which action occurs first?", "role": "user" }, { "content": "Specimen extraction occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Left Hemicolectomy Utilizing All Three Robotic Arms.mp4" ] }, { "messages": [ { "content": "Which device acts on what tissue to perform the removal, as seen in the clip?", "role": "user" }, { "content": "An electrosurgical wire loop engages the lesion’s head and uses current to resect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/HƯỚNG DẪN KỸ THUẬT CẮT POLYP ĐẠI TRÀNG.mp4" ] }, { "messages": [ { "content": "Between lifting the lateral suspensory band away from the field and beginning thermal sealing on it, which happens first?", "role": "user" }, { "content": "Lifting it occurs first, then thermal sealing follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Robotic salpingoopherectomy： Beginners guide..mp4" ] }, { "messages": [ { "content": "When and where does a structure abruptly spring upward out of view right after a cut, creating a brief surprise?", "role": "user" }, { "content": "Immediately after the esophageal transection, the esophagus snaps upward into the mediastinum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos： Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "When a helper lifts the dangling tube-like structure to apply tension, at what moment does the actual separation of the white rounded structure from the surface begin?", "role": "user" }, { "content": "It begins right after traction, when the connecting band is sealed and the thin layer is incised, causing the white structure to drop away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic Hysterectomy (Laparoscopic) by Dr. Marc Winter.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from dividing muscle up the tube toward the chest to extending the split onto the chamber below?", "role": "user" }, { "content": "Right after finishing the proximal division into the chest, when the cut is carried onto the anterior stomach wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy.mov.mp4" ] }, { "messages": [ { "content": "During setup, which occurs first: passing the individual modular limbs through the access site or fastening them to the external stabilizer?", "role": "user" }, { "content": "The limbs are inserted first, and attachment to the external stabilizer follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/SS10 Instrumentation ⧸ Ergonomics： S052 MINIATURE SURGICAL ROBOT FOR LAPAROENDOSCOPIC COLECTOMY.mp4" ] }, { "messages": [ { "content": "When the assistant gently pulls on the junction and the other instrument lifts the right side of the hiatus, at what point are the remaining attachment bands divided?", "role": "user" }, { "content": "They’re divided immediately after the traction and elevation, in a sequential fashion, completing that stage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Approach To End-Stage Achalasia With Severe Malnutrition.mp4" ] }, { "messages": [ { "content": "Between creating a gap between two neighboring channels in the central field and firing a stapling device on a large branching conduit, which occurs earlier in the sequence?", "role": "user" }, { "content": "The gap creation between the two channels occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic or robot pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which comes first: severing a thicker inflow channel near its origin, or exteriorizing the specimen through a shielded low transverse cut?", "role": "user" }, { "content": "Severing the inflow channel near its origin occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic High Anterior Resection En-bloc Partial Cystectomy For Locally Advanced Sigmoid Cancer.mp4" ] }, { "messages": [ { "content": "Between verifying needle placement with simple checks and inserting the viewing instrument, which happens first in the sequence?", "role": "user" }, { "content": "The verification checks come first, then the viewing instrument is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingo-oophorectomy for Ovarian Mass with Transvaginal Retrieval.mp4" ] }, { "messages": [ { "content": "When the stapling device is positioned across the bowel, at what point does transection actually begin relative to alignment below a vascular bifurcation and in front of a protective fascia?", "role": "user" }, { "content": "Transection starts after verifying the stapler is below the bifurcation and in front of the protective fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3 trocar technique of left colectomy： Organization & execution of the procedure.mp4" ] }, { "messages": [ { "content": "Which instrument applies blunt pressure to a bowel segment while the surgeon divides the surface membrane, and what effect does it achieve?", "role": "user" }, { "content": "A tube-like suction–irrigation probe bluntly presses the bowel to help it drop away as the membrane is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy Lecture by Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "After you see a small separator positioned between two parallel tie-rows on the short tie, when is the looping sling actually fastened onto that spot?", "role": "user" }, { "content": "Once the loop has been brought into the field from below, it’s secured between those two tie-rows on the short limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Natural Orifice Specimen Extraction for High Anterior Resection.mp4" ] }, { "messages": [ { "content": "When and where do the swollen, fluid-filled sacs abutting the bowel first come into view?", "role": "user" }, { "content": "They first appear early when the field centers on the area beside the bowel, in close contact with the sigmoid segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Sigmoid Endometriosis – Laparoscopy NOSE Sigmoidectomy and Histerectomy.mp4" ] }, { "messages": [ { "content": "Which implement manipulates the striped outer jacket of the tube without cautery to separate it, and what specific action does it perform?", "role": "user" }, { "content": "An atraumatic grasper stretches and mechanically splits the muscle fibers to separate the outer layer without cautery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy.mp4" ] }, { "messages": [ { "content": "When and where does the unusual crossing of a vessel over a hollow loop first become clearly visible?", "role": "user" }, { "content": "Right after exposure near the neck of the nearby sac, it first appears in the center of the frame—a large vessel anterior to a hollow loop heading toward the upper-left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Twisted and Backwards： Laparoscopic Ladd's Procedure in a Patient with Malrotation.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from ongoing dissection to revealing the final, widened empty space in the side compartment?", "role": "user" }, { "content": "Immediately after the final anterior-wall nodal tissue is taken, the view shifts to show the widened, cleared compartment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/からだにやさしい直腸がん手術　切除可能ボーダーライン直腸がんに対する術前治療とロボット手術.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal thickening with luminal narrowing first become visibly apparent during the case?", "role": "user" }, { "content": "Early in the case, in the right-sided bowel segment where the lumen looks narrowed with surrounding fat-stranding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Extended Right Hemicolectomy (CME-CVL) & Intracorporeal Anastomosis by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "When and where does invasion into a neighboring hollow organ first become clearly visible?", "role": "user" }, { "content": "It first becomes apparent at the top of the adjacent sac when they begin excising its dome.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right hemicolectomy for T4b cecal adenocarcinoma involving the bladder.mp4" ] }, { "messages": [ { "content": "After the final stability check of the prosthesis, when does closure of the access sites begin?", "role": "user" }, { "content": "Right after the final stability check, access closure begins immediately.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/The Perfect Robotic Groin Meshplasty.mp4" ] }, { "messages": [ { "content": "After access is established and initial freeing is performed, when does the focused dissection along the front surface actually begin?", "role": "user" }, { "content": "It begins immediately after the preliminary exposure, when dissection starts along the anterior wall of the supra-duodenal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic treatment of common bile duct cyst.mp4" ] }, { "messages": [ { "content": "After a collection pouch is passed through the natural opening, when does the extraction of the large resected mass actually begin?", "role": "user" }, { "content": "Immediately after the pouch is inserted, as soon as the specimen is bagged and withdrawn.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radikale roboterassistierte Zystektomie mit intrakorporalem orthotopem Ileumpouch bei der Frau.mp4" ] }, { "messages": [ { "content": "After a tiny opening is made in the bowel loop adjacent to the gland, when does the stitch‑by‑stitch construction of the channel‑to‑bowel join actually begin?", "role": "user" }, { "content": "Immediately after the small opening is made, the hand‑sewn join begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Two Birds with Five Trocars： Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "After a small vessel along the inner curve is secured, when does the actual division of the adjacent tube begin?", "role": "user" }, { "content": "It begins immediately afterward—right after the vessel is secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of Roux-en-Y gastric bypass for the treatment of a complex gastro-gastric fist.mp4" ] }, { "messages": [ { "content": "Between clearing the nodal packet hidden behind the C-shaped gut loop and cutting two arterial branches near the upper stomach–liver junction, which is done first?", "role": "user" }, { "content": "The nodal clearance behind the C-shaped loop occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Left Hepatectomy with Hilar Dissection.mp4" ] }, { "messages": [ { "content": "After the synthetic sheet appears in the field, when does fixation to the lower tubular structure actually start?", "role": "user" }, { "content": "It starts when the first stitches are placed on the front surface of the tubular organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy - Dr. Roy Patankar ⧸ Zen Hospital (With Audio).mp4" ] }, { "messages": [ { "content": "Which occurs first: the lead operator adopting a right-sided stance or the internal panoramic inspection?", "role": "user" }, { "content": "The right-sided stance is taken first, followed by the internal panoramic inspection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colonic intussusception in an adult patient.mp4" ] }, { "messages": [ { "content": "Considering the sequence on the mid-abdominal segment, does the team first detach the fatty apron and then address the central vessels, or is it the other way around?", "role": "user" }, { "content": "They detach the fatty apron first, then divide the central vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SINGLE INCISION LAPAROSCOPIC CLOCK WISE CONTINUOUS TOTAL ABDOMINAL COLECTOMY WITH END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "Given the visible cue of improved elevation on the target sac, when does the move to work along the outer side actually begin?", "role": "user" }, { "content": "It begins immediately after the improved elevation is achieved.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy (multiple adhesions from prior surgery) with port position. Critical view..mp4" ] }, { "messages": [ { "content": "Between dissecting the surrounding sheet-like attachments and cutting across the tubular segment, which action happens first in the clip?", "role": "user" }, { "content": "The attachments are dissected first; the tubular segment is cut afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "Between releasing the top end of the organ and clearing its inner border so it can lift off the central vessel, which happens first?", "role": "user" }, { "content": "Releasing the top end happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Left Laparoscopic Transperitoneal Nephrectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from port-based camera work to handling the bowel through a small external opening?", "role": "user" }, { "content": "Right after confirming mobility, clean edges, and enough reach, they switch to bringing it out through the small opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy by Karen N. Zaghiyan, MD, FACS, FASCRS ｜ Case Trailer.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene shift from peeling away prior constricting material to beginning lengthwise separation along the upper tube?", "role": "user" }, { "content": "Right after reaching the base and placing the loop, the lengthwise separation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy for pseudoachalasia after failed paraesophageal hernia repair.mp4" ] }, { "messages": [ { "content": "Once temporary closures are applied to both the incoming and outgoing channels and the organ looks drained, at what moment does cutting actually begin?", "role": "user" }, { "content": "Right after both channels are closed and drainage is complete, cutting starts immediately.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboter-assistierte Nierenteilentfernung (partielle Nephrektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "During the setup at the start, which happens first: painting the skin with a colored liquid or making the initial cut?", "role": "user" }, { "content": "Painting the skin happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Hernia Repair Inguinal (Laparoscopic) PreOp® Patient Education.mp4" ] }, { "messages": [ { "content": "Which comes first: creating a small window in the tissue curtain beside the small bowel or firing the linear cutting device to divide the loop?", "role": "user" }, { "content": "The window is created first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "For the lower traction stitch, which happens first: switching the viewing angle to the patient’s side, or pulling that stitch out through the skin with a passer?", "role": "user" }, { "content": "The view is switched first, then the stitch is externalized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Lap Pyloroplasty for Gastroparesis - Severely Thickened Pylorus.mp4" ] }, { "messages": [ { "content": "Between separating a hollow organ away from the canal wall and bringing a flexible implant into that region through an internal route, which action happens first in this clip?", "role": "user" }, { "content": "The separation of the organ-plane happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/PR JB DUBUISSON - LATERAL SUSPENSION FOR THE TREATMENT OF GENITAL PROLAPSE.mp4" ] }, { "messages": [ { "content": "During the hand-sewn join, which occurs first: reinforcing stitches placed on the back side, or making the openings in the two structures?", "role": "user" }, { "content": "The reinforcing stitches on the back side (posterior outer layer) are placed before the openings are made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Making the Perfect Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "During the discussion segment, which happens first: clarification about a reported death rate or the exchange about potential blood tests to monitor patients after organ replacement?", "role": "user" }, { "content": "The mortality clarification comes first, followed by the question about blood tests for monitoring.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/The New Surgical Procedure for Gut Malrotation (Graphic).mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from ongoing widening of the passage to confirming the lower limit from the inside?", "role": "user" }, { "content": "The transition occurs when they use the inside view to confirm the location of the lower junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Esophagogastroscopy During Endosurgical Heller Myotomy.mp4" ] }, { "messages": [ { "content": "During the operation, when does a visual obstruction first become apparent on the viewing device, and how is it addressed on screen?", "role": "user" }, { "content": "It appears when blood smears the lens; the scope is withdrawn, wiped clean, and reinserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Abendvisite - Wie läuft eine Operation an der Galle ab？.mp4" ] }, { "messages": [ { "content": "After the robotic arms are reconfigured to avoid instrument collisions with nearby vessels, when does the actual cutting action begin?", "role": "user" }, { "content": "Immediately after the arm reconfiguration, the dissection resumes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Rectopexy - Rectal prolapse.mp4" ] }, { "messages": [ { "content": "After the camera shows an angle between two converging channels, when does the actual cutting begin relative to reaching the back-plane?", "role": "user" }, { "content": "Cutting begins only after the posterior plane is reached and the circumferential dissection is completed; then clips are applied and division starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Extended right hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "When does the clip transition from reconstruction to final closure steps involving a tube?", "role": "user" }, { "content": "The transition occurs after the connection is made, when a drain is placed to conclude the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic complete mesocolic excision for mid transverse colon cancer a video vignette.mp4" ] }, { "messages": [ { "content": "When and where does bleeding first become visibly apparent in this sequence?", "role": "user" }, { "content": "Right after the front branch is cut, bleeding appears from a nearby side channel along the central vessel and is then controlled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap-CME right hemicolectomy step-by-step using critical view concept.mp4" ] }, { "messages": [ { "content": "In the sequence, when does the tissue first appear swollen and tougher to separate, and in which sector of the field does this become apparent?", "role": "user" }, { "content": "It first becomes apparent as the posterior dissection reaches the midline near the sacrum/coccyx region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Translevator Abdominal Perineal Resection for an Early Anastomotic Rectal Cancer Recurrence.mp4" ] }, { "messages": [ { "content": "Which happens first: freeing the sheet attached behind the mid-colon or revealing the front surface of the retroperitoneal gland that lies behind the stomach?", "role": "user" }, { "content": "Freeing the sheet behind the mid-colon occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/colectomia direita com CME - Liao-Nan Zou - china.mp4" ] }, { "messages": [ { "content": "Between lifting the upper pelvic organ with a stitch and creating a hook-shaped cut near the lower midline, which action occurs first in the clip?", "role": "user" }, { "content": "Lifting the organ with a stitch occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/CONCOMITANT VENTRAL MESH RECTOPEXY WITH TAPP YOUTUBE.mp4" ] }, { "messages": [ { "content": "After the assistant establishes consistent two‑point counter‑traction, at what moment does the surgeon actually start peeling the tissue envelope along the front side?", "role": "user" }, { "content": "Right after the sustained traction is set and the front fold is opened, the anterior peeling starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜辅助经肛门外翻切除标本低位直肠癌全系膜切除术.mp4" ] }, { "messages": [ { "content": "Which occurs first: the camera tour inside the womb, or the laparoscopic blue-dye patency check?", "role": "user" }, { "content": "The intrauterine inspection happens first, followed by the laparoscopic blue-dye test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video).mp4" ] }, { "messages": [ { "content": "Which device acts on the digestive tube to divide it during removal?", "role": "user" }, { "content": "A stapling-and-cutting device is used to divide the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopic Management of Small Bowel Intussusception In A Young Adult,.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from freeing the tube to gently pulling it out through the channel?", "role": "user" }, { "content": "Right after the circumferential mobilization is finished and the ring retractor is placed, exteriorization starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Integration of Transanal Techniques for Precise Rectal Transection and Single Stapled Anastomosis.mp4" ] }, { "messages": [ { "content": "Which device is used to advance knots to close the posterior opening, and what tissue layer must be included in each bite?", "role": "user" }, { "content": "A knot pusher advances extracorporeal knots, and each bite includes the vaginal epithelium.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingo Oophorectomy.mp4" ] }, { "messages": [ { "content": "Using the appearance of the final packing as a cue, at what point is bleeding control achieved?", "role": "user" }, { "content": "Just before the packing is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Complete rectal prolapse｜ Perineal Rectopexy｜ Delorme procedure｜ DR. Pandiaraja.mp4" ] }, { "messages": [ { "content": "Between freeing attachments along the outer curve near the organ’s upper-left side and opening the thin membrane along the inner curve up toward the top of the field, which happens first in the clip?", "role": "user" }, { "content": "Freeing the outer-curve attachments happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos： Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "Between securing the tissue with multiple fasteners and triggering the ring-forming cutter, which action happens first in this clip?", "role": "user" }, { "content": "Securing the tissue with fasteners happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Anterior STARR with Posterior Suture Rectopexy by Dr Rajesh Shukla AAS PROCTOCON 2022.mp4" ] }, { "messages": [ { "content": "When does the sequence move from stitching to applying a topical agent to control surface oozing?", "role": "user" }, { "content": "Right after completing the suturing and removing the mass, the hemostatic material is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy.mp4" ] }, { "messages": [ { "content": "Which energy-based tool acts on the right-sided tube-like structure to separate it from the adjacent gland, and what action does it accomplish?", "role": "user" }, { "content": "An energy coagulation device is used on the right tube to coagulate and dissect it free, enabling removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Ectopic Pregnancy in Cervical Stump After Subtotal Hysterectomy ｜ Dr Kunal Rathod.mp4" ] }, { "messages": [ { "content": "Between emptying the numerous fluid pockets inside the swollen organ and sealing the narrow tube that exits its lower pole, which occurs first in this clip?", "role": "user" }, { "content": "Emptying the fluid pockets happens first, before sealing the narrow exiting tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy For Giant Polycystic Kidneys.mp4" ] }, { "messages": [ { "content": "After the team adjusts the viewpoint using an angled lens and table tilt, when does cutting around the vessel pedicle actually begin?", "role": "user" }, { "content": "Immediately after improved exposure, they start dissection and ligation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Challenging Emergency Laparoscopic Right Colectomy for Completely Obstructing Caecal Carcinoma.mp4" ] }, { "messages": [ { "content": "When and where does scarring first become clearly visible during the operation?", "role": "user" }, { "content": "Scarring first becomes apparent upon entering the space above the diaphragm, where dense scar tissue is encountered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic repair of recurrent PEH, near-total gastrectomy with RNY reconstruction.mp4" ] }, { "messages": [ { "content": "Once the helper presses the internal dome firmly, when does the sealing of the opposite-side vessel actually commence?", "role": "user" }, { "content": "It starts immediately after the firm push with the jaws compressing the vessel, as coagulation begins, followed by the final cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy for Large Lateral Wall Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "Once a loop of bowel is delivered into the field, when does the joining maneuver actually begin?", "role": "user" }, { "content": "It begins right after the bowel loop is brought in, when the team starts constructing the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/DOCTOR UNAL AYDIN OPERATED KLATSKIN TUMOR THAT NONRESECTABLE ASSUME IN BELGIUM drunalaydin.mp4" ] }, { "messages": [ { "content": "During the operation shown, when and where does any unexpected bleeding or fluid leak first become visibly apparent?", "role": "user" }, { "content": "No abnormal bleeding or leakage becomes visible at any point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/外科医の私が受けたい最新の胆石症手術とは　手術映像あり.mp4" ] }, { "messages": [ { "content": "Between mobilizing the paired drainage channels and dissecting behind the central sac, which one happens earlier in the clip?", "role": "user" }, { "content": "Mobilizing the paired drainage channels occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/RARC With Intracorporeal Urinary Diversion Dr. N. Peter Wiklund.mp4" ] }, { "messages": [ { "content": "At what moment does the involved structure flip outward to expose a better plane for separation?", "role": "user" }, { "content": "During work on the tougher posterior attachments, it flips outward; right after this eversion, the improved plane is obtained.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/How to perform safe Dermoid Ovarian Cystectomy without Spillage.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow move from finishing the skin stitches to performing the final functional check of the opening?", "role": "user" }, { "content": "Immediately after finishing the skin stitches, he performs the two-finger test to confirm the repair.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Emergency Life Saving Thiersch Surgery In Obstructed Coconut Size Rectal Prolapse by Ashwin Porwal.mp4" ] }, { "messages": [ { "content": "At what point does the clip transition from working centrally to extending the plane far out to the side toward the loin muscle to create a broad landing area for the reinforcement?", "role": "user" }, { "content": "After the central plane is established, the scene shifts to far‑lateral expansion toward the loin muscle to create a broad landing area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Clinical Challenges in Hernia Surgery： Open Preperitoneal Ventral Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissues to create a new internal channel during the later phase?", "role": "user" }, { "content": "A needle-and-suture system joins the repurposed bowel segment to the anterior canal wall to create the new channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Cylindrical Abdominoperineal Resection with En Bloc Vaginectomy and Sacrectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from repair to contained extraction of the specimens?", "role": "user" }, { "content": "Right after completing closure of the defects, the team begins contained extraction by loading the specimens and starting device-assisted removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Multiple Fibroids with Endometriosis.mp4" ] }, { "messages": [ { "content": "Which happens first: freeing the target organ from surrounding attachments, or activating the long device that both divides and seals?", "role": "user" }, { "content": "Freeing the organ from surrounding tissue occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/減重專家蔡明憲教授介紹減重手術--袖狀胃切除(附黑白真實手術影片)的奧秘.mp4" ] }, { "messages": [ { "content": "Between sealing the first narrow tubular structure near the central segment and sealing the comparable channel that becomes visible afterward, which occurs earlier?", "role": "user" }, { "content": "The arterial structure is sealed first, before the venous one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "On the downstream segment below the cut, which instrument is used to divide the oblique strands, and what is being acted upon?", "role": "user" }, { "content": "A fine two-bladed cutter is used to snip the oblique muscle strands on the downstream side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/How I Do It： Video and Technical Pearls for Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the distal small bowel segment to divide it?", "role": "user" }, { "content": "A stapler is used to divide the distal small bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.5. Right Hemicolectomy for Cecal Carcinoma Invading Sigmoid Mesocolon - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "Which occurs first: exposing a slender diagonal tube on the left side, or tying and cutting the upward-running vessel nearby?", "role": "user" }, { "content": "Exposure occurs first, followed by tying and cutting the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Between trying internal illumination and flushing a glowing contrast through the tube, which action happens first?", "role": "user" }, { "content": "Internal illumination is attempted first, followed by the contrast infusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Will transanal TME replace laparoscopic TME？.mp4" ] }, { "messages": [ { "content": "When and where does obscuring smoke first become visibly apparent in the field?", "role": "user" }, { "content": "Smoke first appears during the hook-mode cutting phase at the separation plane, prompting intermittent suction in the operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy & Bilateral Salpingectomy： Step-by-Step Surgical Procedure.mp4" ] }, { "messages": [ { "content": "In the sequence where a circular joiner will be used, which occurs first: seating a peg-like component through the wall of the tube or dividing the tube upstream from the opening?", "role": "user" }, { "content": "Seating the peg-like component through the wall happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Colorectal Surgery： Application & Advantages of Robotics.mp4" ] }, { "messages": [ { "content": "Which occurs first: securing and finishing the rear alignment stitches, or starting the continuous inner seam closure?", "role": "user" }, { "content": "Securing and tying the rear alignment stitches happens before the continuous inner closure begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "When does the operation shift from working behind the lowest portion to tackling the side attachments, and how is that shift manifested on screen?", "role": "user" }, { "content": "Immediately after completing the deep posterior plane; it’s marked by switching to the side attachments, starting on the patient’s right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection with en bloc Small Bowel Resection and Difficult Takedown of the.mp4" ] }, { "messages": [ { "content": "When does it first become obvious on screen that the removed segment is unusually long and redundant?", "role": "user" }, { "content": "At the moment of external display after extraction, when its excessive length becomes evident.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic sigmoid colectomy with transanal extraction.mp4" ] }, { "messages": [ { "content": "At what point in the procedure does the complete separation of the surgical join first become clearly visible, and in which space behind the breastbone is it seen?", "role": "user" }, { "content": "Early during the endoscopic survey, a complete split of the join is seen within the deep space behind the breastbone.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Endoscopic techniques in the management of esophago-jejunal dehiscence after total gastrectomy.mp4" ] }, { "messages": [ { "content": "Between addressing attachments on one flank of the organ and on the opposite flank, which happens first?", "role": "user" }, { "content": "The left side is treated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy- Multiple Fibroids.mp4" ] }, { "messages": [ { "content": "Which occurs first: creating a plane in front of the organ to separate it from the nearby hollow structure, or completing the stitch placement on the patient's left side?", "role": "user" }, { "content": "Forming the anterior plane happens before the left-side anchoring stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Rectopexy #minimallyinvasive #laparoscopicsurgeon #surgeryday #constipation.mp4" ] }, { "messages": [ { "content": "What device is inserted into a narrow channel to check its openness during the reconnecting stage?", "role": "user" }, { "content": "A soft flexible tube is inserted to check patency.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/How I Do It Video： Modified Whipple procedure for Pancreatic Head Carcinoma Greece.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from working around the upper‑left bend of the bowel back to deep work in the bottom-of-torso basin?", "role": "user" }, { "content": "Right after the upper-left bend can be drawn downward, the team shifts back to the low basin work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Single Incision Laparoscopic Proctectomy Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "When and where does the unusual enlargement on one side of the organ first become visibly apparent?", "role": "user" }, { "content": "It first appears during the preoperative imaging segment, showing the opposite side massively enlarged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Ex situ liver resection and autotransplantion for end-staged hepatic.mp4" ] }, { "messages": [ { "content": "Near the junction with the stomach, which instrument manipulates the outer muscle to protect the inner lining while dissecting downward?", "role": "user" }, { "content": "A hook‑shaped electrosurgical tool pulls muscle fibers away from the mucosa to protect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Dr. Joseph R. Karam - Robotic Assisted Heller Myotomy and Dor Fundoplication.mp4" ] }, { "messages": [ { "content": "Which implement is used to stitch the fasteners of the implanted device to the organ surface, and what components are being secured?", "role": "user" }, { "content": "They use 4-0 silk sutures to secure the anchoring discs and trumpet anchors to the stomach surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Robotic-Assisted Heineke-Mikulicz Pyloroplasty and Gastric Electrical Stimulation Therapy.mp4" ] }, { "messages": [ { "content": "When and where does the diseased area first become visibly apparent as adherent to surrounding tissue, relative to the curved portion near the left upper side?", "role": "user" }, { "content": "Early in the exploration, it first appears near the upper-left bend, stuck to the cavity wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Mesocolic Excision Techniques in the Left Hemicolectomy by Dr. Maun ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "When does the workflow change from attaching the implant to the organ’s neck to placing it into the space between the urinary organ and the channel?", "role": "user" }, { "content": "Right after securing it to the neck region, when it’s placed into the inter-organ space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic supracervical hysterectomy & colpo-procto-sacropexy with folded titanized polypropylene mesh.mp4" ] }, { "messages": [ { "content": "Between upsizing an access on the upper-left working area and the initial staple-fire to divide the bowel near the diseased zone, which happens first?", "role": "user" }, { "content": "The access upsizing happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Closed loop bowel obstruction： Laparoscopic resection with fully stapled intra-corporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Which device acts on which target to achieve the connection deep in the narrow cavity?", "role": "user" }, { "content": "A two-part circular joining instrument acts on the two bowel ends to create the deep connection in the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision for Rectal Cancer - Surgical Principles.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from clearing tissue in the triangle area to dealing with a newly encountered tubular structure?", "role": "user" }, { "content": "The transition occurs when a second tube is encountered during the ongoing plate dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Extrahepatic bile duct anomalies： A case series using fluorescent cholangiography.mp4" ] }, { "messages": [ { "content": "Which thread is used to connect the organ’s outer envelope to a firm posterior ridge, and for what purpose?", "role": "user" }, { "content": "A non-absorbable thread is used to fix the outer envelope to the firm ridge for stabilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for rectal prolapse： An alternative to use of Mesh.mp4" ] }, { "messages": [ { "content": "When and where does the first unexpected bleeding become visibly apparent in the sequence?", "role": "user" }, { "content": "It first appears during the muscle-splitting step on the newly exposed inner lining beneath the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller Myotomy For Sigmoid Megaesophagus After Achalasia.mp4" ] }, { "messages": [ { "content": "Which event happens first: entering the posterior cavity behind the stomach region or carrying out lateral mobilization toward the upper left bend?", "role": "user" }, { "content": "Entering the posterior cavity happens first, followed by lateral mobilization toward the upper left bend.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹腔镜左半结肠癌根治术内镜下辅助下经自然腔道取标本手术.mp4" ] }, { "messages": [ { "content": "Which occurs first: widening the attachment base of the small bowel or removing the vestigial tubular organ in the right lower abdomen?", "role": "user" }, { "content": "Widening the attachment base comes before removal of the vestigial organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Ladds procedure for volvulus neonatorum due to malrotation of gut. Neonatal surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from creating the opening in the channel to closing it?", "role": "user" }, { "content": "The transition occurs when the first running full-thickness closure suture is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Robotic-Assisted Heineke-Mikulicz Pyloroplasty and Gastric Electrical Stimulation Therapy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to perform what action when an attempt at division goes wrong?", "role": "user" }, { "content": "An endoscopic stapling device acts on a clipped area of the central vein to divide it, but jams and creates a hole that then requires suturing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Risk and Limitations of Extended Laparoscopic Liver Resection.mp4" ] }, { "messages": [ { "content": "Which takes place first: removing the specimen through the natural orifice, or introducing the circular attachment through that opening into the abdomen?", "role": "user" }, { "content": "Specimen removal occurs first, then the circular attachment is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoidectomy with end-to-side colorectal anastomosis & transanal extraction.mp4" ] }, { "messages": [ { "content": "Which occurs earlier in the sequence: identifying and freeing the terminal bowel segment inside, or placing the support under the loop outside?", "role": "user" }, { "content": "Identifying and mobilizing the terminal segment happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Scarless Single Incision Laparoscopic Loop Ileostomy.mp4" ] }, { "messages": [ { "content": "What item is draped over the upper retroperitoneal organ to shield it and aid in freeing the left upper bend?", "role": "user" }, { "content": "A gauze piece is placed over the pancreas to protect it and assist splenic flexure mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Modular approach of robotic total mesorectal excision for the trainees.mp4" ] }, { "messages": [ { "content": "When does the video transition from the operating field to a postoperative external view of the patient?", "role": "user" }, { "content": "Right after the drain is placed, when the scene cuts to postoperative day 1 showing the external incisions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Assisted Right Hepatectomy Resection Segments 6 and 7.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from excising the first mass to organizing the removed pieces into a designated corner of the abdomen?", "role": "user" }, { "content": "Right after the first mass is freed, the team immediately shifts to parking the pieces in a preset area of the lower right abdomen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Step by Step Video.mp4" ] }, { "messages": [ { "content": "Near the end, when the camera surveys the deep posterior basin, what unusual absence becomes visibly apparent and at what timepoint?", "role": "user" }, { "content": "At the conclusion, the posterior space looks dry, with no pooling seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Day Care Hysterectomy for a Large Uterus- Dr Jay Mehta.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the main feeding structure, and what action does it perform?", "role": "user" }, { "content": "An energy device acts on the vascular pedicle to divide it during high ligation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video demonstrates our technique of combining multiple surgical .mp4" ] }, { "messages": [ { "content": "While a tube is advanced into the downstream limb for continuous drainage, when is suturing resumed—before or after confirming there are no loops or entanglement?", "role": "user" }, { "content": "After confirming there are no loops or entanglement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Gastrojejunal Bypass in a patient with gastric outlet obstruction.mp4" ] }, { "messages": [ { "content": "At what exact instant does the workflow shift from forming the connection to validating it?", "role": "user" }, { "content": "It shifts right after completion is announced (“Congratulations”), when they begin filling and clearing fluid to check the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/张卫：腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which happens first: sealing a main feeder at the base of the target’s attachment, or opening the side attachment along the flank?", "role": "user" }, { "content": "Sealing the main feeder at the base occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/3D腹腔镜低位直肠癌腹部无切口手术（NOSESI式B法）.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip transition from actively untwisting to confirming restored blood flow?", "role": "user" }, { "content": "Right after the reduction is completed, when the previously congested veins are no longer engorged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "Given that the team floods the area with clear fluid, at what moment does the integrity check truly begin?", "role": "user" }, { "content": "Right after the fluid is instilled, when they begin watching for rising air bubbles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Colorectal Cancer Surgery.mp4" ] }, { "messages": [ { "content": "Which item is applied to the upstream end of the severed tube to prevent any fluid escaping, and what does it accomplish?", "role": "user" }, { "content": "A loop ligature is placed on the proximal end, sealing it to prevent leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Pylorus Preserving Pancreatico Duodenectomy (Whipple's Procedure).mp4" ] }, { "messages": [ { "content": "Which happens first in the clip: creating an opening in the inner lining over the target area or anchoring the reinforcement material to the organ?", "role": "user" }, { "content": "Creating the opening in the inner lining happens first, followed by anchoring the reinforcement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic mesh rectopexy in recurrent rectal prolapse.mp4" ] }, { "messages": [ { "content": "When and where does the diffuse, snow-like abnormal pattern first become visibly apparent during the look-around?", "role": "user" }, { "content": "Right at the start of the diagnostic inspection, on the inner abdominal lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Unexpected intraoperative findings of the gallbladder, liver & pancreas.mp4" ] }, { "messages": [ { "content": "After the field is stabilized by a holding tool, when does the actual tissue-separating work around the target begin?", "role": "user" }, { "content": "It starts immediately after the opening is created, right after the field is held steady.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "Using the schematic overlay as a cue, when does the upper‑left corner of the colonic loop actually start being dissected on the faster side relative to the slower side?", "role": "user" }, { "content": "It begins earlier on the faster side—while the slower side is still working more proximally.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/OpClear®; A novel solution to loss of vision during laparoscopic colorectal surgery.mp4" ] }, { "messages": [ { "content": "After the main artery near the spine is isolated, at what moment does the actual division commence?", "role": "user" }, { "content": "Division starts immediately after isolation, when the vessel is cut between applied metal fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy with Inferior Mesenteric Artery Preservation for Diverticular Disease.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow transition from the inner approach to releasing the outer boundary on the left so that the planes connect?", "role": "user" }, { "content": "When the outer lining on the left is incised and connected to the inner plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜下直肠癌根治术Dixon术.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the tissue plane between a tube and an artery to uncover the large vein behind them, and what action does it perform?", "role": "user" }, { "content": "The blunt back end of the cautery tool is used to bluntly dissect the plane between the duct and its artery, exposing the major vein behind them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Extrahepatic Biliary Resection with Roux-en-Y Hepaticojejunostomy for Type II Klatskin Tumor.mp4" ] }, { "messages": [ { "content": "Between placing a soft traction loop behind a widened tube and opening that tube to clear its contents, which happens first in the clip?", "role": "user" }, { "content": "The traction loop is placed first, and the opening of the tube follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Choledochal cyst excision with intracorporeal Roux en Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "With a pre‑tied loop visibly prepared to save time, when does the closure process actually start in that segment?", "role": "user" }, { "content": "It starts when the first continuous stitch is initiated at one extremity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EIGHT TYPES OF LAP INTRACORPOREAL ANASTOMOSES DURING SUPRAPUBIC SINGLE-INCISION RIGHT HEMICOLECTOMY.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a gentle pull on the tube exiting the organ, when does the dissection around the female front-channel actually begin?", "role": "user" }, { "content": "It starts immediately after the gentle pull localizes the junction, as the operator opens laterally and works underneath the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy with Diversion by Jonathon Wright, M.D..mp4" ] }, { "messages": [ { "content": "Which happens first: the lead operator taking position at the remote control station or the narration noting that the operator is no longer standing by the table?", "role": "user" }, { "content": "The operator taking position at the control station happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Da Vinci Robot Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument is used to close the opening in the hollow organ, and what layer is it engaging during each bite?", "role": "user" }, { "content": "A laparoscopic suturing device closes the defect, engaging full-thickness bites of the organ wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Transgastric GIST Resection.mp4" ] }, { "messages": [ { "content": "Which segment’s longer cut is leveraged to expand which other segment’s opening, and how is the expansion accomplished?", "role": "user" }, { "content": "The longer cut on the looped segment is used to expand the narrow conduit’s opening, achieved by snugging the paired passes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Step-by-step Surgery - Roux-en-Y hepaticojejunostomy -benign biliary stricture(post cholecystectomy).mp4" ] }, { "messages": [ { "content": "Which instrument engages the slender conduit near the central axis, and what action results when it is deployed?", "role": "user" }, { "content": "A vascular stapler engages the arterial conduit near the central axis, and when fired it secures it without dividing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Donor Nephrectomy - Stapler Control of Hilum.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from lifting the transverse segment to working in the plane behind it where a broad fatty curtain is divided?", "role": "user" }, { "content": "When the segment is pulled downward and entry into the posterior plane is made, immediately followed by dividing the fatty curtain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Totally Robotic Right Hemicolectomy with the Hanging Technique for Carcinoid Tumor.mp4" ] }, { "messages": [ { "content": "After the big vein at the liver gate is gently revealed with the blunt end of an energy wand, when does detachment of the sac from the liver actually begin?", "role": "user" }, { "content": "It begins immediately after the vein is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Extrahepatic Biliary Resection with Roux-en-Y Hepaticojejunostomy for Type II Klatskin Tumor.mp4" ] }, { "messages": [ { "content": "After completing the long opening between the two segments, when does closure of the access slit on the bowel actually start?", "role": "user" }, { "content": "Immediately after finishing the common channel, when the opening is lifted and the first closure firing is made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Closed loop bowel obstruction： Laparoscopic resection with fully stapled intra-corporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Which instrument applies paired metal clamps to the main blood vessel supplying the lower colon, and what action is carried out immediately afterward?", "role": "user" }, { "content": "A 5 mm clip applicator places the clamps, and the artery is immediately divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic high anterior resection Sigmoid colon and proximal rectum.mp4" ] }, { "messages": [ { "content": "Between the initial fluid lift of the lining and the first cut through the surface layer, which occurs earlier in the sequence?", "role": "user" }, { "content": "The fluid lift happens first, followed by the surface cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device.mp4" ] }, { "messages": [ { "content": "Which happens first: cutting into the tough anterior ligament over the bony ridge or placing stitches to secure the implant to the fascia in front of the spine?", "role": "user" }, { "content": "Cutting into the anterior ligament happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Prolapse Surgery- Laparoscopic Rectal Prolapse Repair (Rectopexy).mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from freeing the right side and exposing veins to actually separating that side from the rest of the organ?", "role": "user" }, { "content": "When the lifting tape is employed to begin the resection, marking the start of the actual separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic ICG-guided RALPPS procedure for HCC on cirrhosis with 3D reconstruction implementation.mp4" ] }, { "messages": [ { "content": "Which action occurs first: the maneuver that lifts the bowel upward or the final connection of the blue-coded channel ends?", "role": "user" }, { "content": "The bowel-mobilizing maneuver is done first, then the venous anastomosis is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus preserving whipple with superior mesenteric vein resection and reconstruction.mp4" ] }, { "messages": [ { "content": "Between severing the lesion at its root using a powered looped cutter and later trimming a smaller protrusion with handheld blades, which happens first in the clip?", "role": "user" }, { "content": "Severing at the root with the powered loop occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy or Hysteroscopic Resection of Submucous Fibroid.mp4" ] }, { "messages": [ { "content": "Which energy instrument is applied to the target organ’s substance during the split to both seal and progressively separate it?", "role": "user" }, { "content": "An advanced bipolar sealing device is used to coagulate and, when used like a clamp, to crush-and-divide the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Left Hepatectomy for a Non-Todani Choledochal Cyst.mp4" ] }, { "messages": [ { "content": "When and where do small solid particles first become visibly apparent within the working channel?", "role": "user" }, { "content": "Right after the encasing tissue is cleared and the opening is made, the particles are seen inside the biliary system.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Redo Hepaticojejunostomy after Open Whipple Procedure： details of the hilar dissection.mp4" ] }, { "messages": [ { "content": "Between sealing the vein that carries blood away from the organ and cutting a remaining inflow segment located lateral to the large central vein, which action occurs first?", "role": "user" }, { "content": "Sealing the outflow vein occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Radical Nephrectomy by Dr Anshuman Agarwal.mp4" ] }, { "messages": [ { "content": "After the specimen is visibly color-marked on one side, when do they initiate the dispatch for rapid analysis?", "role": "user" }, { "content": "Immediately after color-marking, they send it off right away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Schiefelbein⧸Plhal： Radikale Prostatovesiculektomie mit NGB-Erhalt.mp4" ] }, { "messages": [ { "content": "After a soft loop is positioned around the junction, when does the tightening of the gap at the breathing muscle actually begin?", "role": "user" }, { "content": "It starts once about three centimeters of the food pipe are clearly within the abdomen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Hiatal Hernia Repair With Vagotomy And Heineke-Mikulicz Pyloroplasty.mp4" ] }, { "messages": [ { "content": "Which happens first: introducing the ring-headed component through the chamber or closing the entry opening in that chamber?", "role": "user" }, { "content": "Introducing the ring-headed component comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/A LAPAROSCOPIC ROUX-EN-Y AFTER A HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "When and where does any abnormal leak become visible in this recording?", "role": "user" }, { "content": "No visible abnormal leak appears at any point; the outlet connection remains tight throughout.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Klinik für Urologie am KSW bietet als erste Klinik der Schweiz roboterassistierte Blasen-Ersatz-OP.mp4" ] }, { "messages": [ { "content": "A cue shows a pelvic organ being temporarily lifted toward the abdominal wall. From that cue, at what point does the main deep-plane work actually begin?", "role": "user" }, { "content": "It begins right after the organ is lifted and the membrane is opened, when the team enters the deep anterior plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Management of Complete rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which instrument introduced through the natural opening engages the internal plug to create the join, and what sign confirms that the engagement is successful?", "role": "user" }, { "content": "A circular stapler engages the anvil, and an audible/tactile click confirms successful engagement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic high anterior resection Sigmoid colon and proximal rectum.mp4" ] }, { "messages": [ { "content": "Between lifting the midline peritoneal fold beneath the diaphragm using an external thread and suspending the collapsed pear-shaped sac to elevate the upper-right solid organ, which happens first?", "role": "user" }, { "content": "The midline fold lift occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd’s procedure for malrotation # Minimally invasive # Dr Khaled Salah.mp4" ] }, { "messages": [ { "content": "In the sequence where a segment of the large bowel is removed, which happens first: division of the supplying conduit with a closing-and-cutting device, or creation of the new join between the two ends?", "role": "user" }, { "content": "The vessel is divided first; the new connection between bowel ends is created afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Chirurgie der kleinen Schnitte Darmoperation in Schlüssellochtechnik.mp4" ] }, { "messages": [ { "content": "Given that the jawed tool closes and remains clamped without movement, when does the fusing action actually begin?", "role": "user" }, { "content": "It begins once steady compression is achieved with the instrument locked on the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 1.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from flushing and suctioning the sac’s contents to removing the sac through the central access cut?", "role": "user" }, { "content": "Immediately after the fluid runs clear, removal through the central access cut begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/DaVinci Single Incision Cholecystectomy.mp4" ] }, { "messages": [ { "content": "What device is used to divide the upstream end of the specimen before it's removed from below, and what tissue is it acting on?", "role": "user" }, { "content": "An endoscopic stapler is used to divide the proximal bowel segment of the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic assisted extralevator abdominoperineal resection with lateral lymphadenectomy.mp4" ] }, { "messages": [ { "content": "When do the preloaded stitches across the midline pelvic joint actually get tightened during the clip?", "role": "user" }, { "content": "After they are passed tangentially through the bony prominences, they are finally tied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Blasenekstrophieverschluss mit Blasenhalsaufbauplastik, Genitalrekonstruktion, Mons pubis Aufbau.mp4" ] }, { "messages": [ { "content": "When does the scene transition from freeing the segment to actually dividing it?", "role": "user" }, { "content": "Right after the segment is fully freed, when the stapling cutter is fired to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/3D腹腔镜低位直肠癌腹部无切口手术（NOSESI式B法）.mp4" ] }, { "messages": [ { "content": "Which device creates the reconnection between the two ends, and how does it act to form the join?", "role": "user" }, { "content": "A circular mechanical fastener device is docked between the ends and fires a ring of staples to create the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "Which tool acts on the ascending nerve branches around the key artery to prevent thermal injury, and what action does it perform?", "role": "user" }, { "content": "A cold blade is used to cut the nerve branches to avoid thermal injury.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3 trocar technique of left colectomy： Organization & execution of the procedure.mp4" ] }, { "messages": [ { "content": "Between forming the initial tissue window near a lateral attachment and fully separating that attachment, which action occurs first in the clip?", "role": "user" }, { "content": "The initial window is formed first, and complete separation follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy (Unedited).mp4" ] }, { "messages": [ { "content": "When and where is an unexpected extra outflow channel from the back portion of the organ first recognized on screen?", "role": "user" }, { "content": "It’s first recognized after closing the lower stump, in a low bifurcating area behind the liver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Extrahepatic Biliary Resection with Roux-en-Y Hepaticojejunostomy for Type II Klatskin Tumor.mp4" ] }, { "messages": [ { "content": "Which comes first: creating a midline gap between the upper chest muscles, or threading the guide through the newly made passage?", "role": "user" }, { "content": "The muscle division is performed first, followed by threading the guide.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SS03 Best of Video I V003. LAPAROSCOPIC ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION.mp4" ] }, { "messages": [ { "content": "After a gauze-tipped retractor is placed in the adjacent channel to highlight the front plane, when does the careful separation there actually begin?", "role": "user" }, { "content": "Immediately afterward, as they proceed with careful separation in the anterior plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection Rectal Prolapse Three Step.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing the tube to addressing the supportive sling?", "role": "user" }, { "content": "Right after mobilization is completed, the focus shifts to the supporting muscles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/sigmoidectomy/Redo perineal rectosigmoidectomy with posterior levatorplasty.mp4" ] }, { "messages": [ { "content": "On the initial side, which action comes first: placing fasteners along the outer edge of the sheet, or securing it to the ligament near the front-of-pelvis bone?", "role": "user" }, { "content": "Outer-edge fasteners are placed first, followed by fasteners at the pelvic ligament.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Bilateral Inguinal Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from removal to reconstruction in this operation?", "role": "user" }, { "content": "When the rod emerges and docks to the proximal connector, just before the firing that creates the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/colorectal Ca 2nd discussion.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to perform the split that frees the short tubular segment?", "role": "user" }, { "content": "A linear stapling device acts on the first part of the duodenum to divide and seal it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/HTO Gastrec.mp4" ] }, { "messages": [ { "content": "Between lifting the thin outer sheet with a tweezers-like instrument and slicing it to widen the opening, which action happens first?", "role": "user" }, { "content": "Lifting the sheet occurs first, followed by cutting to widen the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair (Lichtenstein) - Indirect Hernia.mp4" ] }, { "messages": [ { "content": "Which instrument interfaces with the vessel bundle to both seal and divide it during the minimally invasive segment, and what action does it perform?", "role": "user" }, { "content": "A vibration-based cutter seals the bundle by coagulation and then divides it while precisely dissecting adjacent tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/義大醫院大腸直腸外科 陳致一醫師：Harmonic 超音波刀介紹.mp4" ] }, { "messages": [ { "content": "When the small side channel is temporarily pinched closed as a test, at what point does the team proceed to permanently take that branch?", "role": "user" }, { "content": "After the clamp test confirms adequate venous drainage without bowel edema, they proceed to ligate and sacrifice the tributary.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus preserving whipple with superior mesenteric vein resection and reconstruction.mp4" ] }, { "messages": [ { "content": "At what point does a suspicious mass first become visibly evident, and where is it located?", "role": "user" }, { "content": "Early in the exposure, a mass is pointed out at the hook-like extension of the gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection： Anterior SMA first approach.mp4" ] }, { "messages": [ { "content": "Once the slender tube exiting the liver is cleared of its surrounding tissue, at what point does the actual cutting of that tube begin?", "role": "user" }, { "content": "Right after the adjacent artery is divided and the tube is skeletonized, the tube is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Two Birds with Five Trocars： Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "During separation of scar bands from the solid organ in the upper right abdomen, which energy instrument is used to perform that dissection?", "role": "user" }, { "content": "An ultrasonic dissector is used to separate the scar bands from the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus-preserving Duodenopancreatectomy ｜ Full Length Surgery (Pancreatectomy.mp4" ] }, { "messages": [ { "content": "When a shiny metal tip pops through on the right side, at what point do the stitches actually start being run across the gap?", "role": "user" }, { "content": "Right after it re-enters on the opposite edge and the thread is handed back across for the first time, initiating the repeated passes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Ventral Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "During the segment focused on the tubular channel, which comes first: making a lengthwise opening or pulling out the solid obstructions?", "role": "user" }, { "content": "The lengthwise opening occurs first, then the stones are removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/V074 ROBOTIC-ASSISTED COMMON BILE DUCT EXPLORATION.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from draining the mass to detaching it from its supports?", "role": "user" }, { "content": "When the pedicle is grasped and the removal phase is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo Oophorectomy for Large Ovarian Cyst.mp4" ] }, { "messages": [ { "content": "Once the implant is shown secured both distally and at the top, when does the final sealing of the inner lining commence?", "role": "user" }, { "content": "Right after the distal and proximal fixations are completed—the final step is the lining closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/redo ventral mesh rectopexy by dr Jottard MD PhD.mp4" ] }, { "messages": [ { "content": "Given that the instrument is positioned at the outer edge of the target strip, when does the actual separation begin?", "role": "user" }, { "content": "It starts at the moment they begin from the lateral end and proceeds from the outer edge toward the middle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingooophorectomy.mp4" ] }, { "messages": [ { "content": "Which device acts on the arterial branch to accomplish its division?", "role": "user" }, { "content": "A bipolar energy device divides the inferior mesenteric artery between clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Sept 2020 Medial to Lateral Approach ｜ Laparoscopic Low Anterior Resection ｜ Diseases Colon & Rectum.mp4" ] }, { "messages": [ { "content": "Which device is used on the thin vascular fold attached to the small tubular remnant, and what does it accomplish?", "role": "user" }, { "content": "A harmonic scalpel is used to ligate the mesoappendix.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd procedure.mp4" ] }, { "messages": [ { "content": "Between sealing the right-side inflow vessel and sealing the right-side outflow vessel, which micro-action happens first in the clip?", "role": "user" }, { "content": "The right-side inflow vessel is sealed first, followed by sealing the right-side outflow vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pre laparoscopic right hepatectomy with tumor thrombectomy.mp4" ] }, { "messages": [ { "content": "Given the cue that the lower segment is flushed until the returns look clear, when does the dividing device first get applied to that segment?", "role": "user" }, { "content": "Right after the washout is clean, the device is applied to divide the lower segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Open High Anterior Resection with Subtotal Cystectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the soft layer beneath the outer covering to perform what task during the early part of the procedure?", "role": "user" }, { "content": "A heat-based cautery device is used to cut the sub-surface soft layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair (Lichtenstein) - Indirect Hernia.mp4" ] }, { "messages": [ { "content": "When does the operation move from mobilizing the upper segment to working deep in the pelvis outside the lining of the abdomen?", "role": "user" }, { "content": "Immediately after upper mobilization is completed, they switch to extra‑peritoneal dissection of the lower segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Surgery of the Sigmoid Colon & the Rectum - Colorectal Cancer Operative Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument creates the resting notch in the fatty apron to lay the intestinal segment without tension?", "role": "user" }, { "content": "Ultrasonic endoshears create the omental notch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/2000 ｜ Laparoscopic Gastric Bypass with a Transoral Circular Stapled Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from moving the nearby bowel to concentrating on the central vessels of the organ?", "role": "user" }, { "content": "The transition occurs when the re-started dissection of the main artery and vein begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy by Dr P P Singh.mp4" ] }, { "messages": [ { "content": "Which tool acts on the slim companion vessel alongside the tube to achieve secure division while preserving adjacent fatty tissue?", "role": "user" }, { "content": "Hem-o-lok clips are applied to the companion vein to ligate and divide it, taking the adjacent fat bundle with it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/cystectomy/罗俊航：机器人一个体位肾、输尿管及膀胱袖状切除.mp4" ] }, { "messages": [ { "content": "Once the team opts not to bring in a large mechanical joiner, when does manual stitching actually commence, and with which part of the join does it start?", "role": "user" }, { "content": "Stitching begins promptly after the decision, starting with separate stitches along the back side of the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/gastrojejunostomy/A robotic-assisted trans-mesocolic side-to-side duodenojejunosto.mp4" ] }, { "messages": [ { "content": "Between sealing the opening with layered sutures and checking for fluid escape, which comes first?", "role": "user" }, { "content": "Layered closure occurs before the leak test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/432 Utility of near infrared fluorescence imaging in robotic partial cystectomy- Karthik Thandapani.mp4" ] }, { "messages": [ { "content": "In the second demonstration, which occurs first: displacing the neighboring hollow structure downward or retrieving the strands from the back plane?", "role": "user" }, { "content": "Downward displacement of the neighboring hollow structure occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Dr. Panicker's Caesarean Hysterectomy - Animation.mp4" ] }, { "messages": [ { "content": "When does the clip move from the resection phase to the reconstruction phase of the stomach?", "role": "user" }, { "content": "Immediately after completing the stomach resection, the transition occurs with opening the duodenum and initiating the stapled gastrojejunostomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Surgical technique for synchronous D23 subtotal gastrectomy and CME right colectomy.mp4" ] }, { "messages": [ { "content": "Which device acts on the thin, filmy strands to both divide them and seal the tiny channels during lateral mobilization?", "role": "user" }, { "content": "A vibrating energy dissector (ultrasonic device) is used to divide filmy strands while sealing lymphatics.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laproscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Which action comes first: stitching the support strip along the bowel or resealing the abdominal lining over it?", "role": "user" }, { "content": "Stitching the support strip along the bowel occurs before resealing the lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How I do it - Anteriore Mesh Rektopexie - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "On the patient's left, which vibrating energy instrument is applied to the upper lateral attachment, and what does it accomplish there?", "role": "user" }, { "content": "Ultrasonic shears are used to seal and divide the upper lateral suspensory band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingo Oophorectomy.mp4" ] }, { "messages": [ { "content": "Between completing mobilization and performing image-guided margin mapping, which happens first?", "role": "user" }, { "content": "Mobilization completes first, followed by image-guided margin mapping.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic hepatectomy partial seg 8.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene shift from creating a new lateral window to connecting into the already developed tunnel from the opposite direction?", "role": "user" }, { "content": "It occurs immediately after identifying the sidewall fascia, when they break through into the earlier tunnel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Lap sigmoid colectomy for cancer with redundant sigmoid colon. Dr Suhail Anwar.mp4" ] }, { "messages": [ { "content": "When does the scene transition from creating the side‑to‑side lower intestinal link to sealing its access opening?", "role": "user" }, { "content": "Immediately after the stapler completes the side‑to‑side link, when suturing of the opening begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic revision of Billroth II to RNY gastrojejunostomy & hiatal hernia repair.mp4" ] }, { "messages": [ { "content": "What fastening method is applied to the paired feeder before it is divided?", "role": "user" }, { "content": "Metallic clips are applied to the artery and vein before they are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Port placement strategies and management of the robotic system during colo⧸proctectomy for cancer.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the upper midline ridge to secure the long arm of the implant, and what action does it perform?", "role": "user" }, { "content": "Non-absorbing tackers anchor the long arm of the implant to the upper midline ridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy - Dr. Roy Patankar ⧸ Zen Hospital (With Audio).mp4" ] }, { "messages": [ { "content": "At what exact moment do they switch from methodical exposure to openly declaring what variant they’re dealing with?", "role": "user" }, { "content": "The transition occurs when they display a single colonic vein and immediately announce it as a type one case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Anatomical characteristics and classifications of Henle’s trunk in laparoscopic right hemicolectomy.mp4" ] }, { "messages": [ { "content": "At what precise moment does the sequence shift from clearing contents inside the channel to closing it?", "role": "user" }, { "content": "Immediately after irrigation following stone removal, when the team begins primary closure with sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/V074 ROBOTIC-ASSISTED COMMON BILE DUCT EXPLORATION.mp4" ] }, { "messages": [ { "content": "Which device acts on the two ends of the intestinal segment to create the join, and what is the specific outcome?", "role": "user" }, { "content": "A round stapling device acts on both ends to create a joined connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/LAPAROSCOPIC POSTERIOR RESECTION RECTOPEXY： MODIFIED WITH OBLITERATION OF POUCH OF DOUGLAS.mp4" ] }, { "messages": [ { "content": "What tool is used to seal the entry opening of the newly formed connection, including the extra thin segments created during joining, and what action does it perform?", "role": "user" }, { "content": "A linear stapler closes the entry opening and the thin segments formed during the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/[3D] Totally Laparoscopic Pylorus Preserving Gastrectomy.mp4" ] }, { "messages": [ { "content": "After opening the sheet overlying the back of the transverse segment, when does the team actually enter the hidden compartment, as confirmed by a new organ appearing?", "role": "user" }, { "content": "Immediately after opening that mesenteric sheet; it’s confirmed when the stomach comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Emergency Laparoscopic Left Hemicolectomy ：TB descending colon presenting as Massive Haematochezia.mp4" ] }, { "messages": [ { "content": "Which occurs first: inserting a protective sleeve into the access device or delivering the detachable head through the natural opening?", "role": "user" }, { "content": "The protective sleeve insertion happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹腔镜乙状结肠癌NOSES手术.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from stitching the back wall of the new join to stitching its front wall?", "role": "user" }, { "content": "The transition occurs immediately after finishing the back-wall sutures, when they begin placing the front-wall interrupted stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Revision of Gastrojejunostomy for Stenosis.mp4" ] }, { "messages": [ { "content": "Between severing the small vessel and dividing the tubular channel leading to the organ, which action happens first?", "role": "user" }, { "content": "The small vessel is severed first, then the tubular channel is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Fully Explained Skin-to-Skin Video with Near Infrared Cholangiography.mp4" ] }, { "messages": [ { "content": "Once the team commits to reconnecting the ends in a straight fashion, at what moment does suturing actually begin?", "role": "user" }, { "content": "It begins when the posterior seromuscular layer is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/ANTRECTOMIA VIDEOLAPAROSCÓPICA COM RECONSTRUÇÃO BILLROTH I -TRATAMENTO DE LINFOMA PRIMÁRIO GÁSTRICO.mp4" ] }, { "messages": [ { "content": "After the overlay has been secured, when does the maneuver that folds the upper digestive organ around the food pipe begin?", "role": "user" }, { "content": "It begins right after the reinforcement sheet is secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection For Rectal Cancer.mp4" ] }, { "messages": [ { "content": "After the surgeons remove a small pad of fat over the junction, when does the split of the outer muscle layer actually begin?", "role": "user" }, { "content": "It begins immediately after the fat pad over the junction is excised.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Approach To End-Stage Achalasia With Severe Malnutrition.mp4" ] }, { "messages": [ { "content": "Between freeing scar bands with a handheld energy tool and placing the multi‑jointed system’s instrument ports, which happens first?", "role": "user" }, { "content": "Freeing scar bands with the energy tool happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic Salvage Abdominoperineal Resection with Robotic Groin Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "Which instrument is used to hold the top of the target organ so it can be pulled toward the patient's right shoulder?", "role": "user" }, { "content": "A grasper holds the organ’s upper part and retracts it toward the right shoulder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Fully Explained Skin-to-Skin Video with Near Infrared Cholangiography.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from broad mobilization to the securing phase?", "role": "user" }, { "content": "The shift occurs when the setup is changed to begin placing fixation stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Proctopexy.mp4" ] }, { "messages": [ { "content": "Between the rhythmic preparatory sequence and the assertive signal to proceed, which occurs first?", "role": "user" }, { "content": "The rhythmic preparatory sequence occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic salpingoophorectomy for a huge left ovarian cyst.mp4" ] }, { "messages": [ { "content": "Which instrument engages two adjacent loops to create a side-to-side passage, and what tissue does it act on?", "role": "user" }, { "content": "A long linear stapling device acts on the bowel walls to form the side-to-side connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/A LAPAROSCOPIC ROUX-EN-Y AFTER A HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Which happens first: relocating a bowel loop behind the central attachment or transecting that loop?", "role": "user" }, { "content": "Relocating the loop behind the central attachment happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY AND CHOLECYSTECTOMY.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal passage first become visibly apparent?", "role": "user" }, { "content": "It first becomes visible when colored fluid appears at the inner opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/VAAFT and excision, reconstruction of fistula in ano.mp4" ] }, { "messages": [ { "content": "When, relative to the change to a head‑down tilt, does the transverse bowel regain its usual axis?", "role": "user" }, { "content": "Immediately after the head‑down tilt, the transverse segment returns to its usual axis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy for Cancer, Step by step.mp4" ] }, { "messages": [ { "content": "Once a conduit is placed from below, when does the removal of the specimen actually start?", "role": "user" }, { "content": "Extraction starts immediately after the sleeve is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Transrectal Natural Orifice Specimen Extraction after Sigmoidectomy with D2 Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "Between lifting the upper chamber with a temporary holding stitch and making the initial opening cut that leaves a small flap on the outflow tube, which happens first in the clip?", "role": "user" }, { "content": "Lifting with the holding stitch happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pediatric Laparoscopic (Infant, Pre-pubertal, and Teenager) Pyeloplasty for Ureteropelvic Junction.mp4" ] }, { "messages": [ { "content": "Upon spotting a branch vessel hugging the growth, when does the meticulous separation of that vessel from the mass start?", "role": "user" }, { "content": "It begins at the start of the removal phase when the vessel is first encountered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/AUA 2016 - Robotic partial nephrectomy hilar tumor - Pr Bernhard CHU BX.mp4" ] }, { "messages": [ { "content": "After a view-widening spreader is placed, when does the surgeon begin identifying and following the two thin membranes—immediately or only after additional elevation is applied?", "role": "user" }, { "content": "Immediately after the spreader is placed and the view is widened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Procedures for Rectal Cancer After Radiochemotherapy： Joel Leroy, M.D..mp4" ] }, { "messages": [ { "content": "Between inserting the slim tube into the channel and applying a temporary clamp over that channel, which action occurs first?", "role": "user" }, { "content": "Insertion occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/LCBDE： Transcystic technique.mp4" ] }, { "messages": [ { "content": "Which tool is applied to the end of the blind-ended tube to achieve closure?", "role": "user" }, { "content": "An energy-based sealing device is applied to the stump to seal it (after suture ligation).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Twisted and Backwards： Laparoscopic Ladd's Procedure in a Patient with Malrotation.mp4" ] }, { "messages": [ { "content": "Between positioning a curved, drain-like component and tightening the first knot, which is seen first?", "role": "user" }, { "content": "Positioning the curved component occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/laparoscopic suture rectopexy علاج تهدل او تدلي او سقوط المستقيم منظاريا @Dr.Zainalabdin.mp4" ] }, { "messages": [ { "content": "Which instrument engages the connective tissues around the upper GI tube during the deep chest dissection, and what action does it perform on them?", "role": "user" }, { "content": "The harmonic scalpel acts on the surrounding connective attachments, cutting them to facilitate dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic Heller Myotomy and Dor Fundoplication.mp4" ] }, { "messages": [ { "content": "When and where does a subtle backslide of the line first become visibly apparent during the join?", "role": "user" }, { "content": "A slight backslide appears during the running portion of the join, along the progressing suture line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Edited Anastamosis Robotic.mp4" ] }, { "messages": [ { "content": "After the two bowel limbs are aligned side‑by‑side and the opening is created, when does the suturing actually commence?", "role": "user" }, { "content": "Suturing begins with the first stitch at the lower corner, immediately after the opening is fashioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right hemicolectomy for T4b cecal adenocarcinoma involving the bladder.mp4" ] }, { "messages": [ { "content": "After the surgeon positions instruments over a bulging area, at what moment does the cutting actually begin?", "role": "user" }, { "content": "It begins at the moment the first opening is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Fibroids.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action during the initial freeing of stuck surfaces?", "role": "user" }, { "content": "An energy sealing–cutting device is used on the fatty apron to divide adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Segment V Liver Resection Surgery - THUNDERBEAT OEJ - Olympus Surgical - Dr. Tun Jie.mp4" ] }, { "messages": [ { "content": "In the vessel control portion, do they deal with the thicker-walled channel before its thinner-walled companion?", "role": "user" }, { "content": "Yes. The thicker-walled channel is handled first, then the thinner-walled one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/21 Steps of Robotic Low Anterior Resection with Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which is performed earlier: the near-infrared dye perfusion check on the bowel ends or the underwater air test of the join?", "role": "user" }, { "content": "The perfusion check is done before the underwater air test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Fully Robotic TME for Rectal cancer in a Patient with Intravesical Prostatic Protrusion.mp4" ] }, { "messages": [ { "content": "When the team switches to a monochrome visualization and a bright focus stands out, at what point does the actual extraction of that focus begin?", "role": "user" }, { "content": "It starts once the bright focus is isolated in the monochrome view and removal under direct visualization begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "Which device is used to cinch external loops, and what are those loops fastening on the first side worked on?", "role": "user" }, { "content": "A closed-ended knot pusher cinches extracorporeal loops that fasten the organ’s lateral bands to the presacral fascia on the first side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Rectal Prolapse Without Constipation.mp4" ] }, { "messages": [ { "content": "Which device is used to cut through the thin membrane that suspends the intestinal segment, and what structure does it act on?", "role": "user" }, { "content": "A vessel-sealing device acts on the mesentery to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC ROBOTIC-ASSISTED CONVERTION OF DUODENAL SWITCH TO PARTIAL GASTRECTOMY WITH ROUX-EN-.mp4" ] }, { "messages": [ { "content": "Which fastening device is applied to small posterior venous channels to secure them?", "role": "user" }, { "content": "A Hem-o-lok clip is used to ligate the short posterior veins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Total Laparoscopic Living Donor Right Hepatectomy： World First Report.mp4" ] }, { "messages": [ { "content": "When do you first see the unusual layout where the drainage tube runs behind the organ and three surface channels lie over its back, prompting a lateral working angle?", "role": "user" }, { "content": "It first appears in the segment showing the atypical orientation with the tube behind the organ and three channels over it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pediatric Laparoscopic (Infant, Pre-pubertal, and Teenager) Pyeloplasty for Ureteropelvic Junction.mp4" ] }, { "messages": [ { "content": "Which edge is seized and repositioned toward the outlet after deflation to facilitate the decision and setup for closure?", "role": "user" }, { "content": "The proximal edge of the defect is grasped and pulled to the canal after deflation to enable closure planning.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video of combined transanal excision (TAE) and transanal minimal.mp4" ] }, { "messages": [ { "content": "When and where does the blockage first become visibly apparent as a protrusion?", "role": "user" }, { "content": "It first appears just above the narrowed segment when that zone is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Re laparoscopic hepaticoyeyunostomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the stuck tissues around the sac to achieve exposure, and what does it accomplish?", "role": "user" }, { "content": "A heat-based dissector is used to free the adhesions, exposing the key area near the sac’s neck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LCBDE in a patient with previous total gastrectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to make the initial cut at the border where the outer surface meets the inner lining, and what interface is acted on to reduce bleeding?", "role": "user" }, { "content": "A monopolar cautery tool is used to incise at the skin–mucosa junction, acting on that interface to reduce bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Ileostomy closure Takedown in a 1 month old girl By Dr. Tamer Ashraf Wafa and Dr. Amr El Saeid.mp4" ] }, { "messages": [ { "content": "In the sequence where the team clears space around the target, which happens first: shifting the nearby bowels aside or exposing the deep paraspinal muscle?", "role": "user" }, { "content": "The bowels are shifted aside first, then the deep paraspinal muscle is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robot Assisted Laparoscopic Partial Nephrectomy - Step by Step Contemporary Technique.mp4" ] }, { "messages": [ { "content": "Between the orientation check of the aligned ends and the device drawing in its mating plate, which occurs first?", "role": "user" }, { "content": "The orientation check occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoskopische Sigmaresektion.mp4" ] }, { "messages": [ { "content": "Which tool acts on the rightward arterial branch at the transverse level, and what does it do to that tissue?", "role": "user" }, { "content": "A clip applier seals the rightward arterial branch, which is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3.1.1. Laparoscopic CME for Ascending Colon Carcinoma - Kang Young Lee.mp4" ] }, { "messages": [ { "content": "Between disconnecting a slender venous branch encountered during tunnel exposure and sealing an adjacent artery with a stapling device, which occurs first?", "role": "user" }, { "content": "The slender vein is divided first, followed by stapled division of the adjacent artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Portal Dissection, Step 2 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "After the opening is sealed and the working channels and gas systems are set, when does the internal cutting actually begin?", "role": "user" }, { "content": "Cutting starts immediately after the ports and insufflation/smoke systems are in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TA-TME) ｜ Dr. Vinay Samuel Gaikwad ｜ CK Birla Hospital.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from finishing the inner seam to starting the external reinforcement over the bowel loop?", "role": "user" }, { "content": "The transition occurs immediately after the first-layer knots are tied, when bites start on the outer tissue of the loop to create the second, buttressing layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreatic Jejunal anastomosis ｜ PJ ｜ Whipple's surgery ｜ Key step of Whipple's surgery.mp4" ] }, { "messages": [ { "content": "In the tight junction area near the organ’s neck, which tool is used and what dual role does it play to progress the dissection?", "role": "user" }, { "content": "A suction tip is used; it clears fluid and performs blunt dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Without Energised Dissection For Perforated Empyema Gall Bladder ....mp4" ] }, { "messages": [ { "content": "At what point does the sequence shift from reconnecting the bowel to starting the urinary reconstruction?", "role": "user" }, { "content": "Right after the bowel anastomosis, when the bladder is filled and mobilized to begin the reimplantation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultralow anterior resection, enbloc hysterectomy and unilateral ureterectomy.mp4" ] }, { "messages": [ { "content": "After the jawed cutting device is seated squarely across the bowel and oriented with its cartridge downwards, at what moment does the actual compression phase begin before firing?", "role": "user" }, { "content": "Compression starts once the jaws are closed after the perpendicular, cartridge-down alignment, and it is maintained for about 20 seconds before firing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Резекция сигмовидной кишки.mp4" ] }, { "messages": [ { "content": "When sealing the two principal blood channels, which one is treated first—the posterior, deeper one or the anterior, broader one?", "role": "user" }, { "content": "The posterior, deeper one is treated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Then and Now： Lessons Learned From 400 Laparoscopic Donor Nephrectomies.mp4" ] }, { "messages": [ { "content": "Between dividing two arteries attached to a urinary reservoir and addressing a dense venous plexus at the front of the pelvis, which happens earlier in the clip?", "role": "user" }, { "content": "Dividing the two arteries and taking down the urinary reservoir occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Pelvic Exenteration For Locally Advanced Rectal Cancer.mp4" ] }, { "messages": [ { "content": "After three front-side passes are placed without tie‑downs, when does the actual securing of those passes begin?", "role": "user" }, { "content": "They begin securing them at the end, one by one, after all three anterior passes are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic excision of Type l Choledochal Cyst & Roux-en-Y Hepaticojejujostomy by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "Between cutting the small tube-like segment near the valve and completing the outer-side freeing of the colon, which occurs first?", "role": "user" }, { "content": "The cut near the valve happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Complete Mesocolic Excision with “Top to Down-No Touch” Technique for Right Colon Cancer.mp4" ] }, { "messages": [ { "content": "Between initiating the deep-plane entry near the posterior bony ridge and advancing to the top boundary of that layer, which happens first in the clip?", "role": "user" }, { "content": "They initiate the entry near the posterior bony ridge first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior resection (part 1)- Suhail Anwar.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the lower end of the resected segment to complete the cut before removal?", "role": "user" }, { "content": "A stapling device transects the distal segment (upper rectum) prior to specimen removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/6 effective steps to a laparoscopic sigmoid colectomy..mp4" ] }, { "messages": [ { "content": "After the team positions a secondary holding instrument near the target, when does the heat-based division actually begin?", "role": "user" }, { "content": "It begins only after the final re-check and extra clearing are completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Medial to lateral dissection of the inferior mesenteric artery p.mp4" ] }, { "messages": [ { "content": "During reconstruction, which implement manipulates the needle to stitch the new join?", "role": "user" }, { "content": "Console‑operated suturing instruments manipulate the needle to place stitches at the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic treatment of gastric cancer.mp4" ] }, { "messages": [ { "content": "At exactly what point does the scene shift from removing tissue to rebuilding—specifically, from specimen clearance to the first needle-driven join?", "role": "user" }, { "content": "Right after margin confirmation on the specimen, the video transitions to the first reconstruction, starting needle suturing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY AND CHOLECYSTECTOMY.mp4" ] }, { "messages": [ { "content": "Considering the end-of-procedure activities, does rinsing the field occur before or after placement of the fluid-draining tube?", "role": "user" }, { "content": "Rinsing occurs first, followed by placement of the tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Left Salpingo - oophorectomy for Ruptured Dermoid with Right Ovarian Cystectomy.mp4" ] }, { "messages": [ { "content": "Which powered tool is applied to the small red strand, and what action does it accomplish on that target?", "role": "user" }, { "content": "Electrocautery (Bovie) is applied to a small vessel to coagulate and divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy for Gallbladder Disease ｜ JOMI in Honduras.mp4" ] }, { "messages": [ { "content": "Which energy applicator is shown acting on malignant spots in the upper‑right abdominal organ, and what is it doing to them?", "role": "user" }, { "content": "Energy probes—such as microwave or radiofrequency (heat) devices, and cryo wands (freezing)—are applied to the tumors to destroy them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Surgical Treatment of Colorectal Cancer Metastasis to the Liver.mp4" ] }, { "messages": [ { "content": "Once the buzzing energy device is introduced (with visible shimmer and minimal smoke), when does energy-assisted mobilization actually begin?", "role": "user" }, { "content": "Right after the team clears most dense adhesions and switches tools, the energy-assisted mobilization begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy for megaesophagus.mp4" ] }, { "messages": [ { "content": "After both lateral corridors are visibly opened all the way to the base, when does the first anchoring stitch of the implant at the deepest point actually begin?", "role": "user" }, { "content": "It starts immediately after bilateral distal dissection is shown, when fixation at the base begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/redo ventral mesh rectopexy by dr Jottard MD PhD.mp4" ] }, { "messages": [ { "content": "In the open dissection, at what precise moment does the scene transition from careful peeling to the final detachment of the tissue block?", "role": "user" }, { "content": "Exactly when the base is secured and divided—the block is immediately freed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療～からだにやさしい手術を目指して～　田邊 和照.mp4" ] }, { "messages": [ { "content": "Once the tissue visibly blanches after an injection, when does cutting actually begin?", "role": "user" }, { "content": "Right after the blanching appears, the incision begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Submucous Myoma.mp4" ] }, { "messages": [ { "content": "Which component introduces insufflation gas into the cavity to create working space?", "role": "user" }, { "content": "The insufflation system sends CO2 through the port assembly to expand the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy ｜ Gall Bladder Removal Surgery ｜ Scripps La Jolla San Diego.mp4" ] }, { "messages": [ { "content": "After the table is tilted head-up to improve exposure, when does the takedown of the upper-left bend begin?", "role": "user" }, { "content": "It starts immediately after the head-up tilt, from the lateral side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy - Complicated Diverticulitis.mp4" ] }, { "messages": [ { "content": "At what precise point does the operation transition from specimen removal to reconstructing the digestive continuity?", "role": "user" }, { "content": "When suturing begins to join the pancreatic remnant to the bowel for the first anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple procedure.mp4" ] }, { "messages": [ { "content": "Which device is applied to the fan-shaped vascular attachments to stop flow during mobilization?", "role": "user" }, { "content": "A vessel-sealing device is used on the mesenteric vessels to control the blood supply.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectal Prolapse, Perineal Repair (Perineal Rectosigmoidectomy： Altemeier procedure).mp4" ] }, { "messages": [ { "content": "Which device, introduced from below, engages the metal cap to complete the reconnection, and what tissue does it act on?", "role": "user" }, { "content": "The EEA stapler is passed from below to engage the anvil at the distal staple line, creating the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Robotic Assisted Colovesicle Fistula Takedown and Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to elevate the front structure away from the back canal, and what action is performed on that plane?", "role": "user" }, { "content": "A manipulator on the fourth arm elevates the front structure, enabling deep plane separation along that interface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Rectopexy - Rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs first: dividing the membrane on the backside of the organ or creating the tunnel behind the narrow channel to prepare for fastening?", "role": "user" }, { "content": "The backside membrane is divided before the posterior tunnel is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robot Assisted Cholecystectomy in Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from finishing the seam on the far side to beginning the seam on the near side?", "role": "user" }, { "content": "Right after tying the two threads and releasing the occlusion, the near-side seam begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/卫生部医学视听教材—消化外科—XHW001 肠吻合的基本缝合法及小肠吻合术.mp4" ] }, { "messages": [ { "content": "When does the actual cut through the target begin relative to the moment a jawed sealing cutter is brought in?", "role": "user" }, { "content": "It begins immediately after the feeder is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Minimally Invasive Pancreas Surgery.mp4" ] }, { "messages": [ { "content": "When does the workflow pivot from cutting the front of the upper segment to placing a single orienting stitch?", "role": "user" }, { "content": "Immediately after the first front-side cut, before any further division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/LAPAROSCOPIC-ASSISTED ALTEMEIER PROCEDURE.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from freeing the bowel up high to deeper work in the lower cavity?", "role": "user" }, { "content": "At the point when the articulated system is reintroduced specifically for the deeper phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection - How I do it.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip transition from upper-abdominal dissection to mid-abdominal small-bowel rerouting?", "role": "user" }, { "content": "The shift occurs when attention turns to the intestinal landmark near the inferior mesenteric vein and the loop is mobilized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Delayed Robotic Roux-en-Y Hepaticojejunostomy Repair of an Iatrogenic Type E Bile Duct Injury fr....mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene switch from freeing tissue to actually separating the segment?", "role": "user" }, { "content": "At the instant the dividing instrument closes and the tissue is cut—the first separation cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy with Intracorporeal Anastomosis using the “Vijan Pop” Technique.mp4" ] }, { "messages": [ { "content": "Between securing a main blood channel with metal fasteners and cutting that channel, which occurs first in this clip?", "role": "user" }, { "content": "The channel is secured with fasteners first; cutting happens afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Emergency Laparoscopic Left Hemicolectomy ：TB descending colon presenting as Massive Haematochezia.mp4" ] }, { "messages": [ { "content": "Between detaching the front neighboring organ from the main structure and sealing/dividing the lateral side vessels on the first side, which action takes place earlier in the clip?", "role": "user" }, { "content": "Detaching the front organ occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/子宮次全切除術 (旁白) LASH in 20 min with voice over.mp4" ] }, { "messages": [ { "content": "Between sealing off a branch vessel and cutting a nearby hollow segment, which action happens first in the sequence?", "role": "user" }, { "content": "Cutting the hollow segment occurs first; sealing/dividing the branch vessels follows afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Technique of laparoscopic pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which instruments perform the sealing and the subsequent cut on the arterial channel?", "role": "user" }, { "content": "The left-hand device seals the artery with energy, and the right-hand tool performs the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy(DaVinci X) by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the filmy connective layer to open a working window, and what action does it perform on that tissue?", "role": "user" }, { "content": "A heat-based cutting tool is used to cauterize the thin connective layer, lifting it to create a separation window.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/腹腔鏡下S状結腸切除術（ple_2）.mp4" ] }, { "messages": [ { "content": "After fluid is delivered through a tube to check the passage, when does the actual stitch placement begin?", "role": "user" }, { "content": "It starts immediately after the defect is identified, when interrupted absorbable stitches are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophageal Myotomy.mp4" ] }, { "messages": [ { "content": "When and where does an unintended passage into another compartment first become visually evident?", "role": "user" }, { "content": "During the posterior dissection, intraperitoneal fat first appears at the resection site, indicating an unintended breach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Transgastric GIST Resection.mp4" ] }, { "messages": [ { "content": "At what point does the sequence shift from repeated treatment passes to the final evaluation of the outlet’s caliber?", "role": "user" }, { "content": "When the final check is shown, displaying the opening at about 7 mm.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic treatment of weight regain after Roux en Y gastric bypass RYGB use of argon plasma.mp4" ] }, { "messages": [ { "content": "Between the moment a slender vessel is first seen coursing across the front of a main tube-like structure and the later identification of a short offshoot with a pronounced loop, which happens earlier in the clip?", "role": "user" }, { "content": "The crossing of the vessel across the duct-like structure occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Anomalous rt.hepatic artery encountered in lap chole By Dr.Deba Kumar Choudhury.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from freeing the upper conduit to starting the ring-like muscle cut around it?", "role": "user" }, { "content": "Immediately after mobilizing about 6–7 cm, they begin the circumferential cut 1 cm above the junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Селективная проксимальная ваготомия при язве двенадцатиперстной кишки.mp4" ] }, { "messages": [ { "content": "Between revealing a small pear-shaped sac tucked beneath the organ and outlining the edges around the target area, which occurs first in the clip?", "role": "user" }, { "content": "Revealing the tucked pear-shaped sac occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Segment V Liver Resection Surgery - THUNDERBEAT OEJ - Olympus Surgical - Dr. Tun Jie.mp4" ] }, { "messages": [ { "content": "Between sealing the side-branch that limits mobility and sealing the main downstream trunk, which is performed first?", "role": "user" }, { "content": "The side-branch (left colic) is sealed before the main trunk (IMA).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy - Complicated Diverticulitis.mp4" ] }, { "messages": [ { "content": "When and where does a mechanical issue first become visibly apparent in the field?", "role": "user" }, { "content": "Right after starting the new sequence, a broken component is seen near the corner of the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Afferent-Loop-Syndrom.mp4" ] }, { "messages": [ { "content": "Between trimming a band-like support near the pelvic brim and opening a thin, glistening membrane over a hollow organ, which occurs first in the clip?", "role": "user" }, { "content": "Trimming the band-like support happens first, followed by opening the membrane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer.mp4" ] }, { "messages": [ { "content": "Relative to the final rinse of the field, when are the side tubular structures taken out?", "role": "user" }, { "content": "The side tubular structures are removed before the final wash.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "Which mention comes earlier: the claim of quicker bounce-back due to smaller cuts or the note that most people leave the facility the same day?", "role": "user" }, { "content": "Quicker bounce-back due to smaller cuts is mentioned first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Vs. Open Inguinal Hernia Repair.mp4" ] }, { "messages": [ { "content": "At what moment does the clip move from working along the lateral margin to actively searching by traction for the first arterial side branch?", "role": "user" }, { "content": "Right after working along the lateral margin, when traction-based searching begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Inferior Mesenteric Artery Preservation.mp4" ] }, { "messages": [ { "content": "In the right-sided case, after the ducts are outlined with contrast, when is the duct actually clipped or stapled?", "role": "user" }, { "content": "Right after the contrast outlines the ducts, the duct is clipped or stapled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Main Event - Robot' - Hemi-Hepatectomy： How I do It.mp4" ] }, { "messages": [ { "content": "Between the visible moment when a colored liquid is pushed into the targeted vessel and the moment a narrow tube is secured onto that vessel, which occurs first?", "role": "user" }, { "content": "The colored liquid injection happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from repairing access points on the organ to the final visual check for bleeding?", "role": "user" }, { "content": "Right after the access sites are closed with figure‑of‑eight sutures, the team performs the final check for bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Hybrid Endoscopic-Laparoscopic Transgastric Resection of Gastric Subepithelial Tumor.mp4" ] }, { "messages": [ { "content": "At the outset of the minimally invasive session, which tool acts on which space to perform what action?", "role": "user" }, { "content": "A camera-tipped scope is used inside the abdominal cavity to perform a diagnostic survey.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Unexpected intraoperative findings of the gallbladder, liver & pancreas.mp4" ] }, { "messages": [ { "content": "After the camera starts showing the inside, when does the actual correction phase begin?", "role": "user" }, { "content": "It begins when the inner lining is opened to expose the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Hernia Repair Inguinal (Laparoscopic) PreOp® Patient Education.mp4" ] }, { "messages": [ { "content": "After the container is fastened and the outlet is sealed, when does sustained palm pressure start and for how long is it maintained?", "role": "user" }, { "content": "Sustained palm pressure starts immediately after sealing and is held for about 15–20 minutes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/義大醫院大腸直腸外科 人工肛門 造口 護理教學.mp4" ] }, { "messages": [ { "content": "When the thin guide becomes visible at the key connection through the translucent membrane, at what point does the cutting to create the initial opening actually begin?", "role": "user" }, { "content": "Right after the guide confirms the spot and the chamber is lifted, the opening cut begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pediatric Laparoscopic (Infant, Pre-pubertal, and Teenager) Pyeloplasty for Ureteropelvic Junction.mp4" ] }, { "messages": [ { "content": "Which energy instrument is used to divide the right lateral tissue bands tethering the uterine neck, and what structure is being released?", "role": "user" }, { "content": "An ultrasonic energy scalpel divides the right lateral attachments, releasing the tissue bands connecting the vaginal wall to the uterine neck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "Which device is used to separate the small vessels hugging the stomach’s outside edge, and what structure is being freed as a result?", "role": "user" }, { "content": "An ultrasonic scalpel divides the short gastric vessels to free the fundus along the outer curvature.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/THE MOUNT SINAI SURGICAL FILM ATLAS Laparoscopic Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "Between activating an energy blade on stuck tissue and inserting a fabric pad into the cavity, which happens first?", "role": "user" }, { "content": "The energy blade activation happens first, followed by inserting the fabric pad.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux En Y hepaticojejunostomy #apexhospital #painlesssurgery #gallbladderproblems.mp4" ] }, { "messages": [ { "content": "Between failing to push the flexible camera beyond the tight spot and starting to create a new connection, which happens first?", "role": "user" }, { "content": "The failed advancement occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Creation of Biliary Bypass - EUS guided biliary access.mp4" ] }, { "messages": [ { "content": "Between stabilizing the target region and activating the energy, which happens first?", "role": "user" }, { "content": "Stabilization comes first, followed by energy activation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/hysterectomy/刘开江：宫颈绒毛管状腺癌ⅡA2期，腹腔镜下广泛全子宫切除（C2型）+双侧附件切除.mp4" ] }, { "messages": [ { "content": "Which instrument is used to survey the organ to identify sizable channels feeding the target area, and what task is it performing?", "role": "user" }, { "content": "An ultrasound probe is used to scan the liver to identify major vessels supplying the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Lesion Resection Using Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure shift from isolating the two connections to detaching the organ from its bed?", "role": "user" }, { "content": "Immediately after the duct is divided, the team transitions to bed detachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy (Robotic Gallbladder Removal Surgery) by Dr. Samrat Jankar.mp4" ] }, { "messages": [ { "content": "What device is used to bridge the injured duct and how is it prevented from slipping out during closure?", "role": "user" }, { "content": "A small flexible feeding tube bridges the duct and is anchored in place with absorbable sutures during closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic CBD Repair - Its obviously the best option as per me....mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from creating the front-side opening guided by the blue landmark to working on the backside opening of the same passage?", "role": "user" }, { "content": "Immediately after completing the anterior cut over the blue guide, the team transitions to the posterior opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic Hysterectomy (Laparoscopic) by Dr. Marc Winter.mp4" ] }, { "messages": [ { "content": "Which instrument tip acts on which tissue to accomplish what maneuver during the early exposure phase?", "role": "user" }, { "content": "A heated tip is applied to swollen, adherent tissue to gently press and sweep it down, opening the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy - 53 Year Old Diabetic with Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "While the team advances centrally along the mesentery, which happens first: settling into the glistening avascular plane or preemptively securing tiny channels to prevent oozing?", "role": "user" }, { "content": "They first settle into the avascular plane, then secure the tiny channels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/腹部无辅助切口经阴道拖出标本的腹腔镜下右半结肠切除术.mp4" ] }, { "messages": [ { "content": "Between tracing a smooth, arc-shaped cut along a thin fold and entering the hollow space behind it, which action happens first?", "role": "user" }, { "content": "The curved incision happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/The ArtiSential experience in St. Marienkrankenhaus Siegen.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from inserting a synthetic sheet to actively stitching it to the lowest section?", "role": "user" }, { "content": "The transition occurs when interrupted 2‑0 Tychron sutures are first placed to secure the sheet to the distal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Between undoing the previous wrap around the top of the stomach and opening the pathway into the chest, which action happens first?", "role": "user" }, { "content": "Undoing the wrap happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic repair of recurrent PEH, near-total gastrectomy with RNY reconstruction.mp4" ] }, { "messages": [ { "content": "After the new intestinal limb is measured a set distance beyond its bend, when does the side-to-side join actually start?", "role": "user" }, { "content": "It begins immediately after the limb is measured and divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy With D2 Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "After the base is secured with constriction, which instrument is used on the exposed core to obtain diagnostic material?", "role": "user" }, { "content": "Large-bite forceps are used to take biopsies from the exposed core, though a small loop cutter can also remove a piece for pathology.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endo-Master Class 2017： ＂Endoscopic Innovation＂.mp4" ] }, { "messages": [ { "content": "At what moment is unexpected oozing first recognized that prompts packing, and from which side of the dissection is it coming?", "role": "user" }, { "content": "It’s first noted when they remark there’s ongoing blood “here,” followed immediately by packing with gauze, coming from the deeper posterior side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/丁克峰：腹腔镜下右半结肠癌根治术.mp4" ] }, { "messages": [ { "content": "After the posterior C-shaped loop is unmistakably seen, when does the wrap-around dissection begin?", "role": "user" }, { "content": "It begins immediately after the brief pause to highlight the structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right colectomy： How to avoid intraoperative difficulties & complications.mp4" ] }, { "messages": [ { "content": "At what moment does the clip move from careful vein exposure at the convergence point to the actual transection of the targeted draining branch?", "role": "user" }, { "content": "The transition occurs when the superior right colic vein is divided after completing the exposure around the venous convergence.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (Complete Mesocolic Excision)： Uncinate First Approach.mp4" ] }, { "messages": [ { "content": "Between securing the main supply branches and drawing the tentative cut boundary on the intestinal segment, which happens first in the clip?", "role": "user" }, { "content": "Securing the supply branches happens before marking the cut boundary.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/【2024年度市民のための学術講演会】（消化器外科 片岡智史医師）3．大腸がんを知ろう：検診、予防、治療.mp4" ] }, { "messages": [ { "content": "Which occurs sooner: separating the deeper muscle fibers or sealing the surface opening with tiny metal clasps?", "role": "user" }, { "content": "Separating the deeper muscle fibers happens before sealing the opening with metal clasps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM for Treatment of Achalasia.mp4" ] }, { "messages": [ { "content": "At what point after instrument setup does a distinct protrusion first become clearly apparent, and on which lateral side?", "role": "user" }, { "content": "Immediately after setup and the start of active control, a protrusion is clearly visible on the right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Robotic TAPP mesh repair of an inguinal hernia using the Hugo™ R.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action when the proximal small bowel near the stomach is separated?", "role": "user" }, { "content": "A stapling device acts on the proximal small bowel to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatoduodenectomy (PPPD).mp4" ] }, { "messages": [ { "content": "Which auxiliary manipulator holds tension on a suture to aid exposure during the cut?", "role": "user" }, { "content": "The fourth articulated arm maintains traction on the suture to assist exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Assisted Right Hepatectomy Resection Segments 6 and 7.mp4" ] }, { "messages": [ { "content": "Following surface coagulation of the raw area, when does the leak-prevention compound get applied, and what reinforcing maneuver immediately follows?", "role": "user" }, { "content": "Right after surface coagulation, sealant is applied, followed immediately by suturing a midline ligament to the undersurface for reinforcement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Left lateral Segmentectomy for Liver Abscess Secondary to foreign body.mp4" ] }, { "messages": [ { "content": "Which occurs first: extending the cut along the outer lining upward on the left side, or starting the inside‑out separation of that segment?", "role": "user" }, { "content": "Extending the outer lining cut happens first; the inside‑out separation starts later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Which implement is used on the newly created reservoir to verify openness, and what effect does it produce?", "role": "user" }, { "content": "Saline instillation is used to inflate the reservoir, confirming its patency.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Fluorescence Angiography during Transanal Trans-stomal Proctectomy and Ileal Pouch Anal Anastomosis.mp4" ] }, { "messages": [ { "content": "When during the procedure does an unexpected additional nodule first become clearly visible, and in what area does it appear?", "role": "user" }, { "content": "During reconstruction, a small additional fibroid appears on the uterus and is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myomectomy for a large uterine fibroid via mini-laparotomy – a step by step video tutorial.mp4" ] }, { "messages": [ { "content": "Between two sequential steps at the start of the lower-end preparation, which happens first: drawing a full-circle cut around the inner lining or tightening a cinching stitch to seal the lumen?", "role": "user" }, { "content": "The full-circle cut is made first, then the cinching stitch is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TRANSANAL TOTAL MESORECTAL EXCISION FOR RECTAL CANCER： A TRAINING PATHWAY.mp4" ] }, { "messages": [ { "content": "Between positioning the viewing device and establishing the side access points, which action occurs first?", "role": "user" }, { "content": "The viewing device is positioned first, followed by establishment of the side access points.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/USING TRANSTHORACIC TROCARS FOR LAPAROSCOPIC RESECTION OF SUBPHRENIC HEPATIC TUMORS.mp4" ] }, { "messages": [ { "content": "Which comes first: establishing a smooth dissection plane along the back lining or exposing the junction of a major vessel with its branch?", "role": "user" }, { "content": "Establishing the dissection plane occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic left colic artery preserving sigmoidectomy for diverticulitis – a video vignette.mp4" ] }, { "messages": [ { "content": "Which happens first: checking blood flow in the retained stomach remnant with a fluorescent agent, or removing its poorly perfused distal portion?", "role": "user" }, { "content": "Blood-flow checking with fluorescence occurs before resection of the distal portion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer： You Never Know What You're Going to Get.mp4" ] }, { "messages": [ { "content": "Which device acts on the flexible patch to perform stabilization during healing, and what action does it take?", "role": "user" }, { "content": "A fixation device applies dissolvable fasteners into the flexible patch, anchoring it to the abdominal wall to keep it stable during healing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Unedited Complete Laparoscopic Inguinal Hernia Repair (4k).mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from positioning to energy delivery?", "role": "user" }, { "content": "The transition occurs when the pulse counter begins incrementing as energy delivery starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/hysterectomy/刘开江：宫颈绒毛管状腺癌ⅡA2期，腹腔镜下广泛全子宫切除（C2型）+双侧附件切除.mp4" ] }, { "messages": [ { "content": "Which instrument is used to create small openings on the two bowel limbs, and which device then acts on those openings to form the side-to-side connection?", "role": "user" }, { "content": "A fine, curved-tip dissector creates the two openings, and a linear stapling device then fires across them to form the side‑to‑side channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy - ICA (narrated ).mp4" ] }, { "messages": [ { "content": "At what moment does the team pivot from dissecting on one side of the opening to working on the opposite side?", "role": "user" }, { "content": "Right after maximal work on the first side, the focus shifts to the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Paraesophageal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Given the moment a loop is placed around a major channel on the right side, when does cutting actually commence?", "role": "user" }, { "content": "Immediately after encirclement and the assisting stitch, when the stapling device is applied and fired to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Extended Right Hepatectomy.mp4" ] }, { "messages": [ { "content": "Between freeing the right-sided bend of the organ and pulling out the removed segment, which is performed first?", "role": "user" }, { "content": "Freeing the right-sided bend is performed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic complete mesocolic excision for mid transverse colon cancer a video vignette.mp4" ] }, { "messages": [ { "content": "When and where does the unusually thinned swallowing tube first become clearly visible?", "role": "user" }, { "content": "After the membrane is reduced, high in the chest above the opening, the tube appears unusually thin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Hiatal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Between recognizing the bundle running behind the anterior sac and securing it with its protective sheath, which occurs first?", "role": "user" }, { "content": "Identification comes first, followed by careful preservation with its covering tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Anatomy and Techniques of Laparoscopic Intersphincteric Resection (ISR) for Low Rectal Cancer.mp4" ] }, { "messages": [ { "content": "After the traction device is rotated forward, when does the actual anterior mobilization begin in the clip?", "role": "user" }, { "content": "It begins as the surgeon starts dissecting the anterior hollow organ immediately after the forward rotation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy+Bilateral Salpingectomy｜Dr. Hafeez Rahman｜Legends Go Live 2024.mp4" ] }, { "messages": [ { "content": "During the vascular step, what device is applied to which type of structure to achieve separation?", "role": "user" }, { "content": "A stapling device is applied to a segmental vein to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/VATS Right Upper Lobe Anterior (S3) Segmentectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence move from completing the back layer of the new join to working on the front layer?", "role": "user" }, { "content": "The transition occurs when they begin suturing the front layer after finishing the back layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Re Hepaticoyeyunoanastomosis laparoscopica.mp4" ] }, { "messages": [ { "content": "Between the moment when the access lid is snapped onto its ring and the time a green-light perfusion check is performed, which happens first?", "role": "user" }, { "content": "The sealing and expansion happen first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/A New Approach for Rectal Prolapse： Perineal Proctectomy with TAMIS Rectopexy and Mesh Fixation.mp4" ] }, { "messages": [ { "content": "Midway through, which device is used with a gliding motion to separate the back fascia from the large bowel’s envelope?", "role": "user" }, { "content": "An ultrasonic shears is used with a gliding sweep to lift the posterior fascia off the mesenteric envelope.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A Stepwise Approach to Laparoscopic Right Hemi-Colectomy with D2 Excision.mp4" ] }, { "messages": [ { "content": "Which instrument works on the pale fatty layer to create an opening around the central channel?", "role": "user" }, { "content": "A slender cutting tool (scissor-like) acts on the fatty layer to form the opening around the central channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Learn to do a Robotic Sigmoid ⧸ Low Anterior Resection ｜ A step-by-step narrative..mp4" ] }, { "messages": [ { "content": "At what point does the clip shift from irrigation and cleanup to material removal with a barrel-shaped rotating device?", "role": "user" }, { "content": "Immediately after irrigation concludes and the needle is removed, when the rotating device begins removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Intramural Fibroid.mp4" ] }, { "messages": [ { "content": "When does the first visible problem with crossing to the far side occur, and where relative to the opening is it seen?", "role": "user" }, { "content": "It first appears during the attempt to capture the far side of the opening, on the opposite rim, prompting the use of a helix grasper.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Revision Of Dilated Gastro-Jejunostomy.mp4" ] }, { "messages": [ { "content": "Which takes place first: fully freeing the upper-left gastric pouch or the later firings that continue the partitioning of the stomach?", "role": "user" }, { "content": "Full mobilization of the upper stomach occurs before the subsequent (later) stapler firings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic duodenojejunal bypass with sleeve gastrectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from vessel-control to tissue-splitting on the right side?", "role": "user" }, { "content": "Immediately after the right-side vein is divided, the scene moves into parenchymal transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Risk and Limitations of Extended Laparoscopic Liver Resection.mp4" ] }, { "messages": [ { "content": "After the assistant visibly lifts the smaller bowel loop into line with the larger organ, when does the surgeon actually start the back‑row running stitch?", "role": "user" }, { "content": "Right after alignment and traction expose the back edge, the needle starts the running line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/GastroJejunostomy.mp4" ] }, { "messages": [ { "content": "Between the two slender conduits along the pelvic sidewalls, which one is visually recognized first—the one on the viewer’s left or the one on the right?", "role": "user" }, { "content": "The left side is recognized first, followed by the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Sacrocolpopexy with Rectopexy for Combined Treatment of Rectal and Pelvic Organ Prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs first: snipping the temporary tag stitches around the reconnection, or pushing the reconstructed segment back inside?", "role": "user" }, { "content": "Snipping the temporary tag stitches happens before pushing the segment back inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Procedure.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: trimming the fatty layer near the organ’s neck or isolating the small artery and nearby node?", "role": "user" }, { "content": "Trimming the fatty layer happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/5 Things You Must Know About DaVinci Robotic Cholecystectomy Technique.mp4" ] }, { "messages": [ { "content": "After the circumferential hooks are set to evert the entry, when does the wide working channel actually get advanced into place?", "role": "user" }, { "content": "It begins after a short distal dissection with the hook retractor, when the port is inserted and insufflation starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/V021 ROBOTIC-ASSISTED TRANSANAL ENDOSCOPIC TOTAL MESORECTAL EXCISION (TME).mp4" ] }, { "messages": [ { "content": "At what point does the operation move from repairing the opening to testing its integrity?", "role": "user" }, { "content": "Immediately after the continuous closure is completed, the leak test is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Resection of Challenging Gastric Tumors.mp4" ] }, { "messages": [ { "content": "When and where does brisk bleeding first become clearly visible in the video?", "role": "user" }, { "content": "It first becomes clearly visible after two clips are in place, when suction exposes an arterial defect near the origin toward the aorta.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Operative Management？ - Laparoscopic donor nephrectomy： tips & tricks - Dr. Ahmad Alzahrani.mp4" ] }, { "messages": [ { "content": "When and where does a conspicuous dilation of the target bowel segment first become visibly evident during the procedure?", "role": "user" }, { "content": "The dilation first becomes apparent as that curved segment is exposed from the right side near the vessel landmark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Sutured Duodenojejunostomy - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "Between freeing the fatty apron along the organ’s broad curve and addressing vessels along its inner curve, which happens first in the clip?", "role": "user" }, { "content": "Freeing the apron along the broad curve occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Billroth 1 The Movie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the narrative transition from stating that many adult procedures can be done via small access to clarifying that selection is individualized?", "role": "user" }, { "content": "It transitions at the phrase “But not every patient is suitable.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Apollo Hospitals ｜ All you need to know about CABG ｜ Dr. MM Yusuf.mp4" ] }, { "messages": [ { "content": "Which happens first: temporary inflow control at the liver hilum or placement of tightening stitches around the base of the mass?", "role": "user" }, { "content": "Temporary inflow control occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "When and where do the first abnormal knot-related lumps become visibly apparent during the case?", "role": "user" }, { "content": "Early in the exposure, at the bulging area—on the tough sheet around it—knot-related nodules first appear.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Боковая вентральная грыжа. Сложный пациент..mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from working around central vessels to freeing the bowel from its side attachments?", "role": "user" }, { "content": "Right after the branch is processed, when they proceed to detach the lateral attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic left colic artery preserving sigmoidectomy for diverticulitis – a video vignette.mp4" ] }, { "messages": [ { "content": "What device is employed to improve visualization deep in the cavity during the frontward phase, and what does it accomplish?", "role": "user" }, { "content": "A specialized retractor is used to provide better exposure deep in the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TME, Total Mesorectal Excision ： Tips and Techniques.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from stitching to applying adjunct hemostasis?", "role": "user" }, { "content": "The shift occurs when they ask for and apply the gelatin sponge immediately after finishing the sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/prostatectomy/王军凯：机器人辅助腹腔镜左肾部分切除术，下.mp4" ] }, { "messages": [ { "content": "Between moving the patient into the procedure room and beginning the removal of the diseased area, which occurs first?", "role": "user" }, { "content": "Moving to the procedure room occurs first, followed by beginning the removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/간절제술과 복강경⧸로봇 간절제술의 절차 및 치료.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the narrow conduit leaving the kidney to lengthen its opening, and for what purpose?", "role": "user" }, { "content": "Curved fine scissors are used on the ureter to elongate (spatulate) its opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. ROBOTIC PYELOPLASTY, Prof Mohan Gundeti.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence switch from freeing the upper‑left bend of the bowel to working deep in the lower cavity?", "role": "user" }, { "content": "The transition occurs when attention is turned to the pelvis to begin the rectal dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision -- Mayo Clinic.mp4" ] }, { "messages": [ { "content": "When does the fixation of the ring-shaped implement to the folded wall begin relative to the folding and threading steps?", "role": "user" }, { "content": "Fixation starts after the wall is folded and threaded, when the device is pressed and secured to it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme´s procedure for urgent rectal prolapse.mp4" ] }, { "messages": [ { "content": "After the upper right bend of the colon is released from its tether under the liver, when does the detachment from the sidewall actually begin?", "role": "user" }, { "content": "It begins right after the upper right colon tether is released.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/colectomia direita com CME - Liao-Nan Zou - china.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the lower dissection to the abdominal access phase?", "role": "user" }, { "content": "Right after halting the lower dissection, when the team moves to establish abdominal access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME with Retroileal-Colorectal Anastomosis： Combining Old & New Techniques.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from surveying the area to active excision?", "role": "user" }, { "content": "When the sub-lining cushion is first created—right before the initial cuts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/胃腸癌症之內視鏡治療暨預防新趨勢(臺南市立安南醫院).mp4" ] }, { "messages": [ { "content": "When and where does an unexpected obstruction first become visibly apparent, prompting immediate control measures?", "role": "user" }, { "content": "It first appears during the anterior separation near the front organ, when the nerve‑vessel strands come into view and are clipped and divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Supine Extralevator Abdominoperineal Resection (ELAPE); Technique and Outcome.mp4" ] }, { "messages": [ { "content": "Given the activation of a glowing imaging mode around an edge, when does stitching in that area actually begin?", "role": "user" }, { "content": "Stitching begins immediately as the glowing mode is activated while working around that edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic ventral mesh rectopexy (multiple recurrences).mp4" ] }, { "messages": [ { "content": "At what moment does the operation move from separate anterior tracks on both sides to a unified midline tunnel?", "role": "user" }, { "content": "When the two anterior planes are connected in the midline.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Lap Circumferential Extended-TME for Non-responding Low-rectal cancer postNeoadjuvant Chemoradiation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation move from dividing bowel to packaging the specimen for removal?", "role": "user" }, { "content": "Immediately after the final cut and hemostasis, when the bag is introduced and the specimen is placed inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹部无辅助切口经阴道拖出标本的腹腔镜下右半结肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what moment is the circular join considered complete, marked by the line being snapped and only minimal final locks applied?", "role": "user" }, { "content": "After finishing the second side, when the line is broken and only one or two final ties are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Edited Anastamosis Robotic.mp4" ] }, { "messages": [ { "content": "After recognizing the abnormal orientation of the small intestine, which happens first on-screen: moving the loops to the patient’s right upper abdomen or dividing the tethering bands crossing the midline?", "role": "user" }, { "content": "They first move the small-bowel loops to the right upper abdomen, then divide the tethering bands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/laparoscopically ladds procedure for malrotation of gut in children.mp4" ] }, { "messages": [ { "content": "What device is used to transect the downstream pelvic bowel segment before attention turns fully to the right side?", "role": "user" }, { "content": "An Endo GIA Echelon 60‑mm stapler transects the proximal rectum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/HYSTERECTOMY, BILATERAL SALPINGO-OOPHORECTOMY & TOTAL COLECTOMY FOR LYNCH SYNDROME. HYBRID NOTES.mp4" ] }, { "messages": [ { "content": "Between separating the intestine at the upper end and making the second cut near the downstream end, which occurs first in the clip?", "role": "user" }, { "content": "The upper-end separation occurs first, followed by the downstream cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Natural Orifice Specimen Extraction for High Anterior Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from separating the solid organ to removing the target piece?", "role": "user" }, { "content": "The transition occurs when the surgeon says “Çıkardık,” indicating the piece has been removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Safra yolu kanseri tip 4 klatskin tümörü ameliyatı ｜ Hepatikojejunostomy-Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the fatty-lymphatic layer over a large vein, and what action does it perform on that tissue?", "role": "user" }, { "content": "A monopolar electrosurgical hook dissects the fibrofatty lymphatic layer over the vein to expose it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Lap Right Hemicolectomy： Complete Mesocolic Excision： Colon Cancer： Dr Dhaval Mangukiya.mp4" ] }, { "messages": [ { "content": "Which tool acts on the largest side vein coming from the upper-right organ to separate it?", "role": "user" }, { "content": "A mechanical stapling device divides the largest side vein from the upper-right organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Approach to Right Radical Nephrectomy with Level II IVC Thrombectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the view transition from working on the first side to operating on the opposite side?", "role": "user" }, { "content": "When the camera is moved to the opposite side to expose it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy ｜ Dr Kunal Rathod.mp4" ] }, { "messages": [ { "content": "At what point and location does the prior surgical site first come into view during the passage-making segment?", "role": "user" }, { "content": "It first appears during submucosal tunneling, visible within the tunnel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Pre-Oral Endoscopic Myotomy for Refractory Dysphagia After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which tool is used to execute the circular incision, and what target is being incised?", "role": "user" }, { "content": "The ultrasonic (harmonic) device is used to incise the cuff around the manipulator guide.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy using ENSEAL Articulating Tissue Sealer ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "Which structure is brought forward to create an anterior protective flap over the junction, and with what kind of sutures is it secured?", "role": "user" }, { "content": "A portion of the stomach is advanced to form an anterior protective flap, secured with non-absorbable sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC HELLER'S CARDIOMYOTOMY WITH DOR FUNDOPLICATION FOR SIGMOID ACHALASIA - DR SAMRAT JANKAR.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from simply displaying the bulky organ to highlighting a separate fatty layer tethered to it?", "role": "user" }, { "content": "The transition occurs when the attached fatty layer on one lobule is pointed out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Abdominal Hysterectomy ｜ TAH in Urogynecology ｜ Dr Deeksha Pandey.mp4" ] }, { "messages": [ { "content": "After the metal applicator is positioned on the small vessel-like branch, when does energy-based sealing and division actually begin?", "role": "user" }, { "content": "Right after placing a single fastener on the branch, the energy device is used to seal and divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole for Gall Stone.mp4" ] }, { "messages": [ { "content": "Given that the wound is evenly spread open by a plastic expander, at what moment does the deliberate inspection of the small intestine actually begin?", "role": "user" }, { "content": "Right after the expander is rolled in and the wound is retracted, the inspection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Trephine Defunctioning Loop Ileostomy using an ALEXIS Wound Protector.mp4" ] }, { "messages": [ { "content": "Between creating a small circular opening on the organ surface and laying a thin square sheet over it, which action visibly occurs first?", "role": "user" }, { "content": "The circular opening is created first, then the thin sheet is placed over it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Demonstration of 6mm liver biopsy punch treatment.mp4" ] }, { "messages": [ { "content": "Between opening the thin mesenteric layer and threading the prepared limb behind the colon toward the target area, which occurs first?", "role": "user" }, { "content": "Opening the mesenteric leaf happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic hepaticojejunostomy for anastomotic biliary stricture after liver transplantation ｜ Narrated.mp4" ] }, { "messages": [ { "content": "Once the bed beneath the organ looks clean and dry, when does removal through the access port begin?", "role": "user" }, { "content": "Immediately after confirming the bed is clean, removal is initiated through the port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Лапароскопическая холецистэктомия.mp4" ] }, { "messages": [ { "content": "In the course of the dissection, when and where does unexpected bleeding first become visible on screen?", "role": "user" }, { "content": "It first appears at the near edge of the frame from a central midline vessel when they point it out as bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Open TME.mp4" ] }, { "messages": [ { "content": "During the side-wall work, does the team first elevate the target structure from above or begin dividing the remaining attachments from below?", "role": "user" }, { "content": "They elevate from above first, then divide the attachments from below.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TME) with a Stapled Side to End Anastomosis.mp4" ] }, { "messages": [ { "content": "Which happens first: peeling the connective tissue at the portal region or severing the main arterial branch nearby?", "role": "user" }, { "content": "The connective tissue (ligament) dissection occurs before the artery is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Two Birds with Five Trocars： Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "After a guiding tube is inserted from below to straighten the path, when do they begin cutting the tight bands that were causing the kink?", "role": "user" }, { "content": "Immediately after the guide is placed and the path is straightened, they start dividing the adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Single Incision Laparoscopic Proctectomy Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: opening a thin shimmering covering over a pulsating tube or revealing two smaller offshoots branching from it?", "role": "user" }, { "content": "Opening the covering over the main tube happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/How I Do It Video： Modified Whipple procedure for Pancreatic Head Carcinoma Greece.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from clearing around the neck region to peeling the organ off its bed?", "role": "user" }, { "content": "The transition occurs immediately after the two connections are divided, when separation from the bed begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy with Laparoscopic Clipping.mp4" ] }, { "messages": [ { "content": "When does the pathology first appear on-screen, and in which region is it located?", "role": "user" }, { "content": "It first appears during the 3D imaging segment, located in the ascending colon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic CME and D3 lymphadenectomy for right-sided colon cancer.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene shift from placing stitches behind the encircling flap to incising the muscle at the junction?", "role": "user" }, { "content": "Right after the behind-the-flap stitches are completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy with Toupet Fundoplication for Treatment of Achalasia.mp4" ] }, { "messages": [ { "content": "Between the early phase where the plane is maintained without trauma and the later moment when two manipulators press inward causing a tiny cut, which happens first?", "role": "user" }, { "content": "The careful, trauma-free separation occurs first, followed by the inward pressing that causes the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/An assessment tool for oncologic quality of robotic proctectomy.mp4" ] }, { "messages": [ { "content": "After the opening is prepared and the field is cleaned, when does the thread‑based closure actually start?", "role": "user" }, { "content": "It begins as they bring in the suture material, call out the needle count, and place the first stitch into the prepared opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrojejunostomy/杨立涛：腹腔镜胃大部分切除伴胃空肠吻合术.mp4" ] }, { "messages": [ { "content": "After dividing the upper section, is the removed part sent away before the remaining segment is returned inside, or does the return happen first?", "role": "user" }, { "content": "The removed part is sent away first, then the remaining segment is returned inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection for Diverticulitis.mp4" ] }, { "messages": [ { "content": "Which occurs first: energy sealing of a lateral vascular bundle on one side, or development of the dissection plane over the urinary reservoir?", "role": "user" }, { "content": "The lateral bundle sealing happens first; the urinary reservoir plane is mobilized afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/An insight into： Laparoscopic total hysterectomy and bilateral salpingoophorectomy.mp4" ] }, { "messages": [ { "content": "After the organ’s surface is outlined with guiding marks, when does the actual slicing into the tissue begin?", "role": "user" }, { "content": "Right after the outline is made, when shallow cuts along that line are started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Assisted Portal Lymphadenectomy and Partial Hepatectomy.mp4" ] }, { "messages": [ { "content": "Between securing the target structure with a clamping tool and exteriorizing a tubular device to the skin, which action happens earlier?", "role": "user" }, { "content": "Securing with the clamp happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Камни желчного протока. Холедохолитотомия..mp4" ] }, { "messages": [ { "content": "When does an unexpected change in the organ’s texture first become apparent on screen, and in which organ is it seen?", "role": "user" }, { "content": "Shortly after the initial exposure, an abnormal, hardened texture is first noted in the liver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Operation： Hälfte der Leber entfernt.mp4" ] }, { "messages": [ { "content": "Once the lining over the sidewall vessels is traced, when does the actual nodal clearing begin?", "role": "user" }, { "content": "It starts immediately afterward, when dissection of nodal tissue along the external (then internal) vessels begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic assisted extralevator abdominoperineal resection with lateral lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to peel the thin film off a branching conduit so that the branch can be fully skeletonized?", "role": "user" }, { "content": "An electrosurgical hook is used to strip the surface film, fully skeletonizing the branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (2).mp4" ] }, { "messages": [ { "content": "Between adding two side access points and fastening the main entry tube to the skin, which happens first?", "role": "user" }, { "content": "The two side access points are added first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Totally extraperitoneal (TEP) for right direct inguinal hernia.mp4" ] }, { "messages": [ { "content": "Between forming the new upper chamber and making the first cut on the downstream tubing, which occurs earlier in the operation?", "role": "user" }, { "content": "Forming the new upper chamber happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass - Live Surgery.mp4" ] }, { "messages": [ { "content": "After the operator finishes scanning with the handheld probe, when does the actual cutting sequence begin?", "role": "user" }, { "content": "It begins right after localization—when the surface line is scored and the energy device starts dividing the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Cancer： Robotic Hepatectomy Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "In the segment where a knot is tightened over a tiny round opening on a gland’s cut surface, which happens first: the failed attempt to thread a thin flexible tube through that opening, or the removal of the previously placed thread?", "role": "user" }, { "content": "The failed tube passage occurs first, then the thread is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Tips for Laparoscopic Pancreaticoduodenectomy Reconstruction.mp4" ] }, { "messages": [ { "content": "Between cutting the thick arterial branch along the upper border of the left-side gland and cutting its companion veins including a posterior one, which is performed first?", "role": "user" }, { "content": "The arterial branch is cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Introduction to Pancreatic Cancer Operative Surgery.mp4" ] }, { "messages": [ { "content": "At what exact point does the muscle split extend from the tube onto the adjacent organ at its lower end?", "role": "user" }, { "content": "When the cut turns downward onto the adjacent organ just above the lower junction and continues along that wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Repair Of Hiatal Hernia, Diverticulectomy And Completion Esophagomyotomy, For ....mp4" ] }, { "messages": [ { "content": "As a small spring-loaded device is positioned over the main inflow vessel, at what moment does temporary flow stoppage actually begin?", "role": "user" }, { "content": "It begins the moment the device is applied to the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/【89】腹腔镜切除肾脏1.mp4" ] }, { "messages": [ { "content": "Which instrument grips and secures the tiny tubular pedicles near the bowel wall so they can be safely separated?", "role": "user" }, { "content": "Small clamps are used to secure those small vessels before division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Right colectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: forming the side-to-side join between two downstream bowel segments, or routing a segment upward through a deliberately created posterior gap?", "role": "user" }, { "content": "The side-to-side join (jejuno-jejunostomy) is made first, then the posterior gap (mesocolic window) is created to route the limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreas Stones ( Chronic Pancreatitis ) Treatment Dr Avinash Tank, Dwarika hospital, Ahmedabad..mp4" ] }, { "messages": [ { "content": "Between entering the hidden space behind the stomach and cutting the first segment of small intestine, which action happens earlier?", "role": "user" }, { "content": "Entering the hidden space happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Outcomes of total and subtotal laparoscopic gastrectomy with D2 lymphadenectomy....mp4" ] }, { "messages": [ { "content": "In the sequence shown, which happens first: removing the tight segment at the join or using a handheld probe to check flow in a nearby vessel?", "role": "user" }, { "content": "Removal of the tight segment occurs first, followed by the probe-based flow check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy (HJ) Revision for Benign Stricture After Laparoscopic Whipple.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the thin, glistening anterior layer over the pelvic hollow organ to open it and then carry the dissection distally?", "role": "user" }, { "content": "An electrosurgical blade incises the anterior peritoneal layer and extends the plane distally.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/本編　婦人科がんの手術基本手技 1．単純子宮全摘術.mp4" ] }, { "messages": [ { "content": "Which hand-held energy tool is chosen over a bulkier cutter to reduce fatigue, and what action does it perform on the tissue as shown?", "role": "user" }, { "content": "A slim, hand-held energy grasper is used; it pushes, hooks, and slides to finely separate tissue while reducing operator fatigue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/傅传刚：3D腹腔镜无切口直肠前切除术+肠系膜融合淋巴结廓清术.mp4" ] }, { "messages": [ { "content": "Which instrument is applied to the cluster of nodes along the central liver outflow tube to separate them, and what does it accomplish?", "role": "user" }, { "content": "An energy-tipped monopolar cautery acts on the nodal cluster to dissect it off the duct and adjacent vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatico duodenectomy.mp4" ] }, { "messages": [ { "content": "After a small crossing strand becomes apparent in the working space, when do measures to stop the red ooze actually begin?", "role": "user" }, { "content": "It begins when the crossing strand is grasped with forceps and energy is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM for Achalasia; PerOral Endoscopic Myotomy.mp4" ] }, { "messages": [ { "content": "After the small inset showing the inside view appears on screen, when does the team start venting gas from the downstream reservoir?", "role": "user" }, { "content": "Immediately afterward, when the instrument is advanced below and air is released.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy with Intraoperative Endoscopy.mp4" ] }, { "messages": [ { "content": "After the surgeon flips the upstream bowel half a turn to face the camera, at what moment does the actual incision into it begin?", "role": "user" }, { "content": "Right after the 180-degree rotation, when the wall is opened with a longitudinal cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下高位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "When in the early sequence is an additional supply pathway to the organ first revealed, and on which side is it shown?", "role": "user" }, { "content": "Early during the diagnostic images, where the left side is shown to have a second supply channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneale Nephrektomie links.mp4" ] }, { "messages": [ { "content": "When is the first visible onset of unintended red fluid flow seen, and where does it originate?", "role": "user" }, { "content": "No unintended leakage appears at any point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic treatment of a type 1 uterine fibroid.mp4" ] }, { "messages": [ { "content": "During the integrity check using dyed fluid, when and where does abnormal dye leakage first become visibly apparent on the cut surface?", "role": "user" }, { "content": "No dyed fluid leakage appears at any point; no abnormal seepage is visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between cutting the downstream end of the narrow channel and extracting the pre-existing tube from it, which action occurs first?", "role": "user" }, { "content": "The distal cut happens before the tube is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic hepaticojejunostomy for anastomotic biliary stricture after liver transplantation ｜ Narrated.mp4" ] }, { "messages": [ { "content": "When does the scene transition from positioning the reduction device to active tissue coring inside the enclosure?", "role": "user" }, { "content": "At foot-pedal activation, immediately followed by visible coring of the enclosed tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Morcellation in morsafe bag ⧸ big fibroid uterus in a laparoscopic⧸ robotic Hysterectomy⧸myomectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from controlling inflow vessels to separating the upper portion of the central organ from its lower neck?", "role": "user" }, { "content": "The transition occurs when the instrument is used like a knife and the separation cut is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Supracervical Hysterectomy.mp4" ] }, { "messages": [ { "content": "Between placing a long guiding rod down into the stomach and starting the device that lays down parallel metal rows across the stomach wall, which happens first?", "role": "user" }, { "content": "The guide is placed first, then the row-deploying device begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Single anastomosis stomach jejunal bypass ; sleeve. sydney . Australia. SASJ.mp4" ] }, { "messages": [ { "content": "Once the course of the central feeding artery is mapped out, when do the surgeons actually commit to dividing the small feeder to the lower right segment?", "role": "user" }, { "content": "Immediately after confirming the central artery’s course; they clip and cut the feeder near its origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Hemikolektomie rechts mit CME Chirurgische Universitätsklinik Erlangen.mp4" ] }, { "messages": [ { "content": "After a guiding loop is placed opposite the attachment border, when do they begin pulling it to draw the detachable head through?", "role": "user" }, { "content": "Immediately after placing the guiding stitch, they start gently pulling to retrieve the component.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic NOSE Colectomy with a Camera Sleeve- A Technique in Evolution.mp4" ] }, { "messages": [ { "content": "When and where in the field does the oversized mass along the mid-intestinal segment first become clearly visible?", "role": "user" }, { "content": "At the very beginning, centered over the midline segment of the intestine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "After a padded support is placed behind the pancreas, when does transection of the first bowel segment just beyond the stomach actually start?", "role": "user" }, { "content": "Right after the posterior support is positioned, they start transecting the segment beyond the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Totally Laparoscopic Total Gastrectomy for Gastric Cancer with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Between the initial reflection of the large bowel segment and the moment when a small pale tube near the lower pole is lifted on a soft loop, which happens first?", "role": "user" }, { "content": "The bowel reflection happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic left donor nephrectomy without mobilization of the spleen.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from creating the opening in the looped conduit to beginning the join with the adjacent channel?", "role": "user" }, { "content": "The transition occurs when the first stitch is placed through both the intestinal loop and the duct, immediately after the opening is fashioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Hepaticojejunostomy - How i do it! ｜ Dr. Surendra Shah.mp4" ] }, { "messages": [ { "content": "Between working along one sidewall of the hollow organ and shifting to the forward-facing area to widen a separation, which happens first?", "role": "user" }, { "content": "Working along the sidewall occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: detaching stuck organs from the opening or stitching the opening closed?", "role": "user" }, { "content": "Detaching the stuck organs (enterolysis) happens before stitching the opening closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic prolapse of large bowel resection.mp4" ] }, { "messages": [ { "content": "Between securing a right-side arterial branch and securing the matching branch on the left, which one is performed earlier in the clip?", "role": "user" }, { "content": "The right-side branch is secured first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/本編　幽門輪温存膵頭十二指腸切除術.mp4" ] }, { "messages": [ { "content": "Between two micro-actions—A: severing the lateral band next to the central organ on the left, and B: energizing the nearby arterial bundle—which one happens earlier in the clip?", "role": "user" }, { "content": "A happens earlier: the lateral band is cut before the arterial bundle is energized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Ambulatory subtotal hysterectomy for adenomyosis.mp4" ] }, { "messages": [ { "content": "Which instrument is used to slide between the exit channel and the front wall to complete the cut at the junction?", "role": "user" }, { "content": "Scissors act between the urethra and the anterior wall to transect the wall at the bladder neck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Radical Cystectomy And Orthotopic Bladder Replacement In Female Patients.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with which layer to create the front groove during the dissection?", "role": "user" }, { "content": "An energy device works along the thin surface lining to open and extend the anterior plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Management of Complete rectal prolapse.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from broad exposure and mobilization to focused identification of a key branching vessel off the central trunk?", "role": "user" }, { "content": "When the branching vessel is clearly seen emerging from the central trunk, marking the shift from general exposure to specific vessel identification.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Kidney Transplant Surgery. Living-Donor Kidney Transplant - 2019.mp4" ] }, { "messages": [ { "content": "Which comes first: recognizing the peristaltic tube coursing along the sidewall or clearing the loose tissues off its surface?", "role": "user" }, { "content": "Recognition of the peristaltic tube comes first, then its surrounding tissue is cleared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/手術視頻轉播｜羅寧教授＆劉潔教授－腹腔鏡下子宮動脈阻斷＋子宮肌瘤切除術.mp4" ] }, { "messages": [ { "content": "During the examination sequence, which happens first: a careful look at the region or palpation with a gloved finger?", "role": "user" }, { "content": "A careful visual look is first, then palpation with a gloved finger.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectal Prolapse： Introduction, Clinical features, Diagnosis, Management： Surgery.mp4" ] }, { "messages": [ { "content": "What is used to anchor the side of the conduit to the adjacent upper pouch to make a partial wrap?", "role": "user" }, { "content": "Stitches (sutures) are used to secure the muscular side of the conduit to the adjacent pouch, creating the partial wrap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Which occurs first: shifting the main artery aside or applying clips to a small side branch arising from it?", "role": "user" }, { "content": "Shifting the main artery aside happens before clipping the side branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection： Anterior SMA first approach.mp4" ] }, { "messages": [ { "content": "Which instrument is used to check the new connection for leaks at the end, and what action is performed with it?", "role": "user" }, { "content": "A flexible endoscope is used to insufflate and perform an air leak test of the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos# Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "Given that a tie is placed on the upstream side of the first bowel segment and later another tie is applied to the downstream side, when does the crosswise cut of that segment occur relative to those ties?", "role": "user" }, { "content": "The cut occurs after the first upstream tie and before the downstream tie.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Pylorus Preserving Pancreatico Duodenectomy (Whipple's Procedure).mp4" ] }, { "messages": [ { "content": "Which instrument applies traction on the hollow organ to enable separation along its outer border?", "role": "user" }, { "content": "A grasper applies traction on the stomach wall, enabling dissection along the outer border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy# Surgical Technique.mp4" ] }, { "messages": [ { "content": "During the reconstruction, when does the clip transition from finishing the rear seam of the pouch to flipping the front flap over for closure?", "role": "user" }, { "content": "It transitions immediately after the completed rear seam is presented and they announce flipping the front flap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Stöckle⧸Ohlmann： Radikale Cystoprostatovesiculektomie mit Anlage einer Ileum-Neoblase.mp4" ] }, { "messages": [ { "content": "When and where do signs of invasion into a major vein first become clearly visible in the footage?", "role": "user" }, { "content": "It first becomes evident when side branches are clamped and the infiltrated segment along the mesenteric–portal axis is resected; specifically, invasion of the portal vein is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Konventionelle Pankreaskopfresektion mit Pfortaderresektion Grützmann Chirurgie Uniklinik Erlangen.mp4" ] }, { "messages": [ { "content": "Which happens first: tying the finishing knot or pushing bowel contents downstream to assess flow and integrity?", "role": "user" }, { "content": "The knot is tied first, then the contents are pushed downstream to test the repair.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/HEINEKE MIKULICZ STRICTUROPLASTY.mp4" ] }, { "messages": [ { "content": "When and where do dense, fibrous bands first become clearly visible during the operation?", "role": "user" }, { "content": "They first appear after entering the posterior aspect, behind the target area, during continued dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic assisted repair of paraesophageal hernia, partial gastrectomy & RYGB.mp4" ] }, { "messages": [ { "content": "When and where does the unusual course of the proximal small intestine become visually obvious in the operation?", "role": "user" }, { "content": "During mobilization—when the expected C-loop isn’t seen and the duodenum remains on the right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd procedure.mp4" ] }, { "messages": [ { "content": "Which happens first: cutting the main drainage tube or dividing the arterial feeders?", "role": "user" }, { "content": "The main drainage tube is cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic right portal vein ligation⧸Robotic right trisegmentectomy with caudate lobectomy + RYHJ.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from clearing scar tissue and confirming the target to actually making the cut through the outlet?", "role": "user" }, { "content": "The transition occurs when the cut across the outlet is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pyloroplasty after gastric stimulator.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from completing the initial stitch run to starting the return pass along the new join?", "role": "user" }, { "content": "Right after the initial run is declared finished, they immediately begin the reverse pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of gastrojejunal anastomosis with reconstruction.mp4" ] }, { "messages": [ { "content": "Which instrument is used to peel the thin, filmy layer and on what structure is it applied to develop the plane?", "role": "user" }, { "content": "A hook-shaped energy device is used to peel the thin membrane along the retroperitoneal surface over the pancreatic/mesocolic plane to develop the dissection plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/汤坚强：腹腔镜降结肠癌根治术.mp4" ] }, { "messages": [ { "content": "What powered instrument is used to make the paired access openings, and on which two structures are those openings created?", "role": "user" }, { "content": "An ultrasonic energy device is used to create openings in the pouch and in the downstream limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devils in the Details-Linear stapled gastro jejunostomy.mp4" ] }, { "messages": [ { "content": "After protective blades are placed over the cortex, at what point do they serve purely as shields rather than exerting traction?", "role": "user" }, { "content": "Once the base is flattened and space is maximized, they serve purely as protective shields.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Ultra-early optic nerve decompression for resection of anterior clinoidal meningioma.mp4" ] }, { "messages": [ { "content": "During the partial wrap, is the left edge secured before or after the right edge?", "role": "user" }, { "content": "Before—the left side is secured first, then the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/1985. Baltasar. Spain. Achalasia. Open Heller´s technique.mp4" ] }, { "messages": [ { "content": "What instrument-material is used on the edges of the narrow conduit to achieve a wider opening, and by what mechanism?", "role": "user" }, { "content": "Placed thread-and-needle passes act on the conduit edges, and traction on them widens the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Step-by-step Surgery - Roux-en-Y hepaticojejunostomy -benign biliary stricture(post cholecystectomy).mp4" ] }, { "messages": [ { "content": "Between positioning the retrieval pouch inside the abdomen and sealing the thick outflow channel of the removed portion, which happens first?", "role": "user" }, { "content": "The retrieval pouch is positioned first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic live donor hepatectomy.mp4" ] }, { "messages": [ { "content": "Which happens first in the clip: the upward relocation of the small intestine out of the pelvis, or the creation of an opening through the thin glistening membrane over the pelvic ridge to enter the deeper plane?", "role": "user" }, { "content": "The upward relocation of the small intestine occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/rectopexy/Key principles of posterior suture rectopexy..mp4" ] }, { "messages": [ { "content": "Which instrument’s tip works on which layer to achieve what effect during the long split along the upper tube?", "role": "user" }, { "content": "The ultrasonic dissector’s cool white tip acts on the esophageal muscle layer, lifting it off the mucosa and dividing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy.mov.mp4" ] }, { "messages": [ { "content": "Which tool acts on the fatty curtain around the specimen to reveal deeper structures?", "role": "user" }, { "content": "An energy-based instrument divides the mesenteric fatty tissue, revealing the left kidney.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot-assisted Segmental Colectomy for Metastatic Melanoma.mp4" ] }, { "messages": [ { "content": "What energy-based tool is used to separate tissues along the front ridge, and what structures are preserved during this step?", "role": "user" }, { "content": "An ultrasonic energy device dissects in front of the sacral promontory while preserving the hypogastric nerves and the left common iliac vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy plus Transverse Perineal Support using Biologic Mesh.mp4" ] }, { "messages": [ { "content": "Between sealing a prominent arterial branch with an energy device and dividing the nearby supporting tissue around that branch, which happens earlier in the sequence?", "role": "user" }, { "content": "The sealing of the arterial branch occurs first, then the surrounding tissue is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Cylindrical Abdominoperineal Resection with En Bloc Vaginectomy and Sacrectomy.mp4" ] }, { "messages": [ { "content": "Which device acts on the downstream segment to achieve a complete crosswise division?", "role": "user" }, { "content": "A stapling device divides the downstream segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Stercoral Peforation： Minimally Invasive Colorectal Surgery in the Emergent Setting.mp4" ] }, { "messages": [ { "content": "Near the conclusion, when and where does an unexpected ooze first become visibly apparent?", "role": "user" }, { "content": "Just before removing the scope at the end, a small ooze is seen at a port site and is managed with electrocautery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/腹腔镜下远端胃癌根治术的技巧与经验Tips and tricks for laparoscopic distal radical gastrectomy.mp4" ] }, { "messages": [ { "content": "When and where does a large fluid-filled cavity near the liver’s center first become clearly visible during the operation?", "role": "user" }, { "content": "At the start of the hilar dissection, a large hilar cyst becomes evident at the liver hilum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot-Assisted Hepatectomy & Complete Excision of the Extrahepatic Bile Duct.mp4" ] }, { "messages": [ { "content": "When and where does a small, unintended gap around the passage through the diaphragm first become visibly apparent?", "role": "user" }, { "content": "During the hiatus dissection, a small gap appears at the diaphragmatic opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Combined laparoscopic Heller myotomy & RYGB in a morbidly obese patient with achalasia.mp4" ] }, { "messages": [ { "content": "Which comes first: pulling back the fibrous pillars near the hiatus with a retractor or recognizing the junction between the tube and stomach?", "role": "user" }, { "content": "Pulling back the pillars occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Esophageal Myotomy for Achalasia： The Procedure of Choice？.mp4" ] }, { "messages": [ { "content": "After the wide overview still that shows nearby landmarks, when does the actual split of the outer muscle layer begin?", "role": "user" }, { "content": "It begins right after the overview frame, starting slightly above the junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Esophageal Myotomy for Achalasia： The Procedure of Choice？.mp4" ] }, { "messages": [ { "content": "When and where does a foreign fastener first become noticeable as the apparent source of blockage?", "role": "user" }, { "content": "It first appears during the higher dissection near the injury, where a clip is seen in the inflamed area as the likely culprit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Roux En Y Hepaticojejunostomy after Bismuth IV Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from setup to separation of the abnormal tissue?", "role": "user" }, { "content": "The transition occurs when the team shifts to working on the invading growth after the initial setup.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Total Gastrectomy, D2 Lymphadenectomy, High Anterior Resection & etc..mp4" ] }, { "messages": [ { "content": "When does the scene switch from cutting through the right-sided organ to hemostasis and sealant application?", "role": "user" }, { "content": "Right after specimen retrieval, sealant is applied and the cut surface is checked.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic combined distal pancreatectomy and partial hepatectomy ｜ Narrated video description.mp4" ] }, { "messages": [ { "content": "Once colored loops fully surround the structures at the hilum, when does the temporary stop of flow actually begin?", "role": "user" }, { "content": "Immediately after encirclement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic live donor hepatectomy.mp4" ] }, { "messages": [ { "content": "What powered instrument is used early to gently open natural connective planes by acting on the thin lining under the target vessel?", "role": "user" }, { "content": "An ultrasonic energy device (harmonic) is applied to the thin peritoneal lining beneath the vessel to open the planes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy #best oncosurgeon#coloncancertreatment.mp4" ] }, { "messages": [ { "content": "Between the moment the presenter spreads his hands far apart to illustrate a very long mark and the later moment he brings his fingertips close to show a much shorter mark, which happens first?", "role": "user" }, { "content": "The demonstration of the very long mark happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Apollo Hospitals ｜ All you need to know about CABG ｜ Dr. MM Yusuf.mp4" ] }, { "messages": [ { "content": "After the team widens a lateral incision, when does the specimen retrieval actually start?", "role": "user" }, { "content": "It begins immediately after the site is widened, when the mass is placed into the retrieval bag for exteriorization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Video-Assisted Thoracoscopic Resection of a Large Anterior Mediastinal Mass.mp4" ] }, { "messages": [ { "content": "Which device acts on the terminal outlet to restore forward flow, and what does it do to that tissue?", "role": "user" }, { "content": "An inflatable device (balloon) dilates the terminal outlet (sphincter/ampullary region) to widen it and restore forward flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Percutaneous Management of Common Bile Duct (CBD) Pathology After Roux-en-Y Gastric Byapss.mp4" ] }, { "messages": [ { "content": "After the surgeon performs a tactile internal check with a gloved finger, when does the adjustment to minimize pull on the implant begin?", "role": "user" }, { "content": "The adjustment begins immediately after the internal check, with gentle upward traction to select a low-tension attachment point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy with Biologic Mesh ｜ Case Review ｜ ASCRS 2019 Best Video.mp4" ] }, { "messages": [ { "content": "Which device interacts with the organ to simultaneously divide and secure the edges, and what action does it perform?", "role": "user" }, { "content": "A stapling device acts on the stomach to transect it and secure both sides with rows of fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "After a loop is passed behind a firm midline structure to provide traction, when is the actual cut across that structure initiated?", "role": "user" }, { "content": "Once traction with the umbilical tape is applied, transection begins with monopolar scissors.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "In the second case, at what moment does the scene shift from controlling small surface vessels to addressing a deeper artery behind the stomach?", "role": "user" }, { "content": "The shift occurs when the specimen is lifted and the deeper posterior artery comes into view for sealing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Laparoscopic wedge resection for gastrointestinal stromal tumors.mp4" ] }, { "messages": [ { "content": "In the early pelvic phase, which handheld instrument manipulates the boundary between the muscular wall and the surrounding fatty envelope to define the plane of dissection, and on what tissues does it act?", "role": "user" }, { "content": "Straight scissors, supported by a grasper, act on the muscular wall and adjacent fatty envelope to define the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/STANADARDIZATION OF THE APPROACH TO TRANSANAL NOTES TOTAL MESORECTAL EXCISION TME IN PATIENTS WITH R.mp4" ] }, { "messages": [ { "content": "In the sequence where the heart is made still and body temperature is lowered, does the temperature reduction happen before the beat is intentionally halted, or after?", "role": "user" }, { "content": "After—the temperature reduction is performed during the arrested period.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/WATCH Triple Bypass Open Heart Surgery.mp4" ] }, { "messages": [ { "content": "Which device is applied to the central arterial branch to control it before division?", "role": "user" }, { "content": "A vessel loop (tape) is placed around the central arterial branch for control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.5. Right Hemicolectomy for Cecal Carcinoma Invading Sigmoid Mesocolon - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "When does the clip move from completing the distal cut to external extraction of the resected block?", "role": "user" }, { "content": "Right after the distal transection is completed, when the tissue block is extracted through the small abdominal incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Assisted Low Anterior Resection for Carcinoma of the Rectum.mp4" ] }, { "messages": [ { "content": "What type of energy is applied to tiny vessels to halt their flow during the procedure?", "role": "user" }, { "content": "A bipolar coagulating current is applied to seal the small arteries.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Challenging hysteroscopic myomectomy with the resecare＊.mp4" ] }, { "messages": [ { "content": "What material is used to seal the internal passage at the end, and what action does it perform on the tissue edges?", "role": "user" }, { "content": "Suture is used to approximate the tissue edges and close the passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy Procedure To Remove Bladder - SLUCare Urology.mp4" ] }, { "messages": [ { "content": "Which device acts on the small arterial branch near the target organ to achieve hemostasis before separation, and what does it accomplish?", "role": "user" }, { "content": "A clip applier places clips on the cystic artery to stop flow, and then the artery is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy with trans-cystic common bile duct exploration and stones extraction in ....mp4" ] }, { "messages": [ { "content": "At what point does the primary operator shift to the right side and begin sewing away from themselves?", "role": "user" }, { "content": "Right after both openings are aligned, the operator moves to the right and starts sewing away from themselves.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/How I do it - Gastro Jejunostomie handgenaeht - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Relative to cutting and tying the distal portion of the main channel, when is the preplaced tubular insert withdrawn?", "role": "user" }, { "content": "The insert is withdrawn before the distal portion is divided and ligated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/END TO SIDE PANCREATO JEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Between releasing scar bands during the initial inspection and opening the thin lining over the back pelvic ridge to begin the tunnel, which happens earlier in the video?", "role": "user" }, { "content": "Releasing the scar bands happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Redo Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene shift from final division near the cervix to beginning the circular opening into the canal?", "role": "user" }, { "content": "Immediately after securing the vessels on both sides, the team begins the circumferential cuff incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Hysterectomy by Laparoscopic Technique.mp4" ] }, { "messages": [ { "content": "Which device is used on the upper portion of the hollow organ to both seal and divide it?", "role": "user" }, { "content": "A jawed stapling device is used to seal and divide the upper portion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. James O. Peabody： Robotic Partial Cystectomy.mp4" ] }, { "messages": [ { "content": "During the early separation phase, which tool is used on what structure to accomplish what task?", "role": "user" }, { "content": "The harmonic scalpel acts on the gastrocolic attachment to divide it and open the working space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic partial gastrectomy for GIST resection.mp4" ] }, { "messages": [ { "content": "On the postoperative timeline graph shown, when does the unusually high enzyme spike first appear?", "role": "user" }, { "content": "On postoperative day 1.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/2158656.mp4" ] }, { "messages": [ { "content": "Which instrument provides traction and which powered device performs separation, and what material is cleared from around the main central channel?", "role": "user" }, { "content": "Graspers provide traction; a harmonic device separates and clears lymphatic tissue around the main vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right colectomy with co-axial port setting.mp4" ] }, { "messages": [ { "content": "When a slender guide tube is pulled so that a metal piece drops into the small upper chamber, at what moment does the actual joining of the two ends begin?", "role": "user" }, { "content": "It starts once the spike is removed and the stapler is coupled to the piece in the pouch to create the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Isolated Gastric Bypass with Roux-en-Y Gastroenterostomy for Morbid Obesity.mp4" ] }, { "messages": [ { "content": "Once the pen-like heat device is brought into view, at what point does the thermal dissection actually start?", "role": "user" }, { "content": "It begins right after the device is passed in and its tip contacts the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/PPPD： PYLORIC PRESERVING PANCREATICODUODENECTOMY ＂ANATOMICAL AND PHYSIOLOGICAL＂ ｜WHIPPLE SURGERY.mp4" ] }, { "messages": [ { "content": "Between dissecting the sidewalls and freeing the front toward the adjacent organ, which is performed first?", "role": "user" }, { "content": "Sidewall dissection is performed before the ventral freeing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Video Rektumexstirpation mit VRAM-Lappen.mp4" ] }, { "messages": [ { "content": "Between the moment the surgeon cuts the heel bone and the moment the cord-like structure is re-fixed to the back of the bone, which happens first?", "role": "user" }, { "content": "The bone cut happens first, followed by the re-fixation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Haglund's Syndrome.mp4" ] }, { "messages": [ { "content": "Which comes first in sequence: dividing the small vessels along the upper curve or placing security clips on them?", "role": "user" }, { "content": "Dividing the vessels comes first, followed by securing them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Long Myotomy and Fundopexy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Once the area looks prepared and a folded sheet appears in view, at what moment does its placement actually begin?", "role": "user" }, { "content": "Placement starts when the sheet is introduced and manipulation to position it begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/【有声扯淡版】腹腔镜下全腹膜外右侧疝修补术TEP.mp4" ] }, { "messages": [ { "content": "Once the join between the upper tube and the loop is completed, at what point is the slender tube advanced through the new connection into the downstream bowel?", "role": "user" }, { "content": "Immediately after the join is completed, the slender tube is advanced through the connection into the loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "When a glowing perfusion signal becomes visible along the bowel, at what point do the operators begin committing to the cut line: before or after that signal clearly delineates well-perfused tissue?", "role": "user" }, { "content": "After the glow clearly defines well-perfused tissue, they set the margin and then proceed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I do it - Komplette mesokolische Exzision - Teil 2 - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "When and where does the first abnormal sign—compromised specimen quality—become visibly apparent in this sequence?", "role": "user" }, { "content": "It first appears when the outer covering shows a tear or a missing segment, typically down in the very distal, narrow zone.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Rectal Cancer Treatment by Dr Maher A. Abbas.mp4" ] }, { "messages": [ { "content": "After the smoke‑filtration setup is in place, when do they begin actively venting the cavity gas before removal?", "role": "user" }, { "content": "Immediately before the removal incision, when they turn off insufflation and vent through the filtration device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Low Anterior Resection for a Distal Sigmoid Colon Cancer during the COVID-19 Pandemic.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action at this stage?", "role": "user" }, { "content": "A cutting instrument incises the ligament-like membrane over the tube to open and release it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/esophagectomy/腹腔镜全胃切除术 第八步 食管的离断.mp4" ] }, { "messages": [ { "content": "When does a nonclinical on-screen prompt first become visible relative to the procedural flow?", "role": "user" }, { "content": "It first appears at the very end, after the suturing sequence has finished.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Hepaticojejunostomy - How i do it! ｜ Dr. Surendra Shah.mp4" ] }, { "messages": [ { "content": "Between uncoiling the twisted intestinal loops and cutting the overlying tethering tissues that cross the compressed segment, which action happens first in this clip?", "role": "user" }, { "content": "Uncoiling the twisted loops happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation with Midgut Volvulus.mp4" ] }, { "messages": [ { "content": "In the opening exposure sequence, which action happens first: lifting the fatty apron off the field or sweeping the gut loops to the patient’s right?", "role": "user" }, { "content": "Lifting the fatty apron occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It： Extended Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "At what moment does the blue central vessel become completely uncovered, marking the shift from node-clearing to a fully exposed field?", "role": "user" }, { "content": "Right after completing the nodal clearance, when the surrounding tissue is removed and the central vein is fully uncovered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EXTENDED RIGHT HEMICOLECTOMY WITH CENTRAL LIGATION OF THE MIDDLE COLIC VESSELS.mp4" ] }, { "messages": [ { "content": "During the early separation phase, which instrument applies traction to the inner lining while the energy device brushes to free the deeper layer, and what action is achieved on the tissue?", "role": "user" }, { "content": "Traction forceps pull the lining while the cautery is brushed to dissect and separate the muscle from the lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme´s procedure for urgent rectal prolapse.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from working around the gland’s tip to cutting the narrow channel to maximize its length?", "role": "user" }, { "content": "It transitions when the narrow channel is divided as proximally as possible at the apex to gain maximum length.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerv- und samenblasen erhaltende Zystektomie mit Ileum-Neoblase.mp4" ] }, { "messages": [ { "content": "What powered instrument is used to create matching side openings on the two bowel segments before they are joined?", "role": "user" }, { "content": "An ultrasonic device (harmonic shears) is used to make the enterotomies on both segments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Choledochal Cyst ： Laparoscopic surgery (excision) withl roux en y Hepatico Jejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from the deep closure layer to the superficial reinforcing layer along the join?", "role": "user" }, { "content": "The transition occurs immediately after finishing the inner running layer; the surgeon then begins a long outer layer to offload tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details： Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of fluid being introduced into the field, when does the integrity assessment actually begin?", "role": "user" }, { "content": "It begins right after the new closure is completed, as fluid is instilled to check for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Prostate-sparing Laparoscopic Radical Cystectomy with intracorporeal Neobladder.mp4" ] }, { "messages": [ { "content": "During removal via the natural orifice, which instrument grips which structure to accomplish extraction?", "role": "user" }, { "content": "A long-toothed endoscopic clamp grips the short supporting ligament to draw the specimen out through the natural orifice.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingo-oophorectomy for Ovarian Mass with Transvaginal Retrieval.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from the introductory opening to the inside-the-abdomen view?", "role": "user" }, { "content": "Right after the opening invocation ends and the procedure is named, the view cuts to the intra-abdominal field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/laparoscopic suture rectopexy @Dr.Zainalabdin عملية إصلاح هطول المستقيم منظاريا.mp4" ] }, { "messages": [ { "content": "At what moment does the work shift from sewing the far-side seam to sewing the near-side seam?", "role": "user" }, { "content": "Immediately after the back-side running suture and corner reinforcement, when they begin placing multiple interrupted stitches on the front side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Redo Hepaticojejunostomy after Open Whipple Procedure： details of the hilar dissection.mp4" ] }, { "messages": [ { "content": "Which happens first on screen: cutting the right‑side supporting fold of the large bowel, or dividing the central feeder artery to the mid‑portion of the large bowel?", "role": "user" }, { "content": "The right‑side supporting fold is cut first; the central feeder artery is divided later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/2.2.3.Multivisceral Resection - Subtotal Colectomy - Werner Hohenberger & M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "Using the visual cue of achieving extended length of the upper tube into the belly, when is tightening with stitches initiated?", "role": "user" }, { "content": "Once about 3 cm has been brought into the belly, tightening with stitches starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Hiatal Hernia Repair with Actual Surgical Footage & Animation.mp4" ] }, { "messages": [ { "content": "During the tight‑space dissection around the lower tube, which hand provides traction and which hand performs cutting, and on what envelope are they acting?", "role": "user" }, { "content": "The left hand pulls while the right hand cuts, acting on the fatty envelope around the lower tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Ultra Low Anterior Resection With Colo-Anal Pull-through Anastomosis; TME, Step by Step.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip move from the final division to securing the remaining stump?", "role": "user" }, { "content": "Immediately after the final division, the stump is secured with a constricting band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/PM3 Chapter 50： Subtotal Hysterectomy： Classic Intrafascial Supracervical Hysterectomy (CISH....mp4" ] }, { "messages": [ { "content": "When does the operation shift from freeing the transverse section’s attachments to identifying a central blue vessel and proceeding with deeper dissection along that plane?", "role": "user" }, { "content": "At the moment the central vein is identified and careful deep dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Complete Mesocolic Excision with “Top to Down-No Touch” Technique for Right Colon Cancer.mp4" ] }, { "messages": [ { "content": "At what visible moment does the scene shift from planning to active tissue treatment?", "role": "user" }, { "content": "The transition occurs when the operator begins steering the device along a curved path around the target and the field becomes visibly more sanguineous.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Lesion Resection Using Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "When and where do the unusual dye discoloration and enlarged nodules first become visible in the clip?", "role": "user" }, { "content": "Immediately upon entry, on the bowel surface and adjacent mesenteric nodes near the lesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.1.5. Robotic Right Hemicolectomy - Julio Garcia - Aguliar.mp4" ] }, { "messages": [ { "content": "What device is used to pull the tube downward to improve the view, and what area does this help expose?", "role": "user" }, { "content": "A soft drain is used to pull the tube downward, exposing the posterior aspect of the opening at the diaphragm.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Repair Of Hiatal Hernia, Diverticulectomy And Completion Esophagomyotomy, For ....mp4" ] }, { "messages": [ { "content": "At what point is a stuck obstruction in the narrow outflow path first seen, and where is it located?", "role": "user" }, { "content": "It becomes evident during the extraction phase and is located within the cystic duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy with trans-cystic common bile duct exploration and stones extraction in ....mp4" ] }, { "messages": [ { "content": "Which happens first: completing the two-layer seam or performing the leak check with a vividly colored liquid?", "role": "user" }, { "content": "The two-layer closure is completed before the colored-dye leak test is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC RESECTION OF GIANT SUBMUCOSAL GASTRIC TUMOR.mp4" ] }, { "messages": [ { "content": "After a tapered guide is passed through the newly created passage, when does the actual joining of the two ends begin?", "role": "user" }, { "content": "It begins when the joining device is fired after being coupled to the guide.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hohl_003131.mpg.mp4" ] }, { "messages": [ { "content": "When does the tightening action start relative to the moment a looped thread is passed all the way around the outlet?", "role": "user" }, { "content": "Tightening begins right after the loop fully encircles the outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Rectal Prolapse： Introduction, Clinical features, Diagnosis, Management： Surgery.mp4" ] }, { "messages": [ { "content": "During the deep-basin portion of the procedure, at what moment does the work shift from behind the target tube to working in front of it?", "role": "user" }, { "content": "The shift happens right after completing the posterior descent, when they move to the anterior side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/21 Steps of Robotic Low Anterior Resection with Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which device operates on which anatomical gateway to enable removal of obstructing material from the channel that links the gland to the intestine?", "role": "user" }, { "content": "An endoscopic cutting instrument acts on the small outlet at the intestinal entrance of the single gland-to-intestine channel, widening it so extraction tools can remove the obstructing material.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/TVB最強生命線｜膽結石(繁 ⧸ 簡字幕)｜膽石｜減肥｜醫療｜治療｜中醫｜無綫新聞｜TVB News.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from working through the bottom opening to operating within the inner cavity above?", "role": "user" }, { "content": "Right after the bottom-up work is limited by poor exposure, when the articulated instruments are brought in and the intra-abdominal phase begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/V021 ROBOTIC-ASSISTED TRANSANAL ENDOSCOPIC TOTAL MESORECTAL EXCISION (TME).mp4" ] }, { "messages": [ { "content": "What tool acts on the larger hollow sac and the narrow limb to create their side-by-side join?", "role": "user" }, { "content": "A linear stapling device creates the side-by-side connection between the remnant pouch and the limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy for gastric cancer： The anastomosis.mp4" ] }, { "messages": [ { "content": "Between fully freeing the cord-like bundle from the canal floor and looping a flexible strip around it for traction, which takes place first?", "role": "user" }, { "content": "Freeing the bundle occurs first, then it is looped with a flexible strip.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair (Lichtenstein) - Indirect Hernia.mp4" ] }, { "messages": [ { "content": "At what moment does the lymph node removal shift from the area along the pelvic sidewall to the area closer to the midline?", "role": "user" }, { "content": "Right after finishing the sidewall nodes, when the team creates the space between deep vessels and midline structures and starts removing the medial nodes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Pelvic Exenteration For Locally Advanced Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Which handheld implement with two opposing blades is used on the denser layer, and what task does it perform?", "role": "user" }, { "content": "The scissors are used to trim thickened tissue, with the option to coagulate while cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Луцевич： холецистэктомия ножницами ⧸⧸ laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "After the operator signals readiness to create a new connection, at what moment does stitch placement visibly begin?", "role": "user" }, { "content": "Stitching begins when the scissors are handed over and the operator starts tying immediately afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Genç hasta için yedi kanal safra yolu klatskin tümörü ameliyatı yaptım ｜ Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the bowel to achieve transection during this procedure?", "role": "user" }, { "content": "An articulating cartridge-based cutter is used to divide the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Assisted Single Incision Laparoscopic Sigmoid Colectomy for Diverticulitis.mp4" ] }, { "messages": [ { "content": "After the field is opened and the bowel is moved away, when does the upward pull on the central organ actually begin?", "role": "user" }, { "content": "It begins immediately after the retractor is placed and the bowel is packed away, when the organ is grasped and put on tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy ｜ Atlas of Gynecologic Surgery.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected oozing first become visible, prompting immediate control with the same handpiece?", "role": "user" }, { "content": "Right after further development of the anterior plane, a small ooze at that dissection edge is controlled immediately with the same tool.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy with ENSEAL X1 Large Jaw Tissue Sealer ｜ J&J MedTech.mp4" ] }, { "messages": [ { "content": "When the operator notices clear pooling with foamy pockets, at what point does the exploratory procedure begin?", "role": "user" }, { "content": "Right after those findings are recognized, the exploration is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/When Laparoscopy for Trauma is the Procedure of Choice.mp4" ] }, { "messages": [ { "content": "Which tissues are joined to accomplish the bypass, and what action is performed to achieve it?", "role": "user" }, { "content": "A loop of bowel is joined to the opened tubular channels using sutured anastomosis to create a bypass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/KLATSKIN TYPE FOUR TUMOR SURGERY drunalaydin.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from finishing the gland resection to beginning its connection to the bowel?", "role": "user" }, { "content": "It shifts when the jejunal loop is brought up and the first posterior sutures are placed to start the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatico duodenectomy.mp4" ] }, { "messages": [ { "content": "After the edges have been secured, when does the sequence of middle-body stitches actually start?", "role": "user" }, { "content": "They begin right after the corner stitches, marked by the first stitch taken in the central region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Hepaticojejunostomy - How i do it! ｜ Dr. Surendra Shah.mp4" ] }, { "messages": [ { "content": "In the sequence where the sheet is stabilized near the centerline, which device is used on the ligament along the front-of-pelvis bone, and for what purpose?", "role": "user" }, { "content": "Small dissolving fasteners are applied to the pelvic ligament to secure the sheet in position.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Bilateral Inguinal Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "After the camera is swapped to a slimmer lens and the long cutter is positioned, when is activation actually initiated?", "role": "user" }, { "content": "Right after the camera swap and alignment, when the device is fired under direct visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sticking it to Cancer： Single Incision and Lap Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "Which happens first: cutting the deep vessel at its origin near the small-bowel curve, or fully freeing that curve itself?", "role": "user" }, { "content": "The vessel division occurs first, followed by further release of the curve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "After the fatty apron is swept upward, when does the team actually enter the hidden space behind the stomach?", "role": "user" }, { "content": "Only later, during the cranial phase—after freeing the side segment—when they divide the attachment along the pancreas’s lower edge and open the lesser sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Once the flexible camera is seen entering the hollow tube, when does the leak-checking maneuver actually commence?", "role": "user" }, { "content": "It begins right after the scope is positioned across the junction following entry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic Heller Myotomy and Roux-en-y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from mobilizing adjacent planes to entering the internal passage?", "role": "user" }, { "content": "Right after the bladder is separated, when they open at the uterine sacral insertion to enter the vaginal vault.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy- Multiple Fibroids.mp4" ] }, { "messages": [ { "content": "Which implement interacts with a small nodular piece of tissue to detach it?", "role": "user" }, { "content": "A curved energy tip dissector is used to free and remove the nodular tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Minimally Invasive Pancreas Surgery.mp4" ] }, { "messages": [ { "content": "In this clip, does the team open the pocket behind the upper hollow organ first, or do they free the colon’s right-sided bend from the body wall first?", "role": "user" }, { "content": "They open the pocket behind the upper hollow organ first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/The Obese Patient - Benefit of HALS for Right Colectomy.mp4" ] }, { "messages": [ { "content": "Which energy technique is used on tiny surface growths, and what action does it perform on those deposits?", "role": "user" }, { "content": "Electro-evaporation is used to ablate the tiny surface deposits.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic cytoreductive surgery and HIPEC for peritoneal metastases of colorectal origin.mp4" ] }, { "messages": [ { "content": "When and where in the field does the lack of backflow from the central organ first become visibly apparent?", "role": "user" }, { "content": "During the right-side real-time segment, on the right of the field, the absence of backflow becomes evident and the field stays dry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Schmerzfreie vaginale Hysterektomie mit der ERBE BiClamp.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the thin connective attachments around the target organ, and what does it do to them?", "role": "user" }, { "content": "A powered energy device is used to dissect and divide the periorgan attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/splenectomy/腹腔镜下脾切除术（创伤性脾破裂）2.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: cutting the small arterial branch on the stomach’s inner curve or clearing nodes along the artery near the liver?", "role": "user" }, { "content": "Cutting the small arterial branch happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH D2 LYMPHADENOECTOMY ..mp4" ] }, { "messages": [ { "content": "Identify the slim, energized tip being brushed over the fine connective strands at the back; which tissue plane is it working on, and what function is it performing?", "role": "user" }, { "content": "A low-power monopolar cautery tip brushes the posterior areolar tissue to develop the plane between the mesorectal and presacral fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME in a Male Patient, for a T4 Rectal Cancer after Radiotherapy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from clearing attachments near the upper left curve of the bowel to peeling the colon off the sidewall from the side?", "role": "user" }, { "content": "When attention shifts to the sidewall and lateral-to-medial mobilization begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Resection of Giant Colonic Pseudodiverticulum.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition to revealing the curved segment of small intestine behind the right colon as the dissection proceeds inward?", "role": "user" }, { "content": "Right after the vascular pedicle is divided, when the duodenal surface appears and inward dissection continues.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3.1.1. Laparoscopic CME for Ascending Colon Carcinoma - Kang Young Lee.mp4" ] }, { "messages": [ { "content": "After pressure slows the bleeding, when is a small vascular clamp applied to stop inflow so repair can begin?", "role": "user" }, { "content": "Right after pressure achieves initial control, a clamp is applied to stop inflow and enable repair.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy (HJ) Revision for Benign Stricture After Laparoscopic Whipple.mp4" ] }, { "messages": [ { "content": "Which happens first: sealing and cutting the main draining channel near the upper gland, or freeing the outer-side tethers of the left-sided bend?", "role": "user" }, { "content": "Vessel control occurs first, then the lateral attachments are released.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Kidwai technique of Laparoscopic Complete Splenic Flexure mobilization.mp4" ] }, { "messages": [ { "content": "After the request to move a curved blade retractor upward, when does that repositioning actually occur?", "role": "user" }, { "content": "It’s postponed and only occurs after additional freeing of tissue; not immediately on request.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Kidney Transplant Surgery. Living-Donor Kidney Transplant - 2019.mp4" ] }, { "messages": [ { "content": "After a soft loop is placed around the upper tube for traction, at what moment does the transection of that tube actually begin?", "role": "user" }, { "content": "Right after the traction loop is placed, when the upper tube is divided with the stapling device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy for Menetrier's Disease.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow change from freeing the left-sided bowel to checking blood supply with a glow-based method?", "role": "user" }, { "content": "Right after completing left-sided mobilization, they switch to fluorescent perfusion assessment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Ultra-low Anterior Resection for Rectal Cancer by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "At what exact moment in the sequence does the presentation switch from showing the front/side coverage to revealing the back surface of the specimen?", "role": "user" }, { "content": "The switch occurs when the presenter states the specimen is now shown from the back side and turns it to the posterior aspect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Analyzing APR Specimens (Part 1 YTT, @yamdoctor)： Mastering TME & Avoiding Complications #APR #ELAPE.mp4" ] }, { "messages": [ { "content": "Once both target structures are readied, when does the stapled connection actually commence?", "role": "user" }, { "content": "It starts immediately after both sides are prepared, marked by firing the stapling device to create the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic single anastomosis reversal of gastric bypass.mp4" ] }, { "messages": [ { "content": "Which access is established first: the small bowel feeding route or the stomach decompression route?", "role": "user" }, { "content": "The small bowel feeding route is established before the stomach decompression route.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic esophageal salvage for perforations after surgical and endoscopic treatment of achalasi.mp4" ] }, { "messages": [ { "content": "During work on the lower segment, does the operator decide to avoid powered dissection before encountering minor oozing, or after?", "role": "user" }, { "content": "The choice to avoid powered dissection comes first, before minor oozing is encountered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy： Why, when & how.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal breach of the gut lining first become visibly evident in the clip?", "role": "user" }, { "content": "It first appears early when the camera shows a cratered defect in the upper intestinal area where the wall has been breached.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/EUS-GBD endosonografisch-gestützte Gallenblasendrainage.mp4" ] }, { "messages": [ { "content": "On the lagging side, which action comes first: briefly dabbing the tip against tissue to clear it, or withdrawing the viewer out of the body?", "role": "user" }, { "content": "The brief dab against tissue happens first, followed by withdrawal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/OpClear®; A novel solution to loss of vision during laparoscopic colorectal surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from working along the fatty curtain to cleaning the short segment just beyond the outlet valve of the organ?", "role": "user" }, { "content": "The transition occurs when they begin skeletonizing the proximal segment just beyond the outlet valve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Subtotal Gastrectomy with Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "After a luminous boundary appears on the surface, when does the cutting along that boundary actually begin?", "role": "user" }, { "content": "Cutting begins immediately after the margin appears, starting with superficial transection using the ultrasonic device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the bowel segment to accomplish the split below the visible lesion?", "role": "user" }, { "content": "A linear stapler is applied to the colon to divide it below the lesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Sigmoid colon resection for sigmoid cancer using Senhance robotic system.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene move from working inside to extracting the specimen through a low fold near the abdomen?", "role": "user" }, { "content": "The transition occurs when the resected piece is drawn out through the lower abdominal crease.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/간절제술과 복강경⧸로봇 간절제술의 절차 및 치료.mp4" ] }, { "messages": [ { "content": "Given the visible cue of decompressing the sac with an efflux, when does the intended maneuver of peeling the inner lining actually begin?", "role": "user" }, { "content": "Right after decompression, peeling of the inner lining begins at the neck region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/ICG Failure ｜ Disaster in cholecystectomy ｜ Completion cholecystectomy ｜ Lap chole.mp4" ] }, { "messages": [ { "content": "Which powered device acts on the freed specimen to convert it into long strips for removal?", "role": "user" }, { "content": "A powered morcellator cores the specimen into strips for extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Myoma.mp4" ] }, { "messages": [ { "content": "Which stitching material acts on which structures to achieve a gravity‑favored outflow?", "role": "user" }, { "content": "Thread stitches are used to join the cut flexible connector to the lowest cup‑like recess to create a downward‑draining channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. REDO PYELOPLASTY, Prof Ramnath Subramaniam.mp4" ] }, { "messages": [ { "content": "During creation of the side connection, which occurs first: making the small openings or firing the joining device?", "role": "user" }, { "content": "The small openings are made first, then the device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrectomy/腹腔镜全胃切除术 第九步 空肠脚的制作.mp4" ] }, { "messages": [ { "content": "At what moment is the sudden collapse of the internal space noted in the difficult, fold-rich area, and what adjustment follows?", "role": "user" }, { "content": "It’s noted when the hole opens in that fold-heavy area; they respond by drawing in fatty tissue to plug and clip it, then proceed to layered closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Innovative Closure Techniques Have Expanded the Role in Endoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: using a heavier staple load on the thicker lower segment or switching to lighter loads for the thinner upper segment?", "role": "user" }, { "content": "The heavier load on the thicker lower segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/sleeve резекция желудка.mp4" ] }, { "messages": [ { "content": "When and where does a firm, pale mass that crosses the central boundary first become visibly apparent in the clip?", "role": "user" }, { "content": "It first appears during early mobilization, centered near the midline landmark and extending into the right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left hepatectomy： How I do it.mp4" ] }, { "messages": [ { "content": "After the operator verifies readings on multiple screens, when does the hand-off to external support actually occur?", "role": "user" }, { "content": "As soon as the system is activated to take over the body’s function.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Perfusion in Belgium.mp4" ] }, { "messages": [ { "content": "Which is divided first: the small vessel or the tubular conduit?", "role": "user" }, { "content": "The small vessel is divided before the tubular conduit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Safe Way of Performing Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "During the stapled mucosal lift for internal cushions, which occurs first: placing the circumferential stitch or firing the device?", "role": "user" }, { "content": "The circumferential stitch is placed first, then the device is closed and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/42 教学录像 结直肠肛管疾病（第二节） 中山大学 外科学.mp4" ] }, { "messages": [ { "content": "After the water–drop check confirms entry, when does gas actually start flowing into the cavity?", "role": "user" }, { "content": "Immediately after confirmation, when the tubing is connected and the preset pressure and flow are started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Fully Explained Skin-to-Skin Video with Near Infrared Cholangiography.mp4" ] }, { "messages": [ { "content": "Which tool manipulates which structure to expose the dissection plane during this sequence?", "role": "user" }, { "content": "A grasper retracts the target segment to maintain tension, exposing the avascular plane for dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出切除标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which energy device is used to take down the small vessels along the upper part of the stomach?", "role": "user" }, { "content": "An ultrasonic energy device is used to divide those vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophagomyotomy.mp4" ] }, { "messages": [ { "content": "In this sequence, which happens first: breaching the innermost layer of the abdominal wall or the appearance of the first smooth organ surface?", "role": "user" }, { "content": "Breaching the innermost layer occurs first, followed by the appearance of the organ surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy for Gallbladder Disease ｜ JOMI in Honduras.mp4" ] }, { "messages": [ { "content": "Which devices act on the vessels feeding the target area in the solid organ and on the parenchyma to accomplish the division?", "role": "user" }, { "content": "Clips are applied to the feeding branches, and the parenchyma is divided using CUSA and a vessel-sealing device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Lap TME and hepatic resection for low rectal cancer with single synchronous liver metastases.mp4" ] }, { "messages": [ { "content": "Between surveying the area and committing to remove the central mass plus the small posterior lobe, which action occurs first?", "role": "user" }, { "content": "Surveying occurs first, followed by the decision to proceed with resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD011 肝外胆管癌的手术治疗.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from freeing the tube to actually splitting its outer layer?", "role": "user" }, { "content": "Right after complete freeing around the junction, when controlled bilateral traction is applied to open the midline fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Lap Heller's Cardiomyotomy - Dr Jignesh Gandhi.mp4" ] }, { "messages": [ { "content": "Which occurs first: placing an extra pass on the upstream side or drawing the two ends into contact?", "role": "user" }, { "content": "The extra pass on the upstream side is placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Edited Anastamosis Robotic.mp4" ] }, { "messages": [ { "content": "Between sealing the outlet tube and bagging the removed specimens, which event occurs first?", "role": "user" }, { "content": "Sealing the outlet tube happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/KEM Urologie： Radikale Zystektomie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from mobilizing tissue planes around the curved segment to committing to its division?", "role": "user" }, { "content": "The transition occurs when the linear cutting device is fired and a staple line appears on the segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus-preserving Duodenopancreatectomy ｜ Full Length Surgery (Pancreatectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from placing back-wall stitches to placing front-wall stitches?", "role": "user" }, { "content": "Immediately after finishing the posterior line, the team proceeds to place the anterior bites from the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Hepaticojejunostomy for post cholecystectomy right posterior duct injury with biliary fistula.mp4" ] }, { "messages": [ { "content": "Which protective item is used on a pale curved hollow structure to apply traction and reduce the risk of injury during its mobilization?", "role": "user" }, { "content": "A gauze pad is placed over the duodenum to provide traction and protect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Right Radical Nephrectomy for Kidney Cancer.mp4" ] }, { "messages": [ { "content": "Between two steps in this sequence, which happens first: adding an extra high abdominal entry site for the scope, or introducing a pad to push soft tissues out of the field?", "role": "user" }, { "content": "The extra high abdominal entry site is added first, before the pad is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic interval cholestectomy Perc Chole High BMI.mp4" ] }, { "messages": [ { "content": "When does the clear-fluid instillation test for seal integrity begin in relation to finishing the reservoir closure?", "role": "user" }, { "content": "It starts after completing and tying the closure, when saline is instilled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/LAPAROSCOPIC SIGMOIDECTOMY AND PARTIAL CYSTECTOMY WITH THE AID OF ICG FLUORESCENCE.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from working behind the target segment to working in front of it, where the adjacent hollow organ’s posterior wall is exposed?", "role": "user" }, { "content": "Immediately after finishing the posterior plane, the view shifts to the anterior plane where the adjacent organ’s posterior wall is cleared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "Between closing the small vessel and sealing the outflow channel from the organ, which action is performed first?", "role": "user" }, { "content": "The small vessel is closed first, followed by the outflow channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Safe Way of Performing Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When does a smooth, hemispherical protrusion with a tiny mark at its top first become visible, and where is it located?", "role": "user" }, { "content": "It first appears in the main channel segment as the camera arrives, showing a smooth dome with a small mark at its apex.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/卫生部医学视听教材—内窥镜技术—NKJ007 消化道内窥镜－十二指肠镜与胆道内镜.mp4" ] }, { "messages": [ { "content": "When does the setting change from the intraoperative environment to the postoperative consultation setting?", "role": "user" }, { "content": "Right after the surgical wrap-up narration ends, when the next scene opens with the postoperative greeting and check-in.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Incredible surgery to remove over 100 fibroids ｜ Your Body Uncovered With Kate Garraway - BBC.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish flow reduction during the first treatment session?", "role": "user" }, { "content": "A thin delivery tube (catheter) acts on the feeding artery, delivering particles to occlude and shrink the lesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the wire loop has encircled the target near its tip, when does the actual cutting start?", "role": "user" }, { "content": "Cutting starts only after confirming no normal tissue is trapped inside the loop at the head of the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/HƯỚNG DẪN KỸ THUẬT CẮT POLYP ĐẠI TRÀNG.mp4" ] }, { "messages": [ { "content": "Between sweeping an intestinal loop downward and freeing the fatty cap over the top to preserve the small triangular gland, which action occurs first in this clip?", "role": "user" }, { "content": "Sweeping the intestinal loop downward happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Hand Assisted Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from reaching the opening to actively pulling out the obstruction?", "role": "user" }, { "content": "Right after the opening is enlarged and imaging reconfirms the obstruction, the team switches to balloon extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SS03 Best of Video I： V012. ERCP IN A PATIENT WITH PREVIOUS ESOPHAGECTOMY AND BILLROTH II.mp4" ] }, { "messages": [ { "content": "Once a large solid object is noticed inside the cavity, when does its removal actually begin?", "role": "user" }, { "content": "After the opening is enlarged with energy, enabling the object to be moved out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy and repair of duodenum.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from taking the piece out to building the new connection?", "role": "user" }, { "content": "Right after the piece is removed, the view shifts to stitching the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Minimally Invasive Pancreas Surgery.mp4" ] }, { "messages": [ { "content": "After yellow pieces become visible inside the conduit, when does the forceful flushing actually begin?", "role": "user" }, { "content": "Flushing starts immediately after the yellow fragments are seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic bile duct resection with hepatico jejunostomy.mp4" ] }, { "messages": [ { "content": "Which device is used on the main feeding branches to the large-bowel segments to both seal and cut them?", "role": "user" }, { "content": "A vessel‑sealing energy device (Ligasure) is used to seal and divide the principal arterial branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopy for Crohn's Colitis - Total Abdominal Colectomy： Kirk Ludwig, M.D..mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working behind the mesentery to peeling the colon off the side lining?", "role": "user" }, { "content": "The transition happens when the pale boundary line is reached and they start separating along the side border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left hemicolectomy： an annotated video vignette..mp4" ] }, { "messages": [ { "content": "When the assistant parks the tips on a pinpoint area and gently spreads them, when does the intervention to stop the ooze actually begin?", "role": "user" }, { "content": "As soon as the tips are set and slightly opened, energy is applied to coagulate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with THUNDERBEAT.mp4" ] }, { "messages": [ { "content": "Once the stapling jaws are positioned and the team confirms no front-side structure is caught, when does the cut actually commence?", "role": "user" }, { "content": "The transection starts immediately after the verification, as shown by needing a second firing to complete the cross.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultra Low Anterior Resection - woman (TME).mp4" ] }, { "messages": [ { "content": "Between the initial cleanup around the target area and the final imaging check before cutting, which one happens first?", "role": "user" }, { "content": "The initial cleanup happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/RAPN For cystic Tumour EAU16.mp4" ] }, { "messages": [ { "content": "Given that the internal camera is retracted to the upper segment, at what point does the release of the tube-like implant begin?", "role": "user" }, { "content": "The release begins right after the camera is moved back up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Anastmotic Leakage After Gastric Bypass Surgery and a Later Occurring Cardia.mp4" ] }, { "messages": [ { "content": "Exactly when does the workflow move from splitting the outer bands to performing the integrity check?", "role": "user" }, { "content": "Right after finishing the muscle cuts, they insert the tube and pressurize the lumen to check for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the cord-like band near the liver to free it, and what action does it perform?", "role": "user" }, { "content": "A powered energy device divides and frees the band-like structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Effects of Laparoscopic Liver Resection on Cardiopulmonary Performance.mp4" ] }, { "messages": [ { "content": "What feature on the hand-held tool is used against the surface to judge the offset from the gap, and for what purpose?", "role": "user" }, { "content": "The instrument’s measurement markings are applied to the surface to set the margin and guide the incision line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/15 steps of umbilical laparoscopic TAPP.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: determining the reference point for distance measurements or drawing the initial mark on the organ’s surface?", "role": "user" }, { "content": "Determining the measurement reference point comes before drawing the mark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic sleeve gastrectomy.mp4" ] }, { "messages": [ { "content": "Between completing the work behind the target organ and beginning the work on its right side, which occurs first in the clip?", "role": "user" }, { "content": "The back-side work occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Posterior Mesh Rectopexy ： Steps with Voice over.mp4" ] }, { "messages": [ { "content": "After the mobile base unit is placed, when does the actual entry into the deep posterior pocket begin?", "role": "user" }, { "content": "Entry begins after the bowel is retracted and the lining is excised to gain access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/The robot assisted technique for the resection of the retrorecta.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from dismantling the old connection to constructing the new arrangement?", "role": "user" }, { "content": "Right after the old pieces are removed, when the hand-sewn connection is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic conversion of RYGB to BPD⧸DS.mp4" ] }, { "messages": [ { "content": "When the rows are laid down across the organ, does the operator begin at the bottom border or the top side?", "role": "user" }, { "content": "The operator starts at the bottom border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Right Hepatectomy with Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what specific moment does the scene shift from managing the vessel on the first side to addressing the one on the opposite side?", "role": "user" }, { "content": "The transition occurs when an additional access is created on the opposite side and coagulation of that side’s vessel begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy for Large Lateral Wall Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "Which method first moves a nearby tube-like structure away, and which energy tool is then used to safely divide tissue in that area?", "role": "user" }, { "content": "Blunt dissection is used to retract the ureter medially, and then electrocautery is applied safely to divide tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "When and where does unexpected oozing first become visibly apparent, prompting a hemostatic maneuver?", "role": "user" }, { "content": "Near the end, along the fresh join line, a small bleed appears and is immediately controlled with a reinforcing hemostatic staple line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Robotic end ileostomy take down, ileotransverse anastomosis.mp4" ] }, { "messages": [ { "content": "Between dividing the paired conduits emerging from the pelvic sidewalls and transecting the large anterior venous complex at the front of the gland, which occurs first?", "role": "user" }, { "content": "The paired conduits are divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve-Sparing Hood Cystectomy with Totally Intracorporeal Neobladder.mp4" ] }, { "messages": [ { "content": "When and where does the first clearly abnormal bulge become visible during the case?", "role": "user" }, { "content": "Early in the setup phase, a bulbous thickening appears in the mid segment above the lower portion when it is pressed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sigmoid - Key Steps.mp4" ] }, { "messages": [ { "content": "During the challenging front-side dissection where scarred planes make progress slow, at what point is the decision made to preserve the paired glands just in front of the target?", "role": "user" }, { "content": "After further meticulous anterior dissection, they decide they can preserve them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME in a Male Patient, for a T4 Rectal Cancer after Radiotherapy.mp4" ] }, { "messages": [ { "content": "After confirming on the downstream side that the pathway has reached beyond the tight zone, when does the deeper layer division actually start?", "role": "user" }, { "content": "Right after verifying reach and rechecking the post-tunnel measurement, they begin the deeper division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Poem with Incremental Myotomy and Intraoperative Endoflip.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from broad mobilization to making the relieving split on the tubular structure?", "role": "user" }, { "content": "When the first parallel relief cut is started along the prior stitch line to open the tight segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy for megaesophagus.mp4" ] }, { "messages": [ { "content": "Which device is used on the lower end of the bowel to separate it, and what exactly does it do to the tissue?", "role": "user" }, { "content": "A laparoscopic cutting-stapling device is applied to the distal bowel and transects it while sealing both resulting ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Vizeral Chirurgie： Laparoskopische Sigmaresektion bei benignen Indikationen.mp4" ] }, { "messages": [ { "content": "Which instrument prepares the band-like connection before division, and which instrument performs the cut to release the white rounded structure?", "role": "user" }, { "content": "An energy-sealing device prepares the band first, and a cutting instrument (scissors) then divides it to release the white structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic Hysterectomy (Laparoscopic) by Dr. Marc Winter.mp4" ] }, { "messages": [ { "content": "Which happens first: freeing the previously folded stomach portion on the left side to create an external window, or extending the mobilization up toward the root of the lung?", "role": "user" }, { "content": "Freeing the folded portion to make the external window comes first; the high mobilization follows later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy for megaesophagus.mp4" ] }, { "messages": [ { "content": "Which powered instrument is used to core the excised mass into strips for extraction, and what is its target tissue?", "role": "user" }, { "content": "A powered morcellation device is used to fragment the removed uterine mass into strips for extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video).mp4" ] }, { "messages": [ { "content": "After the local vasoconstrictor injection, when do they start the ring‑shaped cut?", "role": "user" }, { "content": "Immediately after the injection, they begin the circumferential cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Ultra Low Anterior Resection With Colo-Anal Pull-through Anastomosis; TME, Step by Step.mp4" ] }, { "messages": [ { "content": "Which instrument is used to separate the outer attachments along the flank, and what structure does it act on to achieve this?", "role": "user" }, { "content": "An ultrasonic energy dissector acts on the bowel’s lateral attachments to peel it off the posterior plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "When does the operation transition from stitching the reinforcement along the inner edge to fixing it along the lower border?", "role": "user" }, { "content": "At the point they start the lateral fixation stitches along the lower border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Male Patient).mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from working outside the coverings to working inside around the mass?", "role": "user" }, { "content": "The transition occurs when the base is opened transversely and the subtemporal view reveals the mass’s upper pole, immediately followed by internal debulking.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Extended middle fossa approach for petroclival meningioma.mp4" ] }, { "messages": [ { "content": "Which instrument is used to open up the thin supporting layer around a target vessel so that the vessel becomes visible?", "role": "user" }, { "content": "An ultrasonic energy scalpel acts on the supporting membrane to expose the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "Between securing the initial access site with stay stitches and inflating the abdomen with gas, which action occurs first?", "role": "user" }, { "content": "Securing the access with sutures happens before gas inflation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Extended (Feat. Dr. Brunt).mp4" ] }, { "messages": [ { "content": "Which occurs earlier: dividing the slender channel along the mesenteric axis, or placing bowel markers at a fixed distance from the lesion?", "role": "user" }, { "content": "The slender channel is divided before the markers are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/A Novel U-tied End-to-End Anastomosis in Total Laparoscopic Left Hemicolectomy for Colorectal Cancer.mp4" ] }, { "messages": [ { "content": "After the assistant brings the lavage line near the pooled material, when does active washing actually commence?", "role": "user" }, { "content": "It begins the moment saline is turned on following the request to give a little saline.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/PANKREAS KANSERİNDE EUS İLE BİYOPSİ MASUM MU？ GERÇEK WHİPPLE AMELİYAT GÖRÜNTÜLERİ İLE ANLATTIM!.mp4" ] }, { "messages": [ { "content": "Which system interacts with the target area to delineate the margins, and what action does it perform on the tissue?", "role": "user" }, { "content": "A fusion-guidance system acts on the organ to highlight and delineate the margins, guiding the resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Fluorescence Guided Surgery of the Liver.mp4" ] }, { "messages": [ { "content": "Which happens first: drawing out material from the big cavity or seating the slimmer end of the joining tool into the narrow channel?", "role": "user" }, { "content": "They draw out the material first, then seat the slimmer end of the device into the narrow channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "What instrument is used on the stomach to accomplish its division?", "role": "user" }, { "content": "A stapling device is used to divide the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/COMPLETE ROBOTIC ASSISTED PANCREATODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "Between the initial opening of a thin translucent veil near the upper organ and the later splitting of the striped jacket around the tube, which happens first?", "role": "user" }, { "content": "The veil opening occurs first, before the striped layer is split.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy.mp4" ] }, { "messages": [ { "content": "In the opening scenario, when the team encounters a constricting tether around two loops, do they sever that tether before or after dealing with the attached fat curtain elsewhere?", "role": "user" }, { "content": "They cut the tether first, then release the stuck fat curtain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/The Laparoscopic Approach to Small Bowel Obstruction.mp4" ] }, { "messages": [ { "content": "After the slim tube is advanced deep within the channel, at what moment does the stitching actually begin?", "role": "user" }, { "content": "It begins immediately after the tube is seated several centimeters inside; suturing starts right then.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic CBD Repair - Its obviously the best option as per me....mp4" ] }, { "messages": [ { "content": "When, relative to the operation, is the external‑beam adjunct administered in the protocol shown on the comparative outcomes slide?", "role": "user" }, { "content": "It is given before surgery (as a preoperative treatment).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Surgical Management of Rectal Cancer： Current Best Practices with Lee Grimm, Jr, MD.mp4" ] }, { "messages": [ { "content": "After the operator visibly aligns the device in the passage, when does the unfurling of the internal support actually begin?", "role": "user" }, { "content": "It begins immediately after the alignment step, at the moment the standardized release is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Petko Karagyozov # EUS-guided gastroenterostomy in the treatment of malignant GOO. ESGE guidelines..mp4" ] }, { "messages": [ { "content": "During the upper foregut portion, which instrument acts on which tissue, and to accomplish what, when the muscle fibers are being separated?", "role": "user" }, { "content": "An energy device divides the muscular layer of the food pipe and extends the split several centimeters upward and about three centimeters onto the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic Heller Myotomy and Roux-en-y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "After the camera backs out from the created space, when is the surface opening sealed?", "role": "user" }, { "content": "Immediately after the camera is withdrawn, the opening is closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Point： Traditional Treatments Are The Rule.mp4" ] }, { "messages": [ { "content": "Which instrument is used to bluntly peel down the front hollow organ during the anterior dissection?", "role": "user" }, { "content": "A peanut dissector and a flat blade (spatula) are used to bluntly separate the bladder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Pectopexy.mp4" ] }, { "messages": [ { "content": "In the sequence of cuts, which occurs first: extending the split upward along the tube or continuing it onto the neighboring organ?", "role": "user" }, { "content": "The upward extension along the tube happens first, then it continues onto the neighboring organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Approach To End-Stage Achalasia With Severe Malnutrition.mp4" ] }, { "messages": [ { "content": "Which instrument is used to split the neck of the central gland, and what specific setting is applied when working close to the main channel within it?", "role": "user" }, { "content": "An electrosurgical device is used to divide the neck, with cutting current applied near the main duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Portal Dissection, Step 2 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "When combining bowel surgery with major organ work in one sitting, which part is synchronized with the first step of the staged plan?", "role": "user" }, { "content": "The bowel operation is timed to occur together with the initial step of the staged plan.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/ALPPES -Associating Liver Partition and Portal VeinLigation.mp4" ] }, { "messages": [ { "content": "Which handheld device is used on the body surface to achieve numbing, and what action does it perform?", "role": "user" }, { "content": "A syringe is used to inject anesthetic into the target area to achieve numbing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Резекция кишки у собаки. Паховая грыжа.mp4" ] }, { "messages": [ { "content": "Once a visible stream of air marks the defect during the reoperation, at what point do the surgeons begin their corrective stitching?", "role": "user" }, { "content": "Immediately after the air marks the defect, they start placing reinforcing stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Dehiscencia de cisto-gastro anastomosis.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to accomplish the staged removal shown in the sequence?", "role": "user" }, { "content": "A flexible bag is used to envelop the bulky uterine tissue, enabling its piece-by-piece extraction through the small opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Life after Removing a Large Fibroid.mp4" ] }, { "messages": [ { "content": "During the submerged air test at the junction, when and where do escaping bubbles first become visible?", "role": "user" }, { "content": "No bubbles appear at any time anywhere at the junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy with Dor Fundoplication # Achalasia Cardia Surgery # Dr Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "Between positioning support threads around the intended passageway and widening that passageway, which occurs first in the clip?", "role": "user" }, { "content": "Positioning the support threads happens first; widening follows afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Hybrid Transgastric Rendezvous Technique for Common Bile Duct Stones After Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Given the cue of a subtle ballooning of a thin membrane after re-expansion, when does the team begin the precise entry into the internal cavity?", "role": "user" }, { "content": "As soon as the subtle bulging sign appears after re-expansion, they proceed with the precise entry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/LAPAROSCOPIC-ASSISTED ALTEMEIER PROCEDURE.mp4" ] }, { "messages": [ { "content": "At what point does unexpected red fluid first become visible, and from which freshly cut surface does it emerge?", "role": "user" }, { "content": "Right after the tissue is cut, from the fresh cut edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Minimally Invasive Pancreas Surgery.mp4" ] }, { "messages": [ { "content": "Between revealing the paired deep conduits and sweeping away the surrounding fatty packets along them, which one is seen first?", "role": "user" }, { "content": "The vessels are exposed first, then the surrounding fatty packets are swept away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Analysis of learning curve for laparoscopic pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which device acts on the main feeder vessels along the inner curve to stop flow, and what action does it perform?", "role": "user" }, { "content": "A vascular stapler ligates the left gastric artery and coronary vein to stop flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy for Juvenile Polyposis.mp4" ] }, { "messages": [ { "content": "Between freeing a central vein by opening its covering and making a cut along the left edge of a deeper companion vessel, which action happens first?", "role": "user" }, { "content": "Opening the vein’s covering occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/The forgotten nodes after right colectomy. Three years after pri.mp4" ] }, { "messages": [ { "content": "Between placing clips on a thin-walled vessel and applying a high tie on a nearby arterial branch, which happens first in this clip?", "role": "user" }, { "content": "Clipping of the venous branch occurs before the arterial high tie.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic low anterior resection with extended TME for locally advanced rectal cancer.mp4" ] }, { "messages": [ { "content": "Between cutting the small intestine a short distance from a recognizable landmark and sewing the side-to-side connection between two loops, which one happens first?", "role": "user" }, { "content": "The division near the landmark happens first, followed by the side-to-side connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Roux-en-Y gastric bypass with pyloroplasty & excision of duodenal mass.mp4" ] }, { "messages": [ { "content": "Given the visible cue of shortening the needle end of the suture, when does the knotting maneuver actually start?", "role": "user" }, { "content": "Knot tying begins immediately after trimming the needle end, using the tail to form a C and reverse C with alternating wraps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/The Art of TLH： A Surgeon's Perspective： Total Laparoscopic Hysterectomy (TLH) Walkthrough.mp4" ] }, { "messages": [ { "content": "Between sealing the downstream end with metal fasteners and cutting it across, which occurs first?", "role": "user" }, { "content": "Sealing happens before cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic treatment of common bile duct cyst.mp4" ] }, { "messages": [ { "content": "During the second session, which happens earlier: the intraoperative pressure check in the inflow circuit or ligation of the main pulsatile feeder to the side being removed?", "role": "user" }, { "content": "The pressure check occurs before ligation of the feeder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Associating Liver Partition and Portal Vein Ligation for Stage Hepatectomy (ALPPS).mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from removing tissue to inspection of the removed piece?", "role": "user" }, { "content": "Immediately after the third activation, when the specimen is shown and then opened for inspection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Gastric Wedge Resection of a Gastric Schwannoma.mp4" ] }, { "messages": [ { "content": "At what exact moment does the video transition from non-invasive setup to the first invasive maneuver?", "role": "user" }, { "content": "The transition occurs when the needle is introduced to start abdominal insufflation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic extended right colectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "Which comes first: the panoramic look inside or turning attention to the suspected area?", "role": "user" }, { "content": "The panoramic look occurs first, then attention shifts to the suspected area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colonic intussusception in an adult patient.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from careful manipulation to avoid puncturing the specimen to initiating its containment for extraction?", "role": "user" }, { "content": "Immediately after completing careful handling of the freed specimen, they introduce the retrieval pouch to enclose it for removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Techniken der Adrenalektomie, Teil 2 ⧸⧸ Prof. Dr. Frédéric Triponez , Genf.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from freeing the lesion to beginning repair of the cut area?", "role": "user" }, { "content": "The transition occurs the moment the mass becomes completely free, after which testing and reconstruction begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: fully freeing the tubular structure from the lower outlet up to the top opening, or performing head‑up live imaging to assess flow through a narrowed segment?", "role": "user" }, { "content": "Freeing the structure occurs before the head‑up imaging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Sleeve to RY Gastric bypass for persistent sleeve stenosis.mp4" ] }, { "messages": [ { "content": "After the entry area is outlined and lifted, at what moment does the very first opening cut into the lining actually begin?", "role": "user" }, { "content": "Immediately after a satisfactory lift at the planned spot, the first opening cut begins with energized incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Endoscopic Suture Repair Of Full Thickness Esophagotomy During Per Oral Esophageal Myotomy (POEM).mp4" ] }, { "messages": [ { "content": "Which is performed earlier: tying the sheet to the front pelvic ridges or attaching it to the back midline peak?", "role": "user" }, { "content": "Tying to the front pelvic ridges occurs before attaching it to the back midline peak.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic Repair of perineal hernia after extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "At what precise moment does the operation shift from plane freeing to a ring-guided opening of the canal?", "role": "user" }, { "content": "When the colored rim of the guide appears and the probe starts drilling along its groove.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with THUNDERBEAT.mp4" ] }, { "messages": [ { "content": "When and where does the first visible surface-layer injury on the bowel become apparent?", "role": "user" }, { "content": "It first appears during traction while using energy on the thick cords near the bend of the upper small bowel, causing a superficial tear.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's Procedure for Malrotation of Mid Gut.mp4" ] }, { "messages": [ { "content": "After demonstrating that a segment can telescope into the junction, when do the surgeons actually begin placing anchoring stitches—right after that demonstration or only after further surveying?", "role": "user" }, { "content": "They begin right after demonstrating the sliding tendency, proceeding directly to fixation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis.mp4" ] }, { "messages": [ { "content": "During early work at the liver’s gateway, which paired robotic instruments are used to both hold tissue and stop oozing, and what structure are they acting upon?", "role": "user" }, { "content": "A hook cautery and bipolar forceps act on the soft tissue around the porta to grasp and control bleeding during dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/ROBOTIC BILIARY RECONSTRUCTION UTILIZING HEPP COUINAUD TECHNIQUE WITH ROUX EN Y HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from vascular identification to reconstructive suturing?", "role": "user" }, { "content": "The transition occurs once the proximal duct is divided and the enterotomy is made, at which point suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic treatment of common bile duct cyst.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from active extraction to focused hemostasis work?", "role": "user" }, { "content": "When the assistant places the energy device at the base to target the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Fibroid Surgery.mp4" ] }, { "messages": [ { "content": "What tool is occasionally used to push surrounding tissue aside to maintain the view?", "role": "user" }, { "content": "The suction–irrigation device is used as a retractor to hold tissue out of the way.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Die extraperitonale roboterassistierte radikale Prostatektomie.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the central vessel group, and what action does it perform?", "role": "user" }, { "content": "The sealing device (ligasure) ligates the uterine vessels at multiple points and then the bundle is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy & Bilateral Salpingectomy： Step-by-Step Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Between the grabbing device aligning with the target and the camera pulling back to improve the view, which occurs earlier?", "role": "user" }, { "content": "Instrument alignment occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Beaumont First in Michigan to Perform Single-Incision Robotic Surgery to Remove Gallbladder.mp4" ] }, { "messages": [ { "content": "At what point does the focus shift from working on the pelvic floor to an anterior separation between neighboring structures?", "role": "user" }, { "content": "The shift occurs when the anterior incision begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "After a prominent tubular structure is fully exposed, when does the team begin the locking step prior to division?", "role": "user" }, { "content": "Immediately after it’s fully displayed, they apply clips before cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection in a Patient with Situs Inversus.mp4" ] }, { "messages": [ { "content": "At what point in the exploration does a small fatty protrusion first become clearly visible, and where is it located relative to the pelvis?", "role": "user" }, { "content": "Early during the left-side exploration—a fat plug first appears adjacent to the pelvic brim on the left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Laparoscopic totally extraperitoneal (TEP) repair of right ingui.mp4" ] }, { "messages": [ { "content": "Between dividing an upstream blood conduit to gain length and seating the metal connector on the upstream bowel end, which occurs first?", "role": "user" }, { "content": "The blood conduit is divided first, then the metal connector is seated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Surgical Management of Colorectal Cancer.mp4" ] }, { "messages": [ { "content": "Which slender instrument acts on the organ’s inner lining to separate the target, and what action does it perform?", "role": "user" }, { "content": "A flexible, tip-mounted cutting device on a slender internal instrument acts on the inner lining to perform continuous cutting and separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "Which instruments are used to free the right-sided pouch from scar bands, and what tissue do they act upon?", "role": "user" }, { "content": "Coagulating graspers, non‑energized scissors, and blunt spreading act on adhesions around the right-sided colonic pouch to release it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Resection Terminal Ileum and Cecum in Endometriosis.mp4" ] }, { "messages": [ { "content": "After a colored marker becomes visible at the target site, when does cutting begin?", "role": "user" }, { "content": "Cutting begins immediately after the marker appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/VAAFT and excision, reconstruction of fistula in ano.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with dense scarred tissue to separate planes and enable later coverage?", "role": "user" }, { "content": "Electrocautery acts on scarred and adherent tissue to dissect adhesions and separate the inner and outer planes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Инцизионная боковая грыжа L4W3R0..mp4" ] }, { "messages": [ { "content": "Which instrument is used to separate the fatty envelope around the distal bowel during the pelvic phase, and what does it accomplish?", "role": "user" }, { "content": "An energy-sealing device (LCS) acts on the mesorectal tissue to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection for Patients with Rectosigmoid Cancer in Situs Inversus Totalis.mp4" ] }, { "messages": [ { "content": "When does the operation transition from forming the exteriorized loop to the final step of fitting the collection appliance?", "role": "user" }, { "content": "At the moment the collection bag is applied over the new opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Trephine Defunctioning Loop Ileostomy using an ALEXIS Wound Protector.mp4" ] }, { "messages": [ { "content": "When and where does the first notable oozing that requires tamponade appear on screen?", "role": "user" }, { "content": "As they begin the downward work on the lower side (stomach), oozing appears and is controlled with a sponge a few seconds later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic Heller myotomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to perform what action when the operator takes deep bites while steering clear of a nearby vessel?", "role": "user" }, { "content": "A needle-and-thread driver passes deep bites through the donor tube wall while avoiding the nearby vessel to secure the join without tearing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Dr Kausar Makki - Techniques of Biliary Reconstruction in Living Donor.mp4" ] }, { "messages": [ { "content": "What instrument acts on the tissue adjacent to a curved loop to separate layers and reveal the central conduit?", "role": "user" }, { "content": "A thermal dissector applies energy to peripancreatic/duodenal tissue to expose the superior mesenteric region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy by Dr. Maher A. Abbas.mp4" ] }, { "messages": [ { "content": "When and where does an unusually prominent cross-running branch first become apparent relative to the target area?", "role": "user" }, { "content": "It first appears as that cross-running branch “is coming out,” very close to the target growth.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/APE 1.mp4" ] }, { "messages": [ { "content": "When does the case transition from bowel resection steps to liver-focused maneuvers?", "role": "user" }, { "content": "Right after bagging the bowel specimen, when they begin freeing the right hepatic attachment and initiate ultrasound.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Colectomy With Intracorporeal Anastomosis And Liver Metastasectomy For Colon Can.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from preparation and measurement to the device firing across the downstream segment?", "role": "user" }, { "content": "The transition occurs when the distal cut is performed with the first device firing after the site has been identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Sigmoid Colon Diverticulitis.mp4" ] }, { "messages": [ { "content": "When handling a sizable side branch, which comes first: separating it from surrounding tissue or securing it with metal fasteners?", "role": "user" }, { "content": "Separation (isolation) happens before securing with metal fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Anatomy of the Rectum： Part 3 - Lateral topography.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the sheet of vessels and fat attached to the segment to separate it?", "role": "user" }, { "content": "A stapling device is used to divide the mesenteric attachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopic Management of Small Bowel Intussusception In A Young Adult,.mp4" ] }, { "messages": [ { "content": "Which is done earlier in the sequence: separating a thin-walled vein beside the initial loop of the small intestine, or tying off the nearby artery?", "role": "user" }, { "content": "The vein is separated and divided earlier, before the artery is tied off.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.6. Left Hemicolectomy for Locally Advanced Sigmoid Carcinoma - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the front inflow bundle to the right side, and what action does it perform?", "role": "user" }, { "content": "An endoscopic stapling instrument is used to divide the right anterior inflow bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy after Right Hemiliver Radiation Lobectomy.mp4" ] }, { "messages": [ { "content": "Which instrument modifies which narrowed segment to achieve what functional change?", "role": "user" }, { "content": "A balloon dilator acts on the distal stricture to widen it to a widely patent lumen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Management of Sleeve Gastrectomy Leaks with Endoluminal Vacuum Therapy.mp4" ] }, { "messages": [ { "content": "For the protruding cushions, does the heat-driven shrinkage occur before or after the longitudinal stitching is performed?", "role": "user" }, { "content": "Heat-driven shrinkage occurs before the longitudinal stitching.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/COMBINED SURGERY OF ANAL FISTULA WITH PROLAPSING HEMORRHOIDS.mp4" ] }, { "messages": [ { "content": "When do thin attachment bands on the left side first become visible, and are they addressed or left undisturbed?", "role": "user" }, { "content": "They appear during the left-side survey and are left undisturbed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/An insight into： Laparoscopic total hysterectomy and bilateral salpingoophorectomy.mp4" ] }, { "messages": [ { "content": "During the central dissection, when and where is direct invasion into a major blue channel first recognized on screen?", "role": "user" }, { "content": "It is first recognized while reflecting the specimen off the portal vein and SMV region, when a segment of the portal vein is seen to be invaded.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple Procedure with Portal Vein Reconstruction.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence move from clearing tissue off the upper abdominal vessels to making a high tie on the principal feeder vessel at its origin?", "role": "user" }, { "content": "The transition occurs when the team reaches the vessel’s origin and performs a circumferential dissection followed by a high ligation there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer# Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "Which occurs first: using an upward push from below to lever the mass out, or reducing internal fluid tension to enlist organ squeezing?", "role": "user" }, { "content": "Upward pushing from below happens before lowering internal fluid tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic treatment of a type 1 uterine fibroid.mp4" ] }, { "messages": [ { "content": "Between placing the detachable head beyond the circular drawstring and routing both ends of that drawstring through the same opening on the central post, which action happens first?", "role": "user" }, { "content": "Positioning the detachable head beyond the drawstring happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Stapled Hemorrhoidectomy for Prolapsing Hemorrhoids.mp4" ] }, { "messages": [ { "content": "Between encircling the first major inflow channel on the operative side and beginning to divide the organ substance along the planned plane, which happens first?", "role": "user" }, { "content": "Encircling the vessel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "In the final integrity check, once the cavity is filled with liquid, when does the actual bubble check begin?", "role": "user" }, { "content": "It starts when air is insufflated from below, distending the segment under water to reveal any bubbles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/How to do a laparoscopic anterior resection.mp4" ] }, { "messages": [ { "content": "During the gland-to-bowel join, when does the team resume closing the inner front layer relative to introducing the small internal tube?", "role": "user" }, { "content": "They resume and complete the inner front layer after the small internal tube is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/COMPLETE ROBOTIC ASSISTED PANCREATODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "During troubleshooting of unintended perfusion, when does the scene transition from corrective dissection to confirmed resolution of leakage?", "role": "user" }, { "content": "At the repeat color-run showing no filling of the duodenum, marking resolution after the additional dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic pump with liver resection # Memorial Sloan Kettering.mp4" ] }, { "messages": [ { "content": "Early in the clip, which instrument acts on the cord-like structure lateral to the uterus, and what does it do to that tissue?", "role": "user" }, { "content": "An advanced sealing device coagulates and then divides the cord-like ligament lateral to the uterus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the deeper posterior region of the organ to eliminate a hidden target, and what does it do?", "role": "user" }, { "content": "A needle-like energy applicator acts on the deep posterior area to thermally ablate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Karaciğer Metastazlarının Tedavisinde Cerrahi ve RFA： İleri Tekniklerin Gücü ｜ Prof. Dr. Ünal Aydın.mp4" ] }, { "messages": [ { "content": "Between sealing vessels along the stomach’s lower border and cutting across the initial segment of the outflow tube with a cutting-and-sealing device, which happens first?", "role": "user" }, { "content": "Sealing and dividing the vessels happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/GASTRECTOMY.mp4" ] }, { "messages": [ { "content": "After the reconstructed join is bathed in fluid and a tube is threaded across it, at what moment does the testing action begin?", "role": "user" }, { "content": "It starts when air is insufflated through the tube with the join submerged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Redo Gastrojejunostomy Following Perforation From Stricture Dilatation.mp4" ] }, { "messages": [ { "content": "What accessory is placed to keep the newly created connection from shifting, and where is it positioned?", "role": "user" }, { "content": "A curled-ended plastic stent is placed, spanning the connection into both the cavity and the bowel, to prevent migration.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/EUS-guided gallbladder drainage in a patient with Billroth II reconstruction.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal finding first become clearly visible during the laparoscopy?", "role": "user" }, { "content": "Right after the initial survey, when attention shifts to the left side; it appears in the descending colon near the splenic flexure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colonic intussusception in an adult patient.mp4" ] }, { "messages": [ { "content": "In the sequence of clearing the target segment, does work start on the backside or on the sidewalls first?", "role": "user" }, { "content": "Work starts on the backside first, then proceeds to the sidewalls.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Male Patient with Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first: the initial cut along the side of the field, or fully freeing the nearby bowel segment?", "role": "user" }, { "content": "The initial side cut occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.5. Right Hemicolectomy for Cecal Carcinoma Invading Sigmoid Mesocolon - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "When does the scene shift from working around a large glandular structure to identifying a major arterial landmark that must be preserved?", "role": "user" }, { "content": "The transition occurs when the pale arterial wall comes into view after working over the gland, and it is explicitly recognized as a structure to preserve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from working within the enveloping fatty plane to operating directly on the underlying muscle surface?", "role": "user" }, { "content": "The transition occurs when the dissection deliberately goes a few millimeters deeper past the protective layer, revealing and working directly on the muscle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal-Total Mesorectal Excision (Ta-TME)： Current Update.mp4" ] }, { "messages": [ { "content": "When and where does the unusual outpouching first become clearly visible in the chest during the operation?", "role": "user" }, { "content": "It first becomes clearly visible after port placement and initial exposure on the right side of the lower chest.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robot Assisted Trans-thoracic Esophageal Diverticulectomy and Heller Myotomy.mp4" ] }, { "messages": [ { "content": "After a sweep with a live imaging probe to map nearby vessels, when does the team first initiate definitive control of an artery?", "role": "user" }, { "content": "It starts when the right gastric artery is dissected free and suture-ligated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "After finishing the sutured connection, when does the free end of the newly created limb get brought out through the upper port?", "role": "user" }, { "content": "Immediately after the sutured connection, the blind limb is exteriorized through the upper port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/APAROSCOPIC HEPATICOJEJUNOSTOMY AFTER BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "After the viewpoint shifts from a low pelvic axis to a midline angle, when does the specimen-removal process actually begin?", "role": "user" }, { "content": "It starts immediately after the scope is moved to the midline port, when the retrieval pouch is introduced and the organ is bagged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Transvaginal Nephrectomy.mp4" ] }, { "messages": [ { "content": "At what point do they transition from collapsing the device to extracting the entire assembly from the body?", "role": "user" }, { "content": "Immediately after the device is fully collapsed inside the cover, they begin withdrawing it from the stomach and then the esophagus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Endoscopic Delivery and Retrieval of a Novel Duodenal-Jejunal Bypass Sleeve in a Porcine Model.mp4" ] }, { "messages": [ { "content": "At what exact moment does the case switch from specimen removal to building the connections?", "role": "user" }, { "content": "The transition occurs when the proximal bowel is brought through the mesocolon right after the specimen is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple Procedure with Situs Inversus Anatomy.mp4" ] }, { "messages": [ { "content": "At what point does the suspicious segment first become clearly visible, and in which region is it located?", "role": "user" }, { "content": "It first appears when the focus shifts to the mid-colon segment, located on the right side of that segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy in an Obese Patient of BMI 50kg⧸m2.mp4" ] }, { "messages": [ { "content": "Which happens first: securing and cutting the main blood channel to the diseased segment, or transecting the lower bowel with a cutting device?", "role": "user" }, { "content": "The main blood channel is secured and divided first, before the lower bowel is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopy Sigmoid Colectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "Which comes first: the segment showing multi-format posting capability or the numeric milestone overlay about the audience size?", "role": "user" }, { "content": "The multi-format posting capability segment appears before the audience milestone overlay.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/splenectomy/腹腔镜下脾切除术（创伤性脾破裂）.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the bowel wall to draw the edges together in a running pattern while keeping the inner lining tucked inside?", "role": "user" }, { "content": "A needle with suture works through the bowel wall, taking bites beneath the inner lining in a running fashion to keep the lining inverted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/HEINEKE MIKULICZ STRICTUROPLASTY.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument is applied to the cut edge to stop minor seepage, and what effect does it have?", "role": "user" }, { "content": "An energy device is applied at the cut edge to coagulate and promptly stop the oozing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Precedure A stepwise approach.mp4" ] }, { "messages": [ { "content": "Given the cue where he points to one side of his torso, when does the detailed description of that side-entry method actually begin?", "role": "user" }, { "content": "It starts as he introduces the side-entry approach with “What is minithoracotomy?”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Apollo Hospitals ｜ All you need to know about CABG ｜ Dr. MM Yusuf.mp4" ] }, { "messages": [ { "content": "Which tool is used to compress and divide the thick apical band, and on which structure is it applied?", "role": "user" }, { "content": "Low‑power ultrasonic shears are used on the apical midline venous band to seal and then divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/张骞-三孔法腹腔镜前列腺癌根治术-19分钟.mp4" ] }, { "messages": [ { "content": "At what moment does the operation transition from removing tissue to beginning the series of reconnections?", "role": "user" }, { "content": "Right after the specimen is removed, when the two-layer pancreaticoenteric anastomosis is begun.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "Between peeling a thin membrane off the back of the organ and clearly recognizing the target lump, which happens first?", "role": "user" }, { "content": "Peeling the membrane occurs first, followed by recognizing the lump.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Posterior Degenerated Lower Segment Fibroid.mp4" ] }, { "messages": [ { "content": "Between looping a band around the central tube and severing its upstream end with a jawed cutter, which action happens first?", "role": "user" }, { "content": "Looping the band around the tube happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Resection of the Extra Hepatic Bile Duct and Biliary Reconstruction.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing the lower channel into the abdomen to stitching the gap between the two pillars?", "role": "user" }, { "content": "Right after adequate intra-abdominal length is achieved, when interrupted sutures begin closing the gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatus Hernia Repair with Nissen's Fundoplication- Dr. Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "Which happens earlier: locating the major venous channel behind the mid-portion of the gland or making the crosswise cut through that gland?", "role": "user" }, { "content": "Locating the major posterior venous channel occurs before the gland is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which material is used on the fold adjacent to the segment to close the gap, and what action is performed with it?", "role": "user" }, { "content": "A No. 1 silk thread is used to close the mesenteric gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/卫生部医学视听教材—消化外科—XHW001 肠吻合的基本缝合法及小肠吻合术.mp4" ] }, { "messages": [ { "content": "Which device with oscillating tips acts on the organ’s outer lining, and what action does it perform there?", "role": "user" }, { "content": "The vibratory energy shear acts on the peritoneal lining, ‘knocking’ it to peel it away and create the dissection plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Unedited Full Length Laparoscopic Cholecystectomy HD Video - Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "Which step occurs first: performing an internal manual check of the repair or placing the final cover layer over the reinforcement?", "role": "user" }, { "content": "The internal manual check of the repair occurs before the final cover layer is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy in Men： ICS 04012020.mp4" ] }, { "messages": [ { "content": "When and where does the first sign of unexpected brisk oozing become visibly apparent?", "role": "user" }, { "content": "Right after the initial cutting sequence, oozing first appears at the operative site within the treated area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic ventral mesh rectopexy for rectal prolapse and obstructed defaecation.mp4" ] }, { "messages": [ { "content": "When and where does a suspiciously pale edge first become visibly apparent during the operation?", "role": "user" }, { "content": "During the fluorescence check, a pale area appears at one cut edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details# Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Which tool interacts with which layer to close off the anterior pelvic recess?", "role": "user" }, { "content": "A laparoscopic suturing device runs a continuous non-absorbable suture along the anterior pelvic layer to obliterate the recess.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Single Port Laparoscopic Rectopexy.mp4" ] }, { "messages": [ { "content": "After the on‑screen gauge values stabilize during inflation, when does the first large entry tube insertion actually begin?", "role": "user" }, { "content": "Right after stabilization and completion of inflation—immediately after removing the initial needle, they enlarge the cut and insert the first large entry tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/How to perform safe Dermoid Ovarian Cystectomy without Spillage.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to perform what action when the lateral supply bundle is addressed?", "role": "user" }, { "content": "A dual-jawed energy grasper seals the lateral vascular pedicle and then it is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Step by step laparoscopic subtotal hysterectomy (fully narrated technique).mp4" ] }, { "messages": [ { "content": "Between looping a soft band around the cord-like bundle and peeling the translucent sac away from that bundle, which action happens first?", "role": "user" }, { "content": "The loop is placed first, then the sac is peeled away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Male Patient).mp4" ] }, { "messages": [ { "content": "Once the hollow organ is visibly distended with fluid, when does the team actually start creating the new opening for the reattachment?", "role": "user" }, { "content": "Right after confirming a watertight distension, they begin by giving the incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Partial Cystectomy for diverticular Tumour ｜｜ Preeti Hospital.mp4" ] }, { "messages": [ { "content": "Which occurs first: mechanically sealing and cutting the deeper, thicker tube or firing the device that lays rows of fasteners across the thin anterior tube?", "role": "user" }, { "content": "The deeper arterial structure is sealed and cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy Lecture by Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "As the slim tip is rotated to match the curve of the target edge, when does the cutting sequence actually begin?", "role": "user" }, { "content": "Right after the tip is rotated into alignment, the cut begins along the arc.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/The ArtiSential experience in St. Marienkrankenhaus Siegen.mp4" ] }, { "messages": [ { "content": "Which occurs first: sealing the inner lining flap or lowering the central organ back into place?", "role": "user" }, { "content": "Sealing the inner lining flap happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Rectopexy - Rectal prolapse.mp4" ] }, { "messages": [ { "content": "Between the broad opening of the omental curtain beneath the stomach and the moment when the central mesenteric vessels are visibly exposed, which happens first?", "role": "user" }, { "content": "The broad opening under the stomach occurs first, followed by exposure of the central mesenteric vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Prolapse of the rectum , Laparoscopic approach ： anterior resection with rectopexy.mp4" ] }, { "messages": [ { "content": "At what point does the scene transition from removing tissue to re-approximating the internal opening with knots?", "role": "user" }, { "content": "Right after extraction is complete, when extracorporeal knot-tying of the cuff begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Difficult Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "After the bowel ends are aligned and a joining device is positioned, at what moment is the joining action actually initiated?", "role": "user" }, { "content": "It begins when the stapling device is fired, after the purse‑string/anvil preparation and placement of three reinforcing stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经阴道取标本的腹腔镜超低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "After the upper organ lifter is repositioned, when does the team begin working behind the tubular structure?", "role": "user" }, { "content": "It begins immediately after the lifter is repositioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy.mp4" ] }, { "messages": [ { "content": "Between retrieving the tools and reversing the platform away from the field, which occurs first?", "role": "user" }, { "content": "Retrieving the tools occurs before reversing the platform away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy ｜ Gall Bladder Removal Surgery ｜ Scripps La Jolla San Diego.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from imaging to actively clearing, as shown by material exiting through the freshly cut orifice?", "role": "user" }, { "content": "Right after the cut at the duct opening, when stones start to emerge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Transgastric ERCP post RYGB for CBD stones for.mp4" ] }, { "messages": [ { "content": "Once the thin guide spans the channel, when does the energy-based treatment actually start—immediately upon contact or only after muscle involvement is assessed?", "role": "user" }, { "content": "It starts only after the surrounding muscle involvement is assessed and found acceptable.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/ADJOINING ANAL FISTULAS 邻近肛瘘 FÍSTULAS ANALES CONTIGUAS.mp4" ] }, { "messages": [ { "content": "During the thin-layer separation around the organ, when and where does unexpected oozing first become visibly apparent?", "role": "user" }, { "content": "It appears during the peritoneal elevation as a small capillary bleeder, which is immediately sealed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/15 mn Laparoscopic Supra Cervical Hysterectomy (full movie ).mp4" ] }, { "messages": [ { "content": "Which instrument elevates and holds the sac while a thin lining along its sides is opened, and what action is performed on that lining?", "role": "user" }, { "content": "A lateral retractor elevates and holds the organ, and the peritoneum on both sides is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which implements are used on the fibrous bands tethering the curved organ to the adjacent lobe, and what is done to those bands?", "role": "user" }, { "content": "Sharp and blunt dissection are used to take down the adhesions between the liver and the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatal Hernia Repair With Redo Fundoplication For Dysphagia Due To A Slipped ....mp4" ] }, { "messages": [ { "content": "In the first approach, does the final metallic fastener get added before or after the transection of the narrow tube?", "role": "user" }, { "content": "It is added after the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Donor Nephrectomy - Stapler Control of Hilum.mp4" ] }, { "messages": [ { "content": "Once the rotary tissue cutter is in the field, when does actual fragmentation start: when the device is pushed into the specimen, or when the specimen is presented to its tip under direct view?", "role": "user" }, { "content": "Fragmentation starts when the tissue is brought to the device’s tip under direct vision, not by pushing the device into the tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy at World Laparoscopy Hospital.mp4" ] }, { "messages": [ { "content": "When does the workflow move from re-checking the channel with the camera to leaving a temporary inner support and then starting the bowel opening?", "role": "user" }, { "content": "After the repeat camera check confirms clearance, a temporary inner support is left, then the bowel opening is begun.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Gall Bladder-Laparoscopic CBD exploration with laparoscopic choledochoduodenostomy.mp4" ] }, { "messages": [ { "content": "During the upper anchoring and closure steps, does attaching the sheet to the backbone occur before sealing the deep recess, or after?", "role": "user" }, { "content": "Attaching to the backbone occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic ventral re rectopexy for symptomatic rectocele recurrence A video vignette.mp4" ] }, { "messages": [ { "content": "Once the team switches on a glow-enhanced view to locate a delicate channel, when is the adjustment to the separation path actually initiated?", "role": "user" }, { "content": "Right after the glowing signal delineates the channel, they alter the dissection line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Fluorescence urethral navigation for transperineal minimally invasive abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "When the cutting device hovers over the secured structure, at what instant does the actual division begin?", "role": "user" }, { "content": "Immediately after clipping, when the cutting tool starts to close and advance on the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Retroperitoneoskopische Nephrektomie： Neue Technik bei Zugang und Gefäßversorgung.mp4" ] }, { "messages": [ { "content": "Once a glowing fascia layer is exposed and cut, when do operators actually begin cutting the slick, non-striated layer?", "role": "user" }, { "content": "Immediately after the glowing fascia is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Use of Indocyanine Green to Identify the Transanal Dissection Plane in Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "Which comes first: finishing the connection between the split segment and the vertical outlet, or filling the pouch to check for leaks?", "role": "user" }, { "content": "Finishing the connection comes first, and the leak test is performed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radical Cystectomy for Bladder Cancer- Prof. Karel Decaestecker.mp4" ] }, { "messages": [ { "content": "When does the operation shift from clearing the lesion’s lower edge to preparing the downstream tube for division?", "role": "user" }, { "content": "Right after passing the distal margin and confirming it with digital checks, preparation of the downstream tube begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME in a Male Patient, for a T4 Rectal Cancer after Radiotherapy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: creating a small channel from below and letting gas dissect the plane upward, or exposing and cutting the main artery?", "role": "user" }, { "content": "Creating the channel and gas-driven dissection occurs first; exposing and cutting the artery follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3 trocar technique of left colectomy： Organization & execution of the procedure.mp4" ] }, { "messages": [ { "content": "When do the outside knots get tightened in relation to releasing the internal pressure?", "role": "user" }, { "content": "After releasing the internal pressure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Small Umbilical Hernia using Mishra's Knot and Dual Mesh.mp4" ] }, { "messages": [ { "content": "Once the liver edge comes into view, when does the actual exposure of the old junction begin?", "role": "user" }, { "content": "It begins right after the liver edge appears, when adhesions around the ligamentous area are dissected to expose the old junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/V025 LAPARO-ENDOSCOPIC RE-DO HEPATICOJEJUNOSTOMY AFTER COMMON BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "Identify the device used to sever a small posterior side-branch adjacent to the main outflow.", "role": "user" }, { "content": "Sonic shears are used to divide the small side-branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopically Assisted Live Donor Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between dividing attachments in the lower-left abdomen and performing the untwisting maneuver, which happens first?", "role": "user" }, { "content": "Dividing the lower-left attachments occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Surgical Correction Of Adult Midgut Volvulus.mp4" ] }, { "messages": [ { "content": "When does the operation shift from freehand viewing to teleoperated instrument control?", "role": "user" }, { "content": "It transitions once the instruments are inserted and the console control is engaged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy ｜ Gall Bladder Removal Surgery ｜ Scripps La Jolla San Diego.mp4" ] }, { "messages": [ { "content": "At what specific point does the operation move from deep pelvic dissection to cutting across the distal bowel?", "role": "user" }, { "content": "When the linear stapler is applied to staple and divide the distal bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for Rectal Cancer (RCSI Charter Day Video Session 2016).mp4" ] }, { "messages": [ { "content": "What handheld device is used to gently grasp and deliver the intestinal segment through the opening?", "role": "user" }, { "content": "A Babcock-type grasper is used to gently pull the segment out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/BROOKE'S END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "When and where does excessive slackness in the lining first become visibly apparent?", "role": "user" }, { "content": "It first becomes evident during creation of the membrane flaps in the pelvic lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/rectopexy/Key principles of ventral mesh rectopexy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from mobilizing and exposure to actual surface cutting of the organ?", "role": "user" }, { "content": "The transition occurs when the margin appears and the team starts superficial transection with the ultrasonic device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "Pinpoint the moment the sequence shifts from clearing the working plane to bringing in the implant.", "role": "user" }, { "content": "Right after finishing the clearing and confirming its range, the implant is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/鼠径ヘルニアの日帰り手術 - 腹腔鏡による手術動画.mp4" ] }, { "messages": [ { "content": "Once the access platform and working sleeves are in place, when does the internal survey actually begin?", "role": "user" }, { "content": "After insufflation is established, the inspection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Intermuscular Surgical Dissection (ISD) by TAMIS for Rectal Lesions.mp4" ] }, { "messages": [ { "content": "Between freeing the outer edge and the inner edge of the pear-shaped sac from surrounding tissues, which happens first?", "role": "user" }, { "content": "The outer edge (lateral side) is freed first, followed by the inner edge (medial side).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Chole with eTEP incisional hernia repair.mp4" ] }, { "messages": [ { "content": "After the stump is sewn closed and no seepage is seen, when does placement of a protective tube actually begin?", "role": "user" }, { "content": "Tube placement begins at the very end, immediately after confirming a well‑sealed stump with no leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/強い炎症の胆のう手術： 危険をかわす方法とは？.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working along the side boundary to working on the front surface?", "role": "user" }, { "content": "The transition occurs when the team starts the front-surface work at the peritoneal reflection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TME, Total Mesorectal Excision ： Tips and Techniques.mp4" ] }, { "messages": [ { "content": "When does the limited reach of the segments first become obvious, and what is the initial corrective maneuver visible?", "role": "user" }, { "content": "It becomes obvious as the second segment is brought into view, and it is first addressed by placing a traction stay suture to pull the segment up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It Robotic ICA Left Hemicolectomy.mp4" ] }, { "messages": [ { "content": "Between sealing and stapling the main inflow vessel to the organ on the inner curve and stapling across the bowel just beyond the organ’s outlet, which action occurs first?", "role": "user" }, { "content": "The inflow vessel stapling occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos# Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "At what point does the clip shift from a phase of unclear identification under standard lighting to a phase of clear navigation using the glowing signal?", "role": "user" }, { "content": "When the glow mode is engaged and the channel becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Fluorescence urethral navigation for transperineal minimally invasive abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "After the inner passage is fully exposed, when do the stabilization sutures begin—immediately, or only after the inner lining edge is adjusted?", "role": "user" }, { "content": "They begin after the inner lining edge is divided, not immediately after exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Wide local excision (WLE) of perianal Paget’s disease (PPD) with.mp4" ] }, { "messages": [ { "content": "After the diseased portion is removed, when does the reconnection stitch work actually start?", "role": "user" }, { "content": "Suturing starts right after the segment is fully transected to create the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Full-thickness Rectal Prolapse Complicated by Ischemic Stricture.mp4" ] }, { "messages": [ { "content": "Once the team visibly checks that the segment moves freely and there’s enough reach to reconnect, when does the outside handling actually begin?", "role": "user" }, { "content": "Immediately after those readiness checks, they begin bringing it out through the small opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy by Karen N. Zaghiyan, MD, FACS, FASCRS ｜ Case Trailer.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the main draining vein has been taken, when does the surgeon switch from the fine-tip cautery to a jawed energy device to speed completion?", "role": "user" }, { "content": "Right after dividing the main draining vein and completing enough blunt/sharp dissection, they switch to a jawed energy device to finish the remaining planes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Techniken der Adrenalektomie, Teil 2 ⧸⧸ Prof. Dr. Frédéric Triponez , Genf.mp4" ] }, { "messages": [ { "content": "Between sliding in an extra viewing instrument from the right side of the torso and opening the thin inner lining to let a clip-deploying device pass into the main working space, which occurs first?", "role": "user" }, { "content": "The extra viewing instrument is inserted first, then the inner lining is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty# The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "After the team visually pinpoints where the target lies, when does the actual opening of the thin, glossy covering start?", "role": "user" }, { "content": "It starts immediately after the team has identified the target’s position.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/実際の手術写真をお見せします。胆石症の治療【医師解説】2022年最新版.mp4" ] }, { "messages": [ { "content": "What tool is applied to the cut edge to control a minor ooze, and what action does it perform there?", "role": "user" }, { "content": "A stitch (Vicryl suture) is placed on the edge to stop the bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Outpatient robotic natural orifice sigmoidectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: cinching the gap at the diaphragm’s opening with stitches, or creating the front-facing wrap around the tube?", "role": "user" }, { "content": "Stitching the opening is done first, followed by the front-facing wrap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM complications with delayed Laparoscopic Heller Myotomy.mp4" ] }, { "messages": [ { "content": "What device acts on the two bowel ends to create their connection, and what action does it perform?", "role": "user" }, { "content": "A powered circular joining device creates a side‑to‑end connection between the bowel ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Low Anterior Resection with Diverting Loop Ileostomy for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Exactly when does the work shift from freeing the enveloping fat to cutting around the hollow organ itself?", "role": "user" }, { "content": "It shifts when the mesorectal fat ends at the pelvic floor and the distal extent is identified, at which point circumferential rectal wall dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic low anterior resection for lower rectal cancer.mp4" ] }, { "messages": [ { "content": "Given the visual cue of the muscular sling seen arising from the sidewall bone, when does the division over that plane actually start?", "role": "user" }, { "content": "Immediately upon seeing the sling at its bony origin, the opening cut is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/SAGES⧸JSES - Lower GI Surgery Symposium： Robotic Surgery of the Rectum.mp4" ] }, { "messages": [ { "content": "At what point does the operation shift from working around the central vessels to freeing the colon off the sidewall?", "role": "user" }, { "content": "Right after the lower bowel is stapled, they transition to lateral mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended left hemicolectomy with complete mesocolic excision & transverse colon - r....mp4" ] }, { "messages": [ { "content": "Which energy device is applied to the pale lobulated tissue to achieve the transection while controlling bleeding?", "role": "user" }, { "content": "An advanced vessel-sealing device divides the tissue while controlling bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Introduction to Pancreatic Cancer Operative Surgery.mp4" ] }, { "messages": [ { "content": "After a barrel-like device enters through a lower access point, when does the shredding of the specimen actually start?", "role": "user" }, { "content": "Fragmentation begins immediately after the device is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Submucous Myoma.mp4" ] }, { "messages": [ { "content": "In the segment showing a threaded puncture device being used, which occurs first: puncturing the target structure or retrieving the device out through the body wall?", "role": "user" }, { "content": "Puncturing the target structure happens first, followed by retrieving the device out through the body wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Single Incision Lap Chole： Retractable, Operative Strategives, and Safety.mp4" ] }, { "messages": [ { "content": "Between pulling the intestine out through a mini belly opening and making the upstream cut, which happens first in this clip?", "role": "user" }, { "content": "They bring it outside first, then make the upstream cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy by Karen N. Zaghiyan, MD, FACS, FASCRS ｜ Case Trailer.mp4" ] }, { "messages": [ { "content": "After the specimen is bagged and the area is flushed, when does the sweeping nodal clear-out along the major vessels in that region actually begin?", "role": "user" }, { "content": "Immediately after irrigation and hemostasis are confirmed, the bilateral nodal dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Laparoscopic Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "During the superior field work, at what moment does the clip transition from the upper dissection to connecting with the lower field dissection to create a single block?", "role": "user" }, { "content": "The transition occurs when the plane passes under the long vein and above its paired artery and then crosses to join the lower field, forming a continuous en bloc specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/oophorectomy/刘开江：子宫内膜癌手术治疗的新进展和新理念.mp4" ] }, { "messages": [ { "content": "In the sequence shown, does the team open a superior potential space before or after they resume freeing the plane from the inferior side?", "role": "user" }, { "content": "They open the superior space first, then resume freeing the plane from below.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I do it - Komplette mesokolische Exzision - Teil 2 - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Does the shift to a left-sided viewing angle occur before or after the team starts dissecting around the central arterial-venous bundle in the mid abdomen?", "role": "user" }, { "content": "The left-sided angle appears before the central vessel dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Distal Rectal Cancer Surgery - LAR vs APE.mp4" ] }, { "messages": [ { "content": "After the front vein bundle is secured and the tip of the gland is clearly visible, at what moment does the cut into the outflow channel actually begin?", "role": "user" }, { "content": "It starts immediately after exposure—just beyond the apex.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Technique of Robotic Radical Cystoprostatectomy with Neobladder Narrated.mp4" ] }, { "messages": [ { "content": "Which happens first: sealing off the large vessel at the organ’s margin, or placing the removed portion into a retrieval bag?", "role": "user" }, { "content": "The vessel is sealed first, then the tissue is bagged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Purely laparoscopic left hepatectomy with choledochojejunostomy for recurrent pyogenic cholangitis.mp4" ] }, { "messages": [ { "content": "Between transecting the first central venous structure and dividing the later central arterial branch, which action occurs earlier in the video?", "role": "user" }, { "content": "The venous transection occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic subtotal colectomy with antiperistaltic ceco-rectal anastomosis for the treatment of sl.mp4" ] }, { "messages": [ { "content": "After a contrast agent is injected for fluorescence imaging, when do perfused surfaces begin to glow on screen?", "role": "user" }, { "content": "Immediately after injection; the glow appears within seconds and fades by around 30 seconds.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Simultaneous laparoscopic anterior resection & lateral sectionectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to part the thin, scar-like strands around the narrowed portion of the organ, and what action does it perform?", "role": "user" }, { "content": "A hook-shaped electrosurgical probe is used to divide delicate, scar-like bands around the neck, carefully cutting them to free the structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Безопасная холецистэктомия-практикум..mp4" ] }, { "messages": [ { "content": "Between relocating the pair of slender tubes upward into the upper abdomen and opening the plane between the lower-abdominal reservoir and the intestine behind it, which occurs first in the sequence shown?", "role": "user" }, { "content": "The tubes are relocated into the upper abdomen first, before the posterior space is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Laparoscopic Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from repairing the opening at the diaphragm to reshaping the upper stomach?", "role": "user" }, { "content": "Right after finishing the closure around the esophagus, when they begin assessing the upper stomach and remove prior clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Revision of Gastric Bypass for GERD, Hiatal Hernia, & Weight Regain： A Standardized Technique.mp4" ] }, { "messages": [ { "content": "Through which route is the specimen ultimately removed: via a preplanned lower opening or through one of the small side entries?", "role": "user" }, { "content": "Via the preplanned lower opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/लेप्रोस्कोपिक किडनी कैसे निकालते है？ Laparoscopic kidney removal I lap doner nephrectomy.mp4" ] }, { "messages": [ { "content": "At what moment in the second connection does the work shift from finishing the deep outer layer to starting the through-and-through inner layer?", "role": "user" }, { "content": "Right after the back layer is completed, when they begin the inner through-and-through bites.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/The HJ & DJ anastomoses, Step 5 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to accomplish the transection of the small-bowel loop?", "role": "user" }, { "content": "A multi-row stapling-and-cutting device acts on the small-bowel loop to divide it while sealing the edges.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Vid 1.1 (Part 1)： Roux-en-Y Gastrojejunostomy for Post-Corrosive GOO #StomachSurgery #corrosive #GOO.mp4" ] }, { "messages": [ { "content": "Once the energy handpiece is toggled to a cutting mode, at what point does the actual separation of the upper part from the lower neck begin?", "role": "user" }, { "content": "It begins immediately after the switch, when the first incision is made with the hook to start separating the organ from the lower segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy & Bilateral Salpingectomy： Step-by-Step Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Which happens first: the internal-camera check of the completed cut or the jawed cutter clamping and firing across the sac?", "role": "user" }, { "content": "The internal-camera check happens before the device clamps and fires across the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy and Diverticulectomy for Distal Diffuse Esophageal Spasm.mp4" ] }, { "messages": [ { "content": "Between making a tiny nick in a narrow tube and threading a flexible line into it, which happens first in this clip?", "role": "user" }, { "content": "The tiny nick occurs first, followed by threading in the flexible line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/THE MOUNT SINAI SURGICAL FILM ATLAS： Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: taking out the central organ or removing both side appendages?", "role": "user" }, { "content": "The central organ is removed first; the side appendages are taken out afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Total Laparoscopic Hysterectomy and Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "Given the presenter’s shift to a cautionary tone, when does he begin the segment explaining the consequences of forgoing intervention?", "role": "user" }, { "content": "It begins when he asks, “What happens if I don't get the surgery done?” and immediately lists the risks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Apollo Hospitals ｜ All you need to know about CABG ｜ Dr. MM Yusuf.mp4" ] }, { "messages": [ { "content": "When does rebuilding begin, signaled by measuring a loop and creating a side-to-side join?", "role": "user" }, { "content": "Rebuilding starts once the loop is measured and the side-to-side join is created after the upstream division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which tool is used to move a cloth swab through the access sleeve to cleanse its interior?", "role": "user" }, { "content": "A grasper pushes and retrieves the cloth swab to wipe the inside of the sleeve.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Intramural Fibroid.mp4" ] }, { "messages": [ { "content": "Which happens earlier: unpeeling the inner lining from the deeper layer, or placing multiple fold-forming stitches in the deeper layer?", "role": "user" }, { "content": "Unpeeling the inner lining occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Complete rectal prolapse｜ Perineal Rectopexy｜ Delorme procedure｜ DR. Pandiaraja.mp4" ] }, { "messages": [ { "content": "Between decompressing the tense sac and switching to a multi‑entry approach, which action happens first in the clip?", "role": "user" }, { "content": "Decompression of the sac happens first, followed by switching to the multi‑entry approach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/強い炎症の胆のう手術： 危険をかわす方法とは？.mp4" ] }, { "messages": [ { "content": "Between the field getting obscured by thick haze and the team dropping in a fabric pad and setting up the vacuum wand, which happens first?", "role": "user" }, { "content": "The haze occurs first, then the pad is placed and the suction is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Pearls Session： Laparoscopic Sigmoid Colectomy - Technique Video.mp4" ] }, { "messages": [ { "content": "Between exposing a side branch of the main vein and creating a tunnel behind its left-sided trunk, which is shown first?", "role": "user" }, { "content": "Exposing the side branch happens before the posterior tunneling behind the left-sided trunk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robot left hemi-hepatectomy with hilar lymph node dissection.mp4" ] }, { "messages": [ { "content": "After the robotic gripper secures the angled junction of the join, when does the next stitching series begin?", "role": "user" }, { "content": "It begins immediately after the junction is held, starting with stitches at that junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic whipple. Biliary anastomosis. How I do it.mp4" ] }, { "messages": [ { "content": "When does an abnormal flood of red fluid first become visible, and in which operative space is it seen?", "role": "user" }, { "content": "It first appears intraoperatively within the laparoscopic abdominal field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/義大醫院大腸直腸外科 陳致一醫師：Harmonic 超音波刀介紹.mp4" ] }, { "messages": [ { "content": "Between the moment the curved bowel segment’s sidewall tethers are cut and the moment that segment is made straight, which happens first?", "role": "user" }, { "content": "Cutting the tethers happens first, followed by making the segment straight.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic ProTack Rectopexy for the Management of Full Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Given the visual cue of a tube-like coring device entering the field, when does active fragmentation of the collected pieces actually start?", "role": "user" }, { "content": "Active fragmentation starts once the coring device is brought in and the team begins the slow, controlled fragmentation step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Step by Step Video.mp4" ] }, { "messages": [ { "content": "When and where do dense scar-like bands first become visibly evident during the operation?", "role": "user" }, { "content": "Right after the first spiral traction device is applied, adhesions become apparent over the surrounding wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy at World Laparoscopy Hospital.mp4" ] }, { "messages": [ { "content": "Between the visible inflation of the abdominal workspace and the placement of additional side entry sleeves, which occurs first?", "role": "user" }, { "content": "The inflation of the workspace happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Abendvisite - Wie läuft eine Operation an der Galle ab？.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene shift from bedside setup (creating access points) to the telemanipulated portion operated from the control station?", "role": "user" }, { "content": "The transition occurs when the surgeon sits at the console after port placement, marking the start of console operation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/DECONSTRUCTING THE OPERATIVE DURATION OF ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "As aerated fluid floods the inner chamber, at what moment does the actual cutting start?", "role": "user" }, { "content": "The cutting begins right after the bubbling fluid environment is established.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy or Hysteroscopic Resection of Submucous Fibroid.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing attachments to actually cutting through the organ body?", "role": "user" }, { "content": "Right after the traction sutures are placed, when parenchymal transection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Extended Right Hepatectomy.mp4" ] }, { "messages": [ { "content": "What feature is used on the lower access sleeve to reduce the risk of catching pelvic structures when passing bulky tools?", "role": "user" }, { "content": "A long, narrow 12 mm sleeve (about 15 cm) is used to prevent snagging when passing bulky tools.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic left donor nephrectomy without mobilization of the spleen.mp4" ] }, { "messages": [ { "content": "Which instrument creates the circular opening around the canal guided by a white ring, and what does it do to accomplish that?", "role": "user" }, { "content": "The harmonic device is used to incise circumferentially, guided by the white colpotomizer ring.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Hysterectomy by Laparoscopic Technique.mp4" ] }, { "messages": [ { "content": "Which implement is used on the skin surrounding the opening to perform the cleaning?", "role": "user" }, { "content": "A gentle foam cleanser is used to clean the surrounding skin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/義大醫院大腸直腸外科 人工肛門 造口 護理教學.mp4" ] }, { "messages": [ { "content": "During construction of the intestinal connection, which happens earlier: placing the corner stitches or completing the front side of the join?", "role": "user" }, { "content": "Placing the corner stitches happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Total Laparoscopic Excision of Type I Choledochal Cyst with RNY Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "After confirming hemostasis post-reperfusion, when does the team begin anchoring the organ to the lateral wall to stabilize its position?", "role": "user" }, { "content": "Immediately after confirming no bleeding following reperfusion, they start placing lateral fixation stitches to stabilize the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy renal vein injury happened & repaired.mp4" ] }, { "messages": [ { "content": "Which occurs first: addressing the main arterial inflow to the segment or applying energy to separate tissues in the confines of the pelvis?", "role": "user" }, { "content": "The arterial pedicle is controlled first, followed by energy-based dissection in the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME.mp4" ] }, { "messages": [ { "content": "As a visual cue, the assistant lifts the ring component upward; when does the upstream end actually become closed?", "role": "user" }, { "content": "Closure takes effect as the assistant lifts the component upward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/segmental resection of duodenal jejunal junction for benign tumor.mp4" ] }, { "messages": [ { "content": "When and where do bands of scar-like tissue first become apparent and get released?", "role": "user" }, { "content": "They appear during early access after insufflation and initial trocar placement, and are released to enable the lower midline port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "After the key suspensory point of the proximal small intestine comes into view on the right side, when does the releasing maneuver actually begin?", "role": "user" }, { "content": "It begins immediately after that landmark appears, when they start dividing the fibrous bands and proceed with a full Kocher maneuver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure for treatment of adult presentation of congenital intestinal malr.mp4" ] }, { "messages": [ { "content": "Once the working cavity visibly collapses, when does the optical device exit the scene?", "role": "user" }, { "content": "Immediately afterward, at the very end of the case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Inguinal Hernia Repair (4k).mp4" ] }, { "messages": [ { "content": "Which happens first: mobilizing the paired urine ducts toward the reservoir, or opening the forward wall of the birth canal?", "role": "user" }, { "content": "Mobilizing the urine ducts happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Low anterior resection and hysterectomy.mp4" ] }, { "messages": [ { "content": "After a tiny slit is made in the thin inner lining, when does the self-separating space creation actually begin?", "role": "user" }, { "content": "It begins immediately after the small opening is made, as the gas spreads the layers apart.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Suture Rectopexy.mp4" ] }, { "messages": [ { "content": "Once the jaws are placed and the team briefly pauses, at what moment does the division truly begin?", "role": "user" }, { "content": "It begins at the repeated verbal cue to cut, when the tool is activated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/张卫：腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Once a small occluding device is brought toward the main vessel, at what moment does inflow control actually begin?", "role": "user" }, { "content": "It begins when the occluding device is applied to stop flow, immediately after the final on-table imaging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/RAPN For cystic Tumour EAU16.mp4" ] }, { "messages": [ { "content": "Which tool acts on the extracted mass to prevent its spread, and how is it secured?", "role": "user" }, { "content": "A retrieval pouch is used, and it is clipped to nearby tissues to prevent spread.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/ROBOT ASSISTED RIGHT RADICAL NEPHRECTOMY WITH LEVEL II INFERIOR VENA CAVA TUMOR THROMBECTOMY.mp4" ] }, { "messages": [ { "content": "Which happens first: relocating the re-routed segment above the large tube-like structure or forming the tiny sac?", "role": "user" }, { "content": "The limb is brought up over the colon first, then the pouch is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Gastric Bypass Surgery Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "At what exact point does the sequence transition from imaging to closing and clamping the narrow channel near the larger conduit?", "role": "user" }, { "content": "Immediately after the satisfactory completion image and tube removal, they ligate the small duct and apply clamps near the larger duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Completion Cholecystectomy After Prior Subtotal Reconstituting Cholecystectomy.mp4" ] }, { "messages": [ { "content": "After they finish surveying the inside and mark the target spot, when does the first cut actually start?", "role": "user" }, { "content": "Right after the colored lift is created at the chosen spot, the first cut begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM for Treatment of Achalasia.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the side bands to free the segment, and what action does it perform on them?", "role": "user" }, { "content": "A curved-tip electrosurgical hook (or an energy-sealing device) engages the lateral bands and divides them to release the segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Suture Rectopexy for complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Does sealing the mouth of the retrieval pouch occur before or after the specimen is loaded into it?", "role": "user" }, { "content": "Closure happens after loading.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Transvaginal Extraction of Ovary by Laparoscopic Salpingo-Oophorectomy for Optimal Patient Care.mp4" ] }, { "messages": [ { "content": "Between looping the primary drainage channel and looping its smaller offshoot, which action happens first?", "role": "user" }, { "content": "The primary channel is looped first, followed by the side branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot-Assisted Laparoscopic Repair of Hepatic Duct Stricture.mp4" ] }, { "messages": [ { "content": "Between sealing the neck of the storage organ and initiating cuts into the posterior canal, which comes first?", "role": "user" }, { "content": "Sealing the neck occurs before incising the posterior canal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radikale roboterassistierte Zystektomie mit intrakorporalem orthotopem Ileumpouch bei der Frau.mp4" ] }, { "messages": [ { "content": "When and where does an unusually dense web of fine strands first become visibly apparent in the field?", "role": "user" }, { "content": "It first becomes apparent as they work inferior to the main mesenteric region, when the team notes unusually many strands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/pancreatectomy/张宇华：腹腔镜根治性顺行模块化胰脾切除术1.mp4" ] }, { "messages": [ { "content": "After the organ’s motion visibly ceases under external support, when does the surface stitching actually begin?", "role": "user" }, { "content": "Stitching starts once the organ is motionless—immediately after it’s stilled by the external support.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/British Heart Foundation - Your guide to Coronary Bypass Surgery, heart disease treatment.mp4" ] }, { "messages": [ { "content": "Which positioning aids are applied to keep the body from sliding during head-down tilt, and what do they accomplish?", "role": "user" }, { "content": "A non-slip pad and straps are applied to keep the patient securely in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Robotic colorectal surgery complications.mp4" ] }, { "messages": [ { "content": "Which soft tubular aid is used to guide a bowel segment upward toward the target area, and what structure does it control?", "role": "user" }, { "content": "A Penrose drain, sutured to the distal small bowel, guides the biliary limb upward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis.mp4" ] }, { "messages": [ { "content": "During construction of the new join between the small upper chamber and the bowel, which device is used to bring the two openings together, and how is the remaining common opening sealed?", "role": "user" }, { "content": "A linear endoscopic stapling device creates the connection, and the common opening is approximated with sutures and then closed with the stapler.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Roux-en-Y Gastric Bypass with Heller Myotomy.mp4" ] }, { "messages": [ { "content": "After a circular stitch is set around a selected area, at what point does insertion of the feeding device into the organ actually begin?", "role": "user" }, { "content": "Insertion begins immediately after the opening is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/An Unusual Complication After Revisional Laparoscopic Gastric Bypass Surgery.mp4" ] }, { "messages": [ { "content": "Which device is used on the opening created for the bowel join, and what action does it perform?", "role": "user" }, { "content": "A barbed suture is used to close the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EXTENDED RIGHT HEMICOLECTOMY WITH CENTRAL LIGATION OF THE MIDDLE COLIC VESSELS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from finishing the cut across the target gland to beginning removal through a small upper-abdominal access?", "role": "user" }, { "content": "Right after the cut is confirmed bloodless and the specimen is declared free, it transitions to bagging and extraction through the small upper-abdominal incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Pylorus Preserving Pancreatico Duodenectomy (Whipple's Procedure).mp4" ] }, { "messages": [ { "content": "Which occurs first: the interior glow appearing through the target area or the installation of a device that lifts the adjacent upper organ to improve the view?", "role": "user" }, { "content": "The interior glow appears first, before the lifting device is installed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "Between sealing a small posterior side branch near the spine and dividing the long, slender conduit running toward the pelvis, which occurs first?", "role": "user" }, { "content": "The posterior side branch is clipped first, then the long slender conduit is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Left Laparoscopic Transperitoneal Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which instrument grips which structure to enable the subsequent tightening step observed later in the sequence?", "role": "user" }, { "content": "A grasping forceps grips the inner lining near the outlet to set up the later tightening step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Lap assisted rectal surgery for rectal cancer using the simple rectum catcher device with an intra o.mp4" ] }, { "messages": [ { "content": "Which retrieval aid is used to remove the organ, and what change is made to the access opening?", "role": "user" }, { "content": "A glove-based endobag is used, and the incision is slightly enlarged to allow safe extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Contracted Gallbladder with Solitary Large Stone.mp4" ] }, { "messages": [ { "content": "In the initial entry sequence, which happens first: performing a series of safety checks with a thin introducer, or inserting the larger access tube?", "role": "user" }, { "content": "The safety checks with the thin introducer occur before insertion of the larger access tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/IPOM Umbilical Hernia Repair by VIPRO II Mesh.mp4" ] }, { "messages": [ { "content": "Which energy-based tool acts on the deep muscular floor, and what visible effect does it produce?", "role": "user" }, { "content": "Electrocautery is applied to the pelvic floor muscles, causing them to visibly contract.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision -- Mayo Clinic.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from lateral freeing to the downward cut-and-traction sequence aimed at establishing the hollow organ’s collar opening?", "role": "user" }, { "content": "When the surgeon begins the cut and downward pull toward the collar, the phase switches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/prostatectomy/叶定伟：腹腔镜下前列腺根治性切除术（含讲解）.mp4" ] }, { "messages": [ { "content": "At what moment does the clip switch from an open state under pressure to a closed state at the junction?", "role": "user" }, { "content": "When the internal pressure rises after construction, the opening visibly collapses into the closed state.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Handling the Reflux Barrier After Large Hernia Repair.mp4" ] }, { "messages": [ { "content": "At what exact point do they move from completing the new side‑to‑side join to performing a seal check?", "role": "user" }, { "content": "Right after the connection is sutured closed, they proceed to the leak test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Distal Esophagectomy, Proximal Gastrectomy With Roux-En-Y Reconstruction For ....mp4" ] }, { "messages": [ { "content": "At what exact moment does the process switch from manipulating the clasped ring around the tube to finishing the operation?", "role": "user" }, { "content": "It switches when the opening on the clasp appears and the stitches are cut, followed by removal of the small holder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LINX on Bypass.mp4" ] }, { "messages": [ { "content": "Given the visual cue of the target being tugged to one side to expose a midline ridge, when does the first puncture into the back-plane actually begin?", "role": "user" }, { "content": "Immediately after the organ is pulled aside to expose the ridge, the operator begins the first puncture into the posterior plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Rectal Prolapse Without Constipation.mp4" ] }, { "messages": [ { "content": "At what point in the exploration does the compromised area first become clearly visible, and in which part of the organ does it appear?", "role": "user" }, { "content": "It appears during mobilization of the fatty apron and is seen in the upper portion—the gastric fundus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SALVAGE OF HERNIATED GASTRIC PLICATION BY STAPLED RESECTION.mp4" ] }, { "messages": [ { "content": "Which is cut first: the pulsatile supply tube or the drainage tube carrying bile from that side?", "role": "user" }, { "content": "The pulsatile supply tube (right hepatic artery) is divided first, followed by the bile drainage tube (right hepatic duct).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Totally Laparoscopic Right Hepatic Lobectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from working on the band-like structure to operating within the deeper posterior plane?", "role": "user" }, { "content": "Right after the band is divided, the view transitions as they enter the posterior layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/からだにやさしい直腸がん手術　切除可能ボーダーライン直腸がんに対する術前治療とロボット手術.mp4" ] }, { "messages": [ { "content": "After staging multiple loose stitches along a stretched band, when does the actual tightening begin?", "role": "user" }, { "content": "It begins when they start tying the laid-in sutures to close the band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Scrotal Hernia Repair With Colon Involvement (4K).mp4" ] }, { "messages": [ { "content": "Given the cue that the inner lining is revealed by cutting the outermost fibers, when does the step of lifting and dividing the thick ring-like layer actually commence?", "role": "user" }, { "content": "It begins immediately after the circular layer is exposed by transecting the outer fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophagomyotomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from creating space beneath the surface to actively separating the dividing wall?", "role": "user" }, { "content": "The transition occurs when the wall becomes fully exposed and the cutting instrument begins dividing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/A Novel Approach for the Treatment of Zenker's Diverticulum： Z-POEM.mp4" ] }, { "messages": [ { "content": "Once the thin tubing is advanced into the narrow channel and loosely secured, when does the dye study actually begin?", "role": "user" }, { "content": "It begins immediately after the tubing is secured in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LCBDE in a patient with previous total gastrectomy.mp4" ] }, { "messages": [ { "content": "After the curved upper portion is freed, when do stitches begin and where do they start relative to the cut line?", "role": "user" }, { "content": "Stitches begin right after mobilization, starting at the lower end of the cut on the left side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Long Myotomy and Fundopexy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Which occurs first—the complete release of the right-sided segment or the incision to exteriorize it for reconstruction?", "role": "user" }, { "content": "Complete release of the right-sided segment happens first; the extraction incision follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/LAPAROSCOPIC EXTENDED RIGHT HEMICOLECTOMY - COLON CANCER.mp4" ] }, { "messages": [ { "content": "When and where do unusual nodules in the groin passage first become visibly apparent during the survey?", "role": "user" }, { "content": "During the initial exploration, they appear bilaterally in the groin passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic cytoreductive surgery and HIPEC for peritoneal metastases of colorectal origin.mp4" ] }, { "messages": [ { "content": "Which occurs first: finishing the multi-point anchoring of the insert, or bathing it with fluid to activate its surface?", "role": "user" }, { "content": "Finishing the multi-point anchoring happens first; fluid activation follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic-assisted Repair of Perineal Hernia (Bioresorbable Mesh) after Lap Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "Given the approach of an aspiration wand toward the field, when does fluid clearing actually start?", "role": "user" }, { "content": "It starts as soon as the device is inserted and they begin to suck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy 360 Video - Professor Arnie Hill.mp4" ] }, { "messages": [ { "content": "Which device acts on the two bowel ends to remove their corners and thereby lower the risk of leakage?", "role": "user" }, { "content": "A stapling device is used to bevel off a corner on each bowel end to reduce the risk of leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/王贵玉：经自然腔道腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Given that an additional numbing injection is given into the wound, when does the skin-sealing running stitch actually begin?", "role": "user" }, { "content": "It begins immediately after the numbing shot, when the running subcuticular suture is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Male Patient).mp4" ] }, { "messages": [ { "content": "At what moment does the work shift from an inside-out approach to freeing the outer attachments on one lateral side, culminating in complete detachment?", "role": "user" }, { "content": "The shift occurs when lateral freeing begins, and it culminates once the colon and its mesentery are completely detached.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic radical extended right hemicolectomy using a caudal-to-cranial approach.mp4" ] }, { "messages": [ { "content": "Between releasing the sidewall tethers of the thick tube and separating the supporting fold of the narrow intestinal segment, which action happens earlier in the clip?", "role": "user" }, { "content": "Releasing the sidewall tethers happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot Assisted Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "Which instrument is used to act on thin connective planes to separate the colon from its surrounding attachments, and what structure is being acted upon?", "role": "user" }, { "content": "An energy‑powered cutting instrument is used to divide thin attachment planes around the upper abdominal colon to separate it from surrounding structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Indocyanine Green Fluorescence-Guided Robotic Left Colectomy with Stapled Colorectal Anastomosis.mp4" ] }, { "messages": [ { "content": "Which occurs first: cutting a small lateral feeder that crosses a curved segment on the right, or exposing the main vessel junction above?", "role": "user" }, { "content": "The small lateral feeder is cut before the main junction is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/(Unedited Video) Laparoscopic Radical Right Hemicolectomy D3 lymphadenectomy for colon cancer.mp4" ] }, { "messages": [ { "content": "What protective accessory is deployed around the fluid-filled cavity during handling, and how is it introduced?", "role": "user" }, { "content": "A protective bag is deployed, introduced through a port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/RAPN For cystic Tumour EAU16.mp4" ] }, { "messages": [ { "content": "Given the appearance of a contrast-defined boundary on the liver surface, when does the actual tissue separation begin?", "role": "user" }, { "content": "Transection starts right after the boundary becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Difficulty score in laparoscopic liver resection.mp4" ] }, { "messages": [ { "content": "At what moment does the operation transition from working entirely inside to exteriorizing the resected segment through the central access?", "role": "user" }, { "content": "When the central extraction opening is created and the segment is delivered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "After the team can feel a rounded bulge from the drainage line through the tissue, when does the broad translucent lining get cut across?", "role": "user" }, { "content": "Right afterward, they make a transverse cut in the peritoneal lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerv- und samenblasen erhaltende Zystektomie mit Ileum-Neoblase.mp4" ] }, { "messages": [ { "content": "When the two components of a ring-shaped device are brought together and locked, at what moment does the operator actually trigger it?", "role": "user" }, { "content": "Right after the two parts are aligned and closed, the device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy for gastric cancer： The anastomosis.mp4" ] }, { "messages": [ { "content": "In the paired sequences, which occurs first: clearing small nodules above the gland or constructing the new passage between the pouch and small bowel?", "role": "user" }, { "content": "The nodal dissection is done first, followed by constructing the new passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic treatment of gastric cancer.mp4" ] }, { "messages": [ { "content": "At precisely what moment does the scene switch from isolating the short connection to actually dividing it?", "role": "user" }, { "content": "The transition occurs when the cutting tool is applied to transect the connection right after the fasteners are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap chole step by step & anatomy around-series 2.mp4" ] }, { "messages": [ { "content": "Between gently protecting a thin cord-like structure on the front of the tube and working beneath it, which action happens first?", "role": "user" }, { "content": "The gentle protective handling occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/20200922 ROBOTIC HELLER MYOTOMY R001.mp4" ] }, { "messages": [ { "content": "After a traction band is placed around a side-running vessel, when is the peeling of the main tube away from it resumed?", "role": "user" }, { "content": "Immediately after the band is placed, the separation is continued.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Excision of Type Ic Choledochal Cyst Including Intrapancreatic Portion with Hepaticojej.mp4" ] }, { "messages": [ { "content": "Which happens first: pulling the anvil through the bowel or placing the reinforcing stitches at the join site?", "role": "user" }, { "content": "Pulling the anvil through happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经阴道取标本的腹腔镜超低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which device constructs the reservoir and on what tissue is it used during reconstruction?", "role": "user" }, { "content": "A linear stapling device is fired multiple times on the distal intestinal limb to form the pouch, and a circular device completes the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Hybrid robotic and laparoscopic hand-assisted proctocolectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "On the right-side case, when does the circular multi-hook spreader get installed relative to the local dissection—early on, or only after a deeper cone has been developed?", "role": "user" }, { "content": "Early—it is placed on the right before a deep cone is developed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Extent of perineal dissection during abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "After the team marks a circular band a short distance above a visible junction, when does the actual ring cut begin relative to that marking?", "role": "user" }, { "content": "The ring cut starts immediately after the circular marking is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Prolapso Rectal.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal side pocket first become visibly apparent in the video?", "role": "user" }, { "content": "It first becomes visible when the inner view of the upper throat is shown, appearing beside the main swallowing channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/What’s Next： Peroral Pyloroplasty and Beyond.mp4" ] }, { "messages": [ { "content": "Between the partial removal of the upper abdominal organ and the complete clearing of the long bowel, which phase begins first in the clip?", "role": "user" }, { "content": "The upper-abdomen phase starts first, followed afterward by the long-bowel phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Simultaneous lap subtotal gastrectomy and total colectomy for synchronous gastric and colon cancers.mp4" ] }, { "messages": [ { "content": "Does the leak test happen before or after the additional protective layer is placed over the repair?", "role": "user" }, { "content": "The leak test happens before the third protective layer is added.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Partial cystectomy with urachal excision.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from isolating the target channel to evacuating material from inside it?", "role": "user" }, { "content": "The transition occurs when they start extracting multiple stones from the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Re Hepaticoyeyunoanastomosis laparoscopica.mp4" ] }, { "messages": [ { "content": "Given the visible cue that a thin rod emerges through the lower passage, when does the actual joining operation begin?", "role": "user" }, { "content": "It begins only after the segments are docked and the device is actuated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの外科的治療（手術） 板橋 道朗.mp4" ] }, { "messages": [ { "content": "Given the visible cue of gel being applied to the tip of a long device, when does insertion into the two segments actually begin?", "role": "user" }, { "content": "Immediately after lubrication, when the device is advanced into both lumens.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Bowel Anastomosis Techniques (YTT)： Stapler Side-to-Side Jejunojejunostomy ｜ @vishnubudarapu3425.mp4" ] }, { "messages": [ { "content": "After the team aligns the instrument with the crosswise passage, at what moment does the actual cutting through the gate begin?", "role": "user" }, { "content": "Right after orienting to the crosswise segment, the operator begins full-depth cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/What is the ＂best＂ technique for POEM？.mp4" ] }, { "messages": [ { "content": "Once the locking clip applier comes into view, does clip application begin immediately, or only after the small vessel is completely skeletonized?", "role": "user" }, { "content": "Only after the vessel is fully skeletonized does clip application begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/TRİCKS AND PİTFALLS FOR TOTAL MESOCOLİC EXCİSİON İN RİGHT HEMİCOLECTOMY.mp4" ] }, { "messages": [ { "content": "After the guideline is drawn along the inner thigh, when does the first skin cut start relative to the sitting‑bone area?", "role": "user" }, { "content": "It begins about 8 centimeters below the ischial tuberosity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Pelvic Floor Reconstruction with Bilateral Gracilis Flaps After Extralevator APE.mp4" ] }, { "messages": [ { "content": "Which device is used to separate the fatty envelope around the mobilized segment to speed up the sidewall takedown?", "role": "user" }, { "content": "An advanced energy sealing device acts on the surrounding fatty tissues to quickly peel them away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first during the upper-left mobilization: isolating and dividing the small arterial and venous branches in the upper mesentery, or opening the fatty curtain to enter the space above the colon?", "role": "user" }, { "content": "The small arterial and venous branches are isolated and divided first, then the fatty curtain is opened to enter the space above.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left hemicolectomy： an annotated video vignette..mp4" ] }, { "messages": [ { "content": "Early in the sequence, which happens first: clearing the pelvic cavity of mobile intestinal loops, or pinning the fatty tags of the lower colon to the side wall to keep them out of the way?", "role": "user" }, { "content": "Clearing the pelvic cavity of mobile intestinal loops occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Modified Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the thin omental curtain to open a bloodless layer and allow the adjacent bowel segment to drop away?", "role": "user" }, { "content": "A curved energized hook is used on the omental curtain to divide a bloodless layer and let the bowel fall away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Transduodenal Ampullectomy.mp4" ] }, { "messages": [ { "content": "Between sealing the main arterial branch to the right-sided target and stapling its large venous counterpart at the same location, which action happens first in the clip?", "role": "user" }, { "content": "The arterial branch is stapled first, followed by the large venous branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Right Hepatectomy with Hilar Dissection.mp4" ] }, { "messages": [ { "content": "When an audience prompt about instrument-assisted minimally invasive performance appears, at what moment does the speaker begin addressing it?", "role": "user" }, { "content": "Right after the audience asks, he starts with “Very very limited…” and describes integrated guidance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Current Role of Partial Cystectomy in the Treatment of Bladder Cancer.mp4" ] }, { "messages": [ { "content": "Which occurs first: taking out the specimen or securing the upstream end with a tie to introduce the connecting pin?", "role": "user" }, { "content": "Specimen extraction occurs before securing the proximal end to insert the anvil.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TA-TME) ｜ Dr. Vinay Samuel Gaikwad ｜ CK Birla Hospital.mp4" ] }, { "messages": [ { "content": "After the assistant lifts a broad fatty curtain forward and down, when does the main separation along that curtain actually start?", "role": "user" }, { "content": "It starts immediately after the lift, as the curtain is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from clearing tissue around major vessels to actually sealing off the main feeder near their origin?", "role": "user" }, { "content": "When the artery at its origin is encircled and a high ligation is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer： Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "At what point does the scene shift from broad medial mobilization in the upper quadrant to focused exposure of the large venous conduit beneath the target?", "role": "user" }, { "content": "Right after the block is fully medialized and the stomach is visible, they begin opening the plane to expose the major venous trunk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Techniken der Adrenalektomie, Teil 2 ⧸⧸ Prof. Dr. Frédéric Triponez , Genf.mp4" ] }, { "messages": [ { "content": "Which energy-sealing approach is used to divide the isolated small arterial supply once clips are in place?", "role": "user" }, { "content": "A bipolar vessel sealing device is used in conjunction with clips to divide the isolated arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic right hemicolectomy with complete mesocolic excision and indocyanine green.mp4" ] }, { "messages": [ { "content": "Does closing the top of the canal occur before or after the specimen is removed?", "role": "user" }, { "content": "After.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Hysterectomy Patient Video.mp4" ] }, { "messages": [ { "content": "After a central branch has been cleared near its origin, when do they begin sweeping tissue outward toward the flank?", "role": "user" }, { "content": "Right after the vessel near its root is dissected, they start the medial-to-lateral sweep.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/How to do a laparoscopic sigmoid colectomy⧸ high anterior resection ？ Step by step. Dr S Anwar.mp4" ] }, { "messages": [ { "content": "Given that a special imaging mode shows tiny speckles moving in perfused areas, at what moment does the intended flow-stopping action begin?", "role": "user" }, { "content": "It starts immediately after identifying the feeder, as shown by the immediate loss of perfusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboterassistierte Nierenteilresektion bei komplexen und multifokalen Tumoren.mp4" ] }, { "messages": [ { "content": "Which device engages the side conduits to both seal and separate them during the early phase of the clip?", "role": "user" }, { "content": "An energy-based forceps clamps the side artery and vein to seal them and then divides them by cautery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/子宮次全切除術 (旁白) LASH in 20 min with voice over.mp4" ] }, { "messages": [ { "content": "When and where does the first clearly abnormal capsule become visible in the clip, relative to the liver and stomach surfaces?", "role": "user" }, { "content": "At the initial view, a thick fibrous capsule appears between the diaphragm, the back of the left liver lobe, and the front of the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Removal of Eroded Mesh With Esophageal Reconstruction for Esophageal Salvage.mp4" ] }, { "messages": [ { "content": "After the team toggles to a high-contrast glow view to confirm pathways, at what point do they start applying mechanical closures?", "role": "user" }, { "content": "Right after anatomical confirmation in the glow view, they begin by placing closures on the artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Safe Way of Performing Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: closing the back wall of the opening or bringing the new digestive segment up to the pouch?", "role": "user" }, { "content": "Closing the back wall happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/V040 LAPAROSCOPIC REVISION BILLROTH II FOR RECURRENT GASTROJEJUNAL ULCER.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to clear the view, and what does it do?", "role": "user" }, { "content": "A straight needle carrying a stitch lifts the anterior midline fold upward to retract it out of the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy# Positioning, access incisions & optimizing visualization.mp4" ] }, { "messages": [ { "content": "Between securing both sides of a vessel with fasteners and actually cutting that vessel, which action occurs first in the clip?", "role": "user" }, { "content": "Securing both sides with fasteners occurs before transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/splenectomy/腹腔镜下脾切除术（创伤性脾破裂）2.mp4" ] }, { "messages": [ { "content": "Between central vessel control near the small-bowel attachment and peeling the mass off the sidewall, which one happens first in the clip?", "role": "user" }, { "content": "Central vessel control happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Right Hemicolectomy with Complete Mesocolic Excision for a T4 Caecal Tumour.mp4" ] }, { "messages": [ { "content": "Between the segment highlighting group hubs and the segment showcasing real-time expert Q&A, which one appears earlier in the clip?", "role": "user" }, { "content": "The group hubs segment appears earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/splenectomy/腹腔镜下脾切除术（创伤性脾破裂）.mp4" ] }, { "messages": [ { "content": "When does the operation switch from placing and tensioning the implants to sealing the covering layer back over them?", "role": "user" }, { "content": "Right after final fixation and trimming, they begin sealing the cover back over the implants.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy and Sacrocolpopexy.mp4" ] }, { "messages": [ { "content": "After the midline of the closure thread with tiny hooks is anchored and its other end kept out of the way, when does the team begin the opposite-direction pass for the second layer?", "role": "user" }, { "content": "They start the second layer when they reverse direction and use the opposite end of the bi‑directional barbed suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for multiple fibroids - Nuances and fundamentals of surgery.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from removing the target organ to constructing the bypass limb and reservoir?", "role": "user" }, { "content": "Immediately after the stomach is fully transected, the team begins constructing the bypass limb and reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY - HUNT LAWRENCE POUCH.mp4" ] }, { "messages": [ { "content": "Using the switch from an external view to an internal endoscopic view as the visual cue, at what moment does the systematic internal survey actually begin?", "role": "user" }, { "content": "It begins immediately after the switch to the intra-abdominal view, when the large internal finding first appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Revisional Surgery After Failed Heller Myotomy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the exposure phase to the securing phase of the key channel?", "role": "user" }, { "content": "The transition occurs immediately after both sides are cleared, marked by beginning the two-point securing of the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Simple approach for uncomplicated laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "Once the two ends are aligned and guiding stitches are elevated, at what moment is the joining device actually activated?", "role": "user" }, { "content": "It starts when the device is deployed after insertion and retraction of the back row.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive Surgery for Crohn's Disease at The Mount Sinai Hospital.mp4" ] }, { "messages": [ { "content": "Between placing the initial anchoring stitches and finishing the circular connection, which occurs first?", "role": "user" }, { "content": "Placing the initial anchoring stitches occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Altemeier procedure： A Step By Step Video Vignette for trainees.mp4" ] }, { "messages": [ { "content": "Which energy-based tool works on the surface layers to reach the tough sheet beneath, and what does it do?", "role": "user" }, { "content": "An electrocautery (Bovie) separates soft tissue to reach and expose the fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Appendectomy and Open Umbilical Hernia Repair ｜ JOMI at MGH.mp4" ] }, { "messages": [ { "content": "Which retraction tool grips what area to expose the upper junction for dissection?", "role": "user" }, { "content": "A standard clamp grips near the dome of the breathing muscle to retract and expose the esophagogastric junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/sleeve резекция желудка.mp4" ] }, { "messages": [ { "content": "Which device interacts with the mouth-inserted guide through the open end of the new limb to accomplish the join?", "role": "user" }, { "content": "The joining device follows the mouth-inserted guide through the open limb to complete the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy With D2 Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "When and where does an unusual thickening that sticks to a segment of bowel first become clearly visible?", "role": "user" }, { "content": "Early in the clip, on the front of the sac-like organ, where it is stuck to the adjacent bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic radical cholecystectomy for gallbladder cancer.mp4" ] }, { "messages": [ { "content": "Which occurs first: temporary inflow stoppage to clear the field, or the subsequent bleeding control of the cut surface after circulation resumes?", "role": "user" }, { "content": "Temporary inflow stoppage comes first; hemostasis of the cut surface follows after circulation is restored.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Lap TME and hepatic resection for low rectal cancer with single synchronous liver metastases.mp4" ] }, { "messages": [ { "content": "At what precise point does the scene shift from exposure of the target area to joining the two lumens together?", "role": "user" }, { "content": "When the first posterior wall stitches of the anastomosis are placed, immediately after spatulation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. ROBOTIC PYELOPLASTY, Prof Mohan Gundeti.mp4" ] }, { "messages": [ { "content": "When does the sequence shift from a powered cutter to a non-powered, curved jaw used for blunt spreading to peel the sac?", "role": "user" }, { "content": "Right after the initial scoring is finished, they put down the powered tool and switch to the curved, non-powered spreader.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/How to perform safe Dermoid Ovarian Cystectomy without Spillage.mp4" ] }, { "messages": [ { "content": "Relative to dividing a side support, when do the knots actually get applied—before or after the cut?", "role": "user" }, { "content": "After the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy： Clamping, cutting, and ligating the cardinal ligaments and vagina angl.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: placing an internal tube to keep flow going or closing the opening in the channel?", "role": "user" }, { "content": "The internal tube is placed before the opening is closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/FINAL HEPATICOLITHIASIS.mp4" ] }, { "messages": [ { "content": "Which occurs first: opening the plane between the posterior and lateral support bands, or dividing the posterior support bands themselves?", "role": "user" }, { "content": "The plane is opened first, then the posterior support bands are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Radical hysterectomy for cervical cancer; radical surgical removal of the uterus.mp4" ] }, { "messages": [ { "content": "When and where does the first visible sign that the inserted tube isn’t sealing properly appear during the contrast setup?", "role": "user" }, { "content": "During the initial contrast setup at the duct opening, clear fluid back-leaks around the tube, signaling a poor seal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Extended (Feat. Dr. Brunt).mp4" ] }, { "messages": [ { "content": "After an internal light becomes visible within the lumen, when does the cutting actually resume, and where is it directed?", "role": "user" }, { "content": "It resumes immediately under intraluminal guidance, targeting the remaining distal fibers on the downstream (gastric) side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/e-LHCM(ENDOSCOPIC GUIDED LAPAROSCOPIC HELLER'S CARDIOMYOTOMY WITH DOR FUNDOPLICATION).mp4" ] }, { "messages": [ { "content": "Between removing the small fatty cluster near the origin of a major blood channel and tying off that central channel, which happens earlier in the video?", "role": "user" }, { "content": "The removal of the small fatty cluster occurs first, before the central channel is tied off.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/High ligation of the inferior mesenteric artery in anterior resection for rectal cancer.mp4" ] }, { "messages": [ { "content": "In the second treatment, when does the clip transition from the expansion maneuver to unassisted traversal of the channel?", "role": "user" }, { "content": "At the moment the tip accessory is removed, immediately followed by smooth, unassisted passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic bougienage - The bougie cap - A new method.mp4" ] }, { "messages": [ { "content": "In the segment where the two cut ends are brought together, which instrument engages which structures to accomplish the join, and what action does it perform?", "role": "user" }, { "content": "A stapling device acts on the two bowel ends to staple them together, creating the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Intraoperative Microperfusion Assessment by PINPOINT® in Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from completing the back wall of the duct-to-bowel join to starting the front wall?", "role": "user" }, { "content": "Right after the small parenchymal trim that improves exposure, when the second suture is started on the front wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic Minimally Invasive Repair of Bile Duct Injury After Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which preoperative modality acts on the local lesion to achieve downsizing that makes a technically demanding operation easier?", "role": "user" }, { "content": "Upfront combined therapy sessions act on the local tumor to shrink it, making a difficult operation easier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/5x5 Rectal Cancer Treatment Protocol ｜ Q&A.mp4" ] }, { "messages": [ { "content": "Between stitching the back side of the new connection and stitching the front side, which happens first?", "role": "user" }, { "content": "The back side (posterior wall) is stitched first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/TWO-STAGE LAPAROSCOPIC APPROACH FOR A BILE DUCT INJURY WITH A TWO-WEEK BILIARY PERITONITIS.mp4" ] }, { "messages": [ { "content": "Between freeing the right-sided bowel from the back wall and opening the space behind the stomach, which happens first?", "role": "user" }, { "content": "Freeing the right-sided bowel from the back wall happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/May 2021 ｜ 20-1225 ｜ Didactic Video Collection ｜ Laparoscopic Right Hemicolectomy ｜.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence transition from finishing the first ring of stitches to starting the second?", "role": "user" }, { "content": "Right after the first ring is declared complete, when the operator proceeds 2 cm proximally to start the second.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Transanal Suture Mucopexy - a non-excisional cost-effective procedure for advanced hemorrhoids.mp4" ] }, { "messages": [ { "content": "Given the visible cue of reaching the previous lower opening from the upper compartment, when does the team start extending the cut upward until the tube looks normal?", "role": "user" }, { "content": "Immediately after encountering the prior lower opening, they extend the cut upward until the tube appears normal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Single stage robotic thoracoabdominal myotomy for treatment of Type III achalasia.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to achieve what effect during the detachment step?", "role": "user" }, { "content": "A powered sealing cutter acts on the fatty attachments, sealing and dividing them along the chosen margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Urgent Perineal Rectosigmoidectomy (Altemeier Procedure) for Complete Strangulated Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Early in the setup, which comes first: adjusting the table tilt or inserting the access trocars?", "role": "user" }, { "content": "Adjusting the table tilt is done first, followed by inserting the access trocars.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Right Colectomy with D3 Limphadenectomy.mp4" ] }, { "messages": [ { "content": "Which comes first: firing a jawed cutting device to divide the lower end of the enlarged tube, or tagging its small side channel?", "role": "user" }, { "content": "Division of the lower end occurs before the side branch is tagged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Choledochal cyst excision with intracorporeal Roux en Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "When and where does an abnormal bulging of the inner lining first become visibly apparent?", "role": "user" }, { "content": "It first appears during the proximal dissection, where the lining bulges upstream.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy and Diverticulectomy for Distal Diffuse Esophageal Spasm.mp4" ] }, { "messages": [ { "content": "In the sequence of central vascular work, which happens first: securing the main inflow to the segment or addressing a nearby outflow branch?", "role": "user" }, { "content": "Securing the main inflow happens first, then the nearby outflow branch is addressed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (4).mp4" ] }, { "messages": [ { "content": "Between forming a rear-side opening around the target structures and placing a locking fastener on them, which action happens earlier in the clip?", "role": "user" }, { "content": "The opening is created first, then the fasteners are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Dr R K Mishra demonstrating da Vinci Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When does upper abdominal distention of a hollow organ first become apparent, and in relation to what maneuver?", "role": "user" }, { "content": "It is first noted during the demonstration of compression on the proximal loop, at which point the distention is observed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/LAPAROSCOPIC LADD'S BAND PROCEDURE # LADD'S PROCEDURE # MALROTATION OF GUT.mp4" ] }, { "messages": [ { "content": "Based on the visual cue of externalized tubes, when does the planned bypass channel placement actually start?", "role": "user" }, { "content": "It starts when two tubes are passed through the abdominal wall to form the chimney.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/A step by step guide for robotic radical cystectomy with neobladder (female).mp4" ] }, { "messages": [ { "content": "During the side-by-side bowel sewing, once the segment visibly sags, when does the continuous stitching actually begin relative to the assistant lifting with an extra instrument?", "role": "user" }, { "content": "Stitching starts after the assistant lifts to counter the sagging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic conversion of gastric bypass & ROSE procedure to single stage loop duodenal switch.mp4" ] }, { "messages": [ { "content": "When and where does the unusual problem of inadequate reach for the downstream connection first become visibly apparent?", "role": "user" }, { "content": "It first appears during the check of the distal small bowel’s reach toward the outlet, when it’s shown not to reach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Ulcerative Colitis surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from transecting the upper conduit to fashioning a small reservoir from the downstream limb?", "role": "user" }, { "content": "Right after the upper conduit is divided, the scene shifts to creating the limb and then fashioning the small reservoir (pouch).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer# Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "Early in the operation, which occurs first: looping a flat band around the tubular structure or beginning the higher dissection above the diaphragm?", "role": "user" }, { "content": "Looping the band around the tube happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller myotomy with giant esophageal diverticulum.mp4" ] }, { "messages": [ { "content": "At what point in the operation do you first see that a pulsatile right‑sided branch is present without a matching thin blue companion?", "role": "user" }, { "content": "During the final panoramic display after the central dissection, where a right‑sided artery is shown without a corresponding small vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Learning Laparoscopic Right Hemicolectomy Part 2： D3 Dissection.mp4" ] }, { "messages": [ { "content": "Between bringing a handheld tool into view and activating heat to separate tissue, which occurs first in this clip?", "role": "user" }, { "content": "The tool is brought into view first, and the heat-based separation follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Reduced port surgery for choledocho-jejunostomy using manual manipulators.mp4" ] }, { "messages": [ { "content": "When and where does a problem first become visibly apparent in the field?", "role": "user" }, { "content": "Early during the initial inspection, a blockage becomes visible at the shared confluence region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Reduced port surgery for choledocho-jejunostomy using manual manipulators.mp4" ] }, { "messages": [ { "content": "Which device is used to seal and transect the distal intestinal segment during the pelvic transection phase?", "role": "user" }, { "content": "An endoscopic 45 mm linear stapler with a green cartridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic subtotal colectomy with antiperistaltic ceco-rectal anastomosis for the treatment of sl.mp4" ] }, { "messages": [ { "content": "Between looping a soft band around the swallowing tube and transecting a small posterior nerve branch, which occurs first?", "role": "user" }, { "content": "The loop placement occurs first, followed by division of the posterior nerve branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Highly Selective Vagotomy and Pyloroplasty： An Educational Video.mp4" ] }, { "messages": [ { "content": "In the deep phase, does dissecting a peritoneal fold happen before or after transecting the large outflow vein?", "role": "user" }, { "content": "Before", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Single-Port Laparoscopic Hepatectomy.mp4" ] }, { "messages": [ { "content": "Given the cue that the specimen has been removed and the system is set up again, when does the actual reconnection step begin?", "role": "user" }, { "content": "It starts right after redocking following specimen removal, when the ring-based connector is used to create the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robo-gut： Robotic Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "Which implement is used to move an anterior pelvic organ forward to improve exposure, and what is the action performed?", "role": "user" }, { "content": "A suture (Prolene 2‑0 on a straight needle) is used to hitch the uterus anteriorly to improve exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "At what point does the sequence shift from handling the blood supply to transecting the hollow tube?", "role": "user" }, { "content": "When the jawed cutting device is introduced to divide the hollow tube at its junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection (APR) Dr Atul MISHRA Ludhiana.mp4" ] }, { "messages": [ { "content": "Between sealing the upstream segment and sealing the downstream segment, which one happens first in the clip?", "role": "user" }, { "content": "The upstream segment is sealed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "What instrument is used to capture the target band of tissue, and how is it manipulated to ensure the entire width is engaged?", "role": "user" }, { "content": "A large hook is passed beneath the band and then its head is moved upward to capture the entire width.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/手术演示：65三棱镜度数的内斜视病例中的内直肌后徙术.mp4" ] }, { "messages": [ { "content": "A visible cue indicates the surgeon is about to begin an angled excision; when does the cutting actually start relative to that cue?", "role": "user" }, { "content": "It starts immediately after the announcement to begin, once the guide ring is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Segment V Liver Resection Surgery - THUNDERBEAT OEJ - Olympus Surgical - Dr. Tun Jie.mp4" ] }, { "messages": [ { "content": "After traction stitches are placed on the organ, when does the powered cutter first begin tissue division?", "role": "user" }, { "content": "Immediately after the traction stitches are placed, the powered cutter begins dividing attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Billroth 1 The Movie.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish the distal division during the operation?", "role": "user" }, { "content": "A linear cutting-sealing device acts on the upper rectum to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy for Giant Diverticula with the Da Vinci Xi.mp4" ] }, { "messages": [ { "content": "Between opening the potential space behind the stomach and dividing the first small-bowel segment beyond the stomach, which happens earlier in the clip?", "role": "user" }, { "content": "Opening the space behind the stomach happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastrectomia Total Oncológica -Passo a Passo.mp4" ] }, { "messages": [ { "content": "Which handheld device is used to secure the main feeder to the diseased part before it is cut?", "role": "user" }, { "content": "A locking clip applicator is used to place clips on the main arterial pedicle before it is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopy Sigmoid Colectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "Which instrument is used to release the delicate bands tethering the slender conduit to its nearby organ to restore their relationship?", "role": "user" }, { "content": "The ultrasonic scalpel is used to prick and release the flimsy bands of the fallopian tube to restore tubo-ovarian anatomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy- subserous pedunculated fibroid stuck to abdominal wall & bowel.mp4" ] }, { "messages": [ { "content": "Between creating a long vertical cut along the outer border of the left-sided bowel and peeling that segment away from the sidewall, which happens first?", "role": "user" }, { "content": "The vertical cut along the outer border happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic-Assisted Colonic Resection for Splenic-Flexure Cancer With D3 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Between creating two visible bands on a cord-like strand and splitting the segment between them, which happens first?", "role": "user" }, { "content": "The two bands are formed first, and the split between them happens afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 1.mp4" ] }, { "messages": [ { "content": "Between lifting the fatty curtain on the left lower side and isolating the main blood channel that supplies it, which action happens first?", "role": "user" }, { "content": "The lifting of the fatty curtain happens first, followed by isolating the main vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Rectal Cancer Anatomy： Defining and Appropriate Total Mesorectal Excision (TME).mp4" ] }, { "messages": [ { "content": "Which device is used on the bowel to accomplish its cut before making the external connection?", "role": "user" }, { "content": "A straight stapling cutter is used to transect the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic right hemicolectomy for right colon cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the fastener-placement phase start?", "role": "user" }, { "content": "It starts immediately after the removal is declared complete, when they begin preparing a metal fastener to secure the site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Case 4_Endoscopic resection for gastric submucosal tumour.mp4" ] }, { "messages": [ { "content": "Which device is used to gently part the soft organ tissue, and which tool is reserved to divide the deep tubular structures at the end?", "role": "user" }, { "content": "A heat-based dissector is used for the soft tissue, and a clamping cutter is reserved to seal and divide the bile duct plate and the main outflow vein at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Left Lateral Hepatectomy - Take 1.mp4" ] }, { "messages": [ { "content": "In the sequence where the team secures blood flow to the target area, which is handled first on screen: the inflow branches or the main outflow channel?", "role": "user" }, { "content": "The inflow branches (arteries) are managed first, followed by the main outflow vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Technik der daVinci -- assistierten laparoskopischen Adrenalektomie.mp4" ] }, { "messages": [ { "content": "On the right side, does the long slit made parallel to a strap-like structure happen before or after severing the circular band?", "role": "user" }, { "content": "The long slit parallel to the strap-like structure happens before severing the circular band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from developing the deep plane to isolating the main central vein that drains the small bowel?", "role": "user" }, { "content": "When the central mesenteric vein is exposed and the overlying reflection is opened to begin its cephalad dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/colectomia direita com CME - Liao-Nan Zou - china.mp4" ] }, { "messages": [ { "content": "After the seam is fully closed, when does the integrity check begin in the clip?", "role": "user" }, { "content": "Immediately after the seam is completed, patency testing starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Ileostomy closure Takedown in a 1 month old girl By Dr. Tamer Ashraf Wafa and Dr. Amr El Saeid.mp4" ] }, { "messages": [ { "content": "After leaving a small white marker on the exposed plane, when do they start tracking the central axis upward toward the upper abdomen?", "role": "user" }, { "content": "It begins once they open a mesenteric window near the planned cut and follow a small branch to the main vessels, proceeding caudal-to-cranial.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Rt Hemicolectomy & Extended D3 Lymph Node Dissection with Specimen Extraction.mp4" ] }, { "messages": [ { "content": "What instruments act on the front-side fold to secure it, and which edges are fastened to which neighboring supports?", "role": "user" }, { "content": "Suturing instruments place non-absorbable stitches to secure the fold: the left side is tied to the left crus and the left edge of the myotomy, and the right side is tied to the right edge of the myotomy and the right crus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller Myotomy For Sigmoid Megaesophagus After Achalasia.mp4" ] }, { "messages": [ { "content": "Which clamp is used to draw the removed portion through the natural passage, and what structure does it act on?", "role": "user" }, { "content": "A Babcock-type clamp is applied to the specimen to aid pulling it through the natural passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from inner-plane separation to freeing the outer attachments?", "role": "user" }, { "content": "When the inner-plane work is finished and the pale boundary line at the sidewall comes into view, marking the start of the side-release.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/6 effective steps to a laparoscopic sigmoid colectomy..mp4" ] }, { "messages": [ { "content": "In the lower portion of the case, which comes first: cutting the tethering strands or retrieving a piece to send for lab review?", "role": "user" }, { "content": "Cutting the tethering strands happens first, followed by retrieving a piece for lab review.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation⧸ Ladds procedure in adult.mp4" ] }, { "messages": [ { "content": "When does the segment with fat wrapping and a congested outer surface first become visibly apparent, and where along the digestive tract is it located in the second operation?", "role": "user" }, { "content": "It first appears during the initial survey phase and is located in the proximal small intestine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Duodenal Crohn’s disease, gastro-jejunal bypass vs. duodenal-jejunal bypass.mp4" ] }, { "messages": [ { "content": "Which instrument acts on a venous wall to achieve hemostasis after the tear, and what action does it perform?", "role": "user" }, { "content": "A needle with monofilament sutures, secured by a polymer locking clip, is applied to the venous wall to close the defect and stop bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy renal vein injury happened & repaired.mp4" ] }, { "messages": [ { "content": "Which instrument is used to act on the ring-shaped muscle layer to separate it, and what action does it perform?", "role": "user" }, { "content": "An electrocautery-tip device divides the circular muscle layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic Per-Oral Pyloromyotomy (POP).mp4" ] }, { "messages": [ { "content": "During the low pelvic reconstruction, at what exact moment do they transition from constructing the connection to verifying its integrity with an internal camera view?", "role": "user" }, { "content": "Right after completing the anastomosis, they transition to colonoscopic verification.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopic surgery for benign colorectal diseases.mp4" ] }, { "messages": [ { "content": "In the last join where two ends meet directly, does joining with the rear line happen before or after the lumens are opened?", "role": "user" }, { "content": "Joining with the rear line happens before the lumens are opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EIGHT TYPES OF LAP INTRACORPOREAL ANASTOMOSES DURING SUPRAPUBIC SINGLE-INCISION RIGHT HEMICOLECTOMY.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structures to create the final connection deep in the pelvis just above the circular muscle?", "role": "user" }, { "content": "A circular stapling device couples its internal head to the central spike and, when fired, joins the two bowel ends just above the muscle ring.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/MedizinKompakt： Behandlung des Darmkrebs mit dem TAMIS Verfahren.mp4" ] }, { "messages": [ { "content": "Which device is applied to the large right-sided outflow channel to accomplish its separation?", "role": "user" }, { "content": "A vascular stapler is applied to the right outflow vein to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "Which happens first: removing the viewing instrument and sealing the access opening, or excising the sac-like organ from its bed?", "role": "user" }, { "content": "The instrument removal and access closure occur before the organ is excised.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Transgastric ERCP post RYGB for CBD stones for.mp4" ] }, { "messages": [ { "content": "Which occurs first: confirming bleeding control or placing metal fasteners to seal the entry?", "role": "user" }, { "content": "Bleeding control is confirmed before the fasteners are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Which device with suction feet acts on the beating heart segment to achieve what effect?", "role": "user" }, { "content": "A suction-foot device grips the heart surface to steady the target segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Off-Pump Single Vessel Coronary Artery Bypass (Mahesh Ramchandani, MD, M. Mujeeb Zubair, MD).mp4" ] }, { "messages": [ { "content": "Between repositioning the starting colon segment to the other side and beginning removal of the small tubular structure at its junction, which occurs first?", "role": "user" }, { "content": "Repositioning the colon segment happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd Procedure for intestinal malrotation.mp4" ] }, { "messages": [ { "content": "Which device is used on the soft gland in the upper abdomen to separate it and expose its internal channel?", "role": "user" }, { "content": "An ultrasonic energy device divides the pancreas to expose the pancreatic duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Two Birds with Five Trocars： Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the presentation shift from showing technique layouts to a slide with one line trending down while another trends up, and what aggregate note is emphasized right afterward?", "role": "user" }, { "content": "The shift occurs when the slide with a descending line and a rising line appears; right afterward, the presenter emphasizes that combining both holds near 40% across three centers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Minimally invasive liver resection for simultaneous colon & liver resection.mp4" ] }, { "messages": [ { "content": "After the reconnection is completed, when is the soft tube for postoperative drainage actually inserted into the lower abdomen?", "role": "user" }, { "content": "It is inserted at the end, after reconnection, via the right lower port into the pelvic cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy and Double-stapling Technique Anastomosis via Needlescopic Surgery.mp4" ] }, { "messages": [ { "content": "At what point does the sequence switch from stitching the gland-to-loop to stitching the bile-channel-to-loop?", "role": "user" }, { "content": "Immediately after finishing the pancreatic anastomosis, when the interrupted sutures for the hepatic anastomosis begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/19.188 GS - Robotic-Assisted Pylorus Sparing Pancreatoduodenectomy.mp4" ] }, { "messages": [ { "content": "Between cutting the thin membranous sheet over the central abdomen and revealing the bent junction of the upper small bowel, which happens first?", "role": "user" }, { "content": "The membrane is cut first, and then the junction is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Sutured Duodenojejunostomy - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "Which implement is used to close the slit created for the stapled join, and what exactly is being sutured?", "role": "user" }, { "content": "A suture (2-0 PDS) is used to close the common opening of the newly joined bowel, which is then reinforced with a second suture layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right Hemicolectomy for colon cancer with Intracorporeal Anastomosis by Dr. Iraniha.mp4" ] }, { "messages": [ { "content": "At what point does the operation switch from a single-sided view to a two-sided thoracoscopic approach?", "role": "user" }, { "content": "When an additional access is created on the left side, establishing a bilateral view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Video-Assisted Thoracoscopic Resection of a Large Anterior Mediastinal Mass.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a third marker being placed on the duct segment, when does the rapid diagnostic sampling actually begin?", "role": "user" }, { "content": "It starts during the operation immediately after the third marker is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/KEM Urologie： Radikale Zystektomie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation switch from working along the flank to entering the anterior pelvic plane over the deep organ?", "role": "user" }, { "content": "The transition occurs when the thin membrane is incised and the team enters the anterior pelvic plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (5).mp4" ] }, { "messages": [ { "content": "Which is handled first: transecting the main arterial supply or addressing its nearby vein?", "role": "user" }, { "content": "The artery is divided before the companion vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colon Resection： When Does the Hand Help？.mp4" ] }, { "messages": [ { "content": "Once the base of the small blue branch at that junction is fastened and split, when does the operation transition to upstream dissection along the big blue channel?", "role": "user" }, { "content": "Immediately afterward, enabling proximal tracking along the main vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Learning Laparoscopic Right Hemicolectomy Part 2： D3 Dissection.mp4" ] }, { "messages": [ { "content": "Between adding another entry point and starting to free the bulging pocket, which one happens first in this clip?", "role": "user" }, { "content": "The added entry point happens first, then the pocket freeing starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/【有声扯淡版】腹腔镜下全腹膜外右侧疝修补术TEP.mp4" ] }, { "messages": [ { "content": "At what moment does the scene move from securing the strip to the moving tube to tying stitches into the hard ridge?", "role": "user" }, { "content": "The transition occurs when he switches to silk and begins stitching into the bony ridge after finishing the rows on the strip.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic ventral mesh rectopexy (multiple recurrences).mp4" ] }, { "messages": [ { "content": "Which instrument engages what layer to accomplish the initial opening into the operative field?", "role": "user" }, { "content": "A cutting instrument acts on the lower abdominal wall to create the entry incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Abdominal Hysterectomy ｜ TAH in Urogynecology ｜ Dr Deeksha Pandey.mp4" ] }, { "messages": [ { "content": "When does the team advance to definitive operative steps relative to completion of the bilateral low tie‑down occlusion?", "role": "user" }, { "content": "Immediately after confirming bilateral occlusion, they proceed to the definitive steps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Dr. Panicker's Caesarean Hysterectomy - Animation.mp4" ] }, { "messages": [ { "content": "Which comes first in the workflow: harvesting a spare conduit from another body site or hooking up to external circulatory support?", "role": "user" }, { "content": "Harvesting the conduit from another body site occurs before connecting to external support.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/British Heart Foundation - Your guide to Coronary Bypass Surgery, heart disease treatment.mp4" ] }, { "messages": [ { "content": "Which tool clears visual haze and also bluntly nudges tissues to improve the view, and what tissue does it act on?", "role": "user" }, { "content": "A suction–wash instrument that clears haze and bluntly manipulates adhesions and surrounding fatty tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Multi-Port Cholecystectomy for Severe Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "Watching the pressure gauge approach the set value, at what point do they cease inflating?", "role": "user" }, { "content": "When the actual pressure nears the preset value; at that point they stop the gas flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Salpingo-Oophorectomy for Recurrent Endometrioma and Retrieval through Colpotomy.mp4" ] }, { "messages": [ { "content": "Which energy-sealing instrument acts on the bowel’s supporting fatty fold to cut and seal blood vessels during separation?", "role": "user" }, { "content": "A 5-mm ligature device acts on the mesentery to transect and seal vascular attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive Surgery for Crohn's Disease at The Mount Sinai Hospital.mp4" ] }, { "messages": [ { "content": "After an additional instrument elevates a tubular structure to expose the underside, when does the tissue-clearing maneuver actually begin?", "role": "user" }, { "content": "It begins immediately after the elevation, when the nodes are taken down toward the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic or robot pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Between spotting the slender retroperitoneal conduit on the patient's left and on the patient's right, which is seen earlier in the operation?", "role": "user" }, { "content": "The left-sided structure is seen first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Managing an ischemic splenic flexure during a laparoscopic left colectomy using a Deloyer's tech....mp4" ] }, { "messages": [ { "content": "In the sequence of steps around the scarred junction, which occurs first: freeing the stuck tissues around the area or dividing the upstream tubular segment to prepare for a new join?", "role": "user" }, { "content": "Freeing the stuck tissues occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer： You Never Know What You're Going to Get.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the combined outflow channel from the side being removed?", "role": "user" }, { "content": "A vascular stapler is used to transect the common trunk of the middle and left hepatic veins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/LAPAROSCOPIC EXTENDED LEFT HEPATECTOMY AFTER CONVERSION THERAPY FOR COLORECTAL CANCER LIVER METASTAS.mp4" ] }, { "messages": [ { "content": "After the field is widened by traction, at what moment does the targeted separation around the bundle actually begin?", "role": "user" }, { "content": "It begins immediately after the gap opens from traction, as the instrument advances and starts processing in that exposed zone.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/肝中央区域の肝葉切除（動画字幕解説付き）.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the wall by delivering fluid, and for what purpose is this action used at that stage?", "role": "user" }, { "content": "A syringe injects fluid into the wall to assist hemostasis and facilitate the subsequent dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme´s procedure for urgent rectal prolapse.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from building the connection between two bowel loops to addressing the adjacent fan-shaped tissue gap?", "role": "user" }, { "content": "Right after completing the sutured side-to-side bowel connection, when they begin closing the adjacent tissue gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass (Graphic).mp4" ] }, { "messages": [ { "content": "Which instrument with two opposing jaws is applied to a fibrous layer beside the head-side gland to achieve a precise, low-heat cut, and what action does it perform on that tissue?", "role": "user" }, { "content": "A bipolar energy forceps in low-voltage mode is used to cut the fibrous layer with minimal thermal spread.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Safety Assessment of Robot-Assisted Gastrectomy for Gastric Cancer.mp4" ] }, { "messages": [ { "content": "After the drain-like tube is drawn into the abdomen and the outlet channel tilts downward, when does the straight-across transection of that channel begin?", "role": "user" }, { "content": "Immediately after the tube is pulled in and the channel angles downward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Female Radical Cystectomy Procedure ｜ Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "Between these two moments, which happens first: the operator frees a small crossing tube in the field, or pauses to check whether a deeper pathway runs in the same corridor?", "role": "user" }, { "content": "Freeing the crossing structure happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy for Acute Cholecystitis ＂Call-bladder＂.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from tissue handling to the closure phase?", "role": "user" }, { "content": "The transition occurs when the operator begins placing stitches, as indicated by “I'm just sewing you.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy for Empyema Gallbladder.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation move from developing the plane behind the gland to releasing the organ from the front wall?", "role": "user" }, { "content": "Right after the posterior plane is developed—when they divide the midline band and anterior attachments to drop the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Technique of Robotic Radical Cystoprostatectomy with Neobladder Narrated.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from creating the pathway to deploying the internal tube?", "role": "user" }, { "content": "Right after the dilator is removed, when the long tubular implant starts to be advanced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Creation of Biliary Bypass - EUS guided biliary access.mp4" ] }, { "messages": [ { "content": "After the tightening loop is seen around the upper segment, when does actual flow stoppage begin—before or after the small occlusion clamp is placed?", "role": "user" }, { "content": "After the clamp is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/ROBOT ASSISTED RIGHT RADICAL NEPHRECTOMY WITH LEVEL II INFERIOR VENA CAVA TUMOR THROMBECTOMY.mp4" ] }, { "messages": [ { "content": "Which happens first: freeing the outer bowel from the enlarged organ, or puncturing the swollen sac to drain its contents?", "role": "user" }, { "content": "Freeing the bowel happens first, before the sac is punctured and drained.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left Nephrectomy ｜ Non functional kidney ｜ Chronic PUJ Obstruction ｜ Dr Keyur Bhatt.mp4" ] }, { "messages": [ { "content": "When does the scene shift from assembling the back wall seam of the new join to sewing the inner seam?", "role": "user" }, { "content": "Immediately after the back wall seam is completed, the inner seam suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastric Seromyotomy & Conversion to Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "After the top end has been fastened at the upper anchor point (visible cue), when does trimming and closure begin?", "role": "user" }, { "content": "Immediately after the upper fixation is completed, trimming begins, followed by closure of the lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Approaches to Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which happens first: using dye to assess blood flow or creating a circular join between the bowel ends?", "role": "user" }, { "content": "The dye-based perfusion check occurs before the circular anastomosis is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Sept 2020 Medial to Lateral Approach ｜ Laparoscopic Low Anterior Resection ｜ Diseases Colon & Rectum.mp4" ] }, { "messages": [ { "content": "During follow-up imaging, when does the previously visible blush of the lesion first disappear?", "role": "user" }, { "content": "On the repeat angiography about one month after the initial session.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "After a labeled overview still frame that highlights landmarks, when does the actual splitting of the outer tube muscle begin relative to the narrow transition area?", "role": "user" }, { "content": "It starts immediately after the overview, about 1–2 cm above the narrow transition.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Esophageal Myotomy for Achalasia# The Procedure of Choice#.mp4" ] }, { "messages": [ { "content": "Between placing the internal support pad and performing the parenchymal closure stitches, which happens first?", "role": "user" }, { "content": "The support pad is placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy for Completely Intra-Renal Tumor： Dr. N. Ragavan.mp4" ] }, { "messages": [ { "content": "Given the visual cue of the puncture tip tenting the wall, when does the crossing maneuver actually begin?", "role": "user" }, { "content": "It begins immediately after contact is confirmed, when the over-the-wire cutting/dilation device is advanced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/2015 October VideoGIE-Joan Gornals.mp4" ] }, { "messages": [ { "content": "What implant is placed on which large vein near the organ to restore continuity after removing a tumor‑involved segment?", "role": "user" }, { "content": "A vascular graft replaces the involved segment of the large central vein (inferior vena cava) to reestablish continuity and flow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hepatocellular Carcinoma： role of Hepatectomy versus Liver Transplantation.mp4" ] }, { "messages": [ { "content": "Between peeling the fatty apron off the organ’s outer curve and cutting the small vessels feeding its upper portion, which action happens first in this clip?", "role": "user" }, { "content": "Peeling the fatty apron off the outer curve happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/SLEEVE GASTRECTOMY WITH LOOP BIPARTITION (HD 1080p, Audio) - Dr. V. AMAR, www.drvamar.com.mp4" ] }, { "messages": [ { "content": "Between cutting the right-side drainage pathway near the pelvic organ and severing the left-side tube that courses toward the midline, which occurs first?", "role": "user" }, { "content": "The right-sided structure is cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystoprostatectomy performed by Dr. O Ivanovski, Skopje, Macedonia.mp4" ] }, { "messages": [ { "content": "Between sealing the vessel along the outer border of the sac-like organ and treating the vessel closer to its inner border, which one happens first?", "role": "user" }, { "content": "The outer-border vessel is treated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "When does specimen extraction actually begin relative to deploying a retrieval bag and selecting the exit site?", "role": "user" }, { "content": "Extraction starts once the bag is in place and guided out through the chosen access site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Laparoscopic wedge resection for gastrointestinal stromal tumors.mp4" ] }, { "messages": [ { "content": "Once the surgeon finishes repeated palpation checks and irrigates the lumen, when does the cutting-and-sealing device actually get fired?", "role": "user" }, { "content": "Immediately after the irrigation, it is fired twice.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME in a Male Patient, for a T4 Rectal Cancer after Radiotherapy.mp4" ] }, { "messages": [ { "content": "Following the check of the newly formed connection, when is the flexible tube for postoperative fluid removal placed?", "role": "user" }, { "content": "It is placed after the leak test of the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for Rectal Cancer (RCSI Charter Day Video Session 2016).mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to stop minor bleeding during the dissection?", "role": "user" }, { "content": "An energy-based coagulating instrument is used on small arterial branches on the organ’s undersurface to cauterize them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Simple approach for uncomplicated laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between outlining the planned cut with shallow marks and lifting the inner lining with fluid to open a plane, which happens first?", "role": "user" }, { "content": "The shallow marking occurs before the fluid lift.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Delorme Procedure.mp4" ] }, { "messages": [ { "content": "Is the additional assistant port placed before or after the temporary occlusion is applied to the central inflow?", "role": "user" }, { "content": "Before.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Step by Step Laparoscopic Partial Nephrectomy： Tactics and Techniques (for Residents and Fellows).mp4" ] }, { "messages": [ { "content": "When does the procedure transition into the final large-volume rinse of the entire workspace?", "role": "user" }, { "content": "After the specimen is out and the closure is shown, the team begins the final large-volume rinse.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Removal of uterine sarcoma.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from locating the defect to confirming that no gas escapes anymore?", "role": "user" }, { "content": "It shifts right after the camera passes through the internal tube and the laparoscopic view shows no more bubbling.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Anastmotic Leakage After Gastric Bypass Surgery and a Later Occurring Cardia.mp4" ] }, { "messages": [ { "content": "After the surgeon aligns a laparoscopic cutter across a pelvic junction between two bowel segments, does the cutting begin before or after that segment has been completely freed?", "role": "user" }, { "content": "After complete mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SINGLE INCISION LAPAROSCOPIC CLOCK WISE CONTINUOUS TOTAL ABDOMINAL COLECTOMY WITH END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "During the initial survey inside the abdomen, at what moment do you first see a conduit linking two portions of intestine, and where is it located within the pelvis?", "role": "user" }, { "content": "It’s seen early during exploration, deep in the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection with en bloc Small Bowel Resection and Difficult Takedown of the.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from clearing structures near the central gateway to removing a portion of the organ itself?", "role": "user" }, { "content": "When the team begins marking the planned cut line on the organ’s surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Assisted Portal Lymphadenectomy and Partial Hepatectomy.mp4" ] }, { "messages": [ { "content": "Which implement acts on which structure to limit intraoperative blood loss, and what is the intended effect?", "role": "user" }, { "content": "An occluding/sealing device is applied to arterial feeders of the organ to reduce blood flow and minimize blood loss.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/What is Laparoscopic Myomectomy？.mp4" ] }, { "messages": [ { "content": "At what moment does the view switch to an upward‑looking perspective to clear the last attachments at the top?", "role": "user" }, { "content": "When the scope is turned downward and the top retractor is removed to look from below up—just before completing the final superior attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Unedited Full Length Laparoscopic Cholecystectomy HD Video - Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "When does vessel division actually begin after the team has separated and displayed the paired structures near the small bowel, relative to the placement of clamps?", "role": "user" }, { "content": "Division starts after the clamps are applied to the separated vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Radical Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "Between introducing the rigid lifting arm under the organ edge and placing a temporary suspending stitch through the midline fold, which action happens first in this clip?", "role": "user" }, { "content": "The rigid lifter is introduced first, and the suspending stitch is placed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy# Positioning, access incisions & optimizing visualization.mp4" ] }, { "messages": [ { "content": "Which comes first: exposing where a small tributary meets a larger central channel, or taking that tributary and its companion branch high at their roots?", "role": "user" }, { "content": "The junction is exposed first, and the high division follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/LAPAROSCOPIC RIGHT HEMICOLECTOMY WITH EXTENDED LYMPHADENECTOMY.mp4" ] }, { "messages": [ { "content": "Given a visible tear-shaped skin marking circumscribing the back opening, when does cutting actually begin?", "role": "user" }, { "content": "The cutting starts immediately at the beginning of the perineal phase, following the tear-shaped outline.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Video Rektumexstirpation mit VRAM-Lappen.mp4" ] }, { "messages": [ { "content": "Between the initial documentation step and aligning the piece to orientation landmarks, which occurs earlier?", "role": "user" }, { "content": "The documentation step occurs first, then the alignment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple (Pancreaticoduodenectomy) Grossing Tutorial (Pancreas, Duodenum).mp4" ] }, { "messages": [ { "content": "When does the ligating action actually begin relative to the moment the assistant’s grasper lifts and tightens the broad vessel strip at the gland’s front?", "role": "user" }, { "content": "Right after the left hand tensions and holds the strip, ligation starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/prostatectomy/叶定伟：腹腔镜下前列腺根治性切除术（含讲解）.mp4" ] }, { "messages": [ { "content": "Once the lump has been freed all the way around, at what moment does the split of the nearby hollow chamber actually begin?", "role": "user" }, { "content": "It begins immediately after the mass is freed circumferentially, when they start cutting the wall of the adjacent hollow organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Excision of GIST.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene move from the removal phase to the phase of rebuilding the pathway?", "role": "user" }, { "content": "The transition occurs when the removed tissue is lifted and displayed, immediately followed by the announcement that reconstruction has begun.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/PPPD： PYLORIC PRESERVING PANCREATICODUODENECTOMY ＂ANATOMICAL AND PHYSIOLOGICAL＂ ｜WHIPPLE SURGERY.mp4" ] }, { "messages": [ { "content": "Upon opening the hollow chamber for orientation, when does the removal of the diseased wall commence?", "role": "user" }, { "content": "It starts right after the chamber is opened and the landmark is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic colectomy and repair of colovesical fistula due to diverticulitis – a video vignette.mp4" ] }, { "messages": [ { "content": "Which device both sprays and sucks while applying energy to separate tissue, and what does it act upon in this scene?", "role": "user" }, { "content": "The ultrasonic aspirator; it acts on the liver parenchyma to separate and cut it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver resection; laparoscopic removal of liver segments 2 and 3.mp4" ] }, { "messages": [ { "content": "When does the special closure of the organ’s internal drainage channel start relative to the moment a hole in that channel is actually seen?", "role": "user" }, { "content": "It does not start, because no opening in the channel is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Renorrhaphy Techniques during Partial Nephrectomy YouTube.mp4" ] }, { "messages": [ { "content": "After the team lifts the horizontal portion of the large intestine and confirms the expected crossing structure is absent, when does the leftward relocation maneuver actually begin?", "role": "user" }, { "content": "It begins when the tethering band is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Ladd's procedure.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from probing around to activating the powered instrument?", "role": "user" }, { "content": "The transition occurs when they begin using high power, indicated by “现在来用高度…现在要用高度.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrojejunostomy/肝脓肿ERCP置管后，ERCP胆管取石术（含讲解）.mp4" ] }, { "messages": [ { "content": "When thin, cord-like structures are seen laterally during the front dissection, at what moment does the surgeon alter the course to spare them?", "role": "user" }, { "content": "As soon as those cords are visualized, the trajectory shifts to stay medial and spare them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Advances and challenges in the surgical treatment of locally advanced rectal cancer.mp4" ] }, { "messages": [ { "content": "Between securing the inflow structures to the organ and drawing a surface line to guide the cut, which happens first?", "role": "user" }, { "content": "Securing the inflow structures occurs first, followed by marking the surface line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Purely laparoscopic extended right hemihepatectomy for HCC with bile duct tumor thrombus.mp4" ] }, { "messages": [ { "content": "At what moment does the stitching transition from completing the back wall to turning the corner and proceeding along the front wall?", "role": "user" }, { "content": "Immediately after finishing the back wall, when the corner is turned and the stitch proceeds down the front.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/HTO Gastrec.mp4" ] }, { "messages": [ { "content": "At what exact point do they switch from working along the top of the organ to freeing its side attachments?", "role": "user" }, { "content": "After the superior limit is reached and the upper pole is free, the lateral release is performed at the end of the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoskopische radikale Tumornephrektomie.mp4" ] }, { "messages": [ { "content": "During the connection of the two ends, which action happens first: creating small openings in both sides or using the device to join them?", "role": "user" }, { "content": "The small openings are created first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot-assisted Segmental Colectomy for Metastatic Melanoma.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the cutting phase to the internal confirmation phase?", "role": "user" }, { "content": "The transition occurs when the flexible internal camera is introduced to check the completed cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Making do with less： Our decade of experience with LESS Heller myotomy.mp4" ] }, { "messages": [ { "content": "At what precise point does the operation shift from building a new internal route to sealing the original outlet?", "role": "user" }, { "content": "The shift occurs right after the new connection is secured in place, when suturing begins to seal the original outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Management of refractory marginal ulcer after Roux-en-Y gastric bypass with EUS-guided RYGB reversal.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from separation of the target to management of the cut surface?", "role": "user" }, { "content": "The transition occurs immediately after the specimen is cut free, as the energy device is applied to the exposed bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/子宫肌瘤 剔除术.mp4" ] }, { "messages": [ { "content": "When is it first apparent that the specimen cannot be removed intact and must be divided, and where does this adjustment occur?", "role": "user" }, { "content": "It becomes apparent during vaginal extraction, and the specimen is divided within the vaginal canal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "After a long tubular apparatus is introduced through a natural passage and an internal opening is created, when does the removal of the resected piece actually begin?", "role": "user" }, { "content": "Extraction starts once the device is advanced beyond the internal opening, immediately before they pull the segment out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Transrectal natural orifice specimen extraction in left hemicolectomy for splenic flexure tumours.mp4" ] }, { "messages": [ { "content": "After the central organ is visibly tilted backward and lifted by the helper, when do the stitches through the fabric start?", "role": "user" }, { "content": "They start immediately after that positioning, with the first stitch placed through the fabric.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Pectopexy.mp4" ] }, { "messages": [ { "content": "Lowering the internal fluid tension produces what action by the organ, and how does that act on the mass?", "role": "user" }, { "content": "It causes the organ to squeeze, which helps expel the mass from its lodging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic treatment of a type 1 uterine fibroid.mp4" ] }, { "messages": [ { "content": "Using the appearance of the C-shaped upper small-bowel segment as a visual cue, when does the tension-free joining phase actually begin?", "role": "user" }, { "content": "It starts as the duodenum comes into view and is carefully protected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Extended Left Hemicolectomy With Deloyers Procedure.mp4" ] }, { "messages": [ { "content": "Between detaching the broad fatty curtain from the bowel it drapes over and cutting the small intestine to create a mobile segment, which one happens first in this clip?", "role": "user" }, { "content": "Detaching the broad fatty curtain happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer# Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "During control of the small vessel near the organ, which device seals its far end and which tool performs the final cut?", "role": "user" }, { "content": "An energy-capable grasper (bipolar) seals the distal vessel, and the scissors then divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Inside a life changing robotic procedure . Da Vinci Robotic Cholecystectomy bloodless with scissors.mp4" ] }, { "messages": [ { "content": "Between freeing the thin membrane along the small curve near the liver and sealing the small vessels between the stomach and the spleen, which happened first?", "role": "user" }, { "content": "Freeing the thin membrane near the liver happened first, before sealing the small vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Transhiatal Robotic Esophageal Epiphrenic Diverticulectomy, Heller Myotomy, Lateral Fundoplication.mp4" ] }, { "messages": [ { "content": "Between enabling the colorized imaging overlay and beginning tissue excision, which happens first?", "role": "user" }, { "content": "The colorized imaging overlay is enabled first, and tissue excision occurs afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/DaVinci Robotic Endometriosis Diagnosis and Treatment utilizing Firefly Fluorescent Technology.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissues to accomplish the suspension during the lift?", "role": "user" }, { "content": "A needle and sutures are used to bite the lateral support tissue and the bony covering, suspending the target segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic rectopexy for full thickness rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which previously parked suture set is passed through the front-side tissue layer, and what does it accomplish?", "role": "user" }, { "content": "The parked double-arm sutures are passed through the front-side tissue layer to create the outer front row, achieving a snug, gap-free opposition.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pancreaticojejnostomy (PJ) anastomosis, Step 4 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "When does the operation visibly shift from working in the most stuck zone to making a new upstream cut to simplify the dissection?", "role": "user" }, { "content": "The shift occurs when they start a separate upstream incision through the fatty fan and redivide the bowel proximal to the inflamed zone.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to lift an upper abdominal organ lobe to clear the field during the second operation, and what action does it perform?", "role": "user" }, { "content": "A barbed suture is used to retract the left lobe of the liver, lifting it to clear the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Revision of Gastrojejunostomy leading to a Reversal of Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which transecting device acts on the left-sided large bowel segment, and what action does it accomplish?", "role": "user" }, { "content": "An endoscopic stapling device is used on the descending colon to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Pelvic Exenteration For Locally Advanced Rectal Cancer.mp4" ] }, { "messages": [ { "content": "When does pulling the removed part out through the pre-existing abdominal opening actually start relative to taking out the access device?", "role": "user" }, { "content": "Extraction starts after the access device is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/SIL Proctectomy Ileal JPouch - Mayo Clinic.mp4" ] }, { "messages": [ { "content": "When in the procedure does a previously placed implant first come into view, and where is it located within the field?", "role": "user" }, { "content": "It first appears during early posterior dissection, over the back pelvic ridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Redo Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Just before the vessel incision, which device is applied to which arterial segments to obtain temporary flow control, and for what purpose?", "role": "user" }, { "content": "Small vascular clamps are placed on the common and proper hepatic arteries to occlude flow ahead of the arteriotomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic pump with liver resection # Memorial Sloan Kettering.mp4" ] }, { "messages": [ { "content": "Between sealing the inner lining gap and tacking the front layer to that seam, which occurs first?", "role": "user" }, { "content": "Sealing the gap occurs first, then the front layer is tacked to that seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Rectopexy for full thickness rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: tying and cutting the offshoot of the main supply channel, or dividing the long drainage channel at its root under the upper-left structure?", "role": "user" }, { "content": "The supply offshoot is taken first, before the drainage channel is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "Which substance is applied to the inner ring to enhance adhesion prior to mounting?", "role": "user" }, { "content": "A stoma paste (sealant) is applied to the inner ring to aid adhesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/義大醫院大腸直腸外科 人工肛門 造口 護理教學.mp4" ] }, { "messages": [ { "content": "Between positioning a tube across the upper hollow organ and placing the final drain, which is finished earlier?", "role": "user" }, { "content": "The tube across the organ is positioned first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 lymph node dissection with total gastrectomy and jejunal pouch reconstruction for ea.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene switch from working behind the bowel to opening the plane on its front side against the adjacent organ?", "role": "user" }, { "content": "The transition occurs when the assistant lifts and the surgeon begins the anterior plane between the bowel and the adjacent organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/傅传刚：3D腹腔镜无切口直肠前切除术+肠系膜融合淋巴结廓清术.mp4" ] }, { "messages": [ { "content": "Between starting from the inner border of the tissue plane and working toward the outer border, which happens first in the clip?", "role": "user" }, { "content": "Starting at the inner border comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Ultra Low Anterior Resection Surgery.mp4" ] }, { "messages": [ { "content": "Which occurs earlier in the session: the segment noting faster recovery of breathing metrics after minimally invasive surgery, or the later assertion that the choice of approach does not change the chance of the condition returning?", "role": "user" }, { "content": "The faster breathing-recovery segment occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Impact of Laparoscopy on Outcome for Crohn�s Disease： Andre D�hoore, M.D..mp4" ] }, { "messages": [ { "content": "In the outer layer of the first reconnection, which suture material is used to loop around the tiny duct, and why is its coloration helpful?", "role": "user" }, { "content": "A different-colored Vicryl is used around the duct to aid strand identification and control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Given the moment when a bagged segment exits through a side port, when does the stitching of the fresh join actually begin?", "role": "user" }, { "content": "Stitching begins immediately after the bagged segment is removed through the port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LAPAROSCOPIC ROBOTIC-ASSISTED CONVERSION FROM DUODENAL SWITCH TO GASTROJEJUNOSTOMY FOR SEVERE RE....mp4" ] }, { "messages": [ { "content": "During the phase when planes are being developed around the upper slender tube, which instrument with a narrow tip is used to gently separate tissues, and what action is it performing on that surface?", "role": "user" }, { "content": "A fine suction tip performs blunt (planar) dissection around the common hepatic duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "Between the moment the insufflation gauge steadies at the intended level and the placement of the larger camera access sleeve, which happens first?", "role": "user" }, { "content": "The gauge steadies first, then the larger camera access sleeve is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Step by Step Video.mp4" ] }, { "messages": [ { "content": "Which implement is used on the cut edges to reconstruct continuity, and what is done with it?", "role": "user" }, { "content": "A needle with individual sutures is used to hand-sew the two ends back together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "After spotting the outer border of a hollow segment, when is its downward displacement initiated?", "role": "user" }, { "content": "As soon as the edge is identified and the overlying fat is dissected, they push it down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Right Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "After the small bowel is swept upward by gravity, when is the initial hook-shaped cut along the inner abdominal lining begun, and how far above the midline bony ridge is it placed?", "role": "user" }, { "content": "Immediately after the bowel is parked cranially; it begins about 1.5 cm above the midline ridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Indo-UK SURGICON Week 6, Day 2： Master Videos (How I Do It).mp4" ] }, { "messages": [ { "content": "In the correction sequence, which device is used on the target conduit to free and take off the previously applied fastener?", "role": "user" }, { "content": "An ultrasonic energy device (harmonic scalpel) is used on the arterial fastener to remove it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/V13-01： Superior Mesenteric Artery Injury During Robotic Left Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between elevating a prominent tubular structure with a loop and clearing the small lumps adjacent to it, which action happens first in the sequence?", "role": "user" }, { "content": "The loop-assisted elevation of the tube occurs first, followed by clearing the adjacent lumps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "When and where does a pathological opening into the bypassed stomach first become visibly apparent?", "role": "user" }, { "content": "It first becomes apparent at the junction between the pouch and the intestine when the perforation into the bypassed remnant is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Roux-En-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which instrument and adjunct are used to cut through the narrow portion of the deep abdominal gland, and what action is performed?", "role": "user" }, { "content": "Monopolar scissors, with saline irrigation and cutting current, are used to transect the pancreatic neck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow transition from reinforcing the new join to actively testing it with fluid?", "role": "user" }, { "content": "Immediately after reinforcement, irrigation is initiated and leak testing starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/机器人中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "After establishing multiple access points on the abdomen, when does the team actually begin the internal survey?", "role": "user" }, { "content": "The internal survey begins immediately after the ports are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Colorectal Resection for a Giant Colonic Diverticulum.mp4" ] }, { "messages": [ { "content": "At the end of the repair, when does the clip move into the verification phase to check for leaks?", "role": "user" }, { "content": "Immediately after finishing the running repair, when re-scoping confirms no leak.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy and repair of duodenum.mp4" ] }, { "messages": [ { "content": "When do gaps along the metallic seam first become visibly apparent, and where are they located relative to the new connection?", "role": "user" }, { "content": "It first appears during evaluation just before suturing the stomach–bowel join, along the existing seam that is being incorporated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Sleeve to RY Gastric bypass for persistent sleeve stenosis.mp4" ] }, { "messages": [ { "content": "When and where does a small unexpected oozing first become visibly apparent?", "role": "user" }, { "content": "During the mesenteric preparation, in the anterior plane adjacent to the mesorectum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Inferior Mesenteric Artery Preservation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from careful work outside the fat plane to cutting dangerously close to the inner tube?", "role": "user" }, { "content": "It’s the instant the outer covering first tears or is breached—often low in the tight space—signaling the work has moved from the safe plane toward the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Rectal Cancer Treatment by Dr Maher A. Abbas.mp4" ] }, { "messages": [ { "content": "Between securing the first incoming channel to the organ and applying occlusion to the main draining channel, which happens earlier?", "role": "user" }, { "content": "Securing the first incoming channel happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneale Nephrektomie links.mp4" ] }, { "messages": [ { "content": "In the final vignette, when does a sudden bright‑red obscuration first appear, and on what surface is it seen?", "role": "user" }, { "content": "It appears abruptly during that later segment, coating the camera’s front surface, and is seen immediately when the view is obscured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/OpClear®; A novel solution to loss of vision during laparoscopic colorectal surgery.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation switch from exposure to securing the key structures with metal fasteners?", "role": "user" }, { "content": "Right after achieving the critical view, securing starts with the application of metal fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Skin to Skin Laparoscopic Cholecystectomy in 4K.mp4" ] }, { "messages": [ { "content": "Between freeing the sticky bands around the right-sided bowel and making the first cut into the shiny inner abdominal membrane, which occurs earlier in the clip?", "role": "user" }, { "content": "Freeing the sticky bands happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/3.1.1. Laparoscopic CME for Ascending Colon Carcinoma - Kang Young Lee.mp4" ] }, { "messages": [ { "content": "Which stitch‑and‑needle combination is used to place a continuous drawstring‑style closure around the ring component, and for what purpose is it applied?", "role": "user" }, { "content": "A 3‑0 V‑Loc on a V20 needle is run as a drawstring‑style purse‑string to secure the ring component and create a clear landing zone for the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Totally Robotic Left⧸Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "During the perfusion check, when and where does a non-glowing segment first become apparent relative to the illuminated bowel?", "role": "user" }, { "content": "It first appears just beyond the bright segment, as a dark area adjacent to the perfused region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I do it - Komplette mesokolische Exzision - Teil 2 - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Which tool acts on the outside swellings to reduce them, and what action does it perform?", "role": "user" }, { "content": "An energy (laser) instrument is applied to the outside swellings to vaporize and reduce them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/StopPiles from MedTech Devices # Laser Vaporisation # Part 5.mp4" ] }, { "messages": [ { "content": "What protective items act on the specimen and field to prevent contamination during removal?", "role": "user" }, { "content": "A protective sleeve and a glove wrap the specimen, with antiseptic irrigation applied to the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经肛门外翻拖出标本超低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip transition from creating the side-by-side join to closing the remaining shared opening?", "role": "user" }, { "content": "Immediately after the staple lines are inspected and deemed hemostatic, when closure of the shared opening begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Small Bowel Resection for Gallstone Ileus.mp4" ] }, { "messages": [ { "content": "When does a narrowing on the resected piece first become evident, and how is it related to the level of the cut?", "role": "user" }, { "content": "It’s first noted during inspection after removal, attributed to having gone a bit too low instead of stopping about 2 cm higher.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/APE 1.mp4" ] }, { "messages": [ { "content": "Between establishing extra access sites and the start of detaching the target organ, which happens first in this clip?", "role": "user" }, { "content": "Establishing extra access sites happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Retroperitoneoskopische Nephrektomie： Neue Technik bei Zugang und Gefäßversorgung.mp4" ] }, { "messages": [ { "content": "When and where does a focal asymmetric bulge along the left‑sided segment first become visibly apparent?", "role": "user" }, { "content": "It first becomes visible during flexure mobilization, seen in the descending colon on the left side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Left hemicolectomy for descending colon cancer.mp4" ] }, { "messages": [ { "content": "Which instruments act on the front and back surfaces of the organ’s neck to anchor the support graft, and what stitch configuration is used?", "role": "user" }, { "content": "Needle holders place deep non-absorbable U-sutures through the anterior and posterior cervical walls to secure the graft.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/DynaMesh®-PRS - OR Video (short)： Lap. Cervicosacropexy for the Treatment of Descensus Uteri.mp4" ] }, { "messages": [ { "content": "When the two bowel ends were positioned on the jaws of the mechanical closure device, at what point did the device actually begin its cutting/firing action?", "role": "user" }, { "content": "The device began firing immediately after the jaws were closed with both bowel ends in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Laparoscopic ileocolic resection for fistulous Crohn's disease w.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish the fragmentation shown prior to extraction?", "role": "user" }, { "content": "A cutting instrument acts on the upper portion of the womb to divide it into small pieces for extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Subtotal hysterectomy and sacrocolpopexy for uterovaginal prolapse.mp4" ] }, { "messages": [ { "content": "Which tool is used to divide the downstream limb to finalize the two‑limb configuration?", "role": "user" }, { "content": "An automatic stapler is used to divide the downstream limb.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/VIDEO LAPAROSCOPIC TOTAL GASTRECTOMY - STEP BY STEP.mp4" ] }, { "messages": [ { "content": "After the surgeon places two holding stitches to align the segments, at what moment does the creation of the new connection actually begin?", "role": "user" }, { "content": "It begins immediately after the two alignment stitches, when the stapled side-to-side anastomosis is fashioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Superior Mesenteric Artery (SMA) Syndrome- Lap DuodenoJejunostomy.mp4" ] }, { "messages": [ { "content": "Which happens first: securing the small looped anchor to the inner muscle pillar with a mattress-style stitch, or threading multiple adjustable cords through that loop?", "role": "user" }, { "content": "Anchoring the loop with a mattress stitch occurs before threading the adjustable cords through it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Bileaflet Prolapse Repair.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence switch from removing the growth to repairing the opening?", "role": "user" }, { "content": "The transition occurs immediately after the mass is fully detached, when closure of the defect begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Transgastric GIST Resection.mp4" ] }, { "messages": [ { "content": "Following the initial nick in the shiny lining on the working side, when does the actual creation of the posterior gliding space get underway?", "role": "user" }, { "content": "It starts once the cut is deepened to the fascia in front of the sacrum, at which point the retro-rectal plane is opened and developed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Suture Rectopexy for complete Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Between completing the side-to-side joining of two hollow structures and beginning the second reinforcement layer of the seam, which happens first in the clip?", "role": "user" }, { "content": "The side-to-side joining occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic rectopexy and resection for rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the central supporting sheet to create space, and what action does it perform?", "role": "user" }, { "content": "A blunt dissector and a sharp instrument (e.g., scissors) act on the mesentery to widen it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Intestine-Laparoscopic Ladds procedure for adult malrotation with midgut volvulus.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from cutting to separating the residual tether?", "role": "user" }, { "content": "The transition occurs when the tissue bridge is identified and broken.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/TRRPCS – A New Promising Technique in Treatment of Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Between elevating a narrow tether straight upward and beginning to press a bulging posterior structure downward, which occurs first in this sequence?", "role": "user" }, { "content": "The elevation of the narrow tether happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Splenic Flexure Mobilization⧸Takedown.mp4" ] }, { "messages": [ { "content": "After a slim scoring line is drawn along the outer muscle layer at the lower swallowing tube, when does the actual fiber-splitting begin?", "role": "user" }, { "content": "Right after finishing the energy pass along the marked line—when traction and counter-traction are applied, the fibers start to split.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/V057 REDO-MYOTOMY FOR RECURRENT ACHALASIA AFTER OPEN LEFT THORACIC MYOTOMY.mp4" ] }, { "messages": [ { "content": "Between placing the fluid-removal tube and completing the colored-fluid check, which one occurs first?", "role": "user" }, { "content": "The colored-fluid check occurs before the fluid-removal tube is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Lap SASI Single Anastamosis Sleeve Ileal Bypass with manual anastamosis.mp4" ] }, { "messages": [ { "content": "Which optical probe acts on the ductal junction to confirm the branching before reconstruction?", "role": "user" }, { "content": "A ductal endoscope is introduced into the junction to verify the right and left branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Delayed Robotic Roux-en-Y Hepaticojejunostomy Repair of an Iatrogenic Type E Bile Duct Injury fr....mp4" ] }, { "messages": [ { "content": "At what point is it evident that the internal route to divide the pelvic floor cannot be completed, prompting a switch to an outside approach?", "role": "user" }, { "content": "It becomes evident during the deep pelvic phase; the team then switches to the external approach to complete muscle division and associated bony resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video demonstrates our technique of combining multiple surgical .mp4" ] }, { "messages": [ { "content": "When does the operation pivot from removing the diseased part to rebuilding the passage?", "role": "user" }, { "content": "Immediately after the specimen is removed, the case pivots to reconstruction by starting the join between small and large bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Lego Surgery - Crohn's Disease, Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "Given that the on-screen boundary gradually shifts from a muted hue to a crisp, stable edge, when does the cutting actually begin relative to that visual cue?", "role": "user" }, { "content": "Cutting begins immediately after the boundary edge becomes crisp and stable.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Fluorescence Guided Surgery of the Liver.mp4" ] }, { "messages": [ { "content": "At what exact point does the operation switch from removal and duct division to reconstructing the bile–bowel connection?", "role": "user" }, { "content": "Right after the duct specimen is sent to pathology, reconstruction begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic hepaticojejunostomy and partial colectomy for Mirizzi syndrome type Va.mp4" ] }, { "messages": [ { "content": "In this clip, between the moment fine-thread stitches are placed on the inner lining and the later moment when the field shows fizzing during a pressurization check, which happens first?", "role": "user" }, { "content": "The stitching happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Video Symposium： Re-operation for Failed Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which tool acts on the large vessel branch to accomplish its closure during the early abdominal work?", "role": "user" }, { "content": "A ligating instrument (such as clips or an energy-sealing device) closes the major arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/PROPHYLACTIC USE OF PERINEAL AND PERISTOMAL MESH IN LAPAROSCOPIC ABDOMINOPERINEAL AMPUTATION.mp4" ] }, { "messages": [ { "content": "Which powered tool engages what target to achieve control in this segment?", "role": "user" }, { "content": "An energized instrument acts on a small vessel-like structure to achieve ligation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy for hepatic flexure cancer： primary vascular approach..mp4" ] }, { "messages": [ { "content": "Which occurs first: releasing the thin attachments on the side of the liver being removed or firing a cartridge-based device across the large vein exiting that side?", "role": "user" }, { "content": "Releasing the lateral attachments happens before the large vein is divided with the stapling device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "Given that a tourniquet-like device is placed to intermittently block inflow, when does the deeper division of tissue actually start?", "role": "user" }, { "content": "Right after intermittent inflow occlusion is established, they proceed into deeper tissue transection under the clamp cycles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/LAPAROSCOPIC EXTENDED LEFT HEPATECTOMY AFTER CONVERSION THERAPY FOR COLORECTAL CANCER LIVER METASTAS.mp4" ] }, { "messages": [ { "content": "During the central vessel dissection, an atypical course of a small artery relative to the main vein becomes visible. When does this become apparent, and where is the small artery positioned?", "role": "user" }, { "content": "Once both central vessels are exposed, it’s clear the small artery originates posterior to the main vein, running behind it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/TRİCKS AND PİTFALLS FOR TOTAL MESOCOLİC EXCİSİON İN RİGHT HEMİCOLECTOMY.mp4" ] }, { "messages": [ { "content": "Which action happens earlier: closing the gap in the supporting sheet or performing the inflation and dye checks for leaks?", "role": "user" }, { "content": "Closing the gap comes first, followed by the inflation and dye leak tests.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the team switch from pre-treating the target area to actually separating it—what visible change marks this transition?", "role": "user" }, { "content": "The transition occurs right after the energy pre-treatment ends, marked by stopping the probe application and beginning tissue division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Intraoperative MIS Liver Complications： How to Avoid and Manage.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the main supply branch near its origin from the big midline vessel, and what action does it perform on that structure?", "role": "user" }, { "content": "A linear stapling cutter is fired to transect the inferior mesenteric artery near its origin from the aorta.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Left hemicolectomy for descending colon cancer.mp4" ] }, { "messages": [ { "content": "When does an unexpected extra small arterial branch to the target side first become visible and dealt with?", "role": "user" }, { "content": "Immediately after finishing the division of the thin membrane between the liver and stomach (lesser omental attachment), a small extra arterial branch appears and is clipped and divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which anatomical surface to accomplish tissue removal and immediate closure?", "role": "user" }, { "content": "A circular ring-cutting/stapling device acts on the inner channel wall to excise a circumferential strip and staple it closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Anterior STARR with Posterior Suture Rectopexy by Dr Rajesh Shukla AAS PROCTOCON 2022.mp4" ] }, { "messages": [ { "content": "When and where does an abnormal event first become visibly apparent in relation to the verification phase?", "role": "user" }, { "content": "Immediately after the verification begins, an abnormality becomes apparent at the site under evaluation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap Sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal growth first become clearly defined in the field?", "role": "user" }, { "content": "Right after fat is cleared from the organ surface, during imaging the lesion’s boundaries become apparent.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic left partial nephrectomy in morbid obesity.mp4" ] }, { "messages": [ { "content": "When dividing and reconnecting the distal bowel, which device performs the cut, and which device completes the join: the straight-line one or the ring-shaped one?", "role": "user" }, { "content": "The straight-line device performs the cut; the ring-shaped device completes the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Single Docking Ultra Low L A R.mp4" ] }, { "messages": [ { "content": "When and where does a short segment with compromised blood flow first become visibly apparent?", "role": "user" }, { "content": "After the contrast check of the upstream end, a short poorly perfused area appears at the downstream stump.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Sigmoid Volvulus with Natural Orifice Transrectal Extraction.mp4" ] }, { "messages": [ { "content": "During the fluid submersion check, when and where do escaping air pockets first become visible?", "role": "user" }, { "content": "Right after submersion, at the small defect on the intestinal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy and repair of duodenum.mp4" ] }, { "messages": [ { "content": "Once you see the cavity being filled with fluid for checking the new join, when does the actual test for leakage start?", "role": "user" }, { "content": "It starts after the connection is tightened and air is introduced while the cavity is fluid-filled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/3D腹腔镜经腹直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which energy-enabled instrument acts on which tissues to create the initial openings for a side-to-side connection?", "role": "user" }, { "content": "An electrocautery blade or laser acts on the duodenal and gastric walls to make the initial openings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Селективная проксимальная ваготомия при язве двенадцатиперстной кишки.mp4" ] }, { "messages": [ { "content": "Which device is used at the end to pinch shut the entry point, and what tissue does it grasp?", "role": "user" }, { "content": "Through-the-scope clips grasp the mucosa to close the entry site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Natural Orifice Transanal Endoscopic Rectopexy： A Novel Option for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs first: placing a suction tube in the pelvic cavity or performing the air insufflation check on the new bowel connection?", "role": "user" }, { "content": "The suction drain placement occurs before the air leak check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/LAPAROSCOPIC SIGMOIDECTOMY AND PARTIAL CYSTECTOMY WITH THE AID OF ICG FLUORESCENCE.mp4" ] }, { "messages": [ { "content": "Which item is placed behind the bowel to aid the next steps, and what action is performed with it?", "role": "user" }, { "content": "A soft pad is positioned behind the bowel by placing it there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Application of the two-partition method in laparoscopic radical left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Between demonstrating multiple separate entry sites and the technique that funnels all tools through a single midline location, which one is shown later?", "role": "user" }, { "content": "The single-location routing is shown later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃癌手術　福永 哲【神奈川胃癌ネッツ神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "Which tools act on which tissues to spread the pelvic bowel segment flat and cut the surrounding lining during the envelope division?", "role": "user" }, { "content": "Graspers spread the pelvic bowel segment flat, and an ultrasonic energy instrument cuts the surrounding lining of its fatty envelope.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic high anterior resection with apical lymph node dissection of the IMA.mp4" ] }, { "messages": [ { "content": "At what exact moment does the case shift from the removal phase to the reconstruction phase?", "role": "user" }, { "content": "The shift occurs immediately after the diseased channels are excised and removed, when the bowel segment is brought in to start reconstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/DOCTOR UNAL AYDIN OPERATED KLATSKIN TUMOR THAT NONRESECTABLE ASSUME IN BELGIUM drunalaydin.mp4" ] }, { "messages": [ { "content": "During the early segment of guiding the device through the oral route, when and where does a surface irregularity of the upper chamber first become visibly apparent?", "role": "user" }, { "content": "It first appears early during the oral passage and tenting segment, on the proximal chamber where the connection will be made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details： Gastro-jejunal anastomosis The Circular Anastamotic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Between securing a tiny vessel near the target area with a flexible encirclement and applying a rigid closure device, which action occurs first in the sequence?", "role": "user" }, { "content": "The flexible encirclement (tying) occurs before the rigid closure device (clip).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Isolated Mid-Bile Duct Cholangiocarcinoma Resection with Roux-en-Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from lateral control work to removing the central lesion?", "role": "user" }, { "content": "When the surface over the bulge is incised to start shelling it out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/手術視頻轉播｜羅寧教授＆劉潔教授－腹腔鏡下子宮動脈阻斷＋子宮肌瘤切除術.mp4" ] }, { "messages": [ { "content": "With the flexible camera parked at the inlet acting as a sizing guide, when does suturing of the internal defect start, and what stitch style is used?", "role": "user" }, { "content": "Suturing begins right after the resection is finished, using a running stitch with an auto-locking suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic intra-gastric resection - Dr. Julie Hallet.mp4" ] }, { "messages": [ { "content": "When and where does unexpected bleeding first become visibly apparent in the sequence?", "role": "user" }, { "content": "It first appears at the left sidewall region during mobilization, prompting immediate hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经阴道取标本的腹腔镜超低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which device tip is used to elevate a flap beneath the inner lining, and what structure does it act on?", "role": "user" }, { "content": "A hood at the camera tip elevates the layer beneath the lining to raise a flap on the sub-lining plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Management of Duodenal Perforation....mp4" ] }, { "messages": [ { "content": "After the on-screen readings match, when is the gas feed visibly turned up from a gentle rate?", "role": "user" }, { "content": "Immediately after the readings equalize, the inflow is increased to about 3 L/min.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Skin to Skin Laparoscopic Cholecystectomy in 4K.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from peeling scar tissue to tracing a bowel segment from a landmark?", "role": "user" }, { "content": "Right after the fatty apron is retracted and the landmark is identified, when they begin running the loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/GASTRO-GASTRIC FISTULA AFTER GASTRIC BYPASS LAPAROSCOPIC APPROACH.mp4" ] }, { "messages": [ { "content": "Which handheld energy-based tool is applied to the broad midline band attaching the organ, and what action does it carry out?", "role": "user" }, { "content": "An energy device (harmonic) is used to divide the midline band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic liver resection. Right hepatectomy. Hepatectomia direita laparoscópica.mp4" ] }, { "messages": [ { "content": "Between cutting a downstream tubular loop and tacking it to the upper sac-like segment for a new connection, which happens first?", "role": "user" }, { "content": "The cut on the tubular loop happens first, followed by tacking it to the upper segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass.mp4" ] }, { "messages": [ { "content": "After the first mass is freed, which happens earlier: placing it into a retrieval pouch or stitching the cavity?", "role": "user" }, { "content": "The specimen is bagged first, then the cavity is sutured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/EAU 2016 - Robotic Partial Nephrectomy Superselective clamping multiple tumors - Pr Bernhard.mp4" ] }, { "messages": [ { "content": "Between securing the deeper conduit with metallic fasteners and firing a white‑capped device across the broader front channel, which action is performed first?", "role": "user" }, { "content": "Securing the deeper conduit with clips occurs before firing the white‑cartridge device across the anterior channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Master Class on Laparoscopic Nephrectomy by Dr.R.K.Mishra.mp4" ] }, { "messages": [ { "content": "For opening the ring around the internal cup, which device is used on which tissue to accomplish the cut?", "role": "user" }, { "content": "The harmonic scalpel is used to cut the vaginal epithelium to complete the ring opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Total Laparoscopic Hysterectomy with Bilateral Salpingo Oophorectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: laying out the length of the new bypass route or cutting the small upper reservoir?", "role": "user" }, { "content": "Laying out the length of the new route happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Sleeve to Roux-en-Y Gastric Bypass by Dr Prabal Roy.mp4" ] }, { "messages": [ { "content": "Which clamping‑cutting instrument is applied to which section of the organ to accomplish removal, and what part is targeted?", "role": "user" }, { "content": "A linear stapler is applied to the distal portion of the stomach to resect that segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/REVISIONAL RYGB： REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA.mp4" ] }, { "messages": [ { "content": "After stay sutures are placed around the opening at the top connection, when does closure of that entry actually start?", "role": "user" }, { "content": "Closure starts when the stapler is applied to close the bridge after the stay sutures are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/VIDEO LAPAROSCOPIC TOTAL GASTRECTOMY - STEP BY STEP.mp4" ] }, { "messages": [ { "content": "Once the initial segment is put on stretch, when do you see the first vessel control begin?", "role": "user" }, { "content": "Immediately after the segment is on stretch, vessel control begins with identification and dissection of the paired feeders.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Port placement strategies and management of the robotic system during colo⧸proctectomy for cancer.mp4" ] }, { "messages": [ { "content": "Once the running repair advances and the edges invert, when is the terminating knot actually placed?", "role": "user" }, { "content": "After pulling the tail to tighten and invert the edges, a final surgeon’s knot is placed to terminate the stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Deep Intramural Myoma.mp4" ] }, { "messages": [ { "content": "Which device is used to identify and protect delicate conduits in the field, and what task does it perform?", "role": "user" }, { "content": "A computer-assisted system is used to visualize and help preserve blood vessels and nerves.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Surgery.mp4" ] }, { "messages": [ { "content": "Which tool acts on the blind-ending stub adjacent to the new connection, and what action is performed on it?", "role": "user" }, { "content": "A stapling device seals and divides the blind-ending segment beside the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic repair of recurrent PEH, near-total gastrectomy with RNY reconstruction.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from working on the backside to addressing the patient's right tethered band?", "role": "user" }, { "content": "When the right-side band is exposed and division of it begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经肛门外翻切除标本的腹腔镜低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "When does the clip switch from procedural recap to closing remarks aimed at the audience?", "role": "user" }, { "content": "The switch occurs when the speaker says, “So we hope to see you again in the next edition, next year.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Teaching in Pandemic time： Uniportal VATS course with live surgery and cadaveric lab.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from placing the inner stitches of the stomach–bowel connection to reinforcing the outside?", "role": "user" }, { "content": "Right after the scope is passed and the last two inner stitches are placed, they begin reinforcing the outside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass (Graphic).mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from working inside the chamber to sealing the access from outside?", "role": "user" }, { "content": "When the organ is released from the abdominal wall and closure with a stapling device begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Endoluminal Stomach-Sparing Resection of Gastric Gists.mp4" ] }, { "messages": [ { "content": "After the connector tip is secured to the upstream segment and returned inside, when does the ring-shaped device from below actually engage to complete the join?", "role": "user" }, { "content": "Right after the connector tip is returned and docked, as evidenced by the subsequent doughnut check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/V052 Laparoscopic single incision anterior resection - SS23： Plenary Session 2.mp4" ] }, { "messages": [ { "content": "Between separating the main feeding bundle and tying stitches to stop edge bleeding, which happens first in the sequence shown?", "role": "user" }, { "content": "Separating the main feeding bundle occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How to manage the friable meso-colon in UC & Crohn's disease.mp4" ] }, { "messages": [ { "content": "Once the plate for the reconnection device is visibly sewn in, when does the stapled reconstruction actually proceed?", "role": "user" }, { "content": "After completing the transverse suturing of the coloplasty, the stapled anastomosis is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Nervenschonende offene tiefe anteriore Rektumresektion bei Rektumkarzinom.mp4" ] }, { "messages": [ { "content": "When does recurrent bleeding become visible again later in the case, and from which previously treated area does it arise?", "role": "user" }, { "content": "During fragment retrieval and before edge ablation, oozing reappears from the same initial vessel site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Colonoscopy： Sigmoid Colon Polyp Resection - Large Polyp.mp4" ] }, { "messages": [ { "content": "In the opening segment before any sterile setup appears, when and where on the cross-sectional visuals does the abnormal focus first become obvious?", "role": "user" }, { "content": "It first becomes visible during the initial image review, as a small outward-growing lesion on the organ’s outer surface on the patient’s right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Off Clamp Partial Nephrectomy - Dr Celhay Olivier - Clinique Tivoli Bordeaux France.mp4" ] }, { "messages": [ { "content": "During the intra-operative integrity check, when and where would any leak first be seen on camera?", "role": "user" }, { "content": "Right after filling during the check, at the fresh join; in this case, no leak is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/KEM Urologie： Radikale Prostatektomie.mp4" ] }, { "messages": [ { "content": "Which handheld implement is used to separate the growth from its surroundings, and on which layer of the organ is it applied?", "role": "user" }, { "content": "A small hook acts on the outer (cortical) layer to excise the lesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Renorrhaphy Techniques during Partial Nephrectomy YouTube.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from clearing attachments around the central feature to bringing in the folded round implant patch?", "role": "user" }, { "content": "The transition occurs when the round implant patch is brought out, folded, and inserted under the muscle layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia Repair at California Hernia Specialists.mp4" ] }, { "messages": [ { "content": "Which happens first: starting the incision at two lower clock-face positions or uniting with the plane previously opened from the top?", "role": "user" }, { "content": "Initiating at the two lower positions occurs before joining the previously opened plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TA-TME) ｜ Dr. Vinay Samuel Gaikwad ｜ CK Birla Hospital.mp4" ] }, { "messages": [ { "content": "Between activating the fluorescence contrast view and widening the base opening of the storage sac, which happens first?", "role": "user" }, { "content": "The fluorescence contrast check happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Mirizzi Syndrome, robotic cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: the hollow loop straightens after releasing tethers, or the opening of the blind-ended tube is sealed?", "role": "user" }, { "content": "The straightening of the hollow loop occurs first; sealing the blind-ended tube happens afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Twisted and Backwards： Laparoscopic Ladd's Procedure in a Patient with Malrotation.mp4" ] }, { "messages": [ { "content": "Which occurs first: reducing the size of the upper stomach segment or moving the redundant intestinal stub out of the way?", "role": "user" }, { "content": "Reducing the stomach segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Revision of Gastrojejunostomy leading to a Reversal of Gastric Bypass.mp4" ] }, { "messages": [ { "content": "During the practice footage, which side is treated first: the initially approached side or the opposite side?", "role": "user" }, { "content": "The initially approached side is treated first, then the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES).mp4" ] }, { "messages": [ { "content": "At what point do you first see the upstream channel fluorescing while the downstream segment stays dark, and where is this contrast visible?", "role": "user" }, { "content": "It first appears when dye visualization is activated at the constricted segment, where the upper part glows and the lower remains dark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Repair of Common bile duct (CBD) injury.mp4" ] }, { "messages": [ { "content": "Which implement acts on which tissue to accomplish stabilization of the inner opening?", "role": "user" }, { "content": "Interrupted sutures (needle and thread) act through the inner lining full thickness to stabilize it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Wide local excision (WLE) of perianal Paget’s disease (PPD) with.mp4" ] }, { "messages": [ { "content": "Which appears first: the distinct white neural fibers or the view of the very bottom muscle ring in the deep corridor?", "role": "user" }, { "content": "The white neural fibers appear first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "Which happens first in the clip: tightening stitches placed around the opening in the diaphragm behind the swallowing tube, or transection of the previous connection between the upper pouch and the small intestine?", "role": "user" }, { "content": "The tightening stitches around the diaphragm happen before transecting the previous connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Roux en Y Gastric bypass to SADI S for weight regain.mp4" ] }, { "messages": [ { "content": "Following removal of external hardware, when does inspection for seepage begin?", "role": "user" }, { "content": "Immediately after the device is removed, the team begins inspecting the join for seepage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Precedure A stepwise approach.mp4" ] }, { "messages": [ { "content": "After the clamp-and-stitch at the distal end is visibly secured, at what point does the actual deeper dissection resume?", "role": "user" }, { "content": "Right after antiseptic irrigation and re‑pressurizing the field, the dissection resumes immediately.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME： Changing the landscape of rectal cancer.mp4" ] }, { "messages": [ { "content": "Between elevating the right-sided segment to create tension and securing the first major vessel with clips, which action happens earlier in the sequence?", "role": "user" }, { "content": "Elevation to create tension occurs before vessel clipping.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy #best oncosurgeon#coloncancertreatment.mp4" ] }, { "messages": [ { "content": "Given that a thin tube appears near the cut surface of the gland and the adjacent bowel loop, when does its insertion actually start relative to the front-row stitches?", "role": "user" }, { "content": "It’s inserted after the back layer is done and before starting the front-row sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple operation technique.mp4" ] }, { "messages": [ { "content": "Which occurs first: smoothing and freeing a fatty plane beneath the stomach or placing clips and dividing a vessel along the stomach’s outer arc?", "role": "user" }, { "content": "The fatty plane is smoothed and freed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 radical gastrectomy plus complete mesogastrium excision with membrane anatomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence switch from holding the tissue above to working underneath it?", "role": "user" }, { "content": "When the instrument is directed “embaixo,” i.e., underneath the structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Colecistectomia 3 meses após Pancreatite - Sem clipes - FULLHD com áudio.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the hollow organ’s wall to create a seal, and what action does it perform?", "role": "user" }, { "content": "Absorbable sutures act on the organ wall to seal it closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/12 212PED Robot-Assisted Partial Cystectomy for a Large Urachal Hemangioma in a Child.mp4" ] }, { "messages": [ { "content": "Between releasing the attachments around the upper midline organ and dividing that organ across its width, which action happens first in the clip?", "role": "user" }, { "content": "Releasing the attachments happens first, followed by the crosswise division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/COILED SLEEVE： CONVERSION TO ROUX -EN- Y GASTRIC BYPASS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence move from lifting the front-side pelvic organ to reaching the lowest level of the pelvis?", "role": "user" }, { "content": "It transitions once the organ is elevated enough that the anterior pelvic floor is reached.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/How I Do It： Robotic Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence move from opening the wall to an initial internal survey?", "role": "user" }, { "content": "Right after the cavity is opened and the first finger sweep is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/A technique for emergent, decompressive loop colostomy – A video vignette.mp4" ] }, { "messages": [ { "content": "When and where does a noticeable surge in bleeding first become visibly apparent during the operation?", "role": "user" }, { "content": "It first appears around the lateral perimeter of the target area during the rapid excision step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboterassistierte Nierenteilresektion bei komplexen und multifokalen Tumoren.mp4" ] }, { "messages": [ { "content": "Between securing the specimen within an enclosure and beginning to cut it into smaller pieces, which step comes first?", "role": "user" }, { "content": "Securing it inside the enclosure comes first, followed by fragmentation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Contained Power Morcellation - Subtotal Hysterectomy.mp4" ] }, { "messages": [ { "content": "Which device is used on the prominent vertical vein at the root of the mesentery, and what action is performed?", "role": "user" }, { "content": "Clips are applied to the vein, and it is then transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Left Colectomy with Complete Mesocolic Excision for Splenic flexure tumour.mp4" ] }, { "messages": [ { "content": "When and where does a separate downstream opening first become visibly apparent relative to the main site?", "role": "user" }, { "content": "It first appears near the lower end of the incision, visible after the main segment is exteriorized and before the final measurements and shaping.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/BROOKE'S END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "Between securing a small arterial branch with fasteners near the upper fold and the first mechanical cut across a short intestinal segment, which happens earlier in the clip?", "role": "user" }, { "content": "Securing the branch with fasteners occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "After the view switches to a steeper angle and the arms are spaced to avoid collisions, at what moment does the surgeon actually begin operating from the remote console?", "role": "user" }, { "content": "Control begins when the surgeon states, “So we’re in the robotic console,” right after arm optimization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Right Inguinal Hernia by Jonathan Carter, MD ｜ Full Case.mp4" ] }, { "messages": [ { "content": "Which action happens earlier: removing the stomach’s fatty apron or cutting the fibrous band at the front of the liver?", "role": "user" }, { "content": "The fatty apron removal occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic cytoreductive surgery and HIPEC for peritoneal metastases of colorectal origin.mp4" ] }, { "messages": [ { "content": "After a slender side branch is snared with a loop, when are small metal fasteners applied, and to which pathway?", "role": "user" }, { "content": "Immediately after the branch is looped, metal fasteners are applied selectively to the side-branch pathway while preserving the main downstream branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/IMA preserving D3 LND Sigmoid colectomy for Cancer Of the sigmoid colon and recto-sigmoid.mp4" ] }, { "messages": [ { "content": "During the traction‑assisted sequence around the tiny opening, which directional pull happens first: toward the patient’s lower‑left quadrant or toward the patient’s upper‑right quadrant?", "role": "user" }, { "content": "The pull toward the patient’s lower‑left quadrant occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Tips for Laparoscopic Pancreaticoduodenectomy Reconstruction.mp4" ] }, { "messages": [ { "content": "During the opening survey, when and where does an unusually deep recess with a thick lining first become visibly apparent?", "role": "user" }, { "content": "Immediately during the initial survey of the lower abdomen, a deep recess with thick lining is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectum- ventral Mesh Rectopexy for rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which device creates the new bowel passage, and what directional alignment does it follow?", "role": "user" }, { "content": "A stapling device creates it, in a mechanical side‑to‑side, isoperistaltic intracorporeal configuration.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic transverse colectomy with ICG-guided lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which occurred first: securing the pulsating tubular structure or cutting the two small branching passages?", "role": "user" }, { "content": "Securing the pulsating tubular structure happened first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Safra yolu kanseri tip 4 klatskin tümörü ameliyatı ｜ Hepatikojejunostomy-Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "When does the scene switch from cutting the two ends to beginning the joining phase of the two segments?", "role": "user" }, { "content": "Right after the specimen is moved aside and the two limbs are lined up in parallel for the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Right ICA Techniques⧸Tips and Incorporating ICA into Your Practice.mp4" ] }, { "messages": [ { "content": "At what moment does the team switch focus from sewing the initial side to repositioning and sewing the opposite side?", "role": "user" }, { "content": "Right after the first side is finished and tied/clipped, they reposition and begin the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Ileal Conduit.mp4" ] }, { "messages": [ { "content": "Between tracing an outline on the organ’s surface and placing a small spring clip on a vessel, which happens earlier in the sequence?", "role": "user" }, { "content": "Tracing the outline happens first, followed by placement of the clamp.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Hand-Assisted Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "When in the sequence does a distinct cratered lesion on the bend beneath the upper-left organ first become clearly visible, and where is it located?", "role": "user" }, { "content": "After completing left‑side mobilization, at the splenic flexure; it appears as a large umbilication on the lesion surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic left hemicolectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from clearing tissue around the sac’s neck to securing the two short tubes?", "role": "user" }, { "content": "The transition occurs when the metallic fasteners are applied to the two isolated tubes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/laparoskopische Cholezystektomie (Gallenblasen-Entfernung) - eSwiss, St. Gallen.mp4" ] }, { "messages": [ { "content": "When a larger side branch is encountered, which instrument acts on it and what sequence is used before it is cut?", "role": "user" }, { "content": "The branch is first isolated, then secured with a ligating device, and finally cut; very small branches are treated with a heat-based instrument.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Anatomy of the Rectum： Part 3 - Lateral topography.mp4" ] }, { "messages": [ { "content": "After the guide tube is pulled back out of the way, when does the cutting device actually begin its transection across the upper pouch?", "role": "user" }, { "content": "Immediately after the tube is withdrawn, when the device is applied to divide the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/LAP RADICAL D2 DISTAL GASTRECTOMY WITH ROUX EN Y RECONSTRUCTION.mp4" ] }, { "messages": [ { "content": "Between forming a small opening just above a vessel’s origin and securing that vessel with fasteners, which action happens first in this clip?", "role": "user" }, { "content": "The opening above the vessel’s origin happens first, then the vessel is secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.1.3. Laparoscopic Left Hemicolectomy for Sigmoid Carcinoma - Amjad Parvaiz.mp4" ] }, { "messages": [ { "content": "Between the moment the thin, curved retriever inside the incision sweeps upward and the moment a tubular structure is pulled out onto the drapes, which happens first?", "role": "user" }, { "content": "The upward sweep with the retriever happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Dog Ovariectomy.mp4" ] }, { "messages": [ { "content": "Which device acts on which part of the digestive tube to create a sealed divide before removal?", "role": "user" }, { "content": "A straight-line sealing device acts on the downstream segment, creating two parallel seals and enabling division between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Low anterior resection and hysterectomy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: the leak check after joining the two ends or the placement of a length of tubing for postoperative drainage?", "role": "user" }, { "content": "The leak test is performed first, followed by placement and exteriorization of the drainage tubing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌NOSES手术.mp4" ] }, { "messages": [ { "content": "Which occurs first: detaching the organ’s connection to its ductal pathway or placing the specimen into the pouch?", "role": "user" }, { "content": "Detaching the ductal connection happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Cholezystektomie - So läuft die Entfernung der Gallenblase ab.mp4" ] }, { "messages": [ { "content": "During separation of the liver along the planned plane, which energy devices act on the parenchyma and how do they accomplish the split?", "role": "user" }, { "content": "An ultrasonic shear and a bipolar grasping dissector coapt, coagulate, and cut the parenchyma, with the tissue divided between the bipolar prongs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "Between angling the operating table and placing sterile covers over the field, which action occurs first?", "role": "user" }, { "content": "Tilting the table occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Nephrektomie - GeSRU Steps.mp4" ] }, { "messages": [ { "content": "Which comes first in the sequence: thorough fluid flushing of the abdomen or placement of a flexible tube to facilitate postoperative fluid egress?", "role": "user" }, { "content": "Flushing is performed first, followed by placement of the tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Treatment of Ruptured Diverticulitis： Morris Franklin, MD.mp4" ] }, { "messages": [ { "content": "Between the initial scan with the handheld imaging probe and the first incision through the internal barrier separating the chest and abdomen, which one happens earlier in the sequence?", "role": "user" }, { "content": "The scan with the imaging probe occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic transthoracic and thoracoscopic liver resection.mp4" ] }, { "messages": [ { "content": "After the linear cutter is positioned across the bowel beyond the marked area, when does the actual transection happen?", "role": "user" }, { "content": "Transection occurs right after the device is securely positioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy in an Obese Patient of BMI 50kg⧸m2.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure switch from removing the mass to repairing the cut surface?", "role": "user" }, { "content": "Right after the specimen is completely detached, when suturing begins on the bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Step by Step Laparoscopic Partial Nephrectomy： Tactics and Techniques (for Residents and Fellows).mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from exposing the side sliding layer to actively separating the thin tether?", "role": "user" }, { "content": "The transition occurs the moment the pull has clearly outlined the tether and created a visible sliding layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Anatomy of the Rectum： Part 3 - Lateral topography.mp4" ] }, { "messages": [ { "content": "After the team previews alternative cut lines on the thin partition to avoid a nearby nerve, when does the actual cutting begin?", "role": "user" }, { "content": "It starts immediately afterward, when the 12 cm opening is performed along the planned line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Simultaneous Hepatic and Transdiaphragmatic Lung Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from work in the chest back to work in the abdomen?", "role": "user" }, { "content": "Immediately after the mass is pushed down from above the diaphragm, the team returns to the abdomen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Nefrectomia radicale sinistra, trombectomia totale e sostituzione cavale.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from cutting through layers to revealing the pale fatty plane?", "role": "user" }, { "content": "When the serosal layer is fully transected and the mesorectal fat comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/ALTEMEIER PROCEDURE FINAL.mp4" ] }, { "messages": [ { "content": "After the scope is stiffened and a steady view of the main channel is obtained, at what moment does the cutting loop first begin excision of the protruding growth?", "role": "user" }, { "content": "Immediately after the stabilized view is obtained, when the looped cutter is introduced to start piecemeal removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Endoscopic treatment of a large intraductal papillary mucinous neoplasm of the bile duct.mp4" ] }, { "messages": [ { "content": "When and where in the field does the unusual growth first become clearly noticeable?", "role": "user" }, { "content": "It first becomes clearly noticeable as the view moves deeper, at the rear side of the operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Total Gastrectomy, D2 Lymphadenectomy, High Anterior Resection & etc..mp4" ] }, { "messages": [ { "content": "Which occurs earlier: dividing a key vessel supplying the mid-abdominal bowel loop, or closing the shared opening of the new connection?", "role": "user" }, { "content": "The vessel division happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the tethering fibers surrounding the inflamed tubular organ, and what tissue is being acted on?", "role": "user" }, { "content": "An energy-sealing device is used to divide the fibrous bands, acting on the bands enveloping the appendix.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "Precisely when does the scene switch from constructing the join to performing a submerged air check for leaks?", "role": "user" }, { "content": "Right after the join is completed, when the field is flooded and air is insufflated to check for bubbles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic sigmoid colectomy with transanal extraction.mp4" ] }, { "messages": [ { "content": "In the sequence near the top of the field, which occurs first: division of the tubular structure leading upward or removal of the main specimen?", "role": "user" }, { "content": "Division of the upper tubular structure happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/本編　胃癌に対する胃全摘術.mp4" ] }, { "messages": [ { "content": "Which is shown first: the glow through the wall or the internal check performed via the lower opening?", "role": "user" }, { "content": "The glow through the wall is shown first, followed by the internal check via the lower opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Ileo-Rectal Anastomosis Using Lumen Apposing Metal Stent.mp4" ] }, { "messages": [ { "content": "Between two micro-actions in this clip—(A) applying metal fasteners and cutting on the slender, pulsating strand near the organ’s neck, and (B) doing the same on the short, wide conduit leaving the organ—which one happens first?", "role": "user" }, { "content": "Action A occurs first: the pulsating strand is sealed and cut before the short outlet from the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Безопасная холецистэктомия-практикум..mp4" ] }, { "messages": [ { "content": "During the belly phase, which handpiece is used to open the plane behind the lining, and which one is used to seal and cut the main blood channels feeding the segment?", "role": "user" }, { "content": "An ultrasonic-type dissector opens the plane; a bipolar sealing device closes and divides the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Extent of perineal dissection during abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the workspace expanding under pressure, when does the removed piece begin to hang with no extra retractors?", "role": "user" }, { "content": "Once insufflation establishes the plane and the posterior release is completed, it starts to hang without extra retractors.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/New techniques for rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "At what moment does the operation transition from hemostasis verification to the extraction phase?", "role": "user" }, { "content": "When they finish checking hemostasis and insert the rotating extractor through the left-side port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Step by step laparoscopic subtotal hysterectomy (fully narrated technique).mp4" ] }, { "messages": [ { "content": "Which happens first: cutting the central draining vein or sealing its companion artery near the origin?", "role": "user" }, { "content": "The central draining vein is cut first, then the companion artery is sealed near its origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic transverse colectomy with ICG-guided lymphadenectomy.mp4" ] }, { "messages": [ { "content": "When does prominent bleeding first become clearly visible, and in which area of the organ does it appear?", "role": "user" }, { "content": "Early in the procedure, at the organ’s lower portion, with surrounding clots.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/splenectomy/腹腔镜下脾切除术（创伤性脾破裂）2.mp4" ] }, { "messages": [ { "content": "When does the clip transition from hemostasis checking to specimen extraction?", "role": "user" }, { "content": "Immediately after the final survey shows no bleeding or leak, when the retrieval pouch is introduced for extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robot Assisted Cholecystectomy in Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene shift from isolating tubular structures to peeling the organ off its attachment?", "role": "user" }, { "content": "Right after the branches and duct are declared isolated, when the heated tip is brought back to start detachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/INSIDE STORY： Gallbladder Removal Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument delivers the soft insert into the inner opening, and why is that tool chosen?", "role": "user" }, { "content": "A blunt Russian forceps is used, chosen to avoid injuring nearby vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Male Patient).mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from broad mobilization to completion of excision?", "role": "user" }, { "content": "Immediately after full mobilization, division at the venous junction is performed, marking an R0 resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robot assisted radical Nephrectomy for RCC with thrombus in the renal vein reaching up to IVC.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from working in the upper abdominal membrane to entering the space behind the stomach?", "role": "user" }, { "content": "The transition occurs when the membranous sheet is incised—specifically at the cut that leads into the lesser sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Left Colectomy with Complete Mesocolic Excision for Splenic flexure tumour.mp4" ] }, { "messages": [ { "content": "Considering the colon work shown, which occurs earlier: freeing the upper-left bend or freeing the downward segment on the left side?", "role": "user" }, { "content": "Freeing the upper-left bend occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Low Anterior Resection with Diverting Loop Ileostomy for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from finishing the far-side seam to starting the near-side seam?", "role": "user" }, { "content": "Right after the far-side seam is completed, the near-side seam begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Resection of the Extra Hepatic Bile Duct and Biliary Reconstruction.mp4" ] }, { "messages": [ { "content": "Which hand‑operated cutting tool is used to make the high cut into the sac just below where the two upstream channels meet, and what structure is being cut?", "role": "user" }, { "content": "Scissors are used to divide the cyst about 1 cm below the hepatic duct confluence.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Choledochal Cyst ： Laparoscopic surgery (excision) withl roux en y Hepatico Jejunostomy.mp4" ] }, { "messages": [ { "content": "At what point do tiny pockets of gas first become noticeable, and over which organ surface are they seen?", "role": "user" }, { "content": "Early in the exploration, small gas bubbles appear over the surface above the liver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Redo Gastrojejunostomy Following Perforation From Stricture Dilatation.mp4" ] }, { "messages": [ { "content": "Given the visual cue of the team finishing their survey of lesion boundaries, at what moment does the clip show the cutting-and-sealing device first engaging the lower portion of the stomach?", "role": "user" }, { "content": "It starts when the distal stomach is divided with the endoscopic linear stapler (green load).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sub-total Gastrectomy for Management of Bleeding Polyps.mp4" ] }, { "messages": [ { "content": "Which thread and target tissue are used to secure the outer apron along the new edge, and what is the intended effect of this maneuver?", "role": "user" }, { "content": "A barbed thread secures the outer apron to the reinforcing strip to reduce dead space, bleeding, and help alignment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Single anastomosis stomach jejunal bypass ; sleeve. sydney . Australia. SASJ.mp4" ] }, { "messages": [ { "content": "Between sealing off the smaller side pouch at its base and extracting that specimen through a keyhole, which happens earlier?", "role": "user" }, { "content": "Sealing and dividing the smaller pouch occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy W Esophageal Diverticulectomy for Achalasia.mp4" ] }, { "messages": [ { "content": "At what precise moment does the workflow switch from work through the small exterior opening back to minimally invasive inside-the-body work?", "role": "user" }, { "content": "When the scope is inserted back through the port after re-establishing pneumoperitoneum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection ｜ Dr. Kevin Huguet MD, MPH, FACS ｜ St. Petersburg, Tampa, Clearwater.mp4" ] }, { "messages": [ { "content": "When is bleeding control applied relative to noticing oozing during separation?", "role": "user" }, { "content": "It is applied immediately during separation when oozing is seen, and can be repeated after the cut if needed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/BTESD 水刀膀胱癌剝離術.mp4" ] }, { "messages": [ { "content": "Which implement engages the first lateral target to achieve a complete wall removal?", "role": "user" }, { "content": "A circular stapler engages the lateral segment to perform a full-thickness resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/TRRPCS – A New Promising Technique in Treatment of Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "At what visible moment does the scene shift from dissecting around the diaphragm opening to splitting the outer muscle of the food tube?", "role": "user" }, { "content": "When both pillars are exposed and the front nerve is identified, the first 11 o’clock incision marks the transition.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Achalasia cardia ：Laparoscopic Heller's with Dor's Fundoplication.mp4" ] }, { "messages": [ { "content": "Between forming the tiny sac from the upper digestive chamber and attaching the re-routed conduit to it, which action happens first?", "role": "user" }, { "content": "Forming the pouch happens first, then the small bowel is connected to it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Gastric Bypass Surgery Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "When and where in the clip does any visible injury or unintended opening first become apparent?", "role": "user" }, { "content": "No abnormality becomes visible at any point; none is seen during the endoscopic check or afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/V011 LAPAROENDOSCOPIC SINGLE SITE HELLER MYOTOMY AND ANTERIOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "When does the need for brief inflow clamping arise because of scarring, and in which area is it encountered?", "role": "user" }, { "content": "During dissection near the bend toward the left at the prior right-side site, brief clamping is needed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic right portal vein ligation⧸Robotic right trisegmentectomy with caudate lobectomy + RYHJ.mp4" ] }, { "messages": [ { "content": "When does it first become evident that the specimen will not pass through the existing entry channel?", "role": "user" }, { "content": "At the moment of attempted extraction through the existing access channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/ЛХЭ. ЖКБ. САМЫЙ МАЛЕНЬКИЙ ЖЕЛЧНЫЙ ПУЗЫРЬ ⧸⧸ LAPAROSCOPIC CHOLECYSTECTOMY. MINI GALLBLADDER..mp4" ] }, { "messages": [ { "content": "After a grasper engages the specimen through a small tubular port, at what moment does the removal action actually begin?", "role": "user" }, { "content": "It starts when the cylindrical blade begins spinning and draws the tissue upward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Supracervical Hysterectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from sewing the back side to sewing the front side of the new connection?", "role": "user" }, { "content": "The shift occurs immediately after declaring the back-side layer complete, when front-side stitching begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic pancreas preserving duodenal resection with RNY reconstruction for duodenal GIST.mp4" ] }, { "messages": [ { "content": "Which comes earlier: dividing the tight circular muscle at the outlet or passing the camera through the outlet without resistance?", "role": "user" }, { "content": "Dividing the muscle occurs first, then the easy passage follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Per Oral Pyloromyotomy for Gastroparesis： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "Between elevating the central reservoir organ with an auxiliary arm to reveal a shiny posterior layer and making a horizontal cut between two symmetrical tubes to enter the plane behind it, which action happens first?", "role": "user" }, { "content": "Elevation with the auxiliary arm occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/V06-01： Nerve-Sparing Robot-Assisted Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "During traction, what do the forceps hold instead of the mass itself, and for what purpose?", "role": "user" }, { "content": "They grasp the surrounding margin/tissue for retraction to avoid fragmenting the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video of combined transanal excision (TAE) and transanal minimal.mp4" ] }, { "messages": [ { "content": "In the pelvic repair sequence, after the team finishes cleaning the involved wall, when does the leak test begin?", "role": "user" }, { "content": "Immediately after the wall is cleaned (debrided), they start the leak test by filling the reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Approach Fistulous Disease, Abscess, and Strictures： Petachia Reissman, M.D..mp4" ] }, { "messages": [ { "content": "In the sequence where a major blood channel is handled, which happens first: clearing the surrounding fat-lymph tissue off the vessel or placing metallic fasteners onto it?", "role": "user" }, { "content": "Clearing the surrounding fat-lymph tissue occurs first, followed by applying the fasteners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/胃がんの外科治療 ～頑張る手術と優しい手術～　藪崎 裕.mp4" ] }, { "messages": [ { "content": "Once the room lights are dimmed and the view switches inside, at what point do the instruments commence peeling the connective layer, and where?", "role": "user" }, { "content": "Right after dimming and traction, peeling begins on the back side of the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Innovation in Robotic Surgery： Emergence of Skin to Skin Robotic Cholecystectomy Using Mantra Robot.mp4" ] }, { "messages": [ { "content": "Between the moment when a contrast‑light check shows the target side staying dark and the moment when the surgeon begins tracing the incision line on the organ surface, which happens first?", "role": "user" }, { "content": "The dark contrast‑light check happens first, and then the surface tracing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Liver Resection # ICG & Liver resection # A I Driven liver resection # Liver mets.mp4" ] }, { "messages": [ { "content": "When does the team hand over from the initial energy method to a bulkier instrument for deeper cuts?", "role": "user" }, { "content": "After finishing the shallow layer, they begin deeper cuts with the larger sealing instrument.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Roux-En-Y Hepaticojejunostomy for Right Hepatic Duct Transection.mp4" ] }, { "messages": [ { "content": "Which instrument uses energy to sever vessels along the lower-right edge of the upper hollow organ, and what tissue is cleared as a result?", "role": "user" }, { "content": "An energy-based dissector divides those vessels, clearing lymphatic-fatty tissue from the inferior pancreatic border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 lymph node dissection with total gastrectomy and jejunal pouch reconstruction for ea.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from rebuilding the inner wall to establishing a pressure-free outflow setup?", "role": "user" }, { "content": "Right after the continuous suture closes the front wall, when the two drainage tubes are inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Blasenekstrophieverschluss mit Blasenhalsaufbauplastik, Genitalrekonstruktion, Mons pubis Aufbau.mp4" ] }, { "messages": [ { "content": "During the early vessel work, which occurs first: the sealing and cutting of a deep feeding conduit near its origin, or the creation of an access window above an upper abdominal organ?", "role": "user" }, { "content": "Sealing and cutting of the conduit happens first, then the access window is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/A Stepwise Approach to LAR. An Illustrated Video for Training Colorectal Surgeons.mp4" ] }, { "messages": [ { "content": "When and where does the first suspicious surface focus become visibly apparent relative to a previously treated zone?", "role": "user" }, { "content": "Early in the survey phase, a suspicious focus appears on the left side of the organ near a previously treated area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/EVRE 4 KOLON KANSERİ İÇİN BİRİ MİKRODALGA ABLASYON 4. AMELİYAT.mp4" ] }, { "messages": [ { "content": "Between sealing the main supply on the side slated for removal and splitting the tissue bridge between the two halves, which happens first?", "role": "user" }, { "content": "The supply is sealed first, then the tissue bridge is split.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Associating Liver Partition and Portal Vein Ligation for Stage Hepatectomy (ALPPS).mp4" ] }, { "messages": [ { "content": "Between locating the channel on the left side near the central cleft and peeling tissue to reach the groove on the right, which one happens earlier?", "role": "user" }, { "content": "Locating the left-side channel happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Conferencia Magistral： Diagnóstico, Tratamiento y Seguimiento... - XVII ECOS - Dr. Steven Strasberg.mp4" ] }, { "messages": [ { "content": "Between spotting the thinner-walled channel and identifying the sturdier pulsating channel near the base of the supply to the right-sided bowel, which is recognized first?", "role": "user" }, { "content": "The thinner-walled channel is recognized first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic Right Colectomy： The Critical View and the Standard of Care Approach.mp4" ] }, { "messages": [ { "content": "Which instrument is used to cut through the soft organ at its narrowed segment after a curved grasper has been threaded through behind it?", "role": "user" }, { "content": "A sharp blade is used to perform the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/How I Do It Video： Modified Whipple procedure for Pancreatic Head Carcinoma Greece.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the fibrous cord along the pelvic sidewall, and what structure is being acted upon?", "role": "user" }, { "content": "An energy sealing device (N-seal) is used to divide the obliterated umbilical ligament.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Robotic Assisted Radical Cystoprostatectomy： Dr. T. B. Yuvaraja.mp4" ] }, { "messages": [ { "content": "Between freeing the scarred area around the old connection using energy instruments and dividing the lower chamber with a sealing-dividing device, which one is performed first?", "role": "user" }, { "content": "Freeing the scarred area happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/REVISIONAL RYGB# REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA.mp4" ] }, { "messages": [ { "content": "When does the process shift from bilateral placement to repeating the same maneuvers again?", "role": "user" }, { "content": "The shift occurs at the first declaration that the same steps will be repeated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/腹腔鏡でのストマ造設（横行結腸ストマ）.mp4" ] }, { "messages": [ { "content": "When does the focus switch from mobilizing under the left ribcage to working in the lower basin?", "role": "user" }, { "content": "The switch occurs when the view changes to the lower basin with the bony landmark ahead and they begin dissection there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Rectal Cancer Anatomy： Defining and Appropriate Total Mesorectal Excision (TME).mp4" ] }, { "messages": [ { "content": "Between rolling the C-loop of small bowel adjacent to the head of the gland medially and dividing the upper digestive reservoir, which action happens first in the clip?", "role": "user" }, { "content": "The medial mobilization of the small-bowel loop happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple operation technique.mp4" ] }, { "messages": [ { "content": "At exactly what point does the case move from cutting to specimen retrieval?", "role": "user" }, { "content": "The transition occurs immediately upon completion of transection, followed by removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Effects of Laparoscopic Liver Resection on Cardiopulmonary Performance.mp4" ] }, { "messages": [ { "content": "When and where do unusual tethering bands first become visibly evident during the case?", "role": "user" }, { "content": "Early at the start, along the liver where the organ is tethered by adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic sleeve gastrectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation move from specimen detachment to constructing the new join between the bowel ends?", "role": "user" }, { "content": "The transition occurs when the two segments are aligned side-by-side and openings are created to begin the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic right hemicolectomy with complete mesocolic excision and indocyanine green.mp4" ] }, { "messages": [ { "content": "After the closure steps are completed, when does the tissue‑reduction device actually start extracting the specimen?", "role": "user" }, { "content": "At the very end, when the morcellation device is engaged to remove the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Uterine Fibroid Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument is applied to the downstream hollow segment to separate it, and what action is performed?", "role": "user" }, { "content": "A linear endoscopic cutter (stapler) is applied to the rectum to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic-assisted transvaginal radical sigmoidectomy for sigmoid colon cancer.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to achieve what effect during the initial phase of the clip?", "role": "user" }, { "content": "A cautery/sealing device acts on omental and fatty adhesions to dissect them and create a clear operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/cholestectomy/王军凯：腹腔镜右肾部分切除，胆囊切除术.mp4" ] }, { "messages": [ { "content": "Between sealing a tiny edge vessel along the loop and using a multi-row cutting device to divide that loop, which occurs first?", "role": "user" }, { "content": "The vessel is sealed first, then the loop is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Vid 1.1 (Part 1)： Roux-en-Y Gastrojejunostomy for Post-Corrosive GOO #StomachSurgery #corrosive #GOO.mp4" ] }, { "messages": [ { "content": "When clips are applied to a small arterial branch near the stomach, at what point does the cutting actually begin?", "role": "user" }, { "content": "Cutting begins immediately after the clips are applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 subtotal gastrectomy with intracorporeal Roux-en-Y for T4 gastric adenocarcinoma.mp4" ] }, { "messages": [ { "content": "Which implement is used as the primary separator to peel dense attachments from the organ’s bed during the early dissection?", "role": "user" }, { "content": "A rounded suction instrument is used as the dissector to peel adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic management of intra-hepatic gall bladder perforation.mp4" ] }, { "messages": [ { "content": "Which takes place sooner: freeing the outer layers from the central midline band, or cutting the navel cord?", "role": "user" }, { "content": "Freeing the outer layers occurs before cutting the navel cord.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Umbilical Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which protective sleeve is used on the removed segment during extraction, and what purpose does it serve?", "role": "user" }, { "content": "A wound protector is used around the specimen to prevent implantation of tumor cells during extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TME) with a Stapled Side to End Anastomosis.mp4" ] }, { "messages": [ { "content": "At what precise moment does the sequence shift from preparing a transverse branch to actually cutting it?", "role": "user" }, { "content": "Right after the branch’s origin is fully skeletonized, it transitions to resection at that origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right-sided tumors ： Tips & Techniques Lymph node dissection for Left colectomy By Songphol Malakorn.mp4" ] }, { "messages": [ { "content": "At what point does the workflow shift from sidewall mobilization toward the upper left bend to preparing the lower cut by forming a passage?", "role": "user" }, { "content": "Immediately after finishing lateral mobilization to the upper bend, when the rectal segment is lifted and the passage is fashioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Left Hemicolectomy Utilizing All Three Robotic Arms.mp4" ] }, { "messages": [ { "content": "Which device is used on two adjacent bowel limbs to create their side‑to‑side connection?", "role": "user" }, { "content": "A robotic stapler is used to join the two bowel segments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/ROBOTIC HEPATICOJEJUNOSTOMY FOR COMMON BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "After the capture pouch is opened on screen, at what moment does placing the target structure into it actually begin?", "role": "user" }, { "content": "Immediately after the pouch mouth is opened, they start gently feeding the structure into it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/How to perform safe Dermoid Ovarian Cystectomy without Spillage.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the fibrous bed beneath the organ sac, and for what purpose does it act during detachment?", "role": "user" }, { "content": "A hook-shaped energy device is used to peel the organ off its bed and simultaneously coagulate small bleeders.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Abendvisite - Wie läuft eine Operation an der Galle ab？.mp4" ] }, { "messages": [ { "content": "In this sequence, which happens first: securing the main feeder to the target segment or cutting open the removed piece to demonstrate the interior growth?", "role": "user" }, { "content": "Securing the main feeder happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Almanya’dan Gelen Hastanın Kuru Temiz Kolon Kanseri Ameliyatı.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to accomplish what maneuver when separating the sidewall packet from the nearby cord-like structure?", "role": "user" }, { "content": "A no-energy cutting tool is used to divide the nodal tissue off the adjacent nerve to preserve it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic prophylactic lateral pelvic lymph node dissection in advanced low rectal cancer..mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action?", "role": "user" }, { "content": "An energy cautery instrument is applied to the tissues around the protrusion and its lining to dissect and free it circumferentially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia repair.mp4" ] }, { "messages": [ { "content": "At what moment does the operation move from isolating vessels near the organ’s neck to peeling the organ off its bed?", "role": "user" }, { "content": "Immediately after the nearby vessel is divided and the channel is clearly exposed, the team begins peeling the organ off its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/腹腔鏡膽囊切除術.mp4" ] }, { "messages": [ { "content": "Near the end, once the person regains responsiveness, when does the functional check to see if anything externalizes actually start?", "role": "user" }, { "content": "It starts as soon as the person is awake, when the operator asks for a strain, showing nothing externalizes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Recurrent Rectal Prolapse Cured by Dr Ashwin's Innovative TRRPCS Surgery By Use Of Multiple Staplers.mp4" ] }, { "messages": [ { "content": "In this sequence, when does the operation shift from posterior mobilization to central vessel control?", "role": "user" }, { "content": "At the moment the first central vein is clipped and divided at its root.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic extended right hemicolectomy, en-bloc cholecystectomy and complete mesocolic excision CME.mp4" ] }, { "messages": [ { "content": "When the camera shows the team lifting the fat curtain along the stomach’s outer curve, at what point does entering the hidden space actually begin?", "role": "user" }, { "content": "It starts when they incise the fat curtain to open the space—cutting the omentum to enter and open it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/May 2021 ｜ 20-1225 ｜ Didactic Video Collection ｜ Laparoscopic Right Hemicolectomy ｜.mp4" ] }, { "messages": [ { "content": "Between sealing a vessel at the stomach’s outer border and dividing the first short segment of small bowel leaving the stomach, which happens earlier in the clip?", "role": "user" }, { "content": "The vessel at the stomach’s outer border is sealed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOR LOCALLY ADVANCED GASTRIC CANCER.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working underneath the bowel to opening the cavity above it?", "role": "user" }, { "content": "When the mesentery is carried from beneath the bowel into the lesser sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Presentation on Transverse Colon Cancer Treatment.mp4" ] }, { "messages": [ { "content": "In the sequence, which comes first: freeing stuck tissue along the lateral body wall or moving the large bowel inward to expose deeper structures?", "role": "user" }, { "content": "Freeing the sidewall adhesions occurs first, followed by moving the colon inward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd procedure.mp4" ] }, { "messages": [ { "content": "During the fluid-filled phase, what device is used on the contracted mass to remove it in a single piece?", "role": "user" }, { "content": "An oversized wire lasso encircles the shrunken growth to remove it in a single piece.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endo-Master Class 2017： ＂Endoscopic Innovation＂.mp4" ] }, { "messages": [ { "content": "Which handheld sprayer acts inside the lumen to perform cleansing, and what exactly does it do?", "role": "user" }, { "content": "A handheld sprayer delivers antiseptic solution into the lumen to disinfect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹腔镜乙状结肠癌NOSES手术.mp4" ] }, { "messages": [ { "content": "Once the front reinforcement passes are completed, when does the next planned verification maneuver actually begin?", "role": "user" }, { "content": "It begins immediately after the front reinforcement is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Managing a positive air-leak test during a gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from showing an untouched bulge to active decompression of it?", "role": "user" }, { "content": "At the moment the sac is punctured and fluid begins to flow out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Congenital billiary dilatation.mp4" ] }, { "messages": [ { "content": "On the left side, which happens earlier: a small releasing nip into a thin sheet of tissue or cutting the thicker, cord-like band to enter the deeper plane?", "role": "user" }, { "content": "The small releasing nip into the thin sheet occurs first, followed by cutting the cord-like band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from preparation to the actual transection of the lower segment of the central organ?", "role": "user" }, { "content": "The transition occurs the moment the instrument is positioned and transection begins just above the junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Ambulatory subtotal hysterectomy for adenomyosis.mp4" ] }, { "messages": [ { "content": "Between angling the operating table and the upward slide of the intestinal loops out of the lower cavity, which action happens first?", "role": "user" }, { "content": "The table angling happens first, followed immediately by the intestinal loops sliding upward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/An insight into： Laparoscopic total hysterectomy and bilateral salpingoophorectomy.mp4" ] }, { "messages": [ { "content": "Which instrument engages the front straight-running bands of the tube to split them?", "role": "user" }, { "content": "An energy-based, vibrating scissor-like device is used to split them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Dor procedure.mp4" ] }, { "messages": [ { "content": "In the closing stages, which step is performed first: creating the new connection between inflow and outflow segments, or sealing the gap in the supporting tissue to prevent herniation?", "role": "user" }, { "content": "The new connection is performed first, followed by closure of the supporting tissue gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Port placement strategies and management of the robotic system during colo⧸proctectomy for cancer.mp4" ] }, { "messages": [ { "content": "Which occurs first: enlarging the working entry to a larger diameter, or using the retrieval clamp to pull out the colored rim of the enclosure?", "role": "user" }, { "content": "The entry is enlarged first, then the retrieval clamp pulls out the colored rim.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Morcellation in morsafe bag ⧸ big fibroid uterus in a laparoscopic⧸ robotic Hysterectomy⧸myomectomy.mp4" ] }, { "messages": [ { "content": "Between stitching the lower patch onto the tubular structure and anchoring its upper tail to the deep midline layer, which is done first?", "role": "user" }, { "content": "They stitch the lower patch to the tube first, then anchor the tail to the deep midline layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy and Sacrocolpopexy.mp4" ] }, { "messages": [ { "content": "Early in the clip, does lifting the intestinal loops up toward the diaphragm happen before the first cut into the fan-shaped tissue sheet at its base, or after?", "role": "user" }, { "content": "The lifting happens first, followed by the initial cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Right Hemicolectomy for Right Colon Cancer GI Surgery.mp4" ] }, { "messages": [ { "content": "When does diffuse, non-focal brightness across the lining first become evident, indicating timing-related signal spread?", "role": "user" }, { "content": "Right after switching into the alternate viewing mode, when the lining appears uniformly bright rather than focal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Live-Op-Photodynamische Diagnostik bei Blasentumor.mp4" ] }, { "messages": [ { "content": "Which is clipped and divided earlier: the conduit on the left side or the one on the right side?", "role": "user" }, { "content": "The left‑side conduit is clipped and divided first; the right is done afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Coronary Artery Bypass Surgery： Internal Mammary Arteries (Graphic).mp4" ] }, { "messages": [ { "content": "What instrument is applied to the sticky bands around the organ under the liver to free it at the start?", "role": "user" }, { "content": "An ultrasonic energy device is used to take down the adhesions to free the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic excision of Choledochal cyst with intracorporeal Roux-en-Y hepaticojejunostomy for chol.mp4" ] }, { "messages": [ { "content": "Between flushing the operative area and placing a sponge to mop, which action comes first?", "role": "user" }, { "content": "Flushing (irrigation) happens first, followed by mopping with the sponge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/SAGES Top 21 Videos： Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between trimming the peripheral vessels along the outer curve of the organ and sealing the central feeder near its inlet, which action happens first?", "role": "user" }, { "content": "The peripheral trimming along the outer curve occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Prophylactic Laparoscopic Total Gastrectomy for Hereditary Gastric Cancer Gene (CDH-1).mp4" ] }, { "messages": [ { "content": "Given the plan to close the potential gap behind the new join, when do stitch placements for that closure actually begin relative to finishing the join?", "role": "user" }, { "content": "Suturing of the potential space starts after completing the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/腹腔镜下远端胃癌根治术的技巧与经验Tips and tricks for laparoscopic distal radical gastrectomy.mp4" ] }, { "messages": [ { "content": "Between tucking an intestinal segment inward and firing fasteners to hold it, which occurs first?", "role": "user" }, { "content": "The inward tucking happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/DEBATE： The best permanent stoma in IBD patients - Continent ileostomy.mp4" ] }, { "messages": [ { "content": "In the right-side sequence, which happens first: securing the major inflow at the organ’s gateway or placing a clip on the long tube before moving into the deep cavity?", "role": "user" }, { "content": "Securing the inflow/outflow at the gateway happens first, followed by clipping the tube and moving into the deep work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/cystectomy/罗俊航：机器人一个体位肾、输尿管及膀胱袖状切除.mp4" ] }, { "messages": [ { "content": "After the two connections are sealed and divided, when does the heat-based curved tip actually begin separating the sac from the organ behind it?", "role": "user" }, { "content": "It begins immediately afterward—once those connections are sealed and cut, the curved heat tip starts separating the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy explained.mp4" ] }, { "messages": [ { "content": "When and where does any unusual fluid seepage around the new joins first become visible?", "role": "user" }, { "content": "No seepage is visible at any point; postoperative drains and tests show no leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Total Laparoscopic Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Between the use of liquid to aid separation of stuck tissues and the moment a multi‑armed platform moves into place beside the patient, which happens first?", "role": "user" }, { "content": "Liquid-assisted separation happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Stercoral Peforation： Minimally Invasive Colorectal Surgery in the Emergent Setting.mp4" ] }, { "messages": [ { "content": "For the main vessel supplying the central structure, which occurs first: sealing or division?", "role": "user" }, { "content": "Sealing is performed first, then division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator.mp4" ] }, { "messages": [ { "content": "Which device with elastic hooks is used to pull back the edges to open the view, and what tissue is being pulled to achieve exposure?", "role": "user" }, { "content": "A Lone Star retractor pulls back the perianal tissue to expose the operative field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Full-thickness Rectal Prolapse Complicated by Ischemic Stricture.mp4" ] }, { "messages": [ { "content": "Between releasing the bend of the upper left colon and peeling the side attachments of the left-sided bowel, which action occurs first?", "role": "user" }, { "content": "Releasing the bend of the upper left colon occurs first, followed by the lateral sidewall dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Lap. Sigmoidectomy with Preservation of The Superior rectal artery for Sigmoid Diverticulitis.mp4" ] }, { "messages": [ { "content": "During the dissection toward the venous junction under the stomach, when does it first become clear on screen that only a single draining branch enters that junction in this case, and where is it handled?", "role": "user" }, { "content": "It first becomes evident during the ventral approach toward the venous junction (step 6), where the single entering branch is identified and clipped right at its entry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Hemikolektomie rechts mit CME Chirurgische Universitätsklinik Erlangen.mp4" ] }, { "messages": [ { "content": "Between creating a gas-filled workspace and placing the first access sleeve, which action occurs earlier in the sequence?", "role": "user" }, { "content": "Creating the gas-filled workspace happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive Surgery for Crohn's Disease at The Mount Sinai Hospital.mp4" ] }, { "messages": [ { "content": "When the liver is lifted and the stomach is drawn leftward as a clear visual cue, when does the intended step of isolating and cutting a small arterial branch actually begin?", "role": "user" }, { "content": "Immediately after those retraction maneuvers, during ligament dissection, the branch is isolated and divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy and Billroth II Reconstruction for Gastric Ad....mp4" ] }, { "messages": [ { "content": "What device is applied across the two hollow ends to create their new side‑to‑side passage, and how is it used?", "role": "user" }, { "content": "A laparoscopic stapler (white load) is inserted into both lumens to fire a side‑to‑side channel, and another firing closes the common opening to complete the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/基于Toldt筋膜、Fredet筋膜解剖的右半结肠切除 Right hemicolectomy based on Toldt's fascia and Fredet's fascia anatomy.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected remaining connection at the base first become clearly visible during the case?", "role": "user" }, { "content": "It first becomes visible deep at the base, right after the clamp is removed and the deep cavity is entered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/SVIN 2019： Surgical Treatment of High Grade Spetzler Martin AVMs.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: taking down the front midline fold of tissue or opening the thin membrane near the stomach side?", "role": "user" }, { "content": "The front midline fold is taken down first, followed later by opening the stomach-side membrane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Left Hepatectomy for Metastatic Colon Cancer.mp4" ] }, { "messages": [ { "content": "When do dense scar bands first become visibly apparent, and in which region of the field?", "role": "user" }, { "content": "At the very start, in the right-sided space over the major vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystoprostatectomy performed by Dr. O Ivanovski, Skopje, Macedonia.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a protective sleeve seated in the small incision, when does the team actually deliver the bowel out?", "role": "user" }, { "content": "Immediately after the sleeve is positioned, the bowel is delivered out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy HARMONIC ACE®+ Shears # J&J MedTech.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow change from dividing along the organ’s length to extracting the separated segment through the access site?", "role": "user" }, { "content": "Right after completing the transection, when the resected portion is pulled out through the small incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Sleeve Gastrectomy without Liver Retractor.mp4" ] }, { "messages": [ { "content": "Which occurs first: dividing broad scar bands near the diaphragm area or freeing the small-bowel loop from its rear attachments so it can be lifted to the new pocket?", "role": "user" }, { "content": "Dividing the broad scar bands near the diaphragm area happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Resection of Enlarged Pouch and Redo of Gastro-Jejunal Anastomosis After Roux-en-Y Gast.mp4" ] }, { "messages": [ { "content": "After a request is made for a cutting device, at what point does the actual trimming begin relative to the moment of tissue tensioning?", "role": "user" }, { "content": "Cutting begins right after the tissue is put on tension, immediately following the tool hand-off and the verbal go-ahead.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Modified Kugel Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which instrument is used to take care of the tiny vessels running from the body’s main artery to the swallowing tube?", "role": "user" }, { "content": "Harmonic shears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Esophageal reconstruction by gastric pull-up in a hemi-gastrectomized patient with esophageal cancer.mp4" ] }, { "messages": [ { "content": "Between working on one lateral side and then the opposite near a muscular boundary, which lateral side is handled first in the clip?", "role": "user" }, { "content": "The left side is handled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Repair of a recurrent rectovaginal fistula using a rectal wall a.mp4" ] }, { "messages": [ { "content": "During the front-side stitching sequence, which action occurs first: joining the standing thread to its tail, or linking it to the following pass?", "role": "user" }, { "content": "First the standing thread is tied to its tail, then it is linked to the following pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier treatment for rectal prolapse.mp4" ] }, { "messages": [ { "content": "When the small perforators along the stomach edge are put under tension and identified, at what moment does the actual entrance into the hidden space behind the stomach begin?", "role": "user" }, { "content": "Entry begins when those perforators are divided and all layers are opened, revealing the posterior stomach wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Multiport left colectomy： Anatomic highlights & danger areas--How to organize to succeed.mp4" ] }, { "messages": [ { "content": "Between deepening the ring-shaped cut around the lumen and breaching the shiny membrane at the back of the field, which event happens first?", "role": "user" }, { "content": "Deepening the ring-shaped cut occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier's Procedure for Rectal Prolapse -Is it easy to do？ Dr.Scott's Laser Piles Fistula Centre.mp4" ] }, { "messages": [ { "content": "In the sequence of removing the small pear-shaped organ beneath the liver, which occurs first: placing clips on its two tubular connections or peeling it off its bed?", "role": "user" }, { "content": "The clips are placed on the duct and artery first, and then the organ is detached from its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic pump with liver resection # Memorial Sloan Kettering.mp4" ] }, { "messages": [ { "content": "After a pointer highlights the C-shaped hollow segment, when does the folding maneuver on it actually begin?", "role": "user" }, { "content": "It begins immediately after the segment is highlighted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Radical Nephrectomy - Renal Cancer - Operative Surgery.mp4" ] }, { "messages": [ { "content": "After completing work on the second small lesion near the upper area, when and where does a sudden surge of bleeding first become apparent?", "role": "user" }, { "content": "Immediately after flow is restored (about 17 minutes later), brisk bleeding appears at the resection bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/EAU 2016 - Robotic Partial Nephrectomy Superselective clamping multiple tumors - Pr Bernhard.mp4" ] }, { "messages": [ { "content": "When does the focus switch from working on the duct-like channel near the liver to preparing the bypass loop of small bowel?", "role": "user" }, { "content": "Immediately after confirming a clear lumen and packing gauze, the team begins fashioning the small‑bowel bypass loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "With two instruments pulling the edges apart to expose the field, when does the actual cutting along the exposed bands start?", "role": "user" }, { "content": "It starts the moment a small initial cut is made in the outer fibers immediately after the edges are retracted with two instruments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Myotomie de Heller laparoscopique pour achalasie. Dr W. Lemhouer.mp4" ] }, { "messages": [ { "content": "Between plotting reference marks around the target area and trimming the opening to shape, which action occurs first in the clip?", "role": "user" }, { "content": "Plotting the reference marks happens first, followed by trimming the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/造口更換1.mp4" ] }, { "messages": [ { "content": "In the sequence where a curving vessel along the outer border is secured with small metal fasteners and a large nodular tissue near the head-side gland is freed, which of these two moments occurs first?", "role": "user" }, { "content": "The vessel is secured and divided first, and only afterward the large nodular tissue is freed from the head-side gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Safety Assessment of Robot-Assisted Gastrectomy for Gastric Cancer.mp4" ] }, { "messages": [ { "content": "Which instrument applies energy to the main vessel supplying the womb on the patient’s left, and what does it do to that structure?", "role": "user" }, { "content": "An energy-sealing device (LigaSure) repeatedly seals the left uterine vessel for hemostasis and then divides it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy for Large Lateral Wall Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "After two small locking fasteners are placed on one side’s urine-carrying duct—one of them visibly marked—when does the cross-cut on that duct actually commence?", "role": "user" }, { "content": "Immediately after the two fasteners are placed, the duct is transected distally.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Female Radical Cystectomy Procedure ｜ Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "At the exact moment the workflow shifts from collecting all back-wall bites to actually tying them, what cue marks that transition?", "role": "user" }, { "content": "The transition occurs once all posterior bites are parked on clamps in order; at that point they begin tying sequentially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Hepatico Jejunostomy for Bile duct Injury.mp4" ] }, { "messages": [ { "content": "Between surrounding the target area with absorbent barriers and lifting the distal outlet segment using two traction lines, which action happens first in the sequence?", "role": "user" }, { "content": "The absorbent barriers are placed first, and then the outlet segment is lifted with traction lines.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Piloroplastia de Heineke Mikulicz - Minutos Canis - Técnica Cirúrgica.mp4" ] }, { "messages": [ { "content": "In the later example shown, which occurs first: complete division of the initially targeted supply tube, or the subsequent discovery and control of the branch that emerges directly from the body’s main trunk?", "role": "user" }, { "content": "The complete division of the initial target happens first, followed by discovery and control of the branch from the main trunk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/V13-01： Superior Mesenteric Artery Injury During Robotic Left Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "Once a sharp color boundary appears on the organ surface, when does the actual cutting of the organ substance begin?", "role": "user" }, { "content": "Right after the boundary is noted, cutting begins on the surface and immediately beneath it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Extra Glissonian Mass Ligation of the Left Portal Pedicle During Laparoscopic Left Hepatectomy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: releasing the suspensory ligament at the bend between the upper and mid small bowel, or transecting the nearby small bowel itself?", "role": "user" }, { "content": "The suspensory ligament is released first, followed by division of the small bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatoduodenectomy (PPPD).mp4" ] }, { "messages": [ { "content": "While shaping the small upper pouch, which occurs first: placing the sizing tube or firing the vertical cut-and-seal lines toward the high left angle?", "role": "user" }, { "content": "The sizing tube is placed first, then the vertical transections are fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass in a Patient with Situs Inversus.mp4" ] }, { "messages": [ { "content": "When does the clip transition from reconstruction to cleanup, specifically the retrieval of loose threads through a side access?", "role": "user" }, { "content": "Cleanup starts once the extra threads are taken out via the lateral auxiliary access channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Uterosacral Ligament Suspension ｜ Uterine Prolapse, Hysterectomy, Vaginal Prolapse.mp4" ] }, { "messages": [ { "content": "After a coupling piece is introduced from below, when does its actual positioning within the upstream segment begin?", "role": "user" }, { "content": "It begins once the upstream lumen is opened and the piece is positioned there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Transrectal Natural Orifice Specimen Extraction after Sigmoidectomy with D2 Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "Between reinforcing a fresh cut edge with stitches and starting the back-side layer of the new junction, which happens first?", "role": "user" }, { "content": "Reinforcement of the cut edge occurs first, then the back-side layer of the junction is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of Roux-en-Y gastric bypass for the treatment of a complex gastro-gastric fist.mp4" ] }, { "messages": [ { "content": "When and where does the blockage first become visibly apparent in the clip?", "role": "user" }, { "content": "It first becomes visible immediately after the tube is incised, lying right at the cut site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Камни желчного протока. Холедохолитотомия..mp4" ] }, { "messages": [ { "content": "At what exact point does the operation switch from constructing the partial wrap to working on the outlet ring of the stomach?", "role": "user" }, { "content": "Right after completing the wrap, they begin the outlet muscle split and its transverse closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/1985. Baltasar. Spain. Achalasia. Open Heller´s technique.mp4" ] }, { "messages": [ { "content": "When does the sequence shift from dissection to retrieval of the removed portion?", "role": "user" }, { "content": "When the resected piece is pushed down and grasped from below to start extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down-To-Up Transanal Rectal Resection With TME Assisted By Single-Incision Laparoscopy.mp4" ] }, { "messages": [ { "content": "When does the procedure move from making the join to checking for leaks and internal visualization?", "role": "user" }, { "content": "Right after the join is completed, the team proceeds to fluid leak testing and an internal camera check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/LAPAROSCOPIC POSTERIOR RESECTION RECTOPEXY： MODIFIED WITH OBLITERATION OF POUCH OF DOUGLAS.mp4" ] }, { "messages": [ { "content": "With a sizing tube in place across the new join, at what moment is the closure of that join finalized?", "role": "user" }, { "content": "Closure is finalized after the two-layer suturing is completed with the sizing tube in place, just before moving on to the small-bowel union.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic partial gastrectomy and Roux en Y reconstruction for severe gastroparesis after 10 prev.mp4" ] }, { "messages": [ { "content": "When does tissue swelling first become visibly apparent, and where in the operative field is it seen?", "role": "user" }, { "content": "It first appears while working in the pre‑sacral area anterior to the sacrum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominal Resection for T4 Rectal Cancer.mp4" ] }, { "messages": [ { "content": "After the field is prepared and a clear plane is visible, at what point does the actual tissue-separation maneuver start?", "role": "user" }, { "content": "It starts immediately after the declaration to begin, when the first “little dissection” strokes are performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Bile duct injury detection and repair during laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "After a small metal marker is applied to the planned cut area of the tube-like organ, when does the actual peeling of its supporting fold begin?", "role": "user" }, { "content": "It starts about 2 cm below the marker, immediately after the marker is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经直肠取标本（NOSES IV式）腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "After the access opening is created in the hollow segment, when does the clamping-and-cutting device actually begin its action?", "role": "user" }, { "content": "It starts after the opening is made and the target tissue has been separated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/頑固型邊緣性潰瘍治療.mp4" ] }, { "messages": [ { "content": "After the assistant finishes clearing the fatty attachments beside the small intestine, when does the bowel-cutting device actually engage to divide the lumen?", "role": "user" }, { "content": "Immediately after the mesenteric division is finished, the stapler engages and divides the small bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic right hemicolectomy with D3 lymphadenectomy, CME and intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Between securing the small vessel feeding the organ and securing the tube that drains it, which occurs earlier in the clip?", "role": "user" }, { "content": "The small vessel is secured first, then the drainage tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/LESS Cholecystectomy with Concomitant Total Hysterectomy & Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: taking the specimen out or heat-sealing the raw cut surface to control oozing?", "role": "user" }, { "content": "The specimen is removed first, and then the cut surface is cauterized to control oozing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Cancer： Robotic Hepatectomy Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the tubular segment, and what structure does it act on?", "role": "user" }, { "content": "A laparoscopic stapler is used to divide a hollow bowel segment, creating a stapled transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/pancreatectomy/张宇华：腹腔镜根治性顺行模块化胰脾切除术2.mp4" ] }, { "messages": [ { "content": "Given the cue that the bony tip moves freely when gently rocked, when is it actually taken out?", "role": "user" }, { "content": "Only after rocking confirms it is fully disconnected is it removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Extradural clinoidectomy for resection of clinoidal meningioma.mp4" ] }, { "messages": [ { "content": "While shaping the internal storage pouch, which starts earlier: stitching the join to the outlet or isolating the segment with serial firings?", "role": "user" }, { "content": "Stitching the join to the outlet begins first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/RARC With Intracorporeal Urinary Diversion Dr. N. Peter Wiklund.mp4" ] }, { "messages": [ { "content": "When and where does the instrument failure first become visibly apparent?", "role": "user" }, { "content": "It first appears as a jam on a clip on the anterior surface of the central vein, immediately followed by a visible hole there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Risk and Limitations of Extended Laparoscopic Liver Resection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from closing to reinforcement placement?", "role": "user" }, { "content": "Right after the relaxing cut—when the patch is slid into the newly created opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Mesh crural reinforcement for hiatal hernia repair： The devil is indeed in the details!.mp4" ] }, { "messages": [ { "content": "Between the pulsatile vessel at the mesenteric base and the thin bluish channel alongside it, which one is sealed and divided first in this sequence?", "role": "user" }, { "content": "The pulsatile vessel at the mesenteric base is sealed and cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/A Novel U-tied End-to-End Anastomosis in Total Laparoscopic Left Hemicolectomy for Colorectal Cancer.mp4" ] }, { "messages": [ { "content": "In the below-to-above approach, at what exact visual moment does the clip shift from superficial surface handling to being inside the clear, vessel-free plane?", "role": "user" }, { "content": "The transition occurs the instant the thin layer opens and the areolar strands drop, revealing the clear avascular plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection Medial to Lateral Dissection Techniques.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the selected small-bowel segment, and what action does it perform on that tissue?", "role": "user" }, { "content": "Staplers are used to divide the selected bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Radical Cystectomy with and Reconstruction of Intracorporeal Ileal Conduit....mp4" ] }, { "messages": [ { "content": "After a retroperitoneal tubular structure is identified and swept downward, when does the inside‑out dissection actually proceed?", "role": "user" }, { "content": "It proceeds immediately after the tubular structure is visualized and pushed down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic High Anterior Resection for Sigmoid Colon Cancer.mp4" ] }, { "messages": [ { "content": "After placing the first anchor, when does the next tie sequence begin?", "role": "user" }, { "content": "It begins immediately afterward, with the next tie placed in the same manner.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Single Port Laparoscopic Rectopexy.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal finding of retained contents first become visibly apparent in the reservoir organ?", "role": "user" }, { "content": "It becomes evident when a controlled opening is made, revealing abundant material mainly in the upper part of the organ (the fundus).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Mininvasive D2 Subtotal Gastrectomy for advanced gastric cancer post neoadiuvant chemotherapy..mp4" ] }, { "messages": [ { "content": "Given the moment metallic fasteners are applied onto a branch, when does the actual transection of that branch begin?", "role": "user" }, { "content": "Right after the fasteners are placed, the branch is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "Between pulling a headpiece down from the mouth into the field and sealing the cut on the narrow tube with a straight sealing device, which happens first?", "role": "user" }, { "content": "The mouth-to-field delivery occurs first, and the straight-device closure follows afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy for gastric cancer： The anastomosis.mp4" ] }, { "messages": [ { "content": "When and where does the difficulty of failing to delineate the branching pattern of a major blood supply first become visibly apparent?", "role": "user" }, { "content": "It becomes apparent during cranial retraction of the transverse segment at the mesocolon, when the branches prove not identifiable.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (Complete Mesocolic Excision)： Uncinate First Approach.mp4" ] }, { "messages": [ { "content": "After the team elevates a short fat-filled bundle near the right lower abdomen, which is controlled first: the thin-walled branch entering the central blue vessel, or the nearby pulsatile branch?", "role": "user" }, { "content": "The thin-walled venous branch is secured first, followed by the arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/TRİCKS AND PİTFALLS FOR TOTAL MESOCOLİC EXCİSİON İN RİGHT HEMİCOLECTOMY.mp4" ] }, { "messages": [ { "content": "On the opposite side, which happens first: securing the lateral pedicles or opening the front layer of the membrane?", "role": "user" }, { "content": "Securing the lateral pedicles happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy & Bilateral Salpingectomy： Step-by-Step Surgical Procedure.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene transition from broad sweeping and probing to recognition of the connecting tube?", "role": "user" }, { "content": "The transition occurs when the tubular connector comes clearly into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy - 53 Year Old Diabetic with Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "When a guiding tube is used from above to position a headpiece, at what point does the operator begin pulling the connector into the operative field?", "role": "user" }, { "content": "Right after the opening is made, the connector is pulled down along the guide into the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic gastrectomy for gastric cancer： The anastomosis.mp4" ] }, { "messages": [ { "content": "Between placing a thin pointer to verify the operative level and beginning the cleanup of the front surface of the column, which occurs earlier?", "role": "user" }, { "content": "Placing the pointer to confirm the level happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Anterior Cervical Corpectomy and Fusion (C5-C6) with Exoscopic Assistance.mp4" ] }, { "messages": [ { "content": "Between securing the back wall of the canal opening and addressing its front wall, which action happens first in this clip?", "role": "user" }, { "content": "The back wall is addressed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Uterosacral Ligament Suspension ｜ Uterine Prolapse, Hysterectomy, Vaginal Prolapse.mp4" ] }, { "messages": [ { "content": "Between trimming the ligamentous attachments on the camera’s right versus left, which side is engaged first?", "role": "user" }, { "content": "The camera’s right side is engaged first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/The Art of TLH： A Surgeon's Perspective： Total Laparoscopic Hysterectomy (TLH) Walkthrough.mp4" ] }, { "messages": [ { "content": "In the sequence shown, which happens first: mobilizing the upper left bend or dividing the lower lateral attachments on the opposite side?", "role": "user" }, { "content": "Mobilizing the upper left bend happens first, followed by division of the lower lateral attachments on the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/傅传刚：3D腹腔镜无切口直肠前切除术+肠系膜融合淋巴结廓清术.mp4" ] }, { "messages": [ { "content": "Between the moment the swelling tracks along the lower fold and the later moment when it sinks into the dependent pouch, which occurs first?", "role": "user" }, { "content": "The tracking along the fold happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Dr.みやざきの鼠径ヘルニア手術テクニックコレクション サンプル動画 - 臨床医学チャンネルCareNeTV.mp4" ] }, { "messages": [ { "content": "At what precise moment does the sequence shift from layer-by-layer division to internal luminal inspection with a flexible camera?", "role": "user" }, { "content": "When the flexible camera is advanced into the lumen and appears in view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/How I Do It： Video and Technical Pearls for Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action when the loop-like muscle at the front-right is divided?", "role": "user" }, { "content": "An energy cautery tool divides the sling muscle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Use of Indocyanine Green to Identify the Transanal Dissection Plane in Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "When does the focus shift to freeing the right-sided colon and adjacent structures?", "role": "user" }, { "content": "When dissection begins to expose the liver edge and duodenum while isolating the ileocolic pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/HYSTERECTOMY, BILATERAL SALPINGO-OOPHORECTOMY & TOTAL COLECTOMY FOR LYNCH SYNDROME. HYBRID NOTES.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal growth first become clearly visible in the clip?", "role": "user" }, { "content": "It first appears after intraluminal insufflation is established, near the junction with the esophagus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic intra-gastric resection - Dr. Julie Hallet.mp4" ] }, { "messages": [ { "content": "When and where does any sign of spread to distant sites first become visible during the operation?", "role": "user" }, { "content": "No distant spread becomes visible; the initial survey reveals none.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic right hemicolectomy for right colon cancer.mp4" ] }, { "messages": [ { "content": "When does a telltale surface line appear, signaling that the dissection plane has become too superficial, and where is it seen?", "role": "user" }, { "content": "It first appears during the anterior dissection when that surface line becomes fully visible, indicating the plane is too shallow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (5).mp4" ] }, { "messages": [ { "content": "When does the operation shift from fixing the reinforcement to trimming and then sealing the overlying layer?", "role": "user" }, { "content": "Right after anchoring, the excess is trimmed, and the transition to closure occurs as the running stitch is used to seal the overlying layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy (RVR) for Rectal Prolapse and Obstructive Defecation - Chinese Simplified.mp4" ] }, { "messages": [ { "content": "Which instrument is applied to the repeating offshoots from the nearby vein, and what does it accomplish on them?", "role": "user" }, { "content": "A Ligasure is used to seal with two burns and then divide the small recurrent branches, leaving a cuff.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic or robot pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the tissue planes around the base of the major blood channels to separate them?", "role": "user" }, { "content": "An ultrasound dissection device is used to skeletonize the vessels near their roots.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Transrectal Specimen Extraction after Lap Rt Hemicolectomy with Extended D3 Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "When and where does the unusually long configuration of the target segment first become apparent on the procedural timeline?", "role": "user" }, { "content": "It first becomes apparent during vascular planning, when the team opts to preserve the left colic vessels due to the segment’s excessive length.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sticking it to Cancer： Single Incision and Lap Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "After the lower segment is lifted to reveal its backside, when does the actual transection of that segment begin?", "role": "user" }, { "content": "It begins once the window is made and the selected stapler is applied and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/SAGES Top 21 Videos： Laparoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from organ removal to reconstruction?", "role": "user" }, { "content": "Right after the bagged specimen is extracted and the bowel segment is delivered to create the reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy with Jejunal Pouch for Cancer of the Stomach.mp4" ] }, { "messages": [ { "content": "Between elevating a loop of small bowel to gain exposure and initiating the cut on the cavity lining, which action happens first?", "role": "user" }, { "content": "Elevating the small bowel loop happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Left Transverse Colon Carcinoma in Ulcerative Colitis - Laparoscopic Total Colectomy with Comple....mp4" ] }, { "messages": [ { "content": "Which energy-based instrument is used on the adherent fatty apron tissue over the organ surface to separate it?", "role": "user" }, { "content": "An energy-sealing device is used on the adherent omental tissue to separate it from the organ surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy： Dr Atul Mishra, Ludhiana.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from working around the major vessels to dividing the soft gland?", "role": "user" }, { "content": "After exposing the vascular structures, the team transitions to dividing the pancreas with a stapling device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic treatment of gastric cancer.mp4" ] }, { "messages": [ { "content": "In the survey of the torso cavity, when does active clearing with an aspirator wand commence relative to the moment liquid obscures the lens?", "role": "user" }, { "content": "It starts as soon as pooling hampers the view—immediately when the liquid obscures the lens.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/When Laparoscopy for Trauma is the Procedure of Choice.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal contour first clearly become visible in the operative overview?", "role": "user" }, { "content": "It first appears as a large bulge on the back wall of the organ during the initial pelvic survey.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myome der Gebärmutter： Diagnose und individuelle Therapie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from careful dissection to the onset of a complication signaled by an unexpected fluid jet?", "role": "user" }, { "content": "The transition occurs when a sudden pressurized stream of fluid jets out after an inadvertent entry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/How I do it - Laparoskopische Resektion bei schwerer Cholezystitis ⧸ schwierige Cholezystektomie.mp4" ] }, { "messages": [ { "content": "Which device is used on the thin, glistening layer to both divide it and sweep it aside during the separation?", "role": "user" }, { "content": "An energy-based device acts on the delicate membrane to cut while pushing it aside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/腹腔镜低位直肠前切除术.mp4" ] }, { "messages": [ { "content": "Between stabilizing a vessel close to an upper abdominal gland and separating it, which occurs first?", "role": "user" }, { "content": "Stabilization (clipping) occurs before division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Modular approach of robotic total mesorectal excision for the trainees.mp4" ] }, { "messages": [ { "content": "Which occurs first: reuniting the reservoir with the outlet tube using a running stitch, or pressure-testing the repair by filling the reservoir?", "role": "user" }, { "content": "The running suture to reconnect them is completed first, followed by the fill test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Roboter-assistierte Prostataentfernung (radikale Prostatektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "Which happens first: division of the upper thin‑walled channel running along the left side, or cutting the side tethers of the left‑sided segment?", "role": "user" }, { "content": "The upper thin‑walled channel is divided before the side tethers are cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Nerve Sparing Proctectomy With Mesorectal Excision for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Between toggling the camera to a fluorescence overlay and making the initial incision into the hollow organ, which happens first?", "role": "user" }, { "content": "Switching to fluorescence overlay happens first, followed by the incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Partial Cystectomy for Large Complex Urachal Cyst.mp4" ] }, { "messages": [ { "content": "Between placing the guiding stitches and creating the two entry openings, which action happens first in the clip?", "role": "user" }, { "content": "The stitches are placed first, then the openings are created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Techniques for Creating the Ideal Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Which tubular access tool is introduced through a natural opening to enable an optical system to inspect the newly created join from both sides, and for what purpose?", "role": "user" }, { "content": "A rigid transparent tubular access is placed through the body opening so an optical device can examine the join from both sides to assess its integrity and perfusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Fluorescence imaging in colorectal surgery.mp4" ] }, { "messages": [ { "content": "Between dealing with the narrow blood channel and addressing the outflow tube from the pear-shaped organ, which action happens first?", "role": "user" }, { "content": "The narrow blood channel is handled first; the outflow tube is addressed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Open Cholecystectomy For Cholelithiasis Full Procedure.mp4" ] }, { "messages": [ { "content": "When managing the inflow near the upper inner curve of the organ, which is addressed first: the thin-walled channel or the thicker-walled one?", "role": "user" }, { "content": "The thin-walled channel (the vein) is taken before the thicker-walled one (the artery).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Subtotal Gastrectomy with Roux-en-Y.mp4" ] }, { "messages": [ { "content": "Which comes first: taking the specimen out of the body or submerging and flushing it in a chilled bath?", "role": "user" }, { "content": "The specimen is taken out first, then cooled and flushed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/लेप्रोस्कोपिक किडनी कैसे निकालते है？ Laparoscopic kidney removal I lap doner nephrectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure transition from removing the central specimen to excising the paired conduits?", "role": "user" }, { "content": "Immediately after the specimen is detached, the focus shifts to excising the paired conduits.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator.mp4" ] }, { "messages": [ { "content": "When does the sequence change from clearing the lower attachments to addressing the upper pole vessels near the diaphragm?", "role": "user" }, { "content": "Right after the lower portion is mobilized and spiral retraction is applied, they begin coagulating and dividing the upper pole vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy： Surgical Technique.mp4" ] }, { "messages": [ { "content": "Once the flexible camera is put back inside to serve as a guide and to keep the passage open, when do the stitches actually start?", "role": "user" }, { "content": "Suturing starts after the guiding scope is reintroduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Full-thickness resection of colonic metastasis using endo- laparoscopic approach - a video vignette.mp4" ] }, { "messages": [ { "content": "At what point does the operation shift from the inside-camera phase to the outside-body phase?", "role": "user" }, { "content": "When the incision is extended and a ring retractor is placed to exteriorize the colon; that marks the start of extracorporeal work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Hemikolektomie rechts mit CME Chirurgische Universitätsklinik Erlangen.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from working around the main abdominal artery to clearing the surrounding lymphatic tissue?", "role": "user" }, { "content": "The transition occurs right after the artery is skeletonized, when the D3 nodal dissection around its origin begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic left hemicolectomy and en bloc splenectomy for locally advanced descending colon cancer.mp4" ] }, { "messages": [ { "content": "Which happens earlier: clipping and dividing the short artery feeding the duodenal side, or stapling across the upper small-intestine loop?", "role": "user" }, { "content": "The artery branch is clipped and cut before the intestinal loop is stapled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/COMPLETE ROBOTIC ASSISTED PANCREATODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow move from freeing the target to dealing with its main feeder vessel?", "role": "user" }, { "content": "Right after entering the cavity and switching views, when they proceed to take the main vascular pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/New techniques for rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "Given that a protective shield is positioned to keep the back wall out of harm’s way, at what moment is the cutting device actually activated?", "role": "user" }, { "content": "Right after the shield is placed and the device is locked open, the operator announces and fires the cutter.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Anterior STARR with Posterior Suture Rectopexy by Dr Rajesh Shukla AAS PROCTOCON 2022.mp4" ] }, { "messages": [ { "content": "Which happens first: firing a stapling tool across a narrow internal channel or stapling the main outflow vessel of the large organ?", "role": "user" }, { "content": "The narrow internal channel is stapled first, then the main outflow vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic enblock Right Hepatectomy + Right Nephrectomy + Right Adrenalectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from ongoing separation to securing the small tubular connection?", "role": "user" }, { "content": "The transition occurs when the operator announces they will proceed to secure the small tubular connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Bile duct injury detection and repair during laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what point does the clip transition from finishing the collar-like sutures to creating a skin-to-stomach feeding access?", "role": "user" }, { "content": "Right after the fold-around is sutured and checked, they proceed to place the percutaneous feeding access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection For Rectal Cancer.mp4" ] }, { "messages": [ { "content": "How is a tiny obstructing side branch along the boundary line handled: which device is used, and what is done to the other end?", "role": "user" }, { "content": "Small metal clips are applied to the branch, and the other end is cauterized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/S6 (Left) Robotic Superior Segmentectomy.mp4" ] }, { "messages": [ { "content": "At the exact moment the operation shifts from broad lateral clearing to the appearance of a tubular structure crossing the field, when does that transition occur?", "role": "user" }, { "content": "Right after the pocket is freed and the inner layer is exposed, when the tubular structure first comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/【有声扯淡版】腹腔镜下全腹膜外右侧疝修补术TEP.mp4" ] }, { "messages": [ { "content": "Considering the two sides of the pelvis, which side’s vessel control and division is shown first: the patient’s left or right?", "role": "user" }, { "content": "The left side is addressed first, followed by the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy Procedure To Remove Bladder - SLUCare Urology.mp4" ] }, { "messages": [ { "content": "Between tilting the table head-down and creating multiple small access points along the sides of the abdomen, which action occurs first?", "role": "user" }, { "content": "The head-down tilt is applied first, before the additional small ports are created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy with Biologic Mesh ｜ Case Review ｜ ASCRS 2019 Best Video.mp4" ] }, { "messages": [ { "content": "What tool is applied at the junction between the organ’s neck and the canal to divide them?", "role": "user" }, { "content": "A hook-shaped thermal cutter is used to divide the junction (alternatively, electric energy devices can be used).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/PM3 Chapter 50： Subtotal Hysterectomy： Classic Intrafascial Supracervical Hysterectomy (CISH....mp4" ] }, { "messages": [ { "content": "When and where does the unusual bulk of the mass first become visibly apparent during the sequence?", "role": "user" }, { "content": "It first becomes clearly apparent during the extended piece-by-piece removal at the small exterior opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Life after Removing a Large Fibroid.mp4" ] }, { "messages": [ { "content": "Which material acts on which tissues to build the four-layer connection that tucks the gland remnant into the neighboring hollow organ, and what does this accomplish?", "role": "user" }, { "content": "Absorbable sutures connect the gland capsule to the hollow organ’s wall in layered fashion, invaginating the remnant.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Introduction to Pancreatic Cancer Operative Surgery.mp4" ] }, { "messages": [ { "content": "After the cutting tool is parked away from the target, at what moment does the fastening sequence actually begin?", "role": "user" }, { "content": "It begins immediately after the scissors are moved to a safe spot and the clip applier enters during the safe exchange.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Narrated Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which happens first at the completed join: inserting a thin strip into the site or applying the outer protective patches over the repair?", "role": "user" }, { "content": "The thin strip is placed first, followed by the outer protective patches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/ROBOTIC HEPATICOJEJUNOSTOMY FOR COMMON BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "Given the early sighting of a sizable parallel channel along the organ’s edge, when does the deliberate avoidance begin relative to starting the main dissection?", "role": "user" }, { "content": "Avoidance begins before the main dissection starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Extrahepatic bile duct anomalies： A case series using fluorescent cholangiography.mp4" ] }, { "messages": [ { "content": "When the field clouds with smoke during endoluminal work, which device interacts with the environment to clear it, and what action does it perform?", "role": "user" }, { "content": "A high‑flow insufflation/recirculation device evacuates smoke to clear the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal-Total Mesorectal Excision (Ta-TME)： Current Update.mp4" ] }, { "messages": [ { "content": "Between tilting the camera downward and the clear plane between the organ and the adjacent tissue becoming visible, which occurs first?", "role": "user" }, { "content": "Tilting the camera downward occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Contracted Gallbladder with Solitary Large Stone.mp4" ] }, { "messages": [ { "content": "After the target is steadied with a holding device, when does the first sustained energy application to tissue begin?", "role": "user" }, { "content": "It starts immediately at the outset of dissection after stabilization, with initial coagulation on the left-side attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy- Multiple Fibroids.mp4" ] }, { "messages": [ { "content": "Which action comes first: enlarging the midline skin opening to exteriorize the removed piece, or dividing the upstream segment and its supporting fold afterward?", "role": "user" }, { "content": "First they enlarge the midline opening and exteriorize the specimen; then they divide the upstream segment and its supporting fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision for Rectal Cancer - Surgical Principles.mp4" ] }, { "messages": [ { "content": "When does the bulky abnormality first come into view, and toward which side does it protrude within the chest cavity?", "role": "user" }, { "content": "It first appears immediately upon entry, protruding into the right side of the chest.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Video-Assisted Thoracoscopic Resection of a Large Anterior Mediastinal Mass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from confirming bilateral spill to the first brief energy application on the right egg-producing gland?", "role": "user" }, { "content": "Right after confirming flow on both sides, when the probe is activated for the first puncture on the right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Diagnostic Laparoscopy Tubal Patency Test and Ovarian Drilling.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from placing rear inner stitches to starting the front-side inner stitches?", "role": "user" }, { "content": "Right after the rear inner stitches are tied down, the team begins placing the front-side inner stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pancreaticojejnostomy (PJ) anastomosis, Step 4 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "Which comes first: the institute’s own initial series or an external group’s similarly sized series?", "role": "user" }, { "content": "The local series is presented before the external series.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM vs Heller's.mp4" ] }, { "messages": [ { "content": "In the complication example, at what moment does free leakage of intestinal contents first become apparent, and into which space do they flow?", "role": "user" }, { "content": "It becomes apparent once the misplaced tube is seen within the abdomen, with contents draining freely into the abdominal cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Feeding Jejunostomy (Tube Rationale YTT)– Modified Witzel ｜ Surgical Teaser ｜ Must-Watch.mp4" ] }, { "messages": [ { "content": "When and where in the sequence does pronounced upstream distension first become clearly visible on camera?", "role": "user" }, { "content": "Right after exposure and orientation, when the camera turns to the proximal loop, the marked dilatation becomes obvious.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/How I do it - Mesenterica Superior Syndrom - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Between expanding an internal marker in the downstream bowel and delivering the energy-enabled implant that connects the two organs, which action occurs first?", "role": "user" }, { "content": "The internal marker is expanded first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy with suturing and closure of pylorus.mp4" ] }, { "messages": [ { "content": "While working on the inner side, when are the two anterior branches stripped clean of surrounding tissue?", "role": "user" }, { "content": "They are skeletonized during the inner-packet dissection along the main internal vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic prophylactic lateral pelvic lymph node dissection in advanced low rectal cancer..mp4" ] }, { "messages": [ { "content": "At what precise point does the scene shift from clearing tissue around the two key conduits to actually sealing them?", "role": "user" }, { "content": "Right after a passage is opened behind the main channel and both conduits are distinctly visible—immediately followed by placing fasteners on the duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Inside a life changing robotic procedure . Da Vinci Robotic Cholecystectomy bloodless with scissors.mp4" ] }, { "messages": [ { "content": "After progressing downward toward a sling-like muscle, when does the detachment begin, as later confirmed by the appearance of yellow fat?", "role": "user" }, { "content": "Detachment starts when they begin resecting the pelvic floor muscle at the back of the rectum, proceeding until the ischioanal fat appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Lap Abdominoperineal Resection with En-bloc Vaginectomy with Colonic Flap Neovaginal Reconstruction.mp4" ] }, { "messages": [ { "content": "Which clamp-like device actuates on the tubular segment and nearby pouch to separate them, and what action does it perform?", "role": "user" }, { "content": "A linear stapler transects the distal esophagus and proximal stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Distal Esophagectomy, Proximal Gastrectomy With Roux-En-Y Reconstruction For ....mp4" ] }, { "messages": [ { "content": "Which instrument is used to free the small intestine from its supporting root, and what action is performed on those attachments?", "role": "user" }, { "content": "Electrocautery is used to divide the adhesions between the small bowel and the mesenteric root.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in an adult.mp4" ] }, { "messages": [ { "content": "Which implement acts on which plane to achieve a careful peel while avoiding injury to slender cords?", "role": "user" }, { "content": "A combination of blunt and sharp instruments acts along the vessel-aligned plane to perform a controlled peel that spares the slender cords.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "During the initial freeing step, what instrument and maneuver are used on the yellow fatty layer to detach it from the inner surface?", "role": "user" }, { "content": "A small sponge with finger pressure for gentle blunt dissection is used on the fatty layer, with an ultrasonic or energy-enabled scissors employed as needed to separate adhesions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Umbilical Hernia HD Video.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow change from mobilizing the target segment to actually making the first cut on it?", "role": "user" }, { "content": "When the mobilization below the lesion is completed and the segment is first incised.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Application of Laparoscopic locating surgical margin in sigmoidectomy– a video vignette.mp4" ] }, { "messages": [ { "content": "Between separating the stomach from the adjacent fatty curtain and using the device that leaves a straight row of clips to divide tissue, which action happens first?", "role": "user" }, { "content": "Separating the stomach from the fatty curtain occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic partial gastrectomy for GIST resection.mp4" ] }, { "messages": [ { "content": "Between controlling the main feeder on the left and on the right, which is accomplished first?", "role": "user" }, { "content": "The left side is controlled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Difficult Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "What device is applied to the small vessel branches along the outer curve to separate them, and what action does it perform?", "role": "user" }, { "content": "A vibrating energy device is used to divide those small vessel branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy for pseudoachalasia after failed paraesophageal hernia repair.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working on the tube’s upstream segment to extending the split onto the adjacent chamber?", "role": "user" }, { "content": "Immediately after declaring the upstream segment complete, the team begins the extension onto the adjacent chamber.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/20200922 ROBOTIC HELLER MYOTOMY R001.mp4" ] }, { "messages": [ { "content": "Which device acts on the distal bowel segment to divide it?", "role": "user" }, { "content": "A stapling device (green stapler) divides the distal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "Once the mass is drawn toward the midline and its upper attachment is fully exposed, at what moment does the cutting–sealing maneuver actually begin?", "role": "user" }, { "content": "It starts immediately after the pedicle is exposed under medial traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo Oophorectomy for Large Ovarian Cyst.mp4" ] }, { "messages": [ { "content": "Which tools manipulate which structures to achieve a tethering maneuver between two adjacent segments, and what is the action performed?", "role": "user" }, { "content": "Two needle drivers act on the cecum and the sigmoid colon to place sutures, tethering them together (pexic fixation) on the antimesenteric side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic assisted treatment of intestinal malrotation in an adult male.mp4" ] }, { "messages": [ { "content": "After the team measures along the lower loop, when do they actually begin constructing the side-to-side bypass between its two segments?", "role": "user" }, { "content": "They start the side-to-side connection once the chosen point along the distal loop is identified and aligned for the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/卫生部医学视听教材—消化外科—XHW012 胃肠道吻合术.mp4" ] }, { "messages": [ { "content": "Between the completion of creating a new internal junction and the subsequent integrity verification of that junction, which happens first in the clip?", "role": "user" }, { "content": "The completion of the junction happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap Sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "Between the moment the team is working beneath the upper rigid boundary of the body and the moment a multi-row fastener device is applied to complete the detachment, which one occurs first?", "role": "user" }, { "content": "Working beneath the upper boundary happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/国際医療福祉大学病院 オンライン市民公開講座　「消化器外科のトピックス」～諦めていた病気が治る時代を迎える～⑥腹腔鏡下肝切除について(14分34秒).mp4" ] }, { "messages": [ { "content": "Which device is used to join the two ends of the tract, and what action does it perform to complete the connection?", "role": "user" }, { "content": "A tube-shaped circular stapler is used; it mates with the installed anvil and staples the ends together to complete the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which happens first: dividing the branch vessel near the transverse segment or cutting the small intestine at its planned margin?", "role": "user" }, { "content": "The branch vessel near the transverse colon is divided before the small intestine is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/SAGES Top 14 Part 11： Laparoscopic Right Hemi-Colectomy.mp4" ] }, { "messages": [ { "content": "Which temporary thread marker functions as a handle to control the edges during the join, and to which side is it moved later?", "role": "user" }, { "content": "The distal thread marker is used for traction and then moved to the proximal/top side of the shared opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from the abdominal phase to the bottom-up pelvic phase?", "role": "user" }, { "content": "The transition occurs when the transanal platform is deployed and the distal division creates a communication with the abdominal dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior and Inter-sphincteric Resection of Low Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Which occurs first: adjusting the image brightness on the control unit or changing to a different viewing head?", "role": "user" }, { "content": "They adjusted image brightness first, then switched to another viewing system.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/liver_resection/张宇华：腹腔镜左半肝切除术1.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a narrow tubular conduit joining a loop of small bowel, when does the team opt for a simpler two-layer stitch?", "role": "user" }, { "content": "When the conduit appears narrow (not dilated), they begin the two-layer closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Introduction to Pancreatic Cancer Operative Surgery.mp4" ] }, { "messages": [ { "content": "Between securing the central blood supply and removing the diseased mid-abdominal bowel segment, which action happens first in this clip?", "role": "user" }, { "content": "Securing the central blood supply occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "Between detaching the upper outer suspensory band on the patient's left and separating the delicate sheet around the tube and ovary near the uterus on that side, which action is completed first?", "role": "user" }, { "content": "The upper outer suspensory band is completed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingo Oophorectomy.mp4" ] }, { "messages": [ { "content": "Do the surgeons cut long slits on the opposite sides before they start stitching across to join the two segments, or does the joining start first?", "role": "user" }, { "content": "They make the long slits first, then begin stitching across to join the segments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Kono-S Anastomosis in Stricturing Crohn’s Disease： A Step-by-Step Surgical Guide for Trainees.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from freeing the swallowing tube around the diaphragm to beginning the stitch-based narrowing of the opening?", "role": "user" }, { "content": "Right after both nerves are spared and retraction is applied, the sutures start, marking the shift to closing the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LINX on Bypass.mp4" ] }, { "messages": [ { "content": "To improve outlet control, which structures are brought together and with what securing material?", "role": "user" }, { "content": "The levator muscles are approximated using sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/ALTEMEIER PROCEDURE FINAL.mp4" ] }, { "messages": [ { "content": "After the injected fluid causes a visible pale color change, when does tissue cutting with the energy scalpel actually begin?", "role": "user" }, { "content": "Immediately after the injection ends and the tissue pales, cutting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Myoma.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure shift from shaping and arranging the cut surfaces to actually uniting the two channels?", "role": "user" }, { "content": "The shift occurs when the corner is exposed and the first stitch is placed to join the channels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details# Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Once the grasper steadies the pedicle and the ultrasonic device is lined up, when does cutting actually begin?", "role": "user" }, { "content": "Cutting starts immediately after the pedicle is stabilized and the ultrasonic device is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic oophorectomy in 3 year old child.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected additional vessel branch first become visibly apparent during the dissection?", "role": "user" }, { "content": "It first appears during the dissection after opening the thin fold near the upper conduit, when an accessory left hepatic artery is encountered and stapled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy for Juvenile Polyposis.mp4" ] }, { "messages": [ { "content": "Which supportive elements act on which body area to enable ongoing topical treatment during recovery?", "role": "user" }, { "content": "Underlays, protective pieces, and the waist-mounted system act on the skin around the opening, enabling topical treatment during healing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/ЖИЗНЬ С ИЛЕОСТОМОЙ И ДВУМЯ УРОСТОМАМИ.LIFE WITH AN ILEOSTOMA AND TWO UROSTOMAS..mp4" ] }, { "messages": [ { "content": "Which device is used to park a length of thread for later steps, and how is it secured?", "role": "user" }, { "content": "A small locking forceps holds the suture, clipped in place for later use.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy： Clamping, cutting, and ligating the cardinal ligaments and vagina angl.mp4" ] }, { "messages": [ { "content": "Given that openings are visibly created in both the upper organ and the downstream tube, when does the actual joining between them begin?", "role": "user" }, { "content": "The joining starts immediately after the openings are made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Conversione di One Anastomosis Gastric Bypass a Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Between freeing the tight fibrous strip from the pear-shaped sac beneath the liver and freeing it from the initial curve of the small intestine, which is performed first?", "role": "user" }, { "content": "It is freed from the sac beneath the liver first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/LAPAROSCOPIC LADD'S BAND PROCEDURE # LADD'S PROCEDURE # MALROTATION OF GUT.mp4" ] }, { "messages": [ { "content": "After resections are completed, when does the final internal check to confirm no narrowing or leakage actually start?", "role": "user" }, { "content": "It starts immediately after the resections, at the end of the case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of a Bilroth II with Braun anastomosis into a RNY anatomy in a patient with in.mp4" ] }, { "messages": [ { "content": "Which implement acts on the small vessel adjacent to the tubular structure to achieve hemostasis?", "role": "user" }, { "content": "A small metallic fastener is applied to the vessel adjacent to the tube to achieve hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Genç hasta için yedi kanal safra yolu klatskin tümörü ameliyatı yaptım ｜ Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Which hinged tool is used to spread and lift the surrounding fat-encased layer of the target tube, and what action is performed on it to free it?", "role": "user" }, { "content": "Wristed graspers spread and elevate the mesenteric envelope around the bowel, and monopolar cautery is used to dissect and free it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic TME.mp4" ] }, { "messages": [ { "content": "Between threading a soft loop behind the central passage and dismantling the earlier fold around that passage, which action occurs first in the sequence?", "role": "user" }, { "content": "Threading the soft loop behind the passage happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted redo Heller myotomy： Improved vision with fluorescence.mp4" ] }, { "messages": [ { "content": "Which occurs first: opening the lateral line along the left flank or releasing the sharp bend under the left rib cage?", "role": "user" }, { "content": "The lateral line along the left flank is opened first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Ovarian Cancer Surgery performed by Pr. Kridelka.mp4" ] }, { "messages": [ { "content": "At what exact point does the operation shift from removing tissues to rebuilding connections?", "role": "user" }, { "content": "The shift occurs immediately after the bile duct is divided and the resection is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/External Retraction Technique for Robotic PancreatoDuodenectomy.mp4" ] }, { "messages": [ { "content": "After the view shifts to a high‑contrast colorized mode, at what moment does cutting actually begin relative to the scope being positioned at the marked boundary?", "role": "user" }, { "content": "Cutting starts right after the scope is positioned at the boundary and the margin is confirmed in the colorized view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/432 Utility of near infrared fluorescence imaging in robotic partial cystectomy- Karthik Thandapani.mp4" ] }, { "messages": [ { "content": "Between taking out the initial puncture tool and inserting the first wide access sleeve for the camera, which action happens earlier in the clip?", "role": "user" }, { "content": "Removing the initial puncture tool happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Intramural Fibroid.mp4" ] }, { "messages": [ { "content": "When and where does the first visible unexpected bleeding occur during the case?", "role": "user" }, { "content": "It first appears during parenchymal transection and arises from a hepatic vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for Polycystic Liver Disease.mp4" ] }, { "messages": [ { "content": "When the illuminated lens view appears inside the passage, when does the inspection for wall defects start relative to the fiber‑splitting step?", "role": "user" }, { "content": "It begins immediately after completing the fiber‑splitting step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy for pseudoachalasia after failed paraesophageal hernia repair.mp4" ] }, { "messages": [ { "content": "When and where does the display malfunction first become visibly apparent during the session?", "role": "user" }, { "content": "It first appears when a clip is attempted but won’t play, visible on the projected screen as slides fail to advance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Keynote Lecture： TME surgery as seen by the creator.mp4" ] }, { "messages": [ { "content": "Which instruments act on which tissues to perform what action when dissecting along the right-sided venous axis near the hook-like portion of the gland?", "role": "user" }, { "content": "Energy forceps and fine scissors dissect tissue along the uncinate area next to the main mesenteric vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatoduodenectomy (PPPD).mp4" ] }, { "messages": [ { "content": "Which instruments act within the tubular channels to clear blockages, and what do they accomplish?", "role": "user" }, { "content": "A flexible endoscope and an extraction balloon work inside the channels to dislodge and remove blockages, with graspers assisting for reachable pieces.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/LAPARO ENDOSCOPIC RE DO HEPATICOJEJUNOSTOMY AFTER COMMON BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "What instrument is used to release the left-sided attachments between the upper stomach and the diaphragm, and what exactly is being separated?", "role": "user" }, { "content": "An energy device (harmonic device) is used to dissect the left gastro‑phrenic ligament.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Treatment of Esophageal Perforation After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "What entry device is used to create the initial pathway into the cavity, and which tissue layer does it traverse?", "role": "user" }, { "content": "An optical trocar is used; it traverses the abdominal wall to establish the initial pathway.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "Given the persistent glow markers on both sides throughout, when does the surgeon move from just sealing those side vessels to actually cutting them—during the initial pass or on a return pass?", "role": "user" }, { "content": "Cutting begins on the return pass, after the initial seal-only pass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy.mp4" ] }, { "messages": [ { "content": "Between securing the main supply lines to the target segment and dividing the hollow tube, which action occurs first in the clip?", "role": "user" }, { "content": "Securing the supply lines occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Low anterior resection and hysterectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the bowel segment to seal it before it is divided, and what outcome does it produce?", "role": "user" }, { "content": "A stapling device seals the bowel, producing intact proximal and distal stumps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Single Incision Robotic Surgery plus One for Left-sided Colon Cancer.mp4" ] }, { "messages": [ { "content": "Which preparatory modification of the loop provides extra length for building a tension-free rear layer?", "role": "user" }, { "content": "Detubularizing the loop provides the extra length.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Radical Cystectomy with Intracorporeal Neobladder Formation.mp4" ] }, { "messages": [ { "content": "After the initial transverse division across the target, when does the vertical series of divisions actually begin?", "role": "user" }, { "content": "It begins immediately after the horizontal firing, with the next two firings proceeding vertically.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted conversion from gastric band to Roux en Y gastric bypass.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal opening between the neighboring channel’s back wall and the operative field first become visibly apparent?", "role": "user" }, { "content": "It first appears during the anterior pelvic dissection in the abdominal phase, when the posterior wall of the adjacent channel is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Video Rektumexstirpation mit VRAM-Lappen.mp4" ] }, { "messages": [ { "content": "Between stopping a small red seepage with a heated tip and widening the outer band of muscle with shears, which action happens earlier in the clip?", "role": "user" }, { "content": "Stopping the red seepage with the heated tip happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Inguinal Hernia Repair at California Hernia Specialists.mp4" ] }, { "messages": [ { "content": "Between completing the outer-side clearance and beginning work toward the inner midline, which one happens first in the clip?", "role": "user" }, { "content": "The outer-side clearance is completed first, then they begin the inner-side work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Inguinal Hernia Surgery Explained Step by Step.mp4" ] }, { "messages": [ { "content": "When and where does an abnormal fluid escape first become visibly apparent during the integrity check of the new join?", "role": "user" }, { "content": "No abnormal fluid escape is seen; the leak test is negative throughout.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Gastric Bypass Surgery Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "Between cutting a thin membrane at the diaphragm opening and trimming a fatty layer over the junction with the stomach, which happens first?", "role": "user" }, { "content": "The membrane is divided first, followed by the fatty layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy and Diverticulectomy for Distal Diffuse Esophageal Spasm.mp4" ] }, { "messages": [ { "content": "What handheld long instruments work through the lower port on the fatty sleeve to carry out the circumferential peel?", "role": "user" }, { "content": "Standard laparoscopic instruments, via the lower platform, act on the mesorectal envelope to dissect it circumferentially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/New techniques for rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "Which event happens first: forming a pale circular band around the outer rim, or creating a second pale band deeper inside the channel?", "role": "user" }, { "content": "The outer pale band around the rim is formed first, followed by the deeper inner band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/RECTAL PROLAPSE IN THE ELDERLY- OUR SURGICAL APPROACH ＊老年人直肠脱垂——我们的手术方法.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing the organ to cutting through it on the right side?", "role": "user" }, { "content": "Right after the inflow is tied and a boundary line appears, the cut-through phase begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver： Go Wakabayashi, M.D..mp4" ] }, { "messages": [ { "content": "After a small cut near the center of the abdomen, when do they actually begin expanding the workspace with gas?", "role": "user" }, { "content": "They begin expansion once the thin needle is placed and connected, with the system set to the higher pressure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Dr. Arnold Advincula - Robotic Laparoscopic Myomectomy Using AirSeal® - CONMED Surgical Technique.mp4" ] }, { "messages": [ { "content": "Between mobilizing the upstream segment toward the left-sided bend and completing the reconnection, which action happens first?", "role": "user" }, { "content": "Mobilization toward the left-sided bend happens first; the reconnection is completed later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Between opening the heart’s outer sac and inserting the outflow tubing into the main artery, which takes place first?", "role": "user" }, { "content": "The sac is opened first, then the outflow tube is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Coronary Artery Bypass with Sevak Darbinian, MD.mp4" ] }, { "messages": [ { "content": "When does the clip first show a firing device positioned too low in the pelvis, compromising nerve preservation, and where is it applied?", "role": "user" }, { "content": "It appears when the stapling device fires low on the lateral bundle, visibly too distal and jeopardizing nerve preservation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. P. Dasgupta： Robotic Assisted Radical Cystectomy.mp4" ] }, { "messages": [ { "content": "Which instrument with two blades acts on the front edge of the canal-like passage, and what does it accomplish?", "role": "user" }, { "content": "Scissors incise the anterior vaginal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer.mp4" ] }, { "messages": [ { "content": "Between extracting the obstructing material and performing an on-table imaging verification, which one happens first in the clip?", "role": "user" }, { "content": "Extraction happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Re laparoscopic hepaticoyeyunostomy.mp4" ] }, { "messages": [ { "content": "Which tool acts on the intraluminal stone to enable the specimen to be removed through the central access?", "role": "user" }, { "content": "A stone-holding forceps is used to crush the calculus so the gallbladder can be retrieved through the central port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle.mp4" ] }, { "messages": [ { "content": "Which implement traverses which structures to achieve lift, and what path does it take?", "role": "user" }, { "content": "A suture passes from the hard lining through the side band into the tube’s wall, then a parallel pass is added and tied to achieve lift and tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Proctopexy.mp4" ] }, { "messages": [ { "content": "What material is used to close the opening of the new connection between bowel segments, and what function does it serve?", "role": "user" }, { "content": "Self‑anchoring suture material is used to approximate and seal the anastomotic opening in two layers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic extended right hemicolectomy, en-bloc cholecystectomy and complete mesocolic excision CME.mp4" ] }, { "messages": [ { "content": "After the device’s twin jaws are opened and the tips are elevated toward the abdominal cavity, when does the actual joining of the two bowel segments begin?", "role": "user" }, { "content": "It begins once the segments are slid over the jaws, the jaws are closed, and the device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic Right Colectomy： The Critical View and the Standard of Care Approach.mp4" ] }, { "messages": [ { "content": "Which occurs first: arranging the wide intestinal loop entirely to the left side or surveying the bend near the upper-left corner?", "role": "user" }, { "content": "The left-sided loop arrangement happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd’s procedure for malrotation # Minimally invasive # Dr Khaled Salah.mp4" ] }, { "messages": [ { "content": "After the continuous evacuation tubing becomes active at the bottom of the view, when does the actual cutting of the large reddish organ begin?", "role": "user" }, { "content": "It starts right after smoke evacuation is active, when the energized tip contacts and advances through the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic enblock Right Hepatectomy + Right Nephrectomy + Right Adrenalectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence move from tissue division to the isolated inflow bundle being fully exposed?", "role": "user" }, { "content": "Exactly when tissue division is completed, the isolated inflow bundle becomes fully exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hanging liver maneuver and intrahepatic extra-glissonian approach for anatomical right hepatectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: dividing the central supply to the mid-portion of the upper bowel, or bringing the bowel out to attach the connector piece?", "role": "user" }, { "content": "Dividing the central mid-bowel supply happens before extraction to attach the connector.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Managing an ischemic splenic flexure during a laparoscopic left colectomy using a Deloyer's tech....mp4" ] }, { "messages": [ { "content": "After the two bowel ends are aligned side-by-side and small openings are created, at what moment does the stapling maneuver actually begin?", "role": "user" }, { "content": "It starts right after the openings are made and the segments are aligned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/A Novel U-tied End-to-End Anastomosis in Total Laparoscopic Left Hemicolectomy for Colorectal Cancer.mp4" ] }, { "messages": [ { "content": "During the pelvic portion, when does the unexpected illumination show up away from its anticipated path, and where is it first seen?", "role": "user" }, { "content": "It first appears several centimeters lower, seen coiled inside the bladder rather than along the expected path.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Multiport left colectomy： Anatomic highlights & danger areas--How to organize to succeed.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from cutting the muscular layer to stitching the opening’s supporting pillars?", "role": "user" }, { "content": "Immediately after confirming the myotomy is complete, they start stitching the diaphragm’s pillars.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Lap Heller's cardiomyotomy with Toupet fundoplication (with narration) - Dr. Siddhartha Bhattacharya.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from opening the initial support to releasing the second support within the tool channel?", "role": "user" }, { "content": "It shifts when the gray control is retracted a second time to release the second support inside the instrument channel, immediately after the first support is opened and seated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/EUS guided jejunojejunostomy for afferent limb syndrome.mp4" ] }, { "messages": [ { "content": "In the inner-lining repair, what instrument acts on the layer beneath the surface to expand the plane before dissection?", "role": "user" }, { "content": "A needle and syringe inject fluid to expand the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/BDMS Annual Meeting 2017_31-08-17 (11)Ball2.mp4" ] }, { "messages": [ { "content": "When does the sequence shift from internal inspection to removing the excised tissue through a side port?", "role": "user" }, { "content": "Right after the internal camera is removed, the specimen is extracted through the side port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Cardia Mass.mp4" ] }, { "messages": [ { "content": "Using the cue of the instrument running longitudinally as fibers separate, when does the muscle-splitting actually begin?", "role": "user" }, { "content": "It begins right after the resection, as the instrument tracks along the organ and starts separating the muscle fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller myotomy with giant esophageal diverticulum.mp4" ] }, { "messages": [ { "content": "When the small access site is visibly enlarged, when does the actual removal of the detached piece start?", "role": "user" }, { "content": "Once the access site is enlarged, extraction proceeds.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/17 Steps of a Robotic Right ⧸ Ascending Colectomy with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "In the lower‑entry workflow, which occurs first: dividing the conduit below the target or placing the circumferential tie?", "role": "user" }, { "content": "Dividing below the target comes first, followed by placing the circumferential tie.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal-Total Mesorectal Excision (Ta-TME)： Current Update.mp4" ] }, { "messages": [ { "content": "Which material is introduced beneath the inner lining to lift it and create a working space, and what effect does it produce on that tissue?", "role": "user" }, { "content": "A tinted fluid is injected under the lining, elevating and expanding it to create a workable passageway.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Per Oral Pyloromyotomy for Gastroparesis - Dr Salvatore Docimo, Jr.mp4" ] }, { "messages": [ { "content": "After the field becomes messy and visibility drops, when does the plane‑guided dissection actually resume using glow‑based guidance?", "role": "user" }, { "content": "It resumes once the near‑infrared dye is active and the organ surface glows while the sac stays dark, guiding the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/＂Real-world＂ robotic cholecystectomy with IOC.mp4" ] }, { "messages": [ { "content": "At what point does the clip transition from removing the diseased segment to beginning reconstruction of the connection?", "role": "user" }, { "content": "Right after the transection is completed and the team announces setup for reconstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive Surgery for Crohn's Disease at The Mount Sinai Hospital.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action during the organ’s division phase?", "role": "user" }, { "content": "An articulating curved dissector acts on liver parenchyma to crush-spread it, enabling coagulation and division of small vessels and ducts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Vortrag： Robotische Leberchirurgie - Erfahrungen und Ergebnisse eines österreichischen Zentrums.mp4" ] }, { "messages": [ { "content": "Which occurs first: division of the side vessels or stapling and transecting the bowel?", "role": "user" }, { "content": "The side vessels are divided first, followed by stapling and transecting the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Video Rektumexstirpation mit VRAM-Lappen.mp4" ] }, { "messages": [ { "content": "During the rejoining of the hollow organ inside the body, which device divides the diseased segment and what is done to the two ends afterward?", "role": "user" }, { "content": "A cartridge-based transection device divides the segment, and the two ends are then sutured together inside the body.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic colon and rectal surgery – 21 January 2020.mp4" ] }, { "messages": [ { "content": "At the root of the organ, two major conduits are controlled in sequence. Which one is dealt with first: the high-pressure inflow or the low-pressure outflow?", "role": "user" }, { "content": "The high-pressure inflow is controlled first, followed by the low-pressure outflow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy For Giant Polycystic Kidneys.mp4" ] }, { "messages": [ { "content": "During preparation for reconstruction through a small incision, which happens first: pulling out the urinary tube by its tag or exteriorizing the small-bowel loop?", "role": "user" }, { "content": "The urinary tube is pulled out first, then the small-bowel loop is exteriorized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/3 Window Technique For Male Laproscopic Radical Cystectomy ｜｜ Urology ｜｜.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to accomplish what action when clearing the working space around the band?", "role": "user" }, { "content": "An energy device is applied to fat over the band to shrink its volume.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrectomy/腹腔镜全胃切除术 第一步 肝脏的悬吊.mp4" ] }, { "messages": [ { "content": "Between creating a visible gap between the tube and the vessel and sweeping residual material back into the sac, which happens first?", "role": "user" }, { "content": "The gap (window) is created first, then the residual material is milked back.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Standard Laparoscopic Cholecystectomy - with Voice Over - Dr. Harman Barnala Surgery.mp4" ] }, { "messages": [ { "content": "Between misting the sticky area around the adhesive disk and peeling that disk from the skin, which action happens first?", "role": "user" }, { "content": "Misting the area happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SOINS INFIRMIERS N°9 - SOINS D'ILÉOSTOMIE + ABLATION BAGUETTE.mp4" ] }, { "messages": [ { "content": "When and where does an unusually forward-running channel become apparent during the separation?", "role": "user" }, { "content": "During the separation around the ducts, a branch is seen running in front in this case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TİP 4 KLATSKİN TÜMÖRÜ İÇİN EN BÜYÜK AVANTAJ İLERİ TEKNİKLE TEMİZ AMELİYAT.mp4" ] }, { "messages": [ { "content": "In this clip, does the rounded outward dome at the center of the abdomen show up before or after the large access tube is introduced?", "role": "user" }, { "content": "Before.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Small Umbilical Hernia using Mishra's Knot and Dual Mesh.mp4" ] }, { "messages": [ { "content": "Given that a tension-free reach of the conduit is visually confirmed, when does the actual firing of the reconnecting device take place?", "role": "user" }, { "content": "After confirming the tension-free positioning and engaging the anvil, the device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/March 2021 Didactic Video Collection Avanish Saklani ＂Laparoscopic Low Anterior Resection＂.mp4" ] }, { "messages": [ { "content": "After the cut line is drawn on the surface using visual guidance, when do they actually begin the deep separation?", "role": "user" }, { "content": "They begin the deep separation immediately after marking, when they start dissecting the parenchyma with bipolar forceps and the sealing device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Hepatectomy Utilizing Fluorescence Imaging For Identification Of Hepatic Tumors And Per.mp4" ] }, { "messages": [ { "content": "After a curved cutter is brought into view near the front of the operative plane, when does the sharp separation actually begin?", "role": "user" }, { "content": "It begins as the instrument advances into the anterior plane between the two structures and the septum is developed sharply.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "After confirming entry by briefly venting gas at the primary access, at what point does the camera introduction actually begin?", "role": "user" }, { "content": "Immediately after the valve is opened and gas leakage is confirmed, the camera is advanced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video).mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation switch from working in the outer field to focusing on the central field?", "role": "user" }, { "content": "Immediately after finishing the outer pursuit, when they rotate the view and start addressing the central area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/『当院における肝切除術に対するVRの使用状況』トヨタ記念病院 消化器外科 越智靖夫 先生.mp4" ] }, { "messages": [ { "content": "When and where does an unintended opening first become visibly apparent?", "role": "user" }, { "content": "No unintended opening becomes visible at any point in the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Case 4_Endoscopic resection for gastric submucosal tumour.mp4" ] }, { "messages": [ { "content": "As the small bowel segment is separated, which device is used to divide the feeding fold of tissue, and which device performs the actual bowel transection?", "role": "user" }, { "content": "The vessel sealer divides the mesenteric fold, and a 60-mm blue-load stapler transects the small bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Right Hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from outside-the-body preparation to internal coupling of the two bowel ends?", "role": "user" }, { "content": "The transition occurs when the surgeon returns to the console to release the intraluminal component, initiating internal coupling before final tightening and testing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Ultra Low Anterior Resection - TME (Male).mp4" ] }, { "messages": [ { "content": "Between creating small access points on the body and the operator starting to control the system from a separate station, which occurs first in this clip?", "role": "user" }, { "content": "Creating access points occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/「腎がん手術の最新治療 RAPN」山口大学医学部附属病院泌尿器科　井上　亮　助教.mp4" ] }, { "messages": [ { "content": "Between sealing the main inflow vessel to the diseased segment and sealing its principal draining channel, which occurs first in the footage?", "role": "user" }, { "content": "The inflow vessel is sealed first, followed by the main draining channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Fully Robotic TME for Rectal cancer in a Patient with Intravesical Prostatic Protrusion.mp4" ] }, { "messages": [ { "content": "Which happens earlier: final sealing of the deep cavity or closing the overlying muscular plane over the insert?", "role": "user" }, { "content": "Final sealing of the deep cavity happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Инцизионная боковая грыжа L4W3R0..mp4" ] }, { "messages": [ { "content": "Which tool marks the boundary line on the organ surface, and what is it acting on?", "role": "user" }, { "content": "An electrocautery marker acts on the liver surface to mark the boundary line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hanging liver maneuver and intrahepatic extra-glissonian approach for anatomical right hepatectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from dividing tissues to re‑establishing continuity?", "role": "user" }, { "content": "The transition occurs when the round joining step begins and the two ends are connected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/ISOS 2022 Day 2 (24 Sep 2022) - Dr Chong Choon Seng (Singapore).mp4" ] }, { "messages": [ { "content": "When does the procedure transition from actively cutting to guarding the lengthwise fibers?", "role": "user" }, { "content": "At the moment the longitudinal muscle fibers become visible, marking the shift to protection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Pre-Oral Endoscopic Myotomy for Refractory Dysphagia After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "During the introductory segment, when do the imaging frames first display a non-communicating tubular remnant, and on which side relative to the native lumen is it situated?", "role": "user" }, { "content": "Early in the presentation when the imaging is shown, it reveals a blind-ending tract positioned behind the native lumen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/A Hidden Anomaly： Resolving an Anal Duplication Case After 30 Fistula Surgeries.mp4" ] }, { "messages": [ { "content": "After a soft loop is used to tension a cord-like structure on the food pipe, when does the actual removal of that structure for quick confirmation occur?", "role": "user" }, { "content": "Right after the structure is identified under traction, it is removed and sent for rapid confirmation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Truncal vagotomy and heineke mikulicz pyloroplasty.mp4" ] }, { "messages": [ { "content": "Once the team confirms the inner channel hasn’t been inadvertently narrowed by earlier stitches, when do they begin placing stitches on the near side of the first join?", "role": "user" }, { "content": "Immediately after confirming the lumen is open, they start placing the near-side stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/The HJ & DJ anastomoses, Step 5 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "After a rectangular reinforcement is shown entering the view, when does securing it in place actually begin?", "role": "user" }, { "content": "Securing begins when the midline anchor stitch is placed after the piece is brought into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Redo Heller Myotomy, Hiatal Hernia repair, and conversion of Dor to Toupet Fundopli....mp4" ] }, { "messages": [ { "content": "Which pairing is connected first by sutures: the soft gland remnant to a loop of small bowel, or the bile conduit to that same loop?", "role": "user" }, { "content": "The gland-to-bowel connection is sutured first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/The Whipple Procedure - What It Is & How It Can Work for Pancreatic Cancer.mp4" ] }, { "messages": [ { "content": "Between opening the thin membrane over the apron of the bowel and developing the clear dissection plane behind it, which occurs first?", "role": "user" }, { "content": "The membrane opening happens first, followed by development of the avascular plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic right hemicolectomy with complete mesocolic excision and indocyanine green.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from an initial abdominal survey to focusing on the distal bowel?", "role": "user" }, { "content": "Right after confirming the upper organ is clear, as the view shifts to the distal bowel junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (ta-TME) for Rectal Cancer - Dr. Karen Zaghiyan.mp4" ] }, { "messages": [ { "content": "When does a mismatch in diameter between the two ends first become visibly apparent, and where in the field is it recognized?", "role": "user" }, { "content": "Right after mesenteric division, the mismatch is seen at the two bowel ends, prompting spatulation of the distal side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Ileostomy closure Takedown in a 1 month old girl By Dr. Tamer Ashraf Wafa and Dr. Amr El Saeid.mp4" ] }, { "messages": [ { "content": "Which manual cutting instrument acts on the organ wall to open over the mass?", "role": "user" }, { "content": "Manual scissors (used without energy) incise the organ wall over the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Posterior Degenerated Lower Segment Fibroid.mp4" ] }, { "messages": [ { "content": "In the segment showing integrated visual guidance, what auxiliary view is overlaid into the operator’s viewer, and what action does it facilitate on the target organ?", "role": "user" }, { "content": "An endoscope’s view from inside the organ is overlaid to guide marking and cutting of the lesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Current Role of Partial Cystectomy in the Treatment of Bladder Cancer.mp4" ] }, { "messages": [ { "content": "When does an unusual branch pattern of a feeding artery first become visible, and where does it appear relative to the main trunk?", "role": "user" }, { "content": "It first becomes evident during the stepwise upward dissection, showing the right hepatic artery arising from the superior mesenteric artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD011 肝外胆管癌的手术治疗.mp4" ] }, { "messages": [ { "content": "When does the workflow shift from intra‑abdominal mobilization to exteriorizing the bowel for the two‑stage flip‑out maneuver?", "role": "user" }, { "content": "It shifts when the proximal segment is everted out through the protected incision to start the two‑stage flip‑out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜辅助经肛门外翻切除标本低位直肠癌全系膜切除术.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from cutting the mass to closing the organ?", "role": "user" }, { "content": "Right after the mass is transected, the team transitions to closing the stomach opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Mass.mp4" ] }, { "messages": [ { "content": "Which tool is advanced into a narrow corridor to maintain access, and for what purpose?", "role": "user" }, { "content": "A flexible tube is advanced into the duct-like corridor to maintain access for protective surgical management.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Importance of Palliative Klatskin Tumor Surgey ｜ Prof. Dr. Ünal Aydın.mp4" ] }, { "messages": [ { "content": "Given the cue that evaluation of the lateral channels is planned, when does that assessment occur relative to completing the intrauterine work?", "role": "user" }, { "content": "The assessment is performed after completing the intrauterine procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Submucous Myomectomy.mp4" ] }, { "messages": [ { "content": "Exactly when does the stitching switch from the back side of the join to the front side?", "role": "user" }, { "content": "Right after tying off the back wall, the team begins suturing the front wall with the same suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Roux En Y Hepaticojejunostomy after Bismuth IV Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "Which modality is employed on the tubular organ’s outer layers to create the longitudinal split, and how is the dissection complemented?", "role": "user" }, { "content": "Electrosurgical energy is used to cut the muscle, complemented by blunt dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy # Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to achieve elevation for exposure during the deep pelvic dissection?", "role": "user" }, { "content": "A pincer-like grasper lifts the lower bowel upward to improve the view in the deep pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How I do it - Anteriore Mesh Rektopexie - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from freeing and moving the segment to securing it in place?", "role": "user" }, { "content": "The transition occurs when the first stitch is placed to anchor the segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Neo-Rectopexy： A Technique for Repair of Neo-Rectal Prolapse Following TaTME.mp4" ] }, { "messages": [ { "content": "Which instrument is used to hold and which is used to open the thin membrane on the front side, and what action is accomplished?", "role": "user" }, { "content": "Graspers hold the thin membrane while a heated tip opens it, allowing entry into the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Altemeier Procedure： Then and Now ｜ Didactic Video.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation proceed from the phase centered on the main blood channels to the phase inside the confined cavity?", "role": "user" }, { "content": "Right after completing the vessel work, when the camera shifts into the confined cavity and the muscular floor becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Procedures for Rectal Cancer After Radiochemotherapy： Joel Leroy, M.D..mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from exposing the narrow tubes to securing them with clamps?", "role": "user" }, { "content": "Right after the tube and its companion vessel are fully skeletonized, securing with clamps begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/DaVinci Single Incision Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When does the clip transition into the final wrap‑up phase featuring sanitizing and drain placement?", "role": "user" }, { "content": "It begins when diluted antiseptic solutions are instilled into the cavity, followed by drain placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Lap Necrosectomy ｜ Laparoscopic Pancreatic necrosectomy ｜ Necrosectomy ｜ Laparoscopic drainage WOPN.mp4" ] }, { "messages": [ { "content": "Between exposing a posterior gap that reveals the diaphragm and dividing the main outflow branch on that side, which happens first?", "role": "user" }, { "content": "The posterior gap exposure that reveals the diaphragm occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Risk and Limitations of Extended Laparoscopic Liver Resection.mp4" ] }, { "messages": [ { "content": "At exactly what moment does the clip transition from gentle peeling to energy-assisted division of the remaining thick bands?", "role": "user" }, { "content": "The transition occurs when the last attachments prove too thick for blunt peeling, prompting use of the energy device to divide them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Paraesophageal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which device performs layer-by-layer medial mobilization of a curved segment to achieve exposure, and what is the result?", "role": "user" }, { "content": "The hook cautery acts on peritoneal attachments to reflect the duodenum medially, exposing the IVC.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Right Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "After the slit in the narrow channel is first opened and fluid is seen escaping, when does the deliberate widening of that slit actually start?", "role": "user" }, { "content": "It starts immediately after fluid is seen escaping, when the cutting tip is used to enlarge the slit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/LAPAROSCOPIC CHOLEDOCHODUODENOSTOMY FOR BENIGN LOWER COMMON BILE DUCT STRICTURE.mp4" ] }, { "messages": [ { "content": "Between freeing the small branch vessel running along the sac and grabbing it with a fine instrument to pull on it, which action appears first in the clip?", "role": "user" }, { "content": "Freeing the vessel occurs before grasping it for retraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to accomplish what task during the removal sequence?", "role": "user" }, { "content": "A long cutting instrument acts on the solid organ in the upper abdomen to excise small deposits.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/EVRE 4 KOLON KANSERİ İÇİN BİRİ MİKRODALGA ABLASYON 4. AMELİYAT.mp4" ] }, { "messages": [ { "content": "After the thread becomes visible on the far side of the fold, when is the second fastening step initiated?", "role": "user" }, { "content": "As soon as the thread appears across the fold, the second fastener is deployed with a downward control motion, confirmed by an audible snap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic revision of gastric bypass using plication technique# an adjustable approach.mp4" ] }, { "messages": [ { "content": "In the combined abdominal procedure, which comes first: removing the redundant loop or securing the organ to stop descent?", "role": "user" }, { "content": "Removing the redundant loop happens first, and securing (fixation) follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/28 Prolapso Rectal Dr Miguel Tapia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from freeing the mass to closing the defect?", "role": "user" }, { "content": "When the needle enters through the midline access and the first stitch approximates the wound edges.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Operation Technik. Laparoskopie Myomektomie. Minimal Invasiv Surgery. Gynäkologie..mp4" ] }, { "messages": [ { "content": "Which implement acts on the prominent venous channel adjacent to the bowel to achieve occlusion and division?", "role": "user" }, { "content": "Clips are applied to the inferior mesenteric vein to occlude it, followed by ligation/division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Ultra-low Anterior Resection for Rectal Cancer by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "When does the camera perspective switch from a perineal route to an abdominal route during the case?", "role": "user" }, { "content": "After confirming there’s no further bleeding, the scope is moved to the midline abdominal port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Transvaginal Nephrectomy.mp4" ] }, { "messages": [ { "content": "Between dividing a short arterial branch near the central trunk and sealing the nearby draining vein, which occurs earlier in the sequence?", "role": "user" }, { "content": "The arterial branch division happens earlier than the venous coagulation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominal Resection for T4 Rectal Cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence move from circling the wall of the tube to entering the front lining of the body and bringing a segment out through the lower exit?", "role": "user" }, { "content": "The transition occurs at the instant of anterior entry into the body cavity lining, which immediately leads to the segment being delivered out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/A New Approach for Rectal Prolapse： Perineal Proctectomy with TAMIS Rectopexy and Mesh Fixation.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene shift from circumferential layer separation to actually cutting through the inner lining?", "role": "user" }, { "content": "Right after they reach the far tip, when cutting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme’s Procedure for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When does the sequence shift from showing the access layout to actually starting tissue mobilization?", "role": "user" }, { "content": "The shift occurs at the moment they announce and begin the initial “medial to lateral” dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Pearls Session： Laparoscopic Sigmoid Colectomy Introduction - Peter Marcello.mp4" ] }, { "messages": [ { "content": "Between two milestones in the clip—the team first tenting up a thin, translucent film at the front of the tube and later slicing across the front wall of the tube—which one happens earlier?", "role": "user" }, { "content": "Tenting and opening the thin film occurs before cutting the front wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Altemeier Procedure： Then and Now ｜ Didactic Video.mp4" ] }, { "messages": [ { "content": "What medium is introduced into the tissue plane to map the course of the nerve bundle, and what action does it facilitate?", "role": "user" }, { "content": "Saline is injected for hydrodissection to delineate the plane, facilitating safe nerve-bundle dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/V06-01： Nerve-Sparing Robot-Assisted Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "Between freeing an encircling device from the organ and cutting it open to take it out, which action happens first?", "role": "user" }, { "content": "Freeing the device occurs first, followed by cutting it open and removing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted conversion from gastric band to Roux en Y gastric bypass.mp4" ] }, { "messages": [ { "content": "During the operation, when does the scene shift from space creation to actually introducing and positioning the graft?", "role": "user" }, { "content": "The transition occurs right after the inferior limit is reached, when the graft is introduced and fixation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Redo Ventral Mesh Rectopexy After Laparoscopic Repair with Biological Mesh.mp4" ] }, { "messages": [ { "content": "Between dividing the larger-caliber blood channel along the outer border of the organ and dividing the nearby companion channel at the same location, which one happens first?", "role": "user" }, { "content": "The larger venous channel is divided first, followed by its arterial companion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/LAP RADICAL D2 DISTAL GASTRECTOMY WITH ROUX EN Y RECONSTRUCTION.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from freeing surrounding attachments to actually circling and removing the lesion?", "role": "user" }, { "content": "The transition occurs when the surgeon begins circumscribing the lesion with a 1 cm margin using the harmonic device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Bladder Dermoid Cyst Surgery ｜ Laparoscopic Partial Cystectomy for Bladder Dermoid Cyst.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working in the rear plane around the target cylinder to the front plane?", "role": "user" }, { "content": "Right after confirming nerve protection in the rear plane, the dissection proceeds anteriorly, marking the transition.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜下直肠癌根治术Dixon术.mp4" ] }, { "messages": [ { "content": "In the later, more hostile clip, when does it first become clear on screen that the base region is too dangerous to continue, triggering a switch to drying the inner lining and placing drains?", "role": "user" }, { "content": "As soon as the base region is seen to be completely frozen, they stop and switch to drying the lining and placing drains through that opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Subtotal Cholecystectomy – Tips and Tricks.mp4" ] }, { "messages": [ { "content": "After docking the circular joining device, at what point is it actually activated?", "role": "user" }, { "content": "It is activated only after the alignment check confirms correct orientation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Sigmoid Volvulus with Natural Orifice Transrectal Extraction.mp4" ] }, { "messages": [ { "content": "Upon seeing a rippling motion in the small tube, does the deliberate identification begin immediately, or only after confirming its parallel course with the adjacent vein?", "role": "user" }, { "content": "Only after confirming its parallel course with the adjacent vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Asvide： Narrated hand-assisted left laparoscopic nephrectomy for kidney transplant..mp4" ] }, { "messages": [ { "content": "When does an off-track dissection first reveal itself, and where on the field is it seen?", "role": "user" }, { "content": "It first appears on the patient’s right side when muscle fibers become visible, signaling a wrong plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal TME： Changing the landscape of rectal cancer.mp4" ] }, { "messages": [ { "content": "Which occurs first: the saline test revealing a leak or the stitches placed to seal that leak?", "role": "user" }, { "content": "The leak is revealed first by the saline test, then it is sutured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy renal vein injury happened & repaired.mp4" ] }, { "messages": [ { "content": "Which instrument is used to gently open the thin, glistening layer over the retroperitoneal fat during the lateral dissection?", "role": "user" }, { "content": "Monopolar scissors are used to incise the thin retroperitoneal layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Simultaneous Robotic TME + Radical Prostatectomy & Iliac Lymphadenectomy for Synchronous Cancers.mp4" ] }, { "messages": [ { "content": "Between controlling a primary side vessel near the cervix and beginning the ring-shaped cut around the upper natural orifice, which one occurs first in this clip?", "role": "user" }, { "content": "The vessel control happens first, and the circumferential incision begins afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/The Art of TLH： A Surgeon's Perspective： Total Laparoscopic Hysterectomy (TLH) Walkthrough.mp4" ] }, { "messages": [ { "content": "Given the appearance of a crossing blood vessel at the far end of the cut, when does the dissection proceed underneath it?", "role": "user" }, { "content": "As soon as the large vessel is seen crossing the distal area, the cut continues beneath it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy For End Stage Achalasia.mp4" ] }, { "messages": [ { "content": "During the join of the stomach outlet to the loop, at what moment does suturing transition from the back wall to the front wall?", "role": "user" }, { "content": "The transition occurs at the through-card position, when the second suture begins on the front wall from 9 o’clock.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/ROBOTIC PANCREATICODUODENECTOMY AND CHOLECYSTECTOMY.mp4" ] }, { "messages": [ { "content": "After the assistant visibly tensions the target layer, when does the actual incision begin relative to that cue?", "role": "user" }, { "content": "The incision starts immediately after the assistant applies traction, using an energy device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹腔镜左半结肠癌根治术内镜下辅助下经自然腔道取标本手术.mp4" ] }, { "messages": [ { "content": "Which energy-based tool acts on the pale zone to coagulate smaller channels, and what does it achieve?", "role": "user" }, { "content": "An RF energy device acts on the ischemic parenchyma to cauterize and occlude small vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Cancer： Hepatectomy with Radiofrequency Resection Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "At what moment does the approach switch from instrument-only work to introducing a hand through a small central opening?", "role": "user" }, { "content": "Immediately after vascular control, when the retrieval port is placed and the hand is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Operative Management？ - Laparoscopic donor nephrectomy： tips & tricks - Dr. Ahmad Alzahrani.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from cutting the muscle to placing stitches for the partial wrap?", "role": "user" }, { "content": "Right after confirming an intact inner lining and no leak, the team begins placing the six wrap stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic esophageal salvage for perforations after surgical and endoscopic treatment of achalasi.mp4" ] }, { "messages": [ { "content": "When does the sequence move from completing stitches on the right side of the tube to adding the stabilizing bite into the diaphragm to prevent twisting?", "role": "user" }, { "content": "Right after the first right‑side stitch; the very next stitch adds the diaphragmatic crus to anchor the wrap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROENDOSCOPIC SINGLE SITE HELLER MYOTOMY AND ANTERIOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from freeing up prior attachments to exposing the target region for the main work?", "role": "user" }, { "content": "The transition occurs when adhesiolysis ends and they begin elevating the upper bowel to expose the target loop for dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/SS03 Best of Video I V007. LAPAROSCOPIC ROUX-EN-Y DUODENOJEJUNAL BYPASS SUPERIOR MESENTERIC ARTERY.mp4" ] }, { "messages": [ { "content": "Between creating extra instrument access points and cutting the tethering strand near the upper intestine, which happens first in the clip?", "role": "user" }, { "content": "The extra access points are created first, followed by dividing the strand.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Five-millimeter Port Laparoscopic Ladd's Procedure for Adult Malrotation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from vessel control to tissue cutting?", "role": "user" }, { "content": "Right after completing the last small anterior branch dissection that allows the lobe to flip, they transition to tissue cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic caudate lobectomy.mp4" ] }, { "messages": [ { "content": "Which instrument engages the slender tubular structure crossing the fatty sheet, and what is done to it?", "role": "user" }, { "content": "A clamping/sealing device is applied to the central vessels to secure them, after which they are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Single Port Surgery for Colorectal Disease.mp4" ] }, { "messages": [ { "content": "Which instruments act on which structure to perform the removal step seen during the case?", "role": "user" }, { "content": "Laparoscopic instruments act on the appendix to remove it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Incidental Malrotation During Laparoscopic Vertical Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "Which tool draws faint tracings on the surface to outline where work will occur, and on what area are they placed?", "role": "user" }, { "content": "A tip-like marking instrument is used to draw tracings on the abdominal surface around the working ports.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/徳島大学病院「TVいきいきらいふ」第84回腎癌の低侵襲治療～ロボット支援腎部分切除術について～.mp4" ] }, { "messages": [ { "content": "Where do the more pronounced scars appear relative to the previous breach, and when is this first noted?", "role": "user" }, { "content": "On the side opposite the tear, noted at about one and a half months.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/РАЗРЫВ СТЕНКИ ТОЛСТОЙ КИШКИ ПОСЛЕ БАЛЛОННОЙ ДИЛЯТАЦИИ РУБЦОВОЙ СТРИКТУРЫ ОБЛАСТИ АНАСТОМОЗА.mp4" ] }, { "messages": [ { "content": "Which energy-enabled instrument is used to cut through the gland itself?", "role": "user" }, { "content": "Monopolar robotic scissors are used to transect the gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple operation technique.mp4" ] }, { "messages": [ { "content": "When does a large, inflamed pocket over the upstream bowel segment first become clearly visible, and where is it relative to the left‑sided dissection?", "role": "user" }, { "content": "It first becomes obvious during proximal work along the left side toward the flexure, sitting over the upstream segment on the lateral sidewall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/robotic sigmoid resection with en bloc partial cystectomy for malignant fistula.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure shift from detaching the organ to retrieving it from the field?", "role": "user" }, { "content": "The shift occurs when the retrieval device is introduced to grasp the organ after detachment is complete.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Dr R K Mishra demonstrating da Vinci Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the downward dissection reach the muscular boundary that marks the end of that phase?", "role": "user" }, { "content": "When the levator ani and its endopelvic fascia come into view, marking the limit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Between the internal support shifting upward during manipulation and its extraction via an auxiliary entry, which happens first?", "role": "user" }, { "content": "The upward shift occurs first, followed by extraction through a separate port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Partial Cystectomy for diverticular Tumour ｜｜ Preeti Hospital.mp4" ] }, { "messages": [ { "content": "After the camera is deliberately flipped to view upward from below, at what point does the careful division in the narrow inter-organ plane actually begin?", "role": "user" }, { "content": "Immediately after the flip, when the target plane is indicated on screen and the cutting proceeds along it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy (RVR) for Rectal Prolapse and Obstructive Defecation - Chinese Simplified.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from sidewall clearing to freeing the bulging pouch?", "role": "user" }, { "content": "Right after completing both outer and inner clearances, when they begin pulling the lining inward and pushing the underlying layer to free the bulging pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Inguinal Hernia Surgery Explained Step by Step.mp4" ] }, { "messages": [ { "content": "What instrument holds a fold to present the segment so that the very first cut can be made, and which tissue is being grasped?", "role": "user" }, { "content": "A grasping instrument holds the peritoneal reflection to present the segment for the initial peritoneal incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Rectal Prolapse Without Constipation.mp4" ] }, { "messages": [ { "content": "At what moment does the approach change from working on the near-facing surface to working from behind the target?", "role": "user" }, { "content": "The change happens when the second operator takes over and begins working from behind, saying he is doing “post-desection only.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/9 Laparoscopic Cholecystectomy - Subtotal to Total Cholecystectomy (Intra Op Decision).mp4" ] }, { "messages": [ { "content": "Between freeing the right-sided large bowel and dividing the constricting strip tethering the upper right corner, which happens first in the clip?", "role": "user" }, { "content": "Freeing the right-sided large bowel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Lap Ladd's procedure.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence move from detachment to extraction of the specimen?", "role": "user" }, { "content": "Right after the last small posterior-right cut frees it, extraction begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent.mp4" ] }, { "messages": [ { "content": "During the earlier method, when does the mishap of a failed enclosure first become evident—before or after the main channels have already been cut?", "role": "user" }, { "content": "After the channels have been divided—during the attempt to load the organ into the retrieval pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Then and Now： Lessons Learned From 400 Laparoscopic Donor Nephrectomies.mp4" ] }, { "messages": [ { "content": "Which occurs first: laying a continuous thread along the cut edge to reinforce it, or inserting a mouth-passed camera to inspect that edge with a test?", "role": "user" }, { "content": "Reinforcement with a continuous suture is done first; the internal camera inspection and test come afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic partial gastrectomy for GIST resection.mp4" ] }, { "messages": [ { "content": "At what point does the sequence shift from freeing the upstream colon to actually cutting the downstream tube?", "role": "user" }, { "content": "When mobilization is declared complete and the stapler is applied to perform the rectal transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic subtotal colectomy with antiperistaltic ceco-rectal anastomosis for the treatment of sl.mp4" ] }, { "messages": [ { "content": "Between looping a soft band around the junction between the food reservoir and the swallowing tube, and beginning to cinch the opening with stitches, which happens first?", "role": "user" }, { "content": "The soft loop is placed first, and then the stitches to narrow the opening are started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Robotic Hiatal Hernia Repair.mp4" ] }, { "messages": [ { "content": "During the initial freeing of the right-sided segment, which comes first: cutting the outermost lining along the lateral boundary or slipping into the underlying bloodless layer?", "role": "user" }, { "content": "Cutting the lateral boundary comes first, followed by entering the avascular plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/基于Toldt筋膜、Fredet筋膜解剖的右半结肠切除 Right hemicolectomy based on Toldt's fascia and Fredet's fascia anatomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to secure the protruding uterine lump, and what tool is then used to separate it from the uterus while keeping the bowel safe?", "role": "user" }, { "content": "A screw-type holder secures the lump, and an ultrasonic energy device is used to dissect it off the uterus while safeguarding the nearby bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video).mp4" ] }, { "messages": [ { "content": "During the contrast imaging sequence of the bile channels, when and where does the blockage first become clearly visible?", "role": "user" }, { "content": "On the first contrast run, a distal filling defect appears in the main channel, with dilation seen upstream.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic Common bile duct exploration after Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "When is it first clearly visible that the mass has a fluid-heavy breakdown inside, and in which part of the procedure is this shown?", "role": "user" }, { "content": "It first becomes obvious during the gentle strip-removal phase, where the degeneration is clearly seen within the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Large Degenerated Anterior Fibroid.mp4" ] }, { "messages": [ { "content": "Which comes earlier: confirming there is no abnormal channel to the unused stomach or completing the division of the old join?", "role": "user" }, { "content": "Confirming there is no abnormal channel comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted Re do gastrojejunostomy for a giant ulcer.mp4" ] }, { "messages": [ { "content": "In the sequence where the bulky upper part is detached, which happens first: cutting across the middle of the sac or placing the specimen into a retrieval pouch?", "role": "user" }, { "content": "They cut across the middle first, then place the freed portion into a retrieval pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Некоторые аспекты лечения острого холецистита.mp4" ] }, { "messages": [ { "content": "Between sealing the small blue vessel draining the lower right bowel loop and cutting its accompanying arterial feeder near the central axis, which happens first in this clip?", "role": "user" }, { "content": "The venous branch is clipped first, followed by division of the arterial feeder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoskopische Hemikolektomie rechts mit CME Chirurgische Universitätsklinik Erlangen.mp4" ] }, { "messages": [ { "content": "Which handheld instrument interacts with the soft organ to both divide it and limit fluid loss during the process?", "role": "user" }, { "content": "An energy-sealing device acts on the organ parenchyma to divide it while controlling oozing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Minimally invasive liver resection for HCC of patients with liver damage B： A propensity score based.mp4" ] }, { "messages": [ { "content": "After the guide mark is drawn over the tailbone, at what moment does the skin cutting around the outlet begin?", "role": "user" }, { "content": "Right after the tailbone mark is placed, the teardrop skin incision around the outlet begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Extralevator Abdominoperineal Resection..mp4" ] }, { "messages": [ { "content": "At what moment do they switch from trying to cleanly clear the narrow end to leaving a rim and simply adding a thin tube for drainage?", "role": "user" }, { "content": "When full clearance fails and a small rim is left, they stop suturing and place a thin drainage tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Некоторые аспекты лечения острого холецистита.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene switch from working inside the abdomen to operating through the bottom opening?", "role": "user" }, { "content": "The transition occurs when they begin cutting the mucosal rim at the skin–mucosa junction of the outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic TME with Intersphincteric Dissection and Coloanal Anastomosis in Ultra-Low Rectal Cance.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from deep dissection to entering the internal canal to free the specimen?", "role": "user" }, { "content": "Right after releasing the posterior attachment, marked by the visible opening into the canal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy (Unedited).mp4" ] }, { "messages": [ { "content": "In the sequence where a ring-shaped implant is prepared at the bowel end and a bulkier joining device is brought in through a port, which happens first?", "role": "user" }, { "content": "Securing the ring-shaped implant at the bowel end occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/segmental resection of duodenal jejunal junction for benign tumor.mp4" ] }, { "messages": [ { "content": "Once the contrast dye is delivered, when does the perfusion check actually begin relative to device coupling?", "role": "user" }, { "content": "Right after coupling and orientation check, when fluorescence mode is activated to assess perfusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Robotic Anterior Resection with Transanal Extraction (NICE Procedure) - a video vignette.mp4" ] }, { "messages": [ { "content": "Once the glowing instrument touches the surface and a faint plume appears, when does the actual separation begin relative to that visual cue?", "role": "user" }, { "content": "It starts immediately after device activation and contact with the surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Minimally invasive liver resection for HCC of patients with liver damage B： A propensity score based.mp4" ] }, { "messages": [ { "content": "Between advancing the flexible viewer into the hollow passage and the unfurling of the internal support, which action happens first in the clip?", "role": "user" }, { "content": "Advancing the viewer happens first, followed by the unfurling of the support.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Petko Karagyozov # EUS-guided gastroenterostomy in the treatment of malignant GOO. ESGE guidelines..mp4" ] }, { "messages": [ { "content": "Which device is used to promptly clear the view when oozing hides the field, and what exactly does it remove?", "role": "user" }, { "content": "A suction device is used, and it removes blood to restore visibility.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboter-assistierte Nierenteilentfernung (partielle Nephrektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "When does the clip shift from removing the old organ to beginning suturing and joining of the implant’s connections?", "role": "user" }, { "content": "Immediately after the old organ is removed, the team begins joining the implant’s connections.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/「生体肝移植」 山口大学医学部附属病院肝胆膵・移植外科　永野浩昭 教授.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow visibly switch from hand-held straight instruments to an articulated multi-arm system?", "role": "user" }, { "content": "Right after the first bowel connection is finished and the straight tools are withdrawn, when the multi‑arm platform is docked.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis.mp4" ] }, { "messages": [ { "content": "At what point does the sequence shift from creating a subsurface corridor to cutting the muscle fibers?", "role": "user" }, { "content": "The shift occurs once the instrument is seen hooking under a muscle band and lifting to begin the cut, immediately after the corridor is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device.mp4" ] }, { "messages": [ { "content": "Which non-contact energy tool is applied to the raw surface of the organ to secure hemostasis after the specimen is separated?", "role": "user" }, { "content": "A beam-based coagulator (argon beam) is used on the cut liver surface to cauterize for hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left lateral hepatic segmentectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from lifting and dividing fatty attachments to energy-based closure of a key vessel?", "role": "user" }, { "content": "The transition occurs when the energy sealing device engages the artery to create a long seal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Optimizing the safety of laparoscopic anterior resection： our approach.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the wall of the stomach–outlet region to create the opening, and what action is performed?", "role": "user" }, { "content": "Scissors with cautery act on the gastric-outlet wall to cut and open into the lumen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/My Resident and I Robotic Pyloroplasty.mp4" ] }, { "messages": [ { "content": "What traction method is applied to the small sac-like organ on the right, and what does it accomplish for the exposure?", "role": "user" }, { "content": "A loop ligature is placed around the gallbladder fundus for right-sided traction, improving exposure for entry to the hilum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for Polycystic Liver Disease.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from device-driven excision to on-table verification for any remaining bulge?", "role": "user" }, { "content": "The transition occurs when the operator begins the dry gauze test to verify there is no remaining bulge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Recurrent Rectal Prolapse Cured by Dr Ashwin's Innovative TRRPCS Surgery By Use Of Multiple Staplers.mp4" ] }, { "messages": [ { "content": "During the removal sequence, which instrument acts on what structure to achieve what task?", "role": "user" }, { "content": "Energy-enabled robotic shears act on the lesion and adjacent inner wall to dissect and excise it free.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/5. Robotic Partial Cystectomy for Deeply Infiltrating Endometriosis of the Bladder Wall.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from removing pelvic organs to starting the left-sided vascular and bowel mobilization?", "role": "user" }, { "content": "Right after the uterus is removed and the field is re-sealed, when they begin by identifying the left ureter and arterial pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/HYSTERECTOMY, BILATERAL SALPINGO-OOPHORECTOMY & TOTAL COLECTOMY FOR LYNCH SYNDROME. HYBRID NOTES.mp4" ] }, { "messages": [ { "content": "When and where does pooled red fluid first become visibly apparent during the repair portion?", "role": "user" }, { "content": "It first appears as a small collection in the operative field during suturing, before repositioning.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Intramural Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "When the stapling device’s jaws are aligned along the side bundle and held just short of the paired posterior glands, at what point does firing and division actually begin?", "role": "user" }, { "content": "After confirming the tip does not pass the paired glands, the stapler is fired to divide the lateral bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/V06-01： Nerve-Sparing Robot-Assisted Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "During the very beginning of the internal work, at what moment and location does a ballooned segment of the target tube first become unmistakably visible?", "role": "user" }, { "content": "Right at the start of the internal dissection under the upper solid organ, the proximal segment appears markedly distended.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Idimed Lap Ladd's for Malrotation 3mm Sealer Narrated 2016.mp4" ] }, { "messages": [ { "content": "After the surgeon flips the new connection to show its back side, when does the colored‑liquid check actually begin?", "role": "user" }, { "content": "It begins immediately after the flip, when the colored liquid is injected and seen flowing through the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Gastric Bypass Procedure.mp4" ] }, { "messages": [ { "content": "When and where does the potentially hazardous inner lining first become visibly apparent during dissection?", "role": "user" }, { "content": "It first appears at the base during enucleation, when the endometrial wall is seen before the mass is fully out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Myoma.mp4" ] }, { "messages": [ { "content": "When the inner ring is applied near the central gap, at what moment does the operator begin deliberately placing fasteners on the rim rather than directly over the gap?", "role": "user" }, { "content": "From the start of the inner ring, fasteners are placed on the rim rather than directly over the central gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Umbilical Hernia HD Video.mp4" ] }, { "messages": [ { "content": "Which instrument pushes a curved segment of bowel downward to open the plane, and what does that maneuver accomplish?", "role": "user" }, { "content": "A blunt dissector pushes the curved bowel segment downward, opening the plane to improve exposure of deeper vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Complete Mesocolic Excision Extended Right Colectomy (SMV-First Approach).mp4" ] }, { "messages": [ { "content": "On the second side, at what exact moment does the clip switch from tissue clearing to deploying the sheet?", "role": "user" }, { "content": "The transition occurs when the rolled sheet is pushed through the port into the space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Bilateral Inguinal Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "Which tool is used to bluntly separate the dense adhesions deep in the pelvis, and what tissue relationship is it acting on?", "role": "user" }, { "content": "An aspiration wand is used to bluntly separate the bowel loop from the adjacent pelvic organs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy for Complicated Diverticulitis Fistula to left tube.mp4" ] }, { "messages": [ { "content": "Given the moment when the color overlay reveals a larger target region than the surrounding speckles, when does the cutting action actually start?", "role": "user" }, { "content": "Cutting starts after the broader zone is delineated by the overlay, toward the end of the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/DaVinci Robotic Endometriosis Diagnosis and Treatment utilizing Firefly Fluorescent Technology.mp4" ] }, { "messages": [ { "content": "Between the two main conduits at the organ’s hilum, which one is actually divided first?", "role": "user" }, { "content": "The venous conduit is divided first, followed by the arterial conduit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Right Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "When does the workflow shift from tissue mobilization to removing the resected portion, and what specific event marks that change?", "role": "user" }, { "content": "The shift occurs after transecting the distal end and dividing the terminal small bowel, marked by extraction through the lower-right access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Port placement strategies and management of the robotic system during colo⧸proctectomy for cancer.mp4" ] }, { "messages": [ { "content": "After the access channel is seated, which action occurs first: taking out the visual probe or toggling the specialized airflow mode?", "role": "user" }, { "content": "Taking out the visual probe occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Dr. Arnold Advincula - Robotic Laparoscopic Myomectomy Using AirSeal® - CONMED Surgical Technique.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation switch from retrieving the protruding contents to positioning the patch over the opening?", "role": "user" }, { "content": "Right after all contents are out, when the patch is introduced and centered over the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/IPOM Umbilical Hernia Repair by VIPRO II Mesh.mp4" ] }, { "messages": [ { "content": "At what precise moment does the workflow shift from clearing out the lesion to shaping a recess at the tip of the tooth root?", "role": "user" }, { "content": "The transition occurs when they switch modes and bring in the small spherical abrasive tip to begin shaping the root-end cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/PART I： Piezotome apisectomies and cystectomies and bone reconstruction with CalciOss and aPRF.mp4" ] }, { "messages": [ { "content": "Between tracking the main conduit from the center outward and cutting its anterior side branches, which action occurs first?", "role": "user" }, { "content": "They first track the main conduit from the center outward, then cut the anterior side branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lap-CME right hemicolectomy step-by-step using critical view concept.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which target to achieve what change during the clip?", "role": "user" }, { "content": "An expanding internal support device acts on the tight segment of the passage to open it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Petko Karagyozov # EUS-guided gastroenterostomy in the treatment of malignant GOO. ESGE guidelines..mp4" ] }, { "messages": [ { "content": "Between extracting a loop of large bowel from above the breathing muscle and stitching the gap behind the food pipe, which action occurs first in this clip?", "role": "user" }, { "content": "Extracting the bowel loop occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection For Rectal Cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from working around the central trunk to tracing laterally toward the fatty apron under the stomach?", "role": "user" }, { "content": "Right after the central arterial branch is divided, when the team extends laterally and identifies the vessel along the fatty apron.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.1.5. Robotic Right Hemicolectomy - Julio Garcia - Aguliar.mp4" ] }, { "messages": [ { "content": "During the revisit, which instrument acts on the tight segment to produce an increased opening, and what specific change does it accomplish?", "role": "user" }, { "content": "A diameter-based intraluminal expander first recreates 12 mm and then increases to 15 mm, enabling passage through the tight segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Bariatric Strictures.mp4" ] }, { "messages": [ { "content": "Which device performs the division to detach the harvested conduit from its original large vessel?", "role": "user" }, { "content": "A stapling device divides the left renal vein’s insertion into the IVC.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Major Venous Resection During Pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "After the target is lifted upward and forward for exposure, at what moment does the deliberate tissue-splitting actually begin?", "role": "user" }, { "content": "It begins once the energy instrument runs along both sides of the target to remove the thin outer layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Behind the Knife - Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "When and where does diffuse surface oozing first become visibly apparent?", "role": "user" }, { "content": "Early during exposure of the pelvic lining, where patchy oozing appears across its surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/本編　卵巣がんに対するNAC後の基本術式.mp4" ] }, { "messages": [ { "content": "After fibrous strands become apparent, when does cutting with energy actually begin?", "role": "user" }, { "content": "It begins immediately after the intra-abdominal view shows the fibrous bands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of a Bilroth II with Braun anastomosis into a RNY anatomy in a patient with in.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from taking down the prior connection to actively reshaping the main food reservoir along a guide?", "role": "user" }, { "content": "Immediately after the old connection is divided, when stapling and division along the remnant’s outer curve begin to fashion the new shape.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Roux en Y Gastric bypass to SADI S for weight regain.mp4" ] }, { "messages": [ { "content": "Given the visible cue of organ enlargement on imaging, when is the follow-up operation triggered?", "role": "user" }, { "content": "Once imaging shows sufficient enlargement and function, typically within about a week, they proceed to the follow-up operation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/ALPPES -Associating Liver Partition and Portal VeinLigation.mp4" ] }, { "messages": [ { "content": "After the diaphragm opening is cinched and the fat apron is anchored to the side of the new chamber, when does the internal camera inspection actually begin?", "role": "user" }, { "content": "It starts immediately after those repairs and anchoring are completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LAPAROSCOPIC ROBOTIC-ASSISTED CONVERSION FROM DUODENAL SWITCH TO GASTROJEJUNOSTOMY FOR SEVERE RE....mp4" ] }, { "messages": [ { "content": "Between tying off a vessel along the lower outer curve of the organ and closing/dividing the downstream outlet tube with a stapling device, which action occurs first?", "role": "user" }, { "content": "The vessel is tied off first, and the outlet tube is stapled and divided afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/TOTAL GASTRECTOMY WITH ESOPHAGOJEJUNOSTOMY - HUNT LAWRENCE POUCH.mp4" ] }, { "messages": [ { "content": "As the operation proceeds, which happens first: accessing the nearly bloodless layer behind the bowel after opening the thin membrane over the upper pelvic ridge, or drawing a curved right-sided cut on that membrane?", "role": "user" }, { "content": "Accessing the nearly bloodless plane happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Ventral Mesh rectopexy for recurrent rectal prolapse KSELS 2021 video.mp4" ] }, { "messages": [ { "content": "During the separation between the fatty apron and the bowel, when does the actual peel start relative to establishing two-point traction?", "role": "user" }, { "content": "It begins after two-point traction is set and the thin avascular plane is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/本編　卵巣がんに対するNAC後の基本術式.mp4" ] }, { "messages": [ { "content": "Once the new chamber is almost closed leaving a small gap, when does the creation of the connection opening actually begin?", "role": "user" }, { "content": "It begins when the index finger is passed through the remaining defect and a 1 cm hole is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Radical Cystectomy And Orthotopic Bladder Replacement In Female Patients.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working in the posterior plane to working along the anterior wall of the deep cavity?", "role": "user" }, { "content": "The transition occurs when they explicitly move to and begin working along the front wall, immediately after stating they have switched to the anterior side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/王贵玉：经自然腔道腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Following additional exposure maneuvers near segmental tissue, when is the removal of obstructive material from the main channel initiated?", "role": "user" }, { "content": "It begins right after the additional exposure work near the segmental area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pre laparoscopic right hepatectomy with tumor thrombectomy.mp4" ] }, { "messages": [ { "content": "When and where does abnormal bulging of blood channels first become visibly apparent?", "role": "user" }, { "content": "It first becomes apparent during the work to free the curved segment, and it’s seen along veins of both the small intestine and the colon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Intestine-Laparoscopic Ladds procedure for adult malrotation with midgut volvulus.mp4" ] }, { "messages": [ { "content": "Which comes first: moving a thin sheet upward under visualization or placing additional entry points under manual guidance?", "role": "user" }, { "content": "The upward movement under visualization happens first, followed by manual port placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Komplett extraperitoneale nephroureterektomie roboterassistierte technik ohne positionsveränderu.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: tying the pre-positioned front-wall stitches of the connection or placing the large suction drain?", "role": "user" }, { "content": "Tying the pre-placed front-wall stitches happens before the drain is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Gall Bladder-Laparoscopic CBD exploration with laparoscopic choledochoduodenostomy.mp4" ] }, { "messages": [ { "content": "In the sequence where the top attachment is taken down, which handheld device grips that structure, and which instrument is used to divide it?", "role": "user" }, { "content": "A small-jaw grasper holds the pedicle, and an energy device seals and divides it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo Oophorectomy for Large Ovarian Cyst.mp4" ] }, { "messages": [ { "content": "Which handheld instrument is used to free the slender tube from its attachments, and what does it do to achieve that?", "role": "user" }, { "content": "An ultrasonic dissector is used to dissect and separate the tubular structure from its attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingooophorectomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the upper-left port is taken out and the skin opening is widened, when does the large circular device actually enter through the working opening?", "role": "user" }, { "content": "It enters after the bowel opening is created and the access is swapped, when the device is advanced about 7 cm through the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Isolated Gastric Bypass with Roux-en-Y Gastroenterostomy for Morbid Obesity.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from using the upper portion as a temporary pouch for stones to concentrating traction and clearance at the neck?", "role": "user" }, { "content": "Right after converting the upper portion into a pouch for stones, the team shifts focus and traction to the neck to clear the remaining stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Subtotal Cholecystectomy – Tips and Tricks.mp4" ] }, { "messages": [ { "content": "When does the scene move from working near a midline bony area to addressing attachments along the side, and what triggers that change?", "role": "user" }, { "content": "It transitions when the exposure is switched from the posterior bony area to the sidewall to address the remaining attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Transection of the rectum.mp4" ] }, { "messages": [ { "content": "After the translucent inner lining is tensioned, when does the cutting phase actually begin?", "role": "user" }, { "content": "Immediately after the lining is stretched, dissection starts using the ultrasonic device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy plus Transverse Perineal Support using Biologic Mesh.mp4" ] }, { "messages": [ { "content": "At what precise point does the reconstruction switch from working on the back wall to progressing to the front wall?", "role": "user" }, { "content": "The switch occurs immediately after finishing the posterior layer, when the anterior layer suturing is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/END TO SIDE PANCREATO JEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Which tool acts on a thin shiny layer to open it, and what action does it perform?", "role": "user" }, { "content": "An energy-based device is used to cut and open the thin membrane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (3).mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from dividing the remaining attachments to actually removing the specimen from the body?", "role": "user" }, { "content": "Immediately after stapling the main right outflow vein and completing the final fires, the specimen is retrieved.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Glissonian Pedicle Approach to Robotic Right Hepatectomy..mp4" ] }, { "messages": [ { "content": "At what point does the procedure shift from circling around the target cylinder to crossing the midline partition toward the adjacent organ?", "role": "user" }, { "content": "The transition occurs when the midline partition is opened after the circumferential dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Pelvic dissection in an ultra-low Anterior resection for low rectal cancer. Dr Suhail Anwar..mp4" ] }, { "messages": [ { "content": "Which device engages which segment of tissue to enable bottom-up mobilization in this sequence, and what task does it accomplish?", "role": "user" }, { "content": "A flexible access platform engages the distal bowel lumen to permit bottom-up mobilization (TME) around the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Advances and challenges in the surgical treatment of locally advanced rectal cancer.mp4" ] }, { "messages": [ { "content": "When does the maneuver to shift the kidney’s drainage tube to the opposite side of the large bowel begin in the sequence?", "role": "user" }, { "content": "After pelvic work and specimen phase, when a mesenteric window is created before the bony promontory and the tube is pulled across.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/3 Window Technique For Male Laproscopic Radical Cystectomy ｜｜ Urology ｜｜.mp4" ] }, { "messages": [ { "content": "When does a conspicuous colored mark first appear, and on which segment of bowel is it located?", "role": "user" }, { "content": "Early in the procedure; it’s on the segment designated for resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection ｜ Dr. Kevin Huguet MD, MPH, FACS ｜ St. Petersburg, Tampa, Clearwater.mp4" ] }, { "messages": [ { "content": "When does the on-table internal camera assessment of the newly made passage actually commence?", "role": "user" }, { "content": "It begins near the end, when they state they’re now performing the intraoperative internal camera check to verify the passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/عملية تحويل المسار الكلاسيكي مع شرح صوتي للخطوات - الدكتور حمزة الحلواني.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: removing the small sac attached to the underside of the organ or beginning the central pedicle dissection?", "role": "user" }, { "content": "The sac is removed before the central pedicle dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for HCC in Childs A Cirrhosis.mp4" ] }, { "messages": [ { "content": "In gaining distal control around the paired large channels in the deep basin, which comes first: the more lateral firm-walled tube or the more medial thin-walled one?", "role": "user" }, { "content": "The more lateral firm-walled tube (the artery) is controlled first, followed by the medial thin-walled one (the vein).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Open High Anterior Resection with Subtotal Cystectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: freeing the upper-left bend of the large bowel region or placing a circumferential stitch at the bottom end of the target tube?", "role": "user" }, { "content": "Freeing the upper-left bend occurs first, before the circumferential stitch at the distal end is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Trans-anal total mesorectal excision using combined approach (TaTME ) by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "At what moment does the detached portion drop out of view into the lower cavity?", "role": "user" }, { "content": "Immediately after the cut is completed, when it slips down into the lower space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoskopische Sigmaresektion.mp4" ] }, { "messages": [ { "content": "As the surgeon finishes filling the defect and reorients the thread, when does the second pass of continuous closing actually begin?", "role": "user" }, { "content": "It begins immediately after the bed is obliterated, as the team starts the second continuous layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Large Degenerated Anterior Fibroid.mp4" ] }, { "messages": [ { "content": "Which device is used through the body wall to shuttle thread across the gap, and what action does it perform on the tissue?", "role": "user" }, { "content": "A percutaneous threading tool penetrates the wall to carry thread across both sides of the defect, shuttling it back and forth to enable closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Ventral Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "When does the scene pivot from general dissection to dealing primarily with diffuse red oozing?", "role": "user" }, { "content": "At the point when widespread red oozing is recognized from many surfaces.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/PANKREAS KANSERİNDE EUS İLE BİYOPSİ MASUM MU？ GERÇEK WHİPPLE AMELİYAT GÖRÜNTÜLERİ İLE ANLATTIM!.mp4" ] }, { "messages": [ { "content": "At the beginning of the approach, which powered tip is used on the inner circular landmark to make the paired low clock-face cuts, and what action does it perform?", "role": "user" }, { "content": "An electrocautery tip is used to incise the posterior fornix at the 5 and 7 o’clock positions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Pure Transvaginal Laparoscopic Umbilical Hernia Repair.mp4" ] }, { "messages": [ { "content": "At what moment does the team switch to finishing the front-facing side using the same threaded needles retained earlier?", "role": "user" }, { "content": "Right after tying, they begin the front-facing completion using the retained needles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus Resecting Pancreaticoduodenectomy & Blumgart's Duct-to-mucosa Pancreaticojejunostomy(DMPJ).mp4" ] }, { "messages": [ { "content": "Which comes first in the timeline: repairing a small defect near the diaphragm or starting to take down the old stomach–bowel connection?", "role": "user" }, { "content": "Repairing the small diaphragmatic defect comes first, followed by dismantling the old connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Roux-En-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "During the upper-field dissection, when and where does the bulging segment of the tube first become clearly evident on camera?", "role": "user" }, { "content": "It becomes most apparent when the anterior-left dissection frees the bulge off the heart-side covering and the diaphragm edge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy for megaesophagus.mp4" ] }, { "messages": [ { "content": "Once an externalized line has been left in place after the first session, when does the second therapy actually begin?", "role": "user" }, { "content": "About one month later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "After a sizing rod is fed down the swallowing tube and the fastener is aligned alongside it, at what moment does the actual channel formation begin?", "role": "user" }, { "content": "Channel formation starts when the instrument is fired after positioning is confirmed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty： The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from dividing the outlet connection to moving that segment in front of the crossing structures to prepare for the seam?", "role": "user" }, { "content": "Right after the connection is fully divided, when it is separated and moved in front of the crossing structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pediatric Laparoscopic (Infant, Pre-pubertal, and Teenager) Pyeloplasty for Ureteropelvic Junction.mp4" ] }, { "messages": [ { "content": "Which occurs first: removing the centering aid from the reinforcement or placing the final few perimeter anchors?", "role": "user" }, { "content": "The centering aid is removed first, then the last few anchors are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Ventral Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "Between entering the cavity with the camera and starting to build the sub-surface channel, which happens first?", "role": "user" }, { "content": "Entering with the camera happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Case Presentation # Gastric Peroral Endoscopic Myotomy (GPOEM) for Gastroparesis.mp4" ] }, { "messages": [ { "content": "When and where in the sequence does it first become apparent that the footage switches to a different case rather than the ongoing one?", "role": "user" }, { "content": "At the sizing and initial stitching segment for the reinforcement, the clip explicitly switches to footage from another surgery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Ventral Mesh rectopexy for recurrent rectal prolapse KSELS 2021 video.mp4" ] }, { "messages": [ { "content": "Between freeing the bowel-side fatty tags from the lateral pelvic wall and exposing the large conduits near the pelvic brim, which happens first?", "role": "user" }, { "content": "Freeing the fatty tags occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Unilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first in the clip: placing fasteners on the forward vessel or placing fasteners on the central passage?", "role": "user" }, { "content": "Fasteners on the forward vessel are placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/INSIDE STORY： Gallbladder Removal Surgery.mp4" ] }, { "messages": [ { "content": "At what moment is the temporary sling finally released, marking the end of the case?", "role": "user" }, { "content": "Right after the drain is placed, at case completion, the sling stitch is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/External Retraction Technique for Robotic PancreatoDuodenectomy.mp4" ] }, { "messages": [ { "content": "During the dissection, which instrument with a heated tip acts on the yellow, lobulated layer around a tubular structure, and what action does it perform on that tissue?", "role": "user" }, { "content": "The energy-tip instrument acts on the yellow, lobulated layer to cut while sealing it, stripping the layer away during dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの手術と手術後の生活　安野 正道.mp4" ] }, { "messages": [ { "content": "After the team readies a contrast injector, when does the perfusion mapping actually begin in the clip?", "role": "user" }, { "content": "It begins right after the small feeder is occluded and the contrast is injected, when the organ lights up while the lesion remains unlit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Vaessen： Retroperitoneale Nierenteilresektion li., Fluoreszenzimaging.mp4" ] }, { "messages": [ { "content": "After the borders are color-coded, when do they actually start sending pieces for rapid review?", "role": "user" }, { "content": "Submission begins when they shave the proximal edge and place it en face for rapid assessment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple (Pancreaticoduodenectomy) Grossing Tutorial (Pancreas, Duodenum).mp4" ] }, { "messages": [ { "content": "Between freeing the S-shaped segment of large intestine and cutting the upper portion of the rectal tube, which action takes place first?", "role": "user" }, { "content": "Freeing the S-shaped bowel (sigmoid) occurs first, followed by cutting the upper rectum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/LAPAROSCOPIC SIGMOIDECTOMY AND PARTIAL CYSTECTOMY WITH THE AID OF ICG FLUORESCENCE.mp4" ] }, { "messages": [ { "content": "Which happens first: exposing the paired sacs behind the target organ or opening the plane between the organ and the bowel behind it?", "role": "user" }, { "content": "Exposing and mobilizing the paired sacs happens before opening the plane toward the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Roboter-assistierte Prostataentfernung (radikale Prostatektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "Between cutting through the dense posterior membrane and inserting a fingertip through the natural outlet to palpate the instrument, which happens first?", "role": "user" }, { "content": "Cutting the posterior membrane happens first; fingertip palpation follows afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Suture Rectopexy for Rectal Prolapse Without Constipation.mp4" ] }, { "messages": [ { "content": "At what point does the workflow move from placing stitches to testing the construct for laxity and flexibility?", "role": "user" }, { "content": "Immediately after the sutures are tied, they proceed to test for tension-free placement and flexibility.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/DynaMesh®-PRS - OR Video (short)： Lap. Cervicosacropexy for the Treatment of Descensus Uteri.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal hard blockage first become visibly apparent during the operation?", "role": "user" }, { "content": "Immediately after cutting across the organ above it, the impacted stone first becomes visible at the infundibulum abutting the common hepatic duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy for Mirizzi syndrome.mp4" ] }, { "messages": [ { "content": "When does the workflow transition from clearing tissue off the main vein to cutting the liver drain tube?", "role": "user" }, { "content": "It transitions at the point when the drainage tube from the liver is finally divided after the vein has been reflected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple Procedure with Situs Inversus Anatomy.mp4" ] }, { "messages": [ { "content": "Which instrument ultimately transects the unusually wide connection from the reservoir to the outflow route?", "role": "user" }, { "content": "A linear stapler is used to divide the cystic duct after the clip proves too small.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/1996 ｜ Laparoscopic Palliative Gastrojejunostomy and Roux-en-Y Choledochojejunostomy.mp4" ] }, { "messages": [ { "content": "Between sealing the tiny vessels around the target structure and placing the first encircling ligature on that structure, which happens earlier in this clip?", "role": "user" }, { "content": "The vessel sealing/skeletonizing occurs first, followed by placement of the first encircling ligature.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Kurt Semm - Innovator and Teacher of Laparoscopic Surgery.mp4" ] }, { "messages": [ { "content": "At what moment does the talk move from discussing keyhole access benefits to labeling the organ’s numbered zones on each side?", "role": "user" }, { "content": "When the diagram with numbered zones appears and he begins naming 2–4 on one side and 5–8 on the other.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Surgical Treatment of Colorectal Cancer Metastasis to the Liver.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from completing the wrap to anchoring it to the muscular sheet beneath the lungs?", "role": "user" }, { "content": "Right after the third wrap stitch (and removal of the tube), anchoring begins with the first gastropexy stitch from the wrap to the surrounding muscle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Pre-recorded `Live` Surgery： Robotic Hiatal Hernia Surgery.mp4" ] }, { "messages": [ { "content": "After the front end of the mesh cylinder is caught, when does the extraction maneuver begin?", "role": "user" }, { "content": "It starts immediately after the front is grasped and inverted, proceeding with removal using the camera.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Anastmotic Leakage After Gastric Bypass Surgery and a Later Occurring Cardia.mp4" ] }, { "messages": [ { "content": "When does the workflow change from closing the gap created in the fold of tissue to starting the second join between bowel limbs?", "role": "user" }, { "content": "The transition occurs immediately after the gap is closed, when the second bowel-to-bowel join begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic Roux-en-y hepaticojejunostomy for primary intrahepatic lithiasis after laparoscopic.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow move from working from above to proceeding through a central corridor?", "role": "user" }, { "content": "Right after completing the upper-side bend mobilization, when the team switches to the middle route.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Application of the two-partition method in laparoscopic radical left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Once the recipient opening is clearly exposed, when does the hand‑sewn connection to the brought‑up bowel actually begin?", "role": "user" }, { "content": "Stitching begins right after the bowel opening is made and proceeds with the posterior layer first, followed by the anterior layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic excision of Choledochal cyst with intracorporeal Roux-en-Y hepaticojejunostomy for chol.mp4" ] }, { "messages": [ { "content": "Between trying a temporary relaxant for the stomach’s outlet valve and performing the definitive cut on that valve’s muscle, which happens earlier in the workflow?", "role": "user" }, { "content": "The temporary relaxant trial happens first, followed by the definitive muscle division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/What’s Next： Peroral Pyloroplasty and Beyond.mp4" ] }, { "messages": [ { "content": "Which device is used to pressurize the inside of the passage to look for escaping bubbles, and which layer is being assessed?", "role": "user" }, { "content": "A dilating tube is used to pressurize the lumen, and the inner lining (mucosa) is being assessed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Despite prior notes hinting at a previous encircling flap around the lower swallowing tube, when and where during the operation is its absence first clearly evident?", "role": "user" }, { "content": "It first becomes clear during the dissection around the diaphragmatic opening where the tube passes; no prior encircling flap is seen there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/V057 REDO-MYOTOMY FOR RECURRENT ACHALASIA AFTER OPEN LEFT THORACIC MYOTOMY.mp4" ] }, { "messages": [ { "content": "Which powered instrument is used on the thin connective bands along the right-sided bowel segment to separate it?", "role": "user" }, { "content": "An advanced energy sealing-and-dividing device is used to take down those attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy with CME and ICA.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected dangling flap first start interfering with the view?", "role": "user" }, { "content": "It appears immediately after the front band is cut too low, at the anterior upper field, where it starts swinging across the view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Left Lateral Hepatectomy - Take 1.mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from freeing internal bands to removing the small worm-like organ attached to the large bowel?", "role": "user" }, { "content": "Right after the mesentery has been broadened following band division, the appendectomy begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure for treatment of adult presentation of congenital intestinal malr.mp4" ] }, { "messages": [ { "content": "Which occurs first: locking the delivery mechanism or advancing the next component through the narrowed segment?", "role": "user" }, { "content": "Locking the mechanism occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Afferent-Loop-Syndrom.mp4" ] }, { "messages": [ { "content": "In the bottom-up resection shown, which occurs first: dividing the low end or proceeding upward with the dissection?", "role": "user" }, { "content": "Dividing the low end happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (ta-TME) for Rectal Cancer - Dr. Karen Zaghiyan.mp4" ] }, { "messages": [ { "content": "When and where does the first conspicuous sheet of scar tissue become visible during entry?", "role": "user" }, { "content": "At the start of entry, a dense adhesive layer over the liver surface is first seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details： Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from releasing the upper-left bend of the segment to removing the tissue block for reconnection?", "role": "user" }, { "content": "Right after the upper-left bend is freed, the team moves to specimen removal and reconnection setup.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/義大醫院大腸直腸外科 陳致一醫師 laparoscopic TME on M1c lesion.mp4" ] }, { "messages": [ { "content": "Which handheld instrument is used to act on the supporting tissue of the diseased segment to seal and divide its vascular connections, and what action does it perform?", "role": "user" }, { "content": "A 10-millimeter bipolar instrument is used to seal and divide the vascular connections in the supporting tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Laparoscopic ileocolic resection for fistulous Crohn's disease w.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the fatty apron being lifted upward, when does the actual cut into the nearby curtain of tissue begin?", "role": "user" }, { "content": "Once the nearby vessels are visible, the incision begins a short distance beneath them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Right Colectomy with D3 Limphadenectomy.mp4" ] }, { "messages": [ { "content": "When and where does a thin, threadlike strand running along the front of the tube first appear inadvertently severed?", "role": "user" }, { "content": "Immediately after the tube is delivered and lengthened, the front-running strand is seen cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/esophagectomy/腹腔镜全胃切除术 第八步 食管的离断.mp4" ] }, { "messages": [ { "content": "Between releasing the right-sided bowel segment from the back wall with an energy device and cutting the tight bands around the inflamed sac, which action happens first in the clip?", "role": "user" }, { "content": "Releasing the right-sided segment with the energy device occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "Between securing the airway with a tube and repositioning the patient so the legs are separated, which action takes place first?", "role": "user" }, { "content": "Securing the airway with the tube occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/THE MOUNT SINAI SURGICAL FILM ATLAS Laparoscopic Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "Which is divided first: the narrower channel leading from the organ or the thicker vessel supplying it?", "role": "user" }, { "content": "The narrower channel is divided first, followed by the thicker vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Dr R K Mishra demonstrating da Vinci Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Once the posterior fold is brought into position behind the tube, when do the fixation stitches start, and how are they applied?", "role": "user" }, { "content": "Stitching begins immediately after positioning, starting medially on the right with three anchors, then three more on the left spaced about 1 cm apart cranially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy with Toupet fundoplication with voice over by Dr. Samrat Jankar.mp4" ] }, { "messages": [ { "content": "Which instrument is used to create the side-to-side connection between the two bowel limbs, and what does it do to the tissues?", "role": "user" }, { "content": "A linear stapler is used; it fires across both bowel openings to create the side-to-side bowel-to-bowel connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Totally Robotic Right Hemicolectomy with the Hanging Technique for Carcinoid Tumor.mp4" ] }, { "messages": [ { "content": "Do the surgeons begin the split from the patient’s left side or the right side?", "role": "user" }, { "content": "They start from the patient’s left side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Hepatectomy Utilizing Fluorescence Imaging For Identification Of Hepatic Tumors And Per.mp4" ] }, { "messages": [ { "content": "During the early exploration, when and where is it first evident that the upper abdominal layout is nonstandard due to previous surgery?", "role": "user" }, { "content": "At the initial exploration phase in the upper abdomen, when the prior reconstruction is recognized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Esophageal reconstruction by gastric pull-up in a hemi-gastrectomized patient with esophageal cancer.mp4" ] }, { "messages": [ { "content": "Between reintroducing the viewing tube and tying the second set of circumferential stitches on the distal end, which occurs first?", "role": "user" }, { "content": "The viewing tube is reintroduced first, followed by the distal circumferential stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Integration of Transanal Techniques for Precise Rectal Transection and Single Stapled Anastomosis.mp4" ] }, { "messages": [ { "content": "During the first treatment, when do the first linear splits of the inner lining become visible, and in which section of the channel do they appear?", "role": "user" }, { "content": "They first become visible during the dilation passes as the tip contacts the tight segment, located in the lower portion of the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic bougienage - The bougie cap - A new method.mp4" ] }, { "messages": [ { "content": "Once all side feeders are cleared, when does the surgeon actually drop the organ out of the pelvis?", "role": "user" }, { "content": "Right after devascularization on both sides, when the surgeon drops it and moves it out of the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/3 Window Technique For Male Laproscopic Radical Cystectomy ｜｜ Urology ｜｜.mp4" ] }, { "messages": [ { "content": "Given the visible cue that a thick calibration tube has been introduced into the stomach, when does pulling on the organ to expose a key fiber bundle actually begin?", "role": "user" }, { "content": "Right after the tube is positioned, traction on the organ begins to reveal the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Селективная проксимальная ваготомия при язве двенадцатиперстной кишки.mp4" ] }, { "messages": [ { "content": "When do thick, fibrous bands first become visibly apparent, and in which region do they appear?", "role": "user" }, { "content": "They appear immediately upon laparoscopic entry, visible throughout the upper abdominal cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/V079 LAPAROSCOPIC LATERAL PANCREATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Between opening the thin covering over the target region and beginning the deeper spreading beneath it, which happens first in this sequence?", "role": "user" }, { "content": "The thin covering is opened first, followed by deeper spreading.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/机器人中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Between the moment the surgeon compresses a large outflow channel with a multi-row fastening tool and the later surge of dark fluid from the cut area, which happens first?", "role": "user" }, { "content": "The fastening across the vessel occurs first, and the surge of dark fluid appears afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Case Presentations： 'Masters Disasters'.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from active carving to the stage where only an empty cavity remains and no nodule is left to cut?", "role": "user" }, { "content": "When the mass is declared completely removed—toward the end—leaving only the empty defect with no residual lump.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Resection of Deep Sub Endometrial Fibroid FIGO stage III bordering on hybrid stage II.mp4" ] }, { "messages": [ { "content": "Once the thick posterior muscle plane is identified, when does the slender tube become visible?", "role": "user" }, { "content": "It appears immediately upon reaching the muscle plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Master Class on Laparoscopic Nephrectomy by Dr.R.K.Mishra.mp4" ] }, { "messages": [ { "content": "After a sealing-and-cutting instrument comes into view and is set across the target layer, when does the actual tissue separation start?", "role": "user" }, { "content": "It starts when the heat-based device is activated and gently dissects through the tissue planes, initiating sequential division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Transection of the rectum.mp4" ] }, { "messages": [ { "content": "Which check is performed first: inspecting the circular seam or performing the final specimen review?", "role": "user" }, { "content": "Inspecting the circular seam is done before the final specimen review.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/rectal_cancer/Application of transanal total mesorectal excision in natural or.mp4" ] }, { "messages": [ { "content": "Between freeing tissue at the entrance to the urine reservoir and dealing with the cord-like channel plus the small sac tucked behind it, which action happens earlier in the sequence?", "role": "user" }, { "content": "Freeing tissue at the reservoir entrance happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Prostataentfernung mit dem DaVinci-Roboter (Prostatektomie).mp4" ] }, { "messages": [ { "content": "During creation of the stomach-to-small-bowel connection, when is the protective tube passed across the new opening relative to suturing progress?", "role": "user" }, { "content": "It is passed after suturing has begun—midway through closure—to protect the posterior wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 Sub-total Gastrectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from forming a small chamber out of the organ to reinforcing the freshly cut edge?", "role": "user" }, { "content": "The transition occurs when they begin oversewing the staple line after excising the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Robotic-Assisted Resection of Gastric Fistula and Conversion.mp4" ] }, { "messages": [ { "content": "Which occurs first: placing metal fasteners on a key vessel, or controlling the remaining small branches to the upper portion of the organ?", "role": "user" }, { "content": "Fasteners on the main vessel are placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic en bloc resection of spleen and pancreatic tail, and cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between sealing the main supply branch off the central trunk and taking the thin-walled channel beside the C-shaped hollow organ, which action occurs first in the clip?", "role": "user" }, { "content": "The main supply branch is sealed and divided first, and the thin-walled channel near the C-shaped organ is taken afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision for Rectal Cancer - Surgical Principles.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from freeing tissues to anchoring them to a stable base?", "role": "user" }, { "content": "Right after the bony landmark is fully exposed and hemostasis is done, the first anchoring bites are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Rectopexy for full thickness rectal prolapse.mp4" ] }, { "messages": [ { "content": "At what precise moment does the build phase of the inner channel end and the fixation phase start?", "role": "user" }, { "content": "When the mechanical device is applied to secure the folded segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Continent Ileostomy Formation- How To Make a ＂Kock's Pouch＂.mp4" ] }, { "messages": [ { "content": "After the surface boundary separating two sides becomes visible, when does the surgeon initiate the decisive divide of the thick bundle at the root of the organ on the target side?", "role": "user" }, { "content": "It starts right after the boundary becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic liver resection： 10 yr experience in one center.mp4" ] }, { "messages": [ { "content": "Which occurs first: identifying the slender tube with rhythmic motion near the back wall or mobilizing the fatty envelope on the right side of the distal bowel?", "role": "user" }, { "content": "The rhythmic tubular structure is identified first, then the right‑sided fatty envelope is mobilized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection - English.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure shift from cutting to starting the reconnecting stitch?", "role": "user" }, { "content": "Immediately after dividing the bowel, they place two sutures on the back wall and begin the running closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Bleeding Sigmoid Diverticulosis – Urgent Staperless Totally Robotic Sigmoidectomy.mp4" ] }, { "messages": [ { "content": "Given the visual cue that a section of bowel is moved downward, when does the broad mobilization along the back side actually start?", "role": "user" }, { "content": "It starts immediately after the bowel is moved downward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic pancreas preserving duodenal resection with RNY reconstruction for duodenal GIST.mp4" ] }, { "messages": [ { "content": "In the preparation phase for the upper digestive chamber, which occurs first: evacuating its contents or applying the cutting device across it?", "role": "user" }, { "content": "Evacuating the contents happens first, followed by applying the cutting device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y gastric bypass linear stapler gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Given the plan to cut broadly around the involved segment, when does the encircling dissection actually start, and where is it first directed?", "role": "user" }, { "content": "It begins immediately after the decision, starting on the right posterolateral side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Translevator Abdominal Perineal Resection for an Early Anastomotic Rectal Cancer Recurrence.mp4" ] }, { "messages": [ { "content": "Watching the sequence of bowel transections, which occurs first on screen: division of the thicker intestinal segment or division of the narrower segment that feeds into it?", "role": "user" }, { "content": "The thicker segment is divided first, followed by the narrower feeder segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy in (really) obese patients.mp4" ] }, { "messages": [ { "content": "Between evacuating widespread free liquid from the cavity and opening additional compartments within the mass, which happens first?", "role": "user" }, { "content": "Evacuating the freely pooled liquid happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Salpingo oophorectomy for Huge Ovarian Cyst by Dr. R.K. Mishra.mp4" ] }, { "messages": [ { "content": "As soon as the near corner of the cut end appears fully tucked inward, when do the repeated running passes actually begin?", "role": "user" }, { "content": "They begin immediately after the first corner’s tucking is finished.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/whipple_procedure/After cutting of duodenal stump of about 1–1.5 cm length using linear stapler LARS commenced from upper to lower or from lower to upper part on staple-line of duodenal stump.mp4" ] }, { "messages": [ { "content": "During the critical phase while extending the cut onto the neighboring organ, what device is introduced to stop bleeding, and what task does it perform?", "role": "user" }, { "content": "A bipolar instrument is introduced to coagulate and control bleeding while providing controlled, partially blunt manipulation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Approach To End-Stage Achalasia With Severe Malnutrition.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from mobilizing the intestine and clearing surrounding fat to active cutting of the bowel?", "role": "user" }, { "content": "The transition occurs when the cutter is introduced and fired immediately after mobilization and fat clearance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Bowel endometriosis “3D” The essentials for bowel resection - A Video Vignette.mp4" ] }, { "messages": [ { "content": "Following the last binding actions, when does the final visual inspection begin?", "role": "user" }, { "content": "The inspection begins when the team presents the final product, showing a normalized inner surface without anything protruding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Proctopexy Hemorrhoid Repair 2.mp4" ] }, { "messages": [ { "content": "When and where in the field does the abnormal thickening first become visibly apparent?", "role": "user" }, { "content": "Right after exposure, at the outlet region, as a markedly thick, firm ring.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pyloroplasty for a newborn child with Congenital hypertrophic pyloric stenosis 06 October 2021.mp4" ] }, { "messages": [ { "content": "Once the assistant changes the pull direction on the upper-left portion of the hollow sac, when does the team start working on the opposite side’s fibers?", "role": "user" }, { "content": "Immediately after the pull direction changes, cutting begins on the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatus Hernia Repair with Nissen's Fundoplication- Dr. Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "Which occurs first: confirming the distance for the cut or dividing the supporting fold of the segment?", "role": "user" }, { "content": "They confirm the cut distance first, then divide the supporting fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (4).mp4" ] }, { "messages": [ { "content": "Once the two ends are aligned outside the body, when does the actual stapling for the new connection start?", "role": "user" }, { "content": "When the stapling device is inserted at the apex along the anti-mesenteric border.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/May 2021 ｜ 20-1225 ｜ Didactic Video Collection ｜ Laparoscopic Right Hemicolectomy ｜.mp4" ] }, { "messages": [ { "content": "When and where does the distal portion of the lower segment first become conspicuously widened on camera?", "role": "user" }, { "content": "As the team approaches the distal end of the lower segment, where it visibly widens just before division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy Surgery - THUNDERBEAT - Olympus Surgical - Dr. Francois Blaudeau.mp4" ] }, { "messages": [ { "content": "Which agent is layered over a sponge-like implant within the cavity to promote sealing?", "role": "user" }, { "content": "A sealant is applied over a Surgicel bolster to facilitate hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Hand-Assisted Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "During needlework, when and from where does an obscuring yellow‑green stream first become visible in the field?", "role": "user" }, { "content": "It appears once the clip has been removed before sewing, pouring from the cut end of the larger tube and obscuring the view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Tips for Laparoscopic Pancreaticoduodenectomy Reconstruction.mp4" ] }, { "messages": [ { "content": "Which happens first: placing the removed block into a retrieval pouch and taking it out, or starting the series of reconnections?", "role": "user" }, { "content": "Placement into a retrieval pouch and extraction occur before the reconnections start.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Experience the Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the narrow tubular conduit from the liver to remove the blockage, and what action does it perform?", "role": "user" }, { "content": "A stone-retrieval device (such as a basket or balloon catheter) is passed into the duct to extract the obstructing stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Choledocholithiasis With Cholelithiasis ｜｜ Hepaticoduodenostomy ｜｜ Operation ｜｜Surgical Gastro ｜｜.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action during division of the small attachments along the upper curve of the stomach?", "role": "user" }, { "content": "Energy-based shears act on the short gastric vessels to divide them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic paraesophageal hiatal hernia repair in a 13 month old infant.mp4" ] }, { "messages": [ { "content": "Which powered handheld instrument is used to detach the tube from the diaphragm bands during the initial dissection, and what action does it perform on which tissue?", "role": "user" }, { "content": "Ultrasonic shears are used to dissect the esophagus off the crural pillars.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Myotomie de Heller laparoscopique pour achalasie. Dr W. Lemhouer.mp4" ] }, { "messages": [ { "content": "When does the clip move from anchoring the support strip to a fixed landmark to fastening it directly onto the tubular structure?", "role": "user" }, { "content": "After anchoring the strip, the transition occurs as they begin stitching it to the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Dorsal Rectopexy with Pelvic Peritoneal Sac Excision for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "In the final scenario, does the placement of the excised piece into a pouch occur before or after the connection between the two cut surfaces is initiated?", "role": "user" }, { "content": "Specimen pouching occurs before starting the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/The Laparoscopic Approach to Small Bowel Obstruction.mp4" ] }, { "messages": [ { "content": "Between inserting the camera and creating two small side channels for tools, which action takes place first in this clip?", "role": "user" }, { "content": "The camera insertion happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Pectopexy.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from finishing the muscle division to starting the front‑side wrap?", "role": "user" }, { "content": "Right after completing the muscle division, when the anterior wrap is begun.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Treatment of Esophageal Perforation After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from broad-area dissection to the final division of the last bandlike attachments?", "role": "user" }, { "content": "When the far side opens; right after that, they stretch the tissue and begin the final divisions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/電気デバイス使用の腹腔鏡下胆嚢摘出手術の動画　#獣医師 #動物病院 #腹腔鏡手術 #胆嚢摘出手術 #手術.mp4" ] }, { "messages": [ { "content": "Between fully releasing the right-sided segment and creating a side-to-side join, which takes place first?", "role": "user" }, { "content": "Full release occurs before the side-to-side join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/A novel technique for laparoscopic right hemicolectomy with CME： The caudal-to-cranial approach.mp4" ] }, { "messages": [ { "content": "After the abdominal support frame is set, when is the small-bowel packing carried out?", "role": "user" }, { "content": "Small-bowel packing is performed after the frame is set up.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TME, Total Mesorectal Excision ： Tips and Techniques.mp4" ] }, { "messages": [ { "content": "When do the swollen folds with prominent milky channels in the central fan-shaped tissue first become evident, and where in the field are they emphasized?", "role": "user" }, { "content": "During the lateral mobilization and separation phase, when the central attachment is shown, the edema and dilated milky channels become evident.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladds procedure in a neonate.mp4" ] }, { "messages": [ { "content": "Between severing the outlet and tying off the midline venous bundle, which action occurs first?", "role": "user" }, { "content": "Severing the outlet happens before tying off the midline venous bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/RARC With Intracorporeal Urinary Diversion Dr. N. Peter Wiklund.mp4" ] }, { "messages": [ { "content": "After the patient is rolled into a side-lying posture, when does the first internal tissue separation start?", "role": "user" }, { "content": "It begins once access is established, with the large bowel being lifted and swept down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/लेप्रोस्कोपिक किडनी कैसे निकालते है？ Laparoscopic kidney removal I lap doner nephrectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: cutting the thicker segment or positioning the two limbs in parallel for reconnection?", "role": "user" }, { "content": "Cutting the thicker segment happens first, before aligning the limbs in parallel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Right ICA Techniques⧸Tips and Incorporating ICA into Your Practice.mp4" ] }, { "messages": [ { "content": "After the clamp is applied to the segment exiting the new junction, when does the leak check visibly begin?", "role": "user" }, { "content": "It begins once the stomach is submerged in saline and air is insufflated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/THE MOUNT SINAI SURGICAL FILM ATLAS Laparoscopic Roux en Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Once the surgical field is flooded to visualize the cut area underwater, when does the actual leak test begin in the sequence?", "role": "user" }, { "content": "It starts when air is insufflated into the distal esophagus while the site is submerged.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC HELLER MYOTOMY POST GASTRIC BYPASS.mp4" ] }, { "messages": [ { "content": "When and where does a defect in the enveloping fatty layer first become visibly apparent?", "role": "user" }, { "content": "It becomes apparent during specimen evaluation, where gaps in the enveloping fatty layer are visible on the excised piece.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision for Rectal Cancer - Surgical Principles.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip switch from removing the left‑upper organ to working on the small sac beneath the right‑sided lobe?", "role": "user" }, { "content": "Right after reinforcing the transection area and shifting the viewpoint to the right, when the dome‑down dissection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic en bloc resection of spleen and pancreatic tail, and cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from manual dissection to the console-controlled phase?", "role": "user" }, { "content": "Right after placing the posterior stomach support and the gastric tube, when the system is docked.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Total Pancreatectomy and Islet Autotransplantation (TPIAT).mp4" ] }, { "messages": [ { "content": "At what exact point does the clip move from freeing the right side to the stage where only the central connector remains?", "role": "user" }, { "content": "The transition occurs when the right side is seen connected only by the central bridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Hemithyreoidektomie (Entfernung Schilddrüse) Lehrfilm Schilddrüsenoperation Erlangen 2019.mp4" ] }, { "messages": [ { "content": "Which happens first in this segment: the sealing of the main deep artery near the midline, or the gentle release of the posterior structures along the left side?", "role": "user" }, { "content": "The arterial sealing occurs first, followed by the release of the posterior left-sided structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic low anterior resection for lower rectal cancer.mp4" ] }, { "messages": [ { "content": "Once the device jaws are closed on the main vascular bundle and the surgeon re-checks the nearby snake-like tubular structure, at what moment does the actual cut begin?", "role": "user" }, { "content": "Transection begins immediately after the safety check, when the stapler is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Top 21 Videos： Laparoscopic Sigmoid Colectomy and Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "After the small opening visibly relaxes following deflation, at what moment does the threading action actually begin?", "role": "user" }, { "content": "It begins immediately after the opening becomes clearly visible, with the wire insertion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Retrograde Cholangiography in a Patient with Billroth II Type Gastroenterostomy.mp4" ] }, { "messages": [ { "content": "After a thin flexible tube is brought into view at the cut surface, at what moment do they actually begin sliding it into the tiny passage?", "role": "user" }, { "content": "Insertion begins when the plastic tube is slid in as an internal support for the small channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/荧光腹腔镜保留十二指肠的胰头切除术 Lap-Duodenum-preserving pancreatic head resection in Chronic pancreatitis with ICG.mp4" ] }, { "messages": [ { "content": "Between elevating the large upper organ with a self-retaining device and cutting through the thin veil near the inlet, which happens first?", "role": "user" }, { "content": "Elevating the upper organ occurs first, followed by opening the thin veil.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatus Hernia Repair with Nissen's Fundoplication- Dr. Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "After a slender tube near the lower aspect is looped, when does the actual cut take place?", "role": "user" }, { "content": "Cutting starts after two clamps are applied distally and the segment is transected between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Nephrektomie - GeSRU Steps.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from safeguarding the slender sidewall conduit to freeing the bowel from its attachments?", "role": "user" }, { "content": "Immediately after the ureter is identified, the case transitions to colon mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Robotic Assisted Colovesicle Fistula Takedown and Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "In the later, more inflamed scenario, when does the rigid appearance of the organ first become apparent, and in which region does it show?", "role": "user" }, { "content": "It first becomes apparent when traction is applied at the upper end of the organ, showing rigidity at the fundus region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/腹腔鏡膽囊切除術.mp4" ] }, { "messages": [ { "content": "In this sequence, which happens first: the team divides the main vessel bundle deep near its origin, or they release the outer tethers along the side of the left colon?", "role": "user" }, { "content": "They divide the deep vessel bundle first, then release the lateral tethers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/How to do a laparoscopic anterior resection.mp4" ] }, { "messages": [ { "content": "Which is done first: sweeping the fatty curtain upward to clear the view or lifting the left-sided bowel segment with the robotic arm?", "role": "user" }, { "content": "The sweeping and repositioning to clear the view occurs first, then the segment is lifted by the robotic arm.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic low anterior resection for lower rectal cancer.mp4" ] }, { "messages": [ { "content": "Which heat-based cutting tool introduced from the right acts on the organ tissue, and what function does it serve?", "role": "user" }, { "content": "The heated cutter from the right engages the tissue to cut while simultaneously coagulating.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Partial Hepatectomy.mp4" ] }, { "messages": [ { "content": "Between freeing the outer border of the organ and inserting a sizing rod through the natural passage, which action happens earlier in the video?", "role": "user" }, { "content": "Freeing the outer border happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic sleeve gastrectomy.mp4" ] }, { "messages": [ { "content": "When the needle reaches the original cut line, at what moment does the lining edge get tied into place?", "role": "user" }, { "content": "Exactly upon reaching the original cut line, the lining is connected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme’s Procedure for Complete Rectal Prolapse - key points for the surgery.mp4" ] }, { "messages": [ { "content": "When does the sequence shift from the initial reconnection to the subsequent one involving the bile channel?", "role": "user" }, { "content": "At the point when they begin the bile-duct-to-bowel connection after finishing the pancreatic one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Once a backfill material is placed at the root end, what visible readiness prompts the start of trimming its excess?", "role": "user" }, { "content": "Trimming begins when the placed material has hardened after a brief wait.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/PART I： Piezotome apisectomies and cystectomies and bone reconstruction with CalciOss and aPRF.mp4" ] }, { "messages": [ { "content": "Which device is used at the base of the main feeder to secure it before it is cut?", "role": "user" }, { "content": "Locking clips are applied at the base before division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/3D腹腔镜低位直肠癌腹部无切口手术（NOSESI式B法）.mp4" ] }, { "messages": [ { "content": "Following use of the bulky device that shreds tissue for removal, when does the port-site closure actually begin?", "role": "user" }, { "content": "Closure begins immediately after the tissue is morcellated and removed, starting with the port-site suturing device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension.mp4" ] }, { "messages": [ { "content": "After the internal light is subdued, when does the guided reunion with the open space begin?", "role": "user" }, { "content": "It starts as they follow the opposite light to navigate back into the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Laparoscopic proctectomy and J-pouch reconstruction with trans a.mp4" ] }, { "messages": [ { "content": "Once a specimen bag appears in view, when does the actual extraction begin?", "role": "user" }, { "content": "Only after division and closures are completed, the bagged specimen is taken out through a lower abdominal opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver： Go Wakabayashi, M.D..mp4" ] }, { "messages": [ { "content": "Between sealing a major feeding vessel to the lower bowel and mobilizing the upper-left bend of the colon, which happens first in this clip?", "role": "user" }, { "content": "Sealing the major vessel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Colorectal Resection for a Giant Colonic Diverticulum.mp4" ] }, { "messages": [ { "content": "Once the wider end of the joining device is seated inside the larger cavity and the slimmer end is loaded into the adjacent narrow channel, at what moment does the actual joining begin?", "role": "user" }, { "content": "It begins immediately after both ends are seated—right before they re-advance the tube—when the device is activated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Which device is used to temporarily halt flow in specific narrow channels to keep the field clear while the mass is freed?", "role": "user" }, { "content": "Laparoscopic bulldog clamps act on tertiary and secondary segmental arteries to occlude flow and maintain a clear field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/AUA 2016 - Robotic partial nephrectomy hilar tumor - Pr Bernhard CHU BX.mp4" ] }, { "messages": [ { "content": "Relative to the Y-shaped sheet, which occurs first: stitching its two side arms to the front of the bowel, or tacking its long tail to the deep pelvic fascia?", "role": "user" }, { "content": "The side arms are stitched to the bowel first, then the tail is tacked to the deep fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic mesh proctopexy with modified Ripstein procedure for rectal prolapse..mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from positioning the net-like insert to beginning the closure phase?", "role": "user" }, { "content": "The transition occurs right after full coverage is shown, when the surgeon states they will begin closing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Hernia repair surgery- umbilical hernia.mp4" ] }, { "messages": [ { "content": "Which repair approach acts on which layers to invert the edges during closure?", "role": "user" }, { "content": "A self-anchoring running stitch is placed through the endometrial edges and muscle from inside-out to approximate and invert the margins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Submucous Myoma.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene switch from partial removal of the organ to cauterizing the remaining inner lining?", "role": "user" }, { "content": "The transition occurs right after the partial removal, when they begin cauterizing the remnant lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic management of intra-hepatic gall bladder perforation.mp4" ] }, { "messages": [ { "content": "When and where do the nodular protrusions first become visibly apparent within the frame?", "role": "user" }, { "content": "They first appear once the internal view is established, with one at the top of the frame and another at the bottom.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/✅ Laparoscopic myomectomy. Dr. Lucas Minig. Gynecologic Oncologist. Valencia, Spain.mp4" ] }, { "messages": [ { "content": "On the return trip to the operating room after the initial procedure, when and where does the first visible leakage become apparent in the field?", "role": "user" }, { "content": "On re-entry the next day, a small leak is first visibly seen on the duodenal wall at the prior operative site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Debate #1： Which is Safer Robotic vs Laparoscopic Cholecystectomy？ - Robotic.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from constructing the new connection to resuming removal of the bulging structure?", "role": "user" }, { "content": "Immediately after finishing the new connection, the team transitions to completing the removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic-Assisted Excision of Type I Choledochal Cyst with Hepaticoduodenostomy.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal inward sliding first become visibly apparent during the operation?", "role": "user" }, { "content": "During exploratory manipulation at the bowel join, first on the side arriving at the connection and then on the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis.mp4" ] }, { "messages": [ { "content": "After a pale boundary appears on the surface marking where the cut will run, when does the actual tissue division begin?", "role": "user" }, { "content": "It starts once stay sutures are placed along the marked line and the cut proceeds.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver-Video guide Technique of right and left hepatectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from freeing the bulging sac to sealing it off?", "role": "user" }, { "content": "Right after full mobilization, when stapling is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC EPIPHRENIC DIVERTICULECTOMY WITH HELLER ESOPHAGOMYOTOMY AND DOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the fan-shaped fatty sheet to achieve separation and sealing of the blood supply?", "role": "user" }, { "content": "A heat-based sealing device acts on the mesenteric sheet to divide and seal vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic subtotal gastrectomy and anterior resection for synchronous gastric and rectal cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does this clip switch from tunneling internally to releasing the outer attachments along the left side?", "role": "user" }, { "content": "When the plane reaches the lateral peritoneal attachment and takedown of the outer attachments begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/March 2021 Didactic Video Collection Avanish Saklani ＂Laparoscopic Low Anterior Resection＂.mp4" ] }, { "messages": [ { "content": "Between bringing a bulged organ down from the chest into the belly and beginning stitches to narrow the gap in the breathing muscle, which occurs first?", "role": "user" }, { "content": "The organ is brought down first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic paraesophageal hiatal hernia repair in a 13 month old infant.mp4" ] }, { "messages": [ { "content": "At what point does the workflow switch from removing growths to closing with thread for bleeding control?", "role": "user" }, { "content": "After all mapped lesions are removed and minor oozing remains at the large anterior base, they begin placing figure‑of‑eight sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy- subserous pedunculated fibroid stuck to abdominal wall & bowel.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip shift from isolating vessels to splitting the organ along the internal landmark?", "role": "user" }, { "content": "Right after devascularization and confluence exposure, the scene shifts to splitting guided by the central vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left hepatectomy： How I do it.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the preparation/removal phase to the phase of reconnecting the bowel?", "role": "user" }, { "content": "When the team begins the mechanical circular anastomosis with a reinforcing stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Purulent Peritonitis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene change from active work to a completed state with the base fully cleared?", "role": "user" }, { "content": "When the team announces completion and the base is visibly clear of the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic treatment of a type 1 uterine fibroid.mp4" ] }, { "messages": [ { "content": "After the team agrees it’s okay to secure the small vessel with metal fasteners, when does that fastening actually begin?", "role": "user" }, { "content": "It begins immediately after the confirmation, signaled by “All right let’s do this while I’m here.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which device is used to join the small bowel to the mid colon, and what action does it perform on those two bowel segments?", "role": "user" }, { "content": "A double‑barrel endoscopic device engages both segments and fires to create a side‑to‑side connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Radical Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "Which powered instrument acts on the main arterial supply on the right side, and what is done to it before the cut is made?", "role": "user" }, { "content": "An advanced bipolar device is applied in three cycles to the right-side artery before it is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/15 mn Laparoscopic Supra Cervical Hysterectomy (full movie ).mp4" ] }, { "messages": [ { "content": "At what exact moment does the focus shift to clearing around the large posterior vein to finish the separation?", "role": "user" }, { "content": "Right after partial division of the posterior segment, the team starts the dissection around the large posterior vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/ROBOTIC RIGHT HEPATECTOMY WITH EXPOSURE OF VENA CAVA AND ANTEROGRADE SPLIT OF THE LIVER..mp4" ] }, { "messages": [ { "content": "Between pulling more of the upper swallowing tube down into the belly and tightening the entryway with stitches, which happens first in the sequence shown?", "role": "user" }, { "content": "Pulling the upper tube down happens first, then the entryway is tightened with stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Hiatal Hernia Repair with Actual Surgical Footage & Animation.mp4" ] }, { "messages": [ { "content": "At what exact point does the workflow pivot from gentle peeling to controlling bleeding?", "role": "user" }, { "content": "The pivot happens when small bleeding is seen from a vessel, prompting hemostatic steps.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Луцевич： холецистэктомия ножницами ⧸⧸ laparoscopic cholecystectomy.mp4" ] }, { "messages": [ { "content": "In the interior-view segment, which device acts on which structure to accomplish what action?", "role": "user" }, { "content": "An internal camera tool with a ring-like cutter removes the protruding mass from the cavity lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myome der Gebärmutter： Diagnose und individuelle Therapie.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: taking the removed tissue out of the body or installing the drain near the resection bed?", "role": "user" }, { "content": "The tissue removal happens before the drain is installed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pre laparoscopic right hepatectomy with tumor thrombectomy.mp4" ] }, { "messages": [ { "content": "When does the process switch from placing an anti-kink stitch at the angle to submerging the site and testing with air?", "role": "user" }, { "content": "Immediately after the anti-kink stitch is placed, the site is submerged and the air test begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Gastrojejunal Bypass in a patient with gastric outlet obstruction.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from opening the vessel to actively extracting the intraluminal mass?", "role": "user" }, { "content": "Right after the front and side walls are opened, the team begins milking out the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Approach to Right Radical Nephrectomy with Level II IVC Thrombectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from trying to reverse the telescoping to peeling the colon off the sidewall?", "role": "user" }, { "content": "Immediately after the single pushback attempt, when they start freeing it from the side toward the center and take down the outer layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colonic intussusception in an adult patient.mp4" ] }, { "messages": [ { "content": "When does an unusually prominent arterial branch along the smaller curve first become visibly apparent, indicating a variant route to the liver, and where is it seen?", "role": "user" }, { "content": "When the enlarged vessel is first noted during lesser‑curve dissection, where a branch to the liver originates from it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Radical Gastrectomy.mp4" ] }, { "messages": [ { "content": "Between entering the midline lining near the spine and opening the deepest pelvic recess, which occurs first?", "role": "user" }, { "content": "Entering near the spinal promontory comes first; the deep pelvic recess is opened later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectopexia laparoscópica con malla para tratamiento del prolapso rectal.mp4" ] }, { "messages": [ { "content": "At what moment does the operation move from deep dissection to exteriorizing the specimen toward the wound?", "role": "user" }, { "content": "Right after full mobilization of the segment and adjacent organs, when the specimen is brought toward the wound.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.5. Right Hemicolectomy for Cecal Carcinoma Invading Sigmoid Mesocolon - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: confirming the three-way branching at the intestinal junction, or cutting the sheet-like support between the connection and the loop?", "role": "user" }, { "content": "Recognition of the three-way branching occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of a Bilroth II with Braun anastomosis into a RNY anatomy in a patient with in.mp4" ] }, { "messages": [ { "content": "Between the moment a thin tubular structure near the inferior aspect shows a rhythmic wave-like motion and the later temporary occlusion of the main inflow at the central area, which event occurs first?", "role": "user" }, { "content": "The rhythmic motion of the tubular structure occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Step by Step Laparoscopic Partial Nephrectomy： Tactics and Techniques (for Residents and Fellows).mp4" ] }, { "messages": [ { "content": "Which happens earlier: securing the deeper arterial tube with a locking device or ligating and cutting the pale cord that runs over the muscle?", "role": "user" }, { "content": "The arterial vessel is secured and divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Nephrectomy Lecture by Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "Between draining the tense sac with a vacuum wand and beginning to peel it from the deep surface, which happens first?", "role": "user" }, { "content": "Draining with the vacuum happens first, followed later by peeling from the deep surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/A I Guided cholecystectomy ｜ AI in laparascopy ｜ ICG guided laparoscopic cholecystectomy ｜ Lap chole.mp4" ] }, { "messages": [ { "content": "After the fixation lines are secured, a hand compresses the back of the lower leg as a check; when does this testing motion begin relative to the tying?", "role": "user" }, { "content": "The compression test begins immediately after the crisscross tying is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Haglund's Syndrome.mp4" ] }, { "messages": [ { "content": "Which comes first: cinching a purse‑string on the cut end or inserting the device head for the circular connection?", "role": "user" }, { "content": "The purse‑string is cinched before the device head is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy for Cancer, Step by step.mp4" ] }, { "messages": [ { "content": "During the fine join of the small-caliber pulsatile tube, what suture and magnification are used to perform the running stitches?", "role": "user" }, { "content": "A 7-0 Prolene running suture is used under loupe magnification.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/2158656.mp4" ] }, { "messages": [ { "content": "Which occurs first: widening the central fan-shaped support of the bowel or anchoring the initial small-bowel loop to the right side wall?", "role": "user" }, { "content": "The broadening of the central support occurs first, followed by anchoring to the right wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/15 400PED Laparoscopic Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "Once the surgeon has lightly snagged the muscle fibers at the stomach’s outlet, when does the cutting actually begin—before or after the lift?", "role": "user" }, { "content": "Cutting begins after the fibers are lifted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Management of Duodenal Perforation....mp4" ] }, { "messages": [ { "content": "What device is used to hold the wound edges apart to maintain exposure, and what does it do to nearby tissues?", "role": "user" }, { "content": "A self-retaining retractor holds the wound edges apart while avoiding trapping adjacent viscera.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myomectomy for a large uterine fibroid via mini-laparotomy – a step by step video tutorial.mp4" ] }, { "messages": [ { "content": "After the operator’s bare palm rotates the bowel upward, when does the first deliberate separation between the fatty apron and the bowel actually start?", "role": "user" }, { "content": "Immediately after the upward rotation, it starts with sweeping down the fatty apron’s attachments to the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/The Obese Patient - Benefit of HALS for Right Colectomy.mp4" ] }, { "messages": [ { "content": "When and where do bright granular echoes first appear on-screen, revealing the cause of the blockage?", "role": "user" }, { "content": "They first appear during the ultrasound view inside the non-pulsating tube, where bright speckles show up within it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Inside Hepatitis： Causes, Treatment & a Rare Look at Liver Surgery ⧸ 肝炎：原因、治疗方案和肝脏手术的全过程.mp4" ] }, { "messages": [ { "content": "After the back‑row stitches are placed along the join, when do they start to be tied down?", "role": "user" }, { "content": "They’re tied after all stitches are placed and the loop is approximated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision RouxenY Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "Which instrument’s curved tip is used to gently separate tissue planes over the looped small bowel, and what action is it performing?", "role": "user" }, { "content": "The energy dissector’s curved tip performs blunt dissection over the small intestine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy in an Obese Patient of BMI 50kg⧸m2.mp4" ] }, { "messages": [ { "content": "During the water-filled inspection around the new joint, when and where do any bubbles first appear?", "role": "user" }, { "content": "No bubbles appear; there is no visible leakage during the test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what exact point does the workflow shift from isolating vessels to definitive division with a bar-like cutter?", "role": "user" }, { "content": "The transition occurs when, after dissecting the branch, the linear stapling cutter is applied to transect the portal vein branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver resection; laparoscopic removal of liver segments 2 and 3.mp4" ] }, { "messages": [ { "content": "After two small openings are created in adjacent bowel loops as preparation, when does the mechanically formed side-to-side join actually commence?", "role": "user" }, { "content": "It begins immediately after the two openings are made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Extrahepatic Biliary Resection with Roux-en-Y Hepaticojejunostomy for Type II Klatskin Tumor.mp4" ] }, { "messages": [ { "content": "Between starting separation at the high midline ridge deep in the pelvis and proceeding along the patient’s right abdominal lining, which happens earlier in the video?", "role": "user" }, { "content": "Starting at the high midline ridge occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Ventral Mesh Rectopexy Technique for Rectal Intussusception with Rectocele.mp4" ] }, { "messages": [ { "content": "Which happens first: placement of the access ports or mobilization of adjacent structures to improve exposure?", "role": "user" }, { "content": "The access ports are placed before mobilizing adjacent structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Lap pyloroplasty.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow change from freeing lateral attachments of the target organ to thinning the adjacent gland in preparation for transection?", "role": "user" }, { "content": "When the tail of the neighboring gland comes into view and thinning begins to facilitate the stapling step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic en bloc resection of spleen and pancreatic tail, and cholecystectomy.mp4" ] }, { "messages": [ { "content": "After a row of fasteners is laid across the downstream segment, when does the actual separation start in the sequence?", "role": "user" }, { "content": "Right after the fasteners are placed, when the integrated cutter is advanced to free the downstream side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/【2024年度市民のための学術講演会】（消化器外科 片岡智史医師）3．大腸がんを知ろう：検診、予防、治療.mp4" ] }, { "messages": [ { "content": "After an imaging step highlights the branching near the channel and shows it to be widened, at what point does the actual cut on the channel start?", "role": "user" }, { "content": "The cut starts after the imaging step, once adequate exposure is obtained.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/V074 ROBOTIC-ASSISTED COMMON BILE DUCT EXPLORATION.mp4" ] }, { "messages": [ { "content": "As a metal-fastener device approaches a thick bluish channel, when does the securing action actually begin?", "role": "user" }, { "content": "Right after complete mobilization and just before cutting—when the fasteners are applied to the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/लेप्रोस्कोपिक किडनी कैसे निकालते है？ Laparoscopic kidney removal I lap doner nephrectomy.mp4" ] }, { "messages": [ { "content": "Which closing method is used on which structures to prevent further leakage?", "role": "user" }, { "content": "Suturing is used on the openings in the organ and its connecting duct to stop leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Chole - Transected cystic duct.mp4" ] }, { "messages": [ { "content": "What material is used to reconnect the two ends of the tube, and how is it deployed around the opening?", "role": "user" }, { "content": "Hand-sewn sutures are placed evenly around the opening in spaced positions like hour marks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/LAPAROSCOPIC-ASSISTED ALTEMEIER PROCEDURE.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence transition from contour marking and accessory removal to cutting into the organ substance?", "role": "user" }, { "content": "Right after finishing the gallbladder step following surface marking, they begin dividing the parenchyma.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robot assisted Left Hepatectomy for HCC.mp4" ] }, { "messages": [ { "content": "After a ring-like device’s head is guided down from above, at what point does the actual joining of the two lumens begin?", "role": "user" }, { "content": "When both ends of the circular stapler are mated and fired to create the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer： You Never Know What You're Going to Get.mp4" ] }, { "messages": [ { "content": "At what stage does it first become visually clear that the target sac is extremely tiny compared to usual?", "role": "user" }, { "content": "During the first intra-abdominal inspection following the prior endoscopic stage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/ЛХЭ. ЖКБ. САМЫЙ МАЛЕНЬКИЙ ЖЕЛЧНЫЙ ПУЗЫРЬ ⧸⧸ LAPAROSCOPIC CHOLECYSTECTOMY. MINI GALLBLADDER..mp4" ] }, { "messages": [ { "content": "When is it first recognized that the non‑perfused zone extends beyond the target, and in which part of the organ is this seen?", "role": "user" }, { "content": "Immediately after the perfusion check; it’s noticed in the upper portion of the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/DV-Zero-Ischemia und Firefly (EAU 14).mp4" ] }, { "messages": [ { "content": "At what moment in the upper abdomen does a sudden, pulsatile red spray first appear, signaling an unintended injury?", "role": "user" }, { "content": "It becomes visible when the surgeon’s finger punctures a small vessel along the inferior edge of the pancreas.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Pearls Session： Laparoscopic Sigmoid Colectomy - Technique Video.mp4" ] }, { "messages": [ { "content": "Once contrast begins flowing through a tube near the end, when does the integrity check truly begin?", "role": "user" }, { "content": "It starts as the dye is infused through the tube and becomes visible downstream, marking the leak test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Robotic-Assisted Resection of Gastric Fistula and Conversion⧹.mp4" ] }, { "messages": [ { "content": "Which instrument is used on which structures to restore continuity for flow at the end of the operation?", "role": "user" }, { "content": "A needle-and-suture is used to join the reservoir opening to the downstream tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Prostataentfernung mit dem DaVinci-Roboter (Prostatektomie).mp4" ] }, { "messages": [ { "content": "At the beginning, which energy-based tool is used to separate tissues around the junction next to the small sac, and what action does it perform?", "role": "user" }, { "content": "A monopolar hook is used to perform dissection around the junction next to the gallbladder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/V074 ROBOTIC-ASSISTED COMMON BILE DUCT EXPLORATION.mp4" ] }, { "messages": [ { "content": "After a small colored marker is placed along the planned line, when does the actual cutting begin?", "role": "user" }, { "content": "Cutting starts after the marker is placed and the device is applied and fired just above the marked line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/机器人中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Considering the sequence, which occurs first: the circular separation of the inner tube or the division of the enveloping fatty sleeve?", "role": "user" }, { "content": "The circular separation of the inner tube occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Altemeier Procedure for Full-thickness Rectal Prolapse Complicated by Ischemic Stricture.mp4" ] }, { "messages": [ { "content": "When and where does an unintended opening of a hollow organ first become visibly apparent?", "role": "user" }, { "content": "During the early adhesiolysis around the upper reservoir, an unintended opening appears on its front wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Hybrid Transgastric Rendezvous Technique for Common Bile Duct Stones After Gastric Bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation move from work inside the cavity to placing a tube under the organ before finishing?", "role": "user" }, { "content": "Immediately after finishing the cavity work, they place the tube under the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic management of intra-hepatic gall bladder perforation.mp4" ] }, { "messages": [ { "content": "Which takes place first: the fluorescence-based perfusion assessment or advancing the dissection to set up the distal transection?", "role": "user" }, { "content": "The perfusion check occurs first, then the dissection advances to prepare for the distal transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy for Chronic Complicated Diverticular Disease.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to shut off flow to the right-side growth?", "role": "user" }, { "content": "Double clamps are applied to the lateral vessel band and the tube–ovary band to occlude the blood supply to the right-side mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy ｜ Atlas of Gynecologic Surgery.mp4" ] }, { "messages": [ { "content": "Between opening the thin, glistening plane along the inner margin of the fatty apron and dividing a central feeding conduit near its origin, which action happens earlier in the clip?", "role": "user" }, { "content": "Opening the inner-margin plane occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/低位直肠前切除术NOSES I式B法.mp4" ] }, { "messages": [ { "content": "Between opening around the central conduit using an in-sheath technique and the first clear view of the left-side branch, which happens earlier?", "role": "user" }, { "content": "The in-sheath opening around the central conduit occurs first, then the left-side branch comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜保留左结肠动脉乙状结直肠癌根治术（NOSES IV 式）.mp4" ] }, { "messages": [ { "content": "During the work around the central vascular junction, when does an unexpected difference in caliber between two adjacent blood channels first become apparent, and where is it noted?", "role": "user" }, { "content": "It becomes apparent during the hilar dissection, where the vein is visibly slimmer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboter-assistierte radikale Zystektomie mit simultaner Nephroureterektomie (En- bloc).mp4" ] }, { "messages": [ { "content": "What material is positioned on the left side, and which surface faces the adjacent organ to minimize contact issues?", "role": "user" }, { "content": "A coated patch is used on the left, with its coated surface facing the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Mesh crural reinforcement for hiatal hernia repair： The devil is indeed in the details!.mp4" ] }, { "messages": [ { "content": "Between using a broad, non-contact energy pass over the cut surface and placing compressive stitches across the defect, which action occurs first in the sequence?", "role": "user" }, { "content": "The non-contact energy pass comes first, followed by the compressive stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "When and where does the pre-existing abnormality—dense scar bands with absence of the small pear‑shaped organ—first become visibly apparent?", "role": "user" }, { "content": "Early in the case, beneath the right subcostal margin during the initial exploration and release of scar bands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus-preserving Duodenopancreatectomy ｜ Full Length Surgery (Pancreatectomy.mp4" ] }, { "messages": [ { "content": "After the operator secures the bowel to deep tissue with the initial row of stitches, when is the extra left-sided tether applied to further straighten the looping segment?", "role": "user" }, { "content": "It’s added immediately afterward, before the new graft is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Redo Robotic Ventral Rectopexy.mp4" ] }, { "messages": [ { "content": "During the colored perfusion check, when and where is off-target staining first seen?", "role": "user" }, { "content": "Immediately after the dye run, a small focus appears in the duodenum as the first off-target area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic pump with liver resection # Memorial Sloan Kettering.mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to secure a patch in position?", "role": "user" }, { "content": "A suturing needle places stitches into a firm band to secure the patch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hernia Repair Large Sac TAPP Repair.mp4" ] }, { "messages": [ { "content": "When does the abnormal encroachment at the bend between the first and second small‑intestinal segments become unmistakable on screen?", "role": "user" }, { "content": "When the flexure is exposed and immediately excised later in the case.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/2.2.3.Multivisceral Resection - Subtotal Colectomy - Werner Hohenberger & M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "Which happens first in the clip: fragmenting the enclosed specimen or switching to a slimmer camera for the closing survey?", "role": "user" }, { "content": "The fragmentation inside the enclosure occurs first, followed by the switch to a slimmer camera for the final survey.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Contained Power Morcellation - Subtotal Hysterectomy.mp4" ] }, { "messages": [ { "content": "When and where does the unusually small upper stomach chamber first become visibly apparent during the case?", "role": "user" }, { "content": "Early in the case, during the initial inspection near the cardia after entry, the very small proximal chamber is first evident.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic single anastomosis reversal of gastric bypass.mp4" ] }, { "messages": [ { "content": "During the attempt to reach a blocked channel, which sequence occurs first: working through a surgically created side opening in a bowel loop, or puncturing directly into the channel with a fine tip?", "role": "user" }, { "content": "Working through the side opening happens first; puncturing directly into the channel occurs afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/V079 LAPAROSCOPIC LATERAL PANCREATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Between two steps seen here—severing the last small connections between the pouch-like organ and its neighbor, and revealing the organ's far-side surface—which happens first?", "role": "user" }, { "content": "Severing the remaining connections happens first, which then allows the far-side surface to be revealed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Revision of Esophagomyotomy.mp4" ] }, { "messages": [ { "content": "Which happens first: securing a guiding ribbon to the upper cut end in the throat-area incision, or pulling the newly formed conduit upward into that incision?", "role": "user" }, { "content": "Securing the guiding ribbon happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Esophagus Resection.mp4" ] }, { "messages": [ { "content": "When and where does it first become visibly apparent that pulling the connection between the tube and the stomach down without strain isn’t possible?", "role": "user" }, { "content": "It becomes apparent after extensive dissection fails to deliver 3 cm of intraabdominal length without tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty： The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from aligning the two segments to actually firing the connecting device?", "role": "user" }, { "content": "The transition occurs when the stapling device is fired to join the segments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Techniques for Creating the Ideal Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from clearing constrictive strands to the large-bowel segment flipping over to the opposite side of the abdomen?", "role": "user" }, { "content": "Immediately after the constrictive strands are fully mobilized, the large bowel flips to the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's for Malrotation - Narrated - 3mm JustRight Sealer.mp4" ] }, { "messages": [ { "content": "Which guiding tool with a clear tip acts against the organ to enable camera-assisted placement of threads, and what surface does it press against?", "role": "user" }, { "content": "The endorectal fixator with a transparent gel head presses the rectum against the anterior abdominal wall to enable endoscopic-guided suture placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Natural Orifice Transanal Endoscopic Rectopexy： A Novel Option for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene move from tissue mobilization to stitch placement?", "role": "user" }, { "content": "The transition occurs when the needle and suture enter the field and stitches begin to fix the tissue to the back pelvic fascia.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectopexy with Magnet Retraction.mp4" ] }, { "messages": [ { "content": "After the view shifts to a depth-emphasized perspective of the operating field, when do the instruments actually begin moving toward the target area?", "role": "user" }, { "content": "It begins once the operator engages the system controls after access has been prepared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/「腎がん手術の最新治療 RAPN」山口大学医学部附属病院泌尿器科　井上　亮　助教.mp4" ] }, { "messages": [ { "content": "Which happens earlier: closing the internal gap or mounting the removed piece on a flat surface for review?", "role": "user" }, { "content": "The closure of the defect occurs before the specimen is mounted for review.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Intermuscular Surgical Dissection (ISD) by TAMIS for Rectal Lesions.mp4" ] }, { "messages": [ { "content": "Between dividing the pale tube that drains from the sac-like organ near where it joins the main channel and dividing the small pulsatile branch alongside it, which is handled first?", "role": "user" }, { "content": "The pale tube is divided first, then the small pulsatile branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic radical cholecystectomy for gallbladder cancer.mp4" ] }, { "messages": [ { "content": "Which instrument first separates the outer bands to reveal the deeper layer, and what action is immediately performed on those deeper bands to complete that step?", "role": "user" }, { "content": "A scissor spreads the outer bands; the deeper bands are then lifted and divided with energy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Houghton, Caitlin Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to perform what action when securing the reinforcement at the pelvis?", "role": "user" }, { "content": "A needle driver passes a suture through the firm pelvic ridge to anchor the reinforcement patch in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Behind the Knife - Robo Transabdominal Preperitoneal Inguinal Hernia Repair (rTAPP).mp4" ] }, { "messages": [ { "content": "Exactly when does the detachment phase end, marking the sac as completely free from its bed?", "role": "user" }, { "content": "At the point when the last few superior attachments are divided and it is stated to be completely free.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy for Symptomatic Cholelithiasis - Standard (Feat. Dr. Brunt).mp4" ] }, { "messages": [ { "content": "Between adding a new working opening on the lower right abdomen and beginning the internal tissue freeing with a heated tip, which action happens first?", "role": "user" }, { "content": "The additional lower-right opening is created first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection (APR) Dr Atul MISHRA Ludhiana.mp4" ] }, { "messages": [ { "content": "When does the dissection direction switch from working outward from the midline to coming back inward from the side?", "role": "user" }, { "content": "Once the lateral boundary is reached, the team switches to a lateral-to-medial approach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Totally robotic versus totally laparoscopic surgery for rectal c.mp4" ] }, { "messages": [ { "content": "After the lifting stitch exits the upper abdomen and elevates the two bowel limbs as a visible cue, when does the stapled side-to-side join actually begin?", "role": "user" }, { "content": "It begins after the openings are made and the stapler is inserted to create the side-to-side connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Right Colectomy For Cancer.mp4" ] }, { "messages": [ { "content": "At what point does the operation move from forming the small reservoir to working on the apron-like fatty curtain in front of it?", "role": "user" }, { "content": "Right after the stomach is fully divided, when the omentum is identified and the wedge is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Isolated Gastric Bypass with Roux-en-Y Gastroenterostomy for Morbid Obesity.mp4" ] }, { "messages": [ { "content": "Which closure tool is used on which supporting structures to complete the final seal, and what action is performed?", "role": "user" }, { "content": "No. 1 Vicryl suture is used to take bites through the uterosacral ligaments and the vaginal vault, performing continuous interlocked closure to seal the vault.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Skin to Skin Total Laparoscopic Hysterectomy Explained for Bulky Uterus.mp4" ] }, { "messages": [ { "content": "At what point does the workflow shift from aligning the two segments to actually creating the connection between them?", "role": "user" }, { "content": "The transition occurs when the small openings are made and the stapling device is inserted to construct the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis. Dr Suhail Anwar.mp4" ] }, { "messages": [ { "content": "Which occurs first: copious internal flushing of the hollow organ or creating the opening into it?", "role": "user" }, { "content": "The copious internal flushing occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. James O. Peabody： Robotic Partial Cystectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the freshly exposed cut surface to stop a focal ooze?", "role": "user" }, { "content": "A heat-sealing device is applied to the cut surface to coagulate and stop the ooze.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Retroperitoneoskopische Leberresektion bei HCC und Leberzirrhose.mp4" ] }, { "messages": [ { "content": "Which occurs first: forming the side-to-side connection between the reservoir and the downstream loop with a stapler, or closing the access opening with sutures?", "role": "user" }, { "content": "The stapled connection is created first, and the access opening is sutured afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Stomach-Laparoscopic distal gastrectomy with billroth 2 reconstruction with Braun loop.mp4" ] }, { "messages": [ { "content": "After marks are placed to indicate where to cut on the larger hollow organ, when does the device that fires cartridges actually begin its first cut?", "role": "user" }, { "content": "Immediately after marking, the stapling device begins with its first firing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Distal Gastrectomy With Billroth I Reconstruction.mp4" ] }, { "messages": [ { "content": "In the later case with issues at two separate spots, which occurs first: dividing the central feed vessel or releasing the upper‑left bend of the bowel?", "role": "user" }, { "content": "Dividing the central feed vessel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sigmoid - Key Steps.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from sizing and trimming to applying the device onto the body?", "role": "user" }, { "content": "The transition occurs right after confirming the cut, when they say they’re going to put it on.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/造口更換1.mp4" ] }, { "messages": [ { "content": "At what precise moment does the video shift from completing the stitch line to testing the new connection’s function?", "role": "user" }, { "content": "The shift occurs when the handheld flow-sensing device is applied right after finishing the stitch line and removing the internal tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Off-Pump Single Vessel Coronary Artery Bypass (Mahesh Ramchandani, MD, M. Mujeeb Zubair, MD).mp4" ] }, { "messages": [ { "content": "In this sequence, which happens first: flushing the stomach interior or lifting the inner lining with a tinted fluid to create a cushion?", "role": "user" }, { "content": "Flushing the stomach interior occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Per Oral Pyloromyotomy for Gastroparesis： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "In the sequence of events shown, which segment appears first: the recap of earlier cases or the part summarizing how the ongoing session went?", "role": "user" }, { "content": "The recap of earlier cases appears first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Teaching in Pandemic time： Uniportal VATS course with live surgery and cadaveric lab.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from tissue securing to tissue excision with the circular device?", "role": "user" }, { "content": "The transition occurs immediately after the fourth fastener is placed, when the lock is opened and the circular device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Anterior STARR with Posterior Suture Rectopexy by Dr Rajesh Shukla AAS PROCTOCON 2022.mp4" ] }, { "messages": [ { "content": "When and where does the unusually high number of separate openings on the cut surface first become clearly visible?", "role": "user" }, { "content": "After the resection, during inspection of the cut surface, five to six separate ducts are seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TİP 4 KLATSKİN TÜMÖRÜ İÇİN EN BÜYÜK AVANTAJ İLERİ TEKNİKLE TEMİZ AMELİYAT.mp4" ] }, { "messages": [ { "content": "When and where does the dark dye marking on the bowel surface first become visible?", "role": "user" }, { "content": "Very early, it appears on the surface of the target segment marked by dye.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy and Double-stapling Technique Anastomosis via Needlescopic Surgery.mp4" ] }, { "messages": [ { "content": "When does the workflow switch from securing the implant to sealing the inner lining?", "role": "user" }, { "content": "Right after fixation is completed, when closure of the lining begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Male Patient with Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "In the segment where a reinforcing patch is placed between the thighs, which happens first: sliding the patch into the tunnel or firing the fasteners into the front pelvic bone?", "role": "user" }, { "content": "The patch is slid into the tunnel first, and only after that are the fasteners fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Transverse Perineal Suppor by dr Adolfo Renzi.mp4" ] }, { "messages": [ { "content": "What specialized retractor is used to lift part of the large brown organ away from the stomach, and for what purpose?", "role": "user" }, { "content": "A Nathanson liver retractor lifts the left lateral segment of the liver off the stomach to improve visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/THE MOUNT SINAI SURGICAL FILM ATLAS Laparoscopic Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "When the jawed cutter aligns on the intraluminal guide, at what moment does the intended clamp-and-divide actually begin?", "role": "user" }, { "content": "It never successfully starts with the clamp device; division actually begins later when they switch to cutting tools and energy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Treatment of Gastro-Colic Fistula： A Rare Complication of Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "Along the inner border near a large pelvic vein, at what point does the dissection extend down to the basin floor?", "role": "user" }, { "content": "Immediately after the incision along the inner border beside the vein, the dissection continues down to the pelvic floor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. P. Dasgupta： Robotic Assisted Radical Cystectomy.mp4" ] }, { "messages": [ { "content": "Once the limb is anchored to adjacent structures to relieve tension, when is the integrity check initiated?", "role": "user" }, { "content": "Immediately afterward, when the scope is introduced and the leak test is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/CIRCULAR STAPLER MALFUNCTION DURING SUBTOTAL GASTRECTOMY.mp4" ] }, { "messages": [ { "content": "During the integrity check of the newly formed join, when does any escape of contents or bubbles first become visible, and where?", "role": "user" }, { "content": "No abnormal escape is seen at any time; the check is negative.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Intraoperative Microperfusion Assessment by PINPOINT® in Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "After the front reinforcement stitches are secured, when do they begin the visible leak test of the new join?", "role": "user" }, { "content": "Immediately afterward; they fill to about 300 mL to test for leaks.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Schiefelbein⧸Plhal： Radikale Prostatovesiculektomie mit NGB-Erhalt.mp4" ] }, { "messages": [ { "content": "Given that guiding anchors are placed at the upper and lower edges of the outlet, at what point does the crosswise opening actually start?", "role": "user" }, { "content": "It starts right after the upper and lower anchors are placed and secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Roux-en-Y gastric bypass with pyloroplasty & excision of duodenal mass.mp4" ] }, { "messages": [ { "content": "At what moment does the scene move from temporary flow stoppage to definitive hand-sewn repair?", "role": "user" }, { "content": "When the field becomes dry and controlled under temporary occlusion, the team transitions to the hand-sewn repair.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Case Presentations： 'Masters Disasters'.mp4" ] }, { "messages": [ { "content": "Which happens first: placing the tube for postoperative fluid evacuation or closing the access opening?", "role": "user" }, { "content": "The tube placement happens before closing the access opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/3D腹腔镜经腹直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Is the specimen extraction performed before or after cutting the deep muscles close to their origin?", "role": "user" }, { "content": "Extraction occurs after the deep muscles are cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Perineal lipofilling after an extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "Which statement comes first in the sequence: that most growths can be taken out through small openings, or that probes can be used to destroy them without cutting?", "role": "user" }, { "content": "The note about taking them out through small openings comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Surgical Treatment of Colorectal Cancer Metastasis to the Liver.mp4" ] }, { "messages": [ { "content": "Once the team aligns to address the tiny internal nodules, when does the actual wall-entry action start?", "role": "user" }, { "content": "It starts immediately after the stated cue, at the first visible breach of the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Incredible surgery to remove over 100 fibroids ｜ Your Body Uncovered With Kate Garraway - BBC.mp4" ] }, { "messages": [ { "content": "When does the workflow move from using live imaging to trace the lesion to actually sketching its perimeter on the surface?", "role": "user" }, { "content": "After imaging confirms the lesion’s location, they mark its borders on the surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Hand-Assisted Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "Across the follow-up timeline, when does the previously placed metal fastener first stop being visible, and what visible phase follows afterward?", "role": "user" }, { "content": "At about three months it is no longer visible; by six months the site appears as a smooth scar.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Multimodales Therapiekonzept mit endoskopischer Vollwandresektion eines Rektumkarzinoms.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from peeling the inner layer to circumferentially separating the muscular ring?", "role": "user" }, { "content": "Immediately after finishing the inner-layer cut, they transition to circumferential muscle separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/rectal_cancer/Application of transanal total mesorectal excision in natural or.mp4" ] }, { "messages": [ { "content": "When the scene shows the target fully reduced under upward tension, at what moment does stitching to secure reinforcement actually commence?", "role": "user" }, { "content": "It begins immediately after confirming full reduction under upward tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic mesh rectopexy in recurrent rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which powered cutting device is used to separate the side tethering layers of the organ?", "role": "user" }, { "content": "The harmonic scalpel is used to divide the lateral retroperitoneal attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Hand-Assisted Partial Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: dividing the drainage tube of the organ or dividing its main blood channels?", "role": "user" }, { "content": "The drainage tube is divided first, and the main blood channels are divided later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Radical Nephrectomy - Renal Cancer - Operative Surgery.mp4" ] }, { "messages": [ { "content": "When the imaging switches to a colorized overlay of flow, at what moment does the flow assessment actually begin?", "role": "user" }, { "content": "It begins right after dye injection when the fluorescence view is engaged to demonstrate flow in the bowel limbs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Dr. Joseph R. Karam - Robotic Right Hemicolectomy for cancer.mp4" ] }, { "messages": [ { "content": "When do the lateral tethers look notably thick, and in which region is this first noticed?", "role": "user" }, { "content": "During release of the left-sided segment’s lateral attachments at the abdominal wall, they appear unusually thick.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Left Hemicolectomy with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from working inside the abdominal cavity to operating through the natural opening below?", "role": "user" }, { "content": "The transition occurs when the team relocates to the lower approach and begins the transanal setup.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Total Mesorectal Excision (TA-TME) ｜ Dr. Vinay Samuel Gaikwad ｜ CK Birla Hospital.mp4" ] }, { "messages": [ { "content": "Which tactile method is used to evaluate the distal clearance on the deep tube, and what is it assessing?", "role": "user" }, { "content": "A digital examination assesses whether the distal margin is adequate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for low rectal cancer - A step by step approach.mp4" ] }, { "messages": [ { "content": "Between the internal cutting and the mouth-based extraction, which one occurs first?", "role": "user" }, { "content": "The internal cutting occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "Which action happens earlier: anchoring the end of the measured segment to the upper chamber, or tacking two segments together to align them for the joining device?", "role": "user" }, { "content": "Anchoring the limb end to the stomach happens first; stitching the two limbs together comes later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Jejuno-Jenunostomy in Laparoscopic Gastric bypass.mp4" ] }, { "messages": [ { "content": "In the first case, when does the mass first become visible and where is it located?", "role": "user" }, { "content": "It appears at the beginning, on the posterior wall of the upper stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Laparoscopic wedge resection for gastrointestinal stromal tumors.mp4" ] }, { "messages": [ { "content": "When and where does the unusual fluid first appear during the clip?", "role": "user" }, { "content": "Right after the conduit is cut, a cloudy discharge appears at the junction area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. REDO PYELOPLASTY, Prof Ramnath Subramaniam.mp4" ] }, { "messages": [ { "content": "When the access points are arranged in a straight line across the flank, at what moment does the operator start using the flexibility to swap the viewing lens between positions?", "role": "user" }, { "content": "As soon as one of the small straight-line entries is established, they begin swapping the camera between positions.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneal Partial Nephrectomy： Patient Positioning Port Placement and Docking.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal opening first become visibly apparent during the exploration?", "role": "user" }, { "content": "Early in the exploration, the hole first becomes visible at the connection between the two small-bowel segments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic repair of perforation at JJ anastomosis following Roux en Y bypass surgery.mp4" ] }, { "messages": [ { "content": "Which comes first in the sequence: attending to the initial lateral pedicle or repeating the same maneuver on the opposite side?", "role": "user" }, { "content": "The initial side is addressed first, then the same step is performed on the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy： Clamping, cutting, and ligating the cardinal ligaments and vagina angl.mp4" ] }, { "messages": [ { "content": "At what moment does the process switch from completing the rear-side seam to initiating inversion stitches on the front side?", "role": "user" }, { "content": "Immediately after the two-layer rear seam is finished, inversion stitches on the front side begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Small Bowel Resection.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: freeing up the loop of large bowel from its attachments, or cutting across the narrow mid-portion of the gland?", "role": "user" }, { "content": "Freeing the bowel happens before cutting the narrow mid-portion of the gland.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic pancreaticoduodenectomy with major venous resection.mp4" ] }, { "messages": [ { "content": "Between the initial repositioning of the protruding tissue and the start of the circular seam placement, which occurs first in the clip?", "role": "user" }, { "content": "The repositioning happens first, followed by the start of the seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Transanal Suture Mucopexy - a non-excisional cost-effective procedure for advanced hemorrhoids.mp4" ] }, { "messages": [ { "content": "Which tool is used to free the pouch all the way around, and what does it act upon?", "role": "user" }, { "content": "A vessel-sealing device (with blunt dissection) acts on the surrounding attachments to free the pouch circumferentially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Transhiatal Robotic Esophageal Epiphrenic Diverticulectomy, Heller Myotomy, Lateral Fundoplication.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from separating the growth to repairing the wall?", "role": "user" }, { "content": "The transition occurs right after the growth is fully detached, when instruments switch to multilayer suturing of the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoskopická myomektomie.mp4" ] }, { "messages": [ { "content": "After visual confirmation that alignment is acceptable, does the activation occur immediately, or is it deferred until after tool repositioning?", "role": "user" }, { "content": "It is deferred; the device is opened and withdrawn instead of being activated at that moment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/TRRPCS – A New Promising Technique in Treatment of Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Between the untwisting of the kinked bowel segment and the division of constricting attachments, which action happens first?", "role": "user" }, { "content": "The untwisting happens first, followed by division of the attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation, Ladd's Procedure.mp4" ] }, { "messages": [ { "content": "When does the clip move from reconstructive steps to finalization, marked by placement of a thin tube and showing the skin openings?", "role": "user" }, { "content": "Right after the closure is completed, when the thin tube is positioned and the skin openings are shown.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (standard) with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "When and where do burn marks around the main channel first become visibly apparent in the sequence?", "role": "user" }, { "content": "Early in the clip, next to the common bile duct, where multiple cautery marks are visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic CBD Repair - Its obviously the best option as per me....mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from anchoring the implant to concealing it under the covering layer?", "role": "user" }, { "content": "Immediately after completing fixation and tensioning, they begin closing the covering layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "After the assistant elevates a thin translucent layer over the field, when does the sweeping motion along the underlying plane actually begin?", "role": "user" }, { "content": "It begins immediately after the thin layer is lifted with the off-hand, following vessel division, as the operator starts pushing the tissue down along the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/6 effective steps to a laparoscopic sigmoid colectomy..mp4" ] }, { "messages": [ { "content": "What device is used to join the prepared stomach segment to the small intestine, and what does it do?", "role": "user" }, { "content": "A linear stapler acts on the stomach remnant and the small bowel to create the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic single anastomosis reversal of gastric bypass.mp4" ] }, { "messages": [ { "content": "Which instrument inserted through a small right-sided entry point is used to raise the large brown organ to improve exposure, and what task does it perform?", "role": "user" }, { "content": "A liver retractor through a 5 mm right-sided port is used to elevate the liver for exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/DECONSTRUCTING THE OPERATIVE DURATION OF ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "Which grasping instrument is maneuvered around both sides of the central landmark to free it from below, and what action does it perform?", "role": "user" }, { "content": "A clamp is used to sweep around both sides and behind the landmark to free it from the underlying defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia Repair at California Hernia Specialists.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from work below the rib cage to activity inside the chest space?", "role": "user" }, { "content": "When the chest is entered through an intercostal space and the breathing muscle is opened circumferentially.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Esophageal reconstruction by gastric pull-up in a hemi-gastrectomized patient with esophageal cancer.mp4" ] }, { "messages": [ { "content": "When and where does the entrenched foreign tube first become visibly apparent in the field?", "role": "user" }, { "content": "It first appears during the intraluminal work, once the passage is opened and debris removal reveals the tube encased by stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic hepaticojejunostomy for obstruction by biliary stent.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from identifying key levels to actually securing the pedicle?", "role": "user" }, { "content": "The transition occurs when the first clamp is applied immediately after stating the level and identifying the target pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy.mp4" ] }, { "messages": [ { "content": "Based on the visible enlargement of the preserved side after an interval, when is the follow-up operation undertaken?", "role": "user" }, { "content": "After the preserved side is visibly enlarged from regrowth, they proceed with the follow-up operation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/大腸がん肝転移に対する手術治療　齋浦 明夫.mp4" ] }, { "messages": [ { "content": "Given the visible tilt change, when does the head-down positioning actually begin?", "role": "user" }, { "content": "Right after the upper-plane fascia release is completed, the table is switched to head‑down.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Ultra Low Anterior Resection With Colo-Anal Pull-through Anastomosis; TME, Step by Step.mp4" ] }, { "messages": [ { "content": "When and where do unusually dense scar bands between two pelvic structures first become visibly apparent?", "role": "user" }, { "content": "At the very start, between the urinary reservoir and the front/neck of the womb as separation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/5. Robotic Partial Cystectomy for Deeply Infiltrating Endometriosis of the Bladder Wall.mp4" ] }, { "messages": [ { "content": "Which occurs first: preparing the initial row of stitches or tying them into place?", "role": "user" }, { "content": "Preparation comes first, followed by tying.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Pylorus-preserving Pancreatoduodenectomy ｜ Full Length Surgery (Pancreatectomy).mp4" ] }, { "messages": [ { "content": "Which shaped-tip tool is used to divide tissue as the team dissects toward the lower basin, and what power modality drives it?", "role": "user" }, { "content": "A hook-shaped electrocautery tool is used, driven by monopolar energy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Pearls Session： Laparoscopic Sigmoid Colectomy - Technique Video.mp4" ] }, { "messages": [ { "content": "After the working channels are set up, when does the first purposeful intra-abdominal maneuver actually start?", "role": "user" }, { "content": "It starts when the operator grasps the upper stomach and applies downward traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Simplified Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Following the visual inspection of the new staple lines for bleeding, when does the seam closure actually begin?", "role": "user" }, { "content": "Immediately after confirming no bleeding, the running closure begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy with CME and ICA.mp4" ] }, { "messages": [ { "content": "Between sealing the organ’s downstream outlet and cutting its main feeding bundle along the inner border, which happens first in the sequence?", "role": "user" }, { "content": "The downstream outlet is sealed first, before the main feeding bundle along the inner border is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy for Menetrier's Disease.mp4" ] }, { "messages": [ { "content": "During the opening of the large central vein, when and where does it first become evident that the intraluminal mass is invading the wall?", "role": "user" }, { "content": "While performing the venotomy, invasion becomes apparent at the infrahepatic segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Nefrectomia radicale sinistra, trombectomia totale e sostituzione cavale.mp4" ] }, { "messages": [ { "content": "Which device is used to cut while simultaneously controlling bleeding, and on what target region is it employed in the clip?", "role": "user" }, { "content": "Bipolar scissors are used to dissect with hemostasis on the lesion within the gastro-hepatic ligament.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Excision of gastrohepatic ligament lesion using Ethicon bipolar .mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation move from detaching the target to extracting it out through the central opening?", "role": "user" }, { "content": "Right after the attachments are clipped and divided and the target is freed, it is immediately extracted through the single opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/単孔式腹腔鏡下胆嚢摘出術についてテレビで紹介されました。.mp4" ] }, { "messages": [ { "content": "During the sequence near the central hilar area, does the small branch adjacent to the caudate get detached before the deeper posterior conduit is clearly exposed?", "role": "user" }, { "content": "Yes. The small branch by the caudate is clipped and divided first, which then opens the view to the posterior trunk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the organ’s surface to cut across the marked boundary, and what does it do to that tissue?", "role": "user" }, { "content": "A stapling device compresses and transects the liver along the marked line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Dr Manjuraj K P, Pedicle Isolation in ICG guided Liver Resection, ASGKCON Trivandrum 2023.mp4" ] }, { "messages": [ { "content": "Once the area at the top of the lower organ is clearly exposed, at what distance up the tube do they initiate the long split of the outer layer?", "role": "user" }, { "content": "They start roughly 3 cm above the inlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller’s esophagomyotomy： treatment of achalasia in a patient with situs inversus.mp4" ] }, { "messages": [ { "content": "Which occurs first in this sequence: establishing the smooth, glistening nerve plane behind the vessels or identifying the small arterial branch?", "role": "user" }, { "content": "They establish the nerve plane first, then identify the branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/钟鸣：腹腔镜直肠癌手术中左结肠动脉的处理 Management of left colonic artery in laparoscopic rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "Between controlling the forward-running vessel branch and controlling the upward-running branch, which one occurs first in this clip?", "role": "user" }, { "content": "The forward-running branch is handled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/『当院における肝切除術に対するVRの使用状況』トヨタ記念病院 消化器外科 越智靖夫 先生.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected residual connection become visibly apparent after bilateral sealing?", "role": "user" }, { "content": "Immediately after sealing from both sides, a small bridge at the top remains and is first seen then.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. James O. Peabody： Robotic Partial Cystectomy.mp4" ] }, { "messages": [ { "content": "During the work of freeing the corner of the bowel, when does the perspective switch from an overhead central view to a left-sided angle?", "role": "user" }, { "content": "After the initial overhead work, the perspective shifts once they move to a left-sided angle for the remainder of that step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Distal Rectal Cancer Surgery - LAR vs APE.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from closing the opening in the central conduit to re-establishing flow through it?", "role": "user" }, { "content": "Right after the two stitch lines are tied together in the middle, they briefly release the side clamp to de‑air and then sequentially release the others—marking the transition to reflow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Radical Nephrectomy with Level 1 IVC Thrombectomy... Dr. Kishore TA.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the organ’s suspensory attachments to achieve mobilization?", "role": "user" }, { "content": "An energized hook and a bipolar grasper are used to divide the peritoneal and ligamentous attachments for mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic partial right hepatectomy using ipsilateral inflow vascular control technique.mp4" ] }, { "messages": [ { "content": "After a circular component is brought in through a natural passage as the visual cue, when does the device’s closure of the upstream end actually start?", "role": "user" }, { "content": "It starts when the second load is placed to close the upstream margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Sigmoid Endometriosis – Laparoscopy NOSE Sigmoidectomy and Histerectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: freeing the upper stomach by dividing its small attachments on the left side, or rotating the tube-stomach complex into a front-to-back alignment?", "role": "user" }, { "content": "Dividing the small attachments to free the upper stomach happens before the rotation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Collis Gastroplasty# The Preferred Treatment for the Shortened Esophagus.mp4" ] }, { "messages": [ { "content": "Between the subsurface ring-shaped fluid spread around the target segment and the circular opening of the inner lining, which occurs first in the clip?", "role": "user" }, { "content": "The subsurface fluid spread happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Complete rectal prolapse｜ Perineal Rectopexy｜ Delorme procedure｜ DR. Pandiaraja.mp4" ] }, { "messages": [ { "content": "During the first session, when and where does a superficial defect become visibly apparent relative to the central pinch-point?", "role": "user" }, { "content": "Right after the initial widening, a mucosal lesion appears adjacent to the tight central area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Bariatric Strictures.mp4" ] }, { "messages": [ { "content": "In the clip where a looped conduit is brought up to the connection, when does the cut to separate the loop actually happen?", "role": "user" }, { "content": "The division happens after the connection (anastomosis) is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Making the Perfect Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Between the moment the intestinal segment is transected with a jawed device and the later separation of the thin, sheet-like attachments with an energy tool, which happens first?", "role": "user" }, { "content": "The transection with the jawed device occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Redo Gastrojejunostomy Following Perforation From Stricture Dilatation.mp4" ] }, { "messages": [ { "content": "Near the end, what instrument is used to flush the abdominal cavity and evacuate residual material, and what action does it perform?", "role": "user" }, { "content": "A suction–irrigation device flushes with saline and aspirates to clear residual contents.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo Oophorectomy for Large Ovarian Cyst.mp4" ] }, { "messages": [ { "content": "At what moment does the team switch from placing individual knots to using a continuous barbed thread for closing the opening?", "role": "user" }, { "content": "Immediately after deciding to detach the conduit, they switch to a barbed running closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Partial Cystectomy for diverticular Tumour ｜｜ Preeti Hospital.mp4" ] }, { "messages": [ { "content": "After the visible line of division is created, when does the planned removal actually begin?", "role": "user" }, { "content": "It starts after a short wait once adequate growth/function is confirmed, often around day six.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/ALPPES -Associating Liver Partition and Portal VeinLigation.mp4" ] }, { "messages": [ { "content": "Which instrument is used to probe the channel through a separate small cut and directly retrieve large fragments?", "role": "user" }, { "content": "A curved stone-holding grasper enters through a separate small incision to probe the channel and pull out large stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Gall Bladder-Laparoscopic CBD exploration with laparoscopic choledochoduodenostomy.mp4" ] }, { "messages": [ { "content": "During the mid-sized removal done without restricting flow, which device manages the mild oozing and on what surface?", "role": "user" }, { "content": "A suction/aspirator manages the light oozing on the resection surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/EAU 2016 - Robotic Partial Nephrectomy Superselective clamping multiple tumors - Pr Bernhard.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from layer separation to actual removal of a segment, and how is that shift marked?", "role": "user" }, { "content": "The transition occurs when they begin excising the 4×1 cm strip, marking the shift from dissection to removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Ultrashort-segment Hirschsprung's disease complicated by megarectum – a video vignette.mp4" ] }, { "messages": [ { "content": "Which cutting instrument acts on the lower segment’s outer fibers to open the layer beneath the inner lining, and what tissue interface is targeted?", "role": "user" }, { "content": "A bladed cutting instrument (scissors) works on the muscle layer over the lower segment to enter the plane just under the inner lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy： Why, when & how.mp4" ] }, { "messages": [ { "content": "Between securing a thin-walled vessel and entering the retro-cavity behind a major organ, which one happens earlier?", "role": "user" }, { "content": "The vessel is secured and divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/March 2021 Didactic Video Collection Avanish Saklani ＂Laparoscopic Low Anterior Resection＂.mp4" ] }, { "messages": [ { "content": "Which tool acts on a large pulsating channel to secure it before it is taken, and what action does it perform?", "role": "user" }, { "content": "A clip applier places double metal clips on the artery to ligate it before division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/胃がんの外科治療 ～頑張る手術と優しい手術～　藪崎 裕.mp4" ] }, { "messages": [ { "content": "At what precise moment does the operation shift from meticulous work at the liver’s hilum to actually cutting into the organ substance?", "role": "user" }, { "content": "Right after the inflow structures are divided and the demarcation line appears, when the energy devices begin cutting into the parenchyma.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "When and where does an unusual arterial branching first become clearly visible in the clip?", "role": "user" }, { "content": "During the upper-field dissection near the pancreas, toward the end of that phase, when a posterior arterial branch is seen giving rise to the right hepatic artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Supramesocolic approach to laparoscopic CME for right colon cancer for diffuse polyposis.mp4" ] }, { "messages": [ { "content": "Given the visual cue of the instrument jaws holding a vessel on one flank, when does the actual divide-and-release start?", "role": "user" }, { "content": "Division starts right after sufficient coagulation is created by friction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Supracervical Hysterectomy.mp4" ] }, { "messages": [ { "content": "When the field becomes hazy from energy use, at what moment does the bedside helper begin clearing the view with a hose-like device?", "role": "user" }, { "content": "They begin clearing the view during the initial superficial cutting, as soon as plume appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Left Hepatectomy for Metastatic Colon Cancer.mp4" ] }, { "messages": [ { "content": "Which closure device acts on the lifted layer to seal it at the end of the sequence?", "role": "user" }, { "content": "A barbed suture (V-Lock) is used to close and seal the lifted layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Robotic TAPP mesh repair of an inguinal hernia using the Hugo™ R.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow move from clearing tissue around the upper part of the distal bowel to actually dividing it?", "role": "user" }, { "content": "When the linear stapler is introduced to transect the rectum after circumferential clearance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SAGES Top 21 Videos： Laparoscopic Sigmoid Colectomy and Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected adhesion between the fatty apron and a side appendage first become visibly apparent?", "role": "user" }, { "content": "Early during the left-side attachment work, at the fimbrial end where the fatty apron is stuck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Total Laparoscopic Hysterectomy and Bilateral Salpingo-Oophorectomy.mp4" ] }, { "messages": [ { "content": "Which material is applied to the tiny vessels beneath the inner lining, and for what effect is it used?", "role": "user" }, { "content": "Fine silk ligatures are placed on the submucosal vessels to achieve hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/卫生部医学视听教材—消化外科—XHW012 胃肠道吻合术.mp4" ] }, { "messages": [ { "content": "For the supply to the mid-transverse segment, which is divided first: the arterial branch or its companion vein?", "role": "user" }, { "content": "The artery is divided first, followed by the companion vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/CME and central vascular ligation for locally invasive right-sided colon cancer by open approach.mp4" ] }, { "messages": [ { "content": "When and where does the small secondary growth first become visibly apparent during the operation?", "role": "user" }, { "content": "It becomes apparent right after the lung is freed and palpated, and it is located in the right upper lobe.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Simultaneous Hepatic and Transdiaphragmatic Lung Resection.mp4" ] }, { "messages": [ { "content": "Which instrument is used to pick up the loose dark objects, and how is it manipulated to place them into the collection pouch?", "role": "user" }, { "content": "A suction tip is used; suction is applied to pick them up and then released to drop them into the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Without Energised Dissection For Perforated Empyema Gall Bladder ....mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from struggling in the lower workspace to tackling the higher area near the upper hollow organ?", "role": "user" }, { "content": "Right after achieving hemostasis with pressure and hemostatic materials, he shifts to the higher dissection and begins dividing the upper region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple converted to open...mp4" ] }, { "messages": [ { "content": "Between taking care of a deeper conduit and later clipping a more superficial channel above, which occurs first?", "role": "user" }, { "content": "The deeper conduit is handled first, and the superficial channel above is clipped afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I do it - Komplette mesokolische Exzision - Teil 2 - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Once the distal segment’s front lining is loosened to reduce tension, when does the spike from the circular device actually pierce out through the center of the earlier-made seam?", "role": "user" }, { "content": "Right after that mobilization, as the spike is guided to exit through the center of the existing seam.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "In the sequence shown, do the surgeons first create a front-facing opening on the tiny channels, or do they place the initial retraction stitches on those openings first?", "role": "user" }, { "content": "They create the front-facing opening first, then place the initial retraction stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Conferencia Magistral： Diagnóstico, Tratamiento y Seguimiento... - XVII ECOS - Dr. Steven Strasberg.mp4" ] }, { "messages": [ { "content": "When does the around-the-ring pressing sequence begin relative to the initial single-point engagement you can see and hear?", "role": "user" }, { "content": "Right after the first point clicks in, they start pressing around the entire ring.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/阿公造口護理.mp4" ] }, { "messages": [ { "content": "During creation of the new connection, when does the surgeon remove the device and inspect the cut-out tissue rings?", "role": "user" }, { "content": "Immediately after the firing is completed, the device is removed and the rings are inspected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/卫生部医学视听教材—消化外科—XHW008 全胃切除术.mp4" ] }, { "messages": [ { "content": "Within the reconstruction using a loop of digestive tube, which happens first: isolating the measured segment, or forming the lateral join between the two limbs?", "role": "user" }, { "content": "Isolating the measured segment happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Neobladder Procedure.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from preparing the edges to actually closing the opening?", "role": "user" }, { "content": "The transition occurs when the first pair of stay stitches are placed and tied, marking the start of closure from the top.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "During the integrity test of the new connection, when and where do escaping bubbles or fluid first appear?", "role": "user" }, { "content": "No escape is seen at any point; the test shows no leak.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for low rectal cancer - A step by step approach.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from removing the side pouch to splitting the outer muscle of the tube?", "role": "user" }, { "content": "Right after the specimen is bagged and removed, the team begins the muscle-splitting step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Transhiatal Robotic Esophageal Epiphrenic Diverticulectomy, Heller Myotomy, Lateral Fundoplication.mp4" ] }, { "messages": [ { "content": "In the sequence around the central landmark, does the drawn outline come before the first surface opening, or after?", "role": "user" }, { "content": "The outline comes first; the surface opening is made afterwards.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia Repair at California Hernia Specialists.mp4" ] }, { "messages": [ { "content": "Which handheld device is used to free the organ from its surrounding fatty layer, and what action does it perform?", "role": "user" }, { "content": "A scissor-type instrument acts on the fatty envelope around the organ to dissect and free it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoskopische Nephro-Ureterektomie mit endoskopischer Laserexzision des distalen Ureters.mp4" ] }, { "messages": [ { "content": "Between freeing the upper bend of the bowel and locating an additional draining channel, which one happens first in the clip?", "role": "user" }, { "content": "Freeing the upper bend of the bowel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right colectomy with co-axial port setting.mp4" ] }, { "messages": [ { "content": "Between creating the initial small opening at the central entry point and the moment the viewing device is advanced through the marked access, which event occurs first?", "role": "user" }, { "content": "The small opening is created first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/単孔式腹腔鏡下胆嚢摘出術についてテレビで紹介されました。.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: taking the long, slender vessel that ascends toward the target organ, or sealing the small crossing veins near the organ’s side?", "role": "user" }, { "content": "The long, slender ascending vessel is taken first, followed by sealing the crossing side veins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Right laparoscopic nephrectomy.mp4" ] }, { "messages": [ { "content": "When does the process move from finishing the stomach–bowel connection to starting the connection between two bowel segments?", "role": "user" }, { "content": "Immediately after the final locking stitch of the first join, the bowel-to-bowel anastomosis begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/gastro jejunal anastomosis in Gastric bypass - Technique 1.mp4" ] }, { "messages": [ { "content": "What instrument acts on the fatty envelope around the rectum to finish separating it?", "role": "user" }, { "content": "An energy device is used to complete the mesorectal division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Anastomotic Techniques for Left Colectomy - Colorectal or Colo-Colic.mp4" ] }, { "messages": [ { "content": "As the dissection approaches a major tubular structure, when is the use of heat-based cutting deliberately scaled back?", "role": "user" }, { "content": "As they progress distally toward the duct, the application of heat is intentionally reduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy for Mirizzi syndrome.mp4" ] }, { "messages": [ { "content": "During contamination control inside the tube-like organ, which instrument acts on which target to perform what action?", "role": "user" }, { "content": "A suction device acts inside the bowel lumen to evacuate its contents.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/经直肠取标本（NOSES IV式）腹腔镜直肠癌根治术.mp4" ] }, { "messages": [ { "content": "After four compass-point holding stitches are seen, when does the rejoining seam actually begin, and from which quadrant does it start?", "role": "user" }, { "content": "It begins after an opening is made, starting from the backmost holding stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Procedure.mp4" ] }, { "messages": [ { "content": "Between the initial use of on‑site numbing injections and the later use of pills after discharge, which occurs first?", "role": "user" }, { "content": "The on-site numbing injections occur first; pills come later after going home.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Apollo Hospitals ｜ All you need to know about CABG ｜ Dr. MM Yusuf.mp4" ] }, { "messages": [ { "content": "In the minimally invasive abdominal segment, which implement is used to simultaneously divide and seal thin bands clinging to the pale, lobulated gland behind the main organ, and what tissue do those bands represent?", "role": "user" }, { "content": "An energy knife is used; it acts on lymphatic and connective tissue adherent to the surface of the pancreas to divide while sealing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療 - 橋本 伊佐也.mp4" ] }, { "messages": [ { "content": "In the colon lesion removal sequence, does the operator first outline the target’s borders or proceed directly to a single-piece capture?", "role": "user" }, { "content": "They outline the borders first, then proceed to the one-piece capture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endo-Master Class 2017# #Endoscopic Innovation#.mp4" ] }, { "messages": [ { "content": "Which material-tool acts on which vascular stalk to accomplish hemostasis during removal?", "role": "user" }, { "content": "Synthetic monofilament absorbable suture ligates the ovarian pedicle to achieve hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Dog Ovariectomy.mp4" ] }, { "messages": [ { "content": "Which joining device acts on two hollow segments to create a continuous passage, and what result does it produce?", "role": "user" }, { "content": "A circular joining device engages both hollow ends and, when actuated, produces a continuous internal connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの外科的治療（手術） 板橋 道朗.mp4" ] }, { "messages": [ { "content": "After a brief pause for the two-hand external maneuver, when does the endoscopic tool re-enter to continue trimming?", "role": "user" }, { "content": "Right after finishing the external maneuver, when the instrument is reintroduced to resume trimming.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy for multiple submucosal leiomyomas.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from freeing the organ from surrounding attachments to focused dissection around the central inflow area?", "role": "user" }, { "content": "Right after mobilization showing the mass near the diaphragm, the team transitions to focused dissection at the hilum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Purely laparoscopic extended right hemihepatectomy for HCC with bile duct tumor thrombus.mp4" ] }, { "messages": [ { "content": "When and where does a field-filling accumulation of fragments first become visibly apparent?", "role": "user" }, { "content": "During the final resections, the operating field becomes filled with fragments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy ｜ Dr Kunal Rathod.mp4" ] }, { "messages": [ { "content": "When does the operation transition from internal division to removal of the specimen through the belly wall?", "role": "user" }, { "content": "Immediately after the bowel is divided, when it is drawn out through the small navel incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy and Double-stapling Technique Anastomosis via Needlescopic Surgery.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from removing the bulging sac to stitching the surrounding muscle back over the cut line?", "role": "user" }, { "content": "Right after transection, when the cut line is exposed and suturing starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robot Assisted Trans-thoracic Esophageal Diverticulectomy and Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Between correcting the pull on a tethered segment and the moment a smooth gliding layer becomes clear, which occurs first?", "role": "user" }, { "content": "Correcting the pull occurs first, followed by the clear appearance of the gliding layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis. Dr Suhail Anwar.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from working along the side planes to initiating work on the front plane?", "role": "user" }, { "content": "When the two side planes have been united, the front-plane work begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/A Stepwise Approach to LAR. An Illustrated Video for Training Colorectal Surgeons.mp4" ] }, { "messages": [ { "content": "For small fragments lodged in the main conduit, which treatment comes first: camera‑assisted extraction via a natural orifice or surgical removal of the sac?", "role": "user" }, { "content": "Camera‑assisted extraction via the natural orifice comes first, followed by surgical removal of the sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/強い炎症の胆のう手術： 危険をかわす方法とは？.mp4" ] }, { "messages": [ { "content": "Which reduction happens earlier in the sequence: the outlet narrowing to a moderate size or the later narrowing to a tighter size?", "role": "user" }, { "content": "The moderate narrowing (to about 15 mm) occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic treatment of weight regain after Roux en Y gastric bypass RYGB use of argon plasma.mp4" ] }, { "messages": [ { "content": "Once the inner lining is visibly bulging and the split appears complete, when does the internal camera inspection actually commence?", "role": "user" }, { "content": "Immediately after the split is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy with Dor Fundoplication # Achalasia Cardia Surgery # Dr Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "Between the initial division of a prominent vessel at its origin and the subsequent entrance into a concealed cavity via a created passageway, which action occurs first?", "role": "user" }, { "content": "The vessel division at its origin happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Transrectal natural orifice specimen extraction in left hemicolectomy for splenic flexure tumours.mp4" ] }, { "messages": [ { "content": "What material is placed into the void where the mass was to occupy space, and what is done immediately afterward?", "role": "user" }, { "content": "A hemostatic packing material is placed into the cavity, then the capsular tissues are sutured closed over it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Live Surgery： Robotic Surgery for Right Renal Mass - James Porter, MD.mp4" ] }, { "messages": [ { "content": "Which powered sealing instrument is applied to the pear-shaped sac’s attachments to complete its removal?", "role": "user" }, { "content": "An energy sealing device (LigaSure) is used on the gallbladder and its attachments to complete the cholecystectomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Trans-gastric Approaches to Common Bile Duct Stones in the Gastric Bypass Patient.mp4" ] }, { "messages": [ { "content": "Which device is used on the bowel ends to create the final join, and what action does it perform?", "role": "user" }, { "content": "A ring-shaped stapling device compresses and staples the bowel ends to form an end-to-end anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Colorectal Resection for a Giant Colonic Diverticulum.mp4" ] }, { "messages": [ { "content": "During the final display of the removed organ, when does the diseased area first become clearly visible, and on which curvature of the organ is it located?", "role": "user" }, { "content": "Once the organ is opened, a broad abnormal area becomes visible along its inner (lesser) curvature.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Totally Laparoscopic Total Gastrectomy for Gastric Cancer with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which device is used on which edge of tissue to achieve stabilization during the securing step?", "role": "user" }, { "content": "A pair of slender graspers act on the front-facing margin to hold it steady for fixation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Retroperitoneale laparoskopische Nephrektomie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from exposing the surface covering layer to the clear display of the underlying organ?", "role": "user" }, { "content": "Right after the covering is taken off, when the field shows a uniformly pink organ and the operator says, “There’s our view of the kidney.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/St Joe's Live Video 6 Nagas kidney removed.mp4" ] }, { "messages": [ { "content": "Between shaping the back-side rectangle and drawing the front-side rectangle, which one happens earlier in the sequence?", "role": "user" }, { "content": "The back-side rectangle is created first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Colpoclesis SD 480 p.mp4" ] }, { "messages": [ { "content": "Once a soft loop is threaded under a deep vein, when does the stapling across the first small-bowel segment begin?", "role": "user" }, { "content": "It starts immediately after the loop is passed under the vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Totally Robotic Pancreatico-Duodenectomy or Whipple's procedure by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "During the downward survey of the specimen, at what exact point does the presentation transition from the mid portion to the lowest part where no shiny film remains anywhere?", "role": "user" }, { "content": "At the level of the anterior reflection opposite the bladder—below that, the lowest part with no shiny covering begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Analyzing APR Specimens (Part 1 YTT, @yamdoctor)： Mastering TME & Avoiding Complications #APR #ELAPE.mp4" ] }, { "messages": [ { "content": "As the long jawed device is positioned across the two openings and tension is adjusted with the external thread, at what moment does the joining action actually begin?", "role": "user" }, { "content": "It starts when the device is fired after both jaws are seated in the two openings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/22ndMESDA： Laparoscopic gastrojejunostomy by Dr.Poon Wongvisavavit.mp4" ] }, { "messages": [ { "content": "Comparing the moment the clamping jaws shut to the subsequent advance of the piercing tip through the fold, which occurs first in the clip?", "role": "user" }, { "content": "The jaws close first, then the piercing tip advances.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic revision of gastric bypass using plication technique# an adjustable approach.mp4" ] }, { "messages": [ { "content": "At what exact point does the workflow shift from creating the side‑to‑side connection between bowel segments to closing the gap between their supporting sheets?", "role": "user" }, { "content": "Right after declaring the bowel join complete, they proceed to close the inter‑mesenteric defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Choledochal Cyst ： Laparoscopic surgery (excision) withl roux en y Hepatico Jejunostomy.mp4" ] }, { "messages": [ { "content": "What protective piece is inserted to shield the area opposite the working zone, and which lining does it safeguard?", "role": "user" }, { "content": "A flat protector is inserted to shield the lining on the far side from injury.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/STARR Operation STARR： Stapler Trans Anal Rektum Resektion.mp4" ] }, { "messages": [ { "content": "Which curved-tip instrument is applied to a small vessel branch to separate it further, and what is the intended effect?", "role": "user" }, { "content": "A hook cautery is used to further dissect a small arterial branch, separating it from surrounding tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Using the visual cue of a colored loop already encircling the junction, when does the actual placement of the necklace-like ring begin?", "role": "user" }, { "content": "It starts when the chain is first passed around the junction to encircle it, just before it is clasped.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/LINX & Hiatal Hernia Repair to Treat Reflux - Animation and Surgical Footage.mp4" ] }, { "messages": [ { "content": "Which occurs first: pulling out a previously placed internal support from the duct system or submitting the lower cut edge for rapid lab review?", "role": "user" }, { "content": "The internal support is removed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Extrahepatic Biliary Resection with Roux-en-Y Hepaticojejunostomy for Type II Klatskin Tumor.mp4" ] }, { "messages": [ { "content": "Between raising the upper dome toward the front wall and clearing the remaining small side branches from behind, which is performed first?", "role": "user" }, { "content": "The dome is lifted first, then the posterior side branches are cleared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robot-Assisted Sleeve Gastrectomy with Standard Clamp.mp4" ] }, { "messages": [ { "content": "Once the vascular bundle to the targeted gut segment is put on stretch, at what moment does vessel sealing actually begin?", "role": "user" }, { "content": "When the draining vein at the base is clipped and divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "At what precise moment does the scene change from working on both sides and the front to operating behind the passage?", "role": "user" }, { "content": "When the instruments pass fully behind and they confirm being all the way around the back.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/RefluxUK LINX Implantation with Hiatus Hernia Repair.mp4" ] }, { "messages": [ { "content": "In the sequence showing instrument introductions, which appears on-screen first: the tiny side-entry needle or the arched-looking manipulator?", "role": "user" }, { "content": "The tiny side-entry needle appears first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/外科医の私が受けたい最新の胆石症手術とは　手術映像あり.mp4" ] }, { "messages": [ { "content": "Which is managed first in the clip: the deeper deforming lesion or the superficial external one?", "role": "user" }, { "content": "The deeper deforming lesion is addressed first, followed by the superficial external one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoskopická myomektomie.mp4" ] }, { "messages": [ { "content": "At what moment does the passage between the upper and lower working planes fully connect to form a through-route?", "role": "user" }, { "content": "When the C-loop is pressed down during the inframesocolic work and the previously created opening from above is reached, the two planes connect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Roux en Y HJ.mp4" ] }, { "messages": [ { "content": "Which action comes first: splitting the thin sheet tethering the tube’s front to the upper part of the lower organ, or clearing the fatty cap to fully reveal the inlet?", "role": "user" }, { "content": "They divide the thin sheet first, then clear the fatty cap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller’s esophagomyotomy： treatment of achalasia in a patient with situs inversus.mp4" ] }, { "messages": [ { "content": "After medication is given to relax the downstream outlet, when does the team begin advancing the flexible tube to drive the blockage across into the bowel?", "role": "user" }, { "content": "Right after pharmacologic relaxation, they advance a 12–14 Nélaton catheter and push the stone into the duodenum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/SAGES⧸ALACE Symposium： Common Bile duct Exploration options when you don�t have everything.mp4" ] }, { "messages": [ { "content": "Which kind of device is used on the lower intestinal segment to seal and cut it, and what exact action does it perform?", "role": "user" }, { "content": "A stapling-and-cutting device is applied twice to seal and divide the segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection for Diverticulitis.mp4" ] }, { "messages": [ { "content": "Which happens first: coupling the collection bag to its mount, or sealing the outlet at the bottom?", "role": "user" }, { "content": "The bag is coupled first; the outlet is sealed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/How to change your Stoma Bag with the 2-Piece Pouching System？.mp4" ] }, { "messages": [ { "content": "When does the side-to-side joining actually start after the device is introduced from a low central access point?", "role": "user" }, { "content": "It starts immediately after the device is placed through the low central access point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "Which action happens first: marking the planned cut path with an imaging probe, or beginning the liver parenchymal division?", "role": "user" }, { "content": "Marking the cut path with imaging occurs before starting the parenchymal division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic partial hepatectomy with small bowel resection and aortocaval lymphadenectomy NET.mp4" ] }, { "messages": [ { "content": "When does an unusually elongated loop first become visually obvious, and in what region of the field does it appear?", "role": "user" }, { "content": "Early in the laparoscopic view, with the left side elevated, the elongated loop appears in the left pelvic-abdominal field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Frykman-Goldberg for Internal Rectal Prolapse and Chronic Constipation.mp4" ] }, { "messages": [ { "content": "After the sealed pouch is opened inside, when does removal of that pouch through the larger access channel actually begin—right away, or only after the contents are taken out?", "role": "user" }, { "content": "Only after the contents are removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Pure Transvaginal Laparoscopic Umbilical Hernia Repair.mp4" ] }, { "messages": [ { "content": "Considering the final two steps, which occurs first: the drop of the loop’s end‑stop or the entry of the inflating device into view?", "role": "user" }, { "content": "The loop’s end‑stop is dropped first, followed by the inflating device entering the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Gastric Bypass Revision with Endoscopic Suturing.mp4" ] }, { "messages": [ { "content": "After a thin tube is placed to clear the view as a cue, when does the stitching between the chest-wall conduit and the heart vessel actually start?", "role": "user" }, { "content": "It starts immediately after the thin tube is placed, when the sewing of the connection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Off-Pump Single Vessel Coronary Artery Bypass (Mahesh Ramchandani, MD, M. Mujeeb Zubair, MD).mp4" ] }, { "messages": [ { "content": "When and where does the need to remove and reconstruct a major venous segment first become visibly apparent?", "role": "user" }, { "content": "It first becomes apparent when they begin dividing the vein distal to the mass, followed by stay sutures and complete transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/＂Artery First＂ Approach at a Pancreatic Head Resection.mp4" ] }, { "messages": [ { "content": "During closure of the side to side intestinal join, which comes first: the long continuous sewing along both edges or the later placement of separate reinforcing stitches?", "role": "user" }, { "content": "The continuous running closure is done first, followed by separate reinforcing stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Isolated Mid-Bile Duct Cholangiocarcinoma Resection with Roux-en-Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "At what point does the workflow shift from removal to a pause awaiting an on-the-spot laboratory decision?", "role": "user" }, { "content": "Right after the excised material is sent for frozen analysis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer.mp4" ] }, { "messages": [ { "content": "Which happens earlier: clipping the feeding artery in the gap between two major conduits, or pinching the left-side crossing vein?", "role": "user" }, { "content": "Clipping the feeding artery occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Approach to Right Radical Nephrectomy with Level II IVC Thrombectomy.mp4" ] }, { "messages": [ { "content": "Exactly when does the scene shift from placing the components into the two segments to linking them together?", "role": "user" }, { "content": "The transition occurs at the moment the device is connected to the inserted headpiece.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of gastrojejunostomy stricture after roux en y gastric bypass.mp4" ] }, { "messages": [ { "content": "When and where does a distinctive coloration first become visible in the field?", "role": "user" }, { "content": "Early in the operation, along the main arterial course, nodes first appear blue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic High Anterior Resection with pre-aortic lymph node dissection - Suhail Anwar.mp4" ] }, { "messages": [ { "content": "What powered endoscopic instrument works on the inner mass, and how does it remove it?", "role": "user" }, { "content": "A bipolar resectoscope acts on the intraluminal mass, removing it with repeated backward cuts and occasional forward scoops at the base to take out large fragments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic myomectomy- bipolar TCRM.mp4" ] }, { "messages": [ { "content": "Between sealing the posterior seam of the reservoir and folding the mid segment inward to form a one-way channel, which action happens first?", "role": "user" }, { "content": "Sealing the posterior seam happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Continent Ileostomy Formation- How To Make a ＂Kock's Pouch＂.mp4" ] }, { "messages": [ { "content": "Which instrument is used to transect the narrow tube from the small bowel, and what action does it perform on that structure?", "role": "user" }, { "content": "A linear stapling device is used to cut across the terminal ileum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy – A Stepwise Approach for the Trainee.mp4" ] }, { "messages": [ { "content": "In this sequence, which happens earlier: finishing the all-around free-up or starting to raise the target out of the cavity?", "role": "user" }, { "content": "Finishing the all-around free-up occurs first, followed by raising the target out of the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/APR technique & perineal wounds.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from fully seating the connector inside the tube to orienting the tube so the central rod can exit at the free side?", "role": "user" }, { "content": "The transition occurs right after the device is fully telescoped inside, when the assistant holds the tube at a right angle for the rod’s exit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details# Gastro-jejunal anastomosis The Circular Anastamotic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Near the end, which occurs first: removing the viewer or letting the gas escape from the cavity?", "role": "user" }, { "content": "The viewer is removed before the cavity is vented.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Minimal-invasive Operation eines Leistenbruchs in TAPP-Technik.mp4" ] }, { "messages": [ { "content": "Based on the sequence shown, when is the small–large junction drawn downward to initiate spreading of the supportive membrane?", "role": "user" }, { "content": "Right at the start of the widening phase—first they pull the junction downward, then begin dividing the anterior layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in adult.mp4" ] }, { "messages": [ { "content": "Which happens first: the internal camera is used to verify the small stomach chamber’s size, or the vertical division of that chamber is finished?", "role": "user" }, { "content": "The internal camera verification occurs before the vertical division is finished.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Roux-en-Y Gastric Bypass (RYGB) Revision for Gastrogastric Fistula.mp4" ] }, { "messages": [ { "content": "Which device uses a vacuum-assisted fluid wand to act on the flimsy overlying layer, and what task does it perform?", "role": "user" }, { "content": "A vacuum-assisted fluid wand is used to gently peel and clear the flimsy overlying layer while controlling and washing the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy explained.mp4" ] }, { "messages": [ { "content": "Which instruments act on which layer to create the longitudinal opening along the lower tube?", "role": "user" }, { "content": "Two opposing blunt graspers act on the outer muscular layer to split and divide it lengthwise.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy and Diverticulectomy for Distal Diffuse Esophageal Spasm.mp4" ] }, { "messages": [ { "content": "After the urine reservoir is visibly distended to outline its edges, when do the stitches start on the front support sheet?", "role": "user" }, { "content": "Suturing begins right after the bladder is filled to outline its edges.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Rectopexy.mp4" ] }, { "messages": [ { "content": "Which curved lifting device is used to elevate the left-sided organ away from the stomach, and what does it do?", "role": "user" }, { "content": "A Nathanson liver retractor lifts the left lateral segment of the liver off the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/THE MOUNT SINAI SURGICAL FILM ATLAS Laparoscopic Roux en Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "During the reversal, when does the new connection begin—what visual cue marks its start?", "role": "user" }, { "content": "It begins right after the large opening is created, when the running suture is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Revision of Gastrojejunostomy leading to a Reversal of Gastric Bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from working on the side attachments to addressing the top opening of the passage?", "role": "user" }, { "content": "When both side attachments are fully detached and the team begins securing the two top corners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy： Clamping, cutting, and ligating the cardinal ligaments and vagina angl.mp4" ] }, { "messages": [ { "content": "Which tool acts on which structure to establish the extraction pathway before the specimen is removed?", "role": "user" }, { "content": "Forceps expose and a blade incises the posterior vault to open the route, then a retrieval bag is used through that opening to remove the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/全腹腔镜下根治性右半结肠切除术.mp4" ] }, { "messages": [ { "content": "Given a pre-positioned loop around the vessel that is visible but left loose, when does the tightening action actually start relative to the tube’s introduction?", "role": "user" }, { "content": "Tightening starts immediately after the tube is inserted to secure it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/V083 ROBOTIC-ASSISTED PLACEMENT.mp4" ] }, { "messages": [ { "content": "Which implement acts on the cut surface to achieve blood control, and what is the action performed?", "role": "user" }, { "content": "A heat-based device is applied to the resection bed to cauterize and control bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Core Videos (2019)： Partial Nephrectomy for Multifocal Unilateral Wilms Tumor.mp4" ] }, { "messages": [ { "content": "What device is used on the organ’s surface to map out the intended cut line?", "role": "user" }, { "content": "An ultrasound probe is applied to the kidney surface to delineate the resection plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/RAPN For cystic Tumour EAU16.mp4" ] }, { "messages": [ { "content": "Given the cue that a major vessel becomes exposed right after the tube is cut, when does the corrective mapping dissection start—before or after this exposure?", "role": "user" }, { "content": "The corrective dissection starts after the vessel is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Avoid mistakes in Laparoscopic Cholecystectomy narrated.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from inflow control with a tightened band to color-guided surface cutting along the boundary?", "role": "user" }, { "content": "Right after the injection creates the boundary, the team moves from occlusion to superficial cutting along the demarcated line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "Which instruments introduce and then remove fluid from the cavity, and what specimen does that yield for evaluation?", "role": "user" }, { "content": "An irrigator and suction are used, producing peritoneal washings for evaluation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Best Practices for Performing a Risk-Reducing Bilateral Salpingo-oophorectomy.mp4" ] }, { "messages": [ { "content": "Between sweeping an imaging wand across the large upper-abdominal organ and tracing a surface guideline with an energy tip, which occurs first?", "role": "user" }, { "content": "Sweeping the imaging probe occurs first, followed by tracing the surface guideline.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Cancer： Robotic Hepatectomy Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "Which instrument is used to split an intestinal loop into two channels, and what action does it perform on that tissue?", "role": "user" }, { "content": "A cartridge-driven endoscopic cutter is used to divide the intestine, creating two separate limbs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Lap Resection Of A Gastric Gist After Previous Partial Gastrectomy And Billroth II Reconstruction.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure move from clearing nodal tissue to controlling the key arterial supply?", "role": "user" }, { "content": "Right after the nodal clearance and sampling, when they proceed to dissect and tie the main vascular pedicles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/卫生部医学视听教材—消化外科—XHW008 全胃切除术.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from routing the loop through the abdominal curtain to starting the fine needle work on the new join?", "role": "user" }, { "content": "Right after making the window and routing the loop, the transition occurs as suturing of the new connection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Isolated Mid-Bile Duct Cholangiocarcinoma Resection with Roux-en-Y Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "When the team reaches the most stretched point of the protruding tube, at what moment do they actually start cutting the inner lining?", "role": "user" }, { "content": "Cutting starts right after they reach the tip where tension is highest.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme’s Procedure for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "Which occurs first: confirming that the rerouted channel is long enough to avoid redoing the downstream join, or creating the new connection between the upper chamber and the small intestine?", "role": "user" }, { "content": "They confirm adequate length first, then create the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/REVISIONAL RYGB# REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the low pelvic tube, and what action does it perform on that structure?", "role": "user" }, { "content": "A stapling device transects the rectum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic High Anterior Resection En-bloc Partial Cystectomy For Locally Advanced Sigmoid Cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from positioning the bowel toward the small chamber to actually creating the new passage between them?", "role": "user" }, { "content": "The transition occurs when the device is engaged to create the passage right after the bowel is positioned at the small chamber.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/عملية تحويل المسار الكلاسيكي مع شرح صوتي للخطوات - الدكتور حمزة الحلواني.mp4" ] }, { "messages": [ { "content": "During the freeing maneuver in the right upper quadrant, which instrument acts on which structure to achieve what effect?", "role": "user" }, { "content": "A grasper retracts the large-caliber tube while lifting the adjacent curved segment, enabling blunt division of fibrous bridges to free and straighten the curved segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd’s procedure for malrotation # Minimally invasive # Dr Khaled Salah.mp4" ] }, { "messages": [ { "content": "Between opening the midline posterior layer and mobilizing the paired posterior glands and their tubes, which happens first?", "role": "user" }, { "content": "Opening the midline posterior layer happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/#168 Surgical Techniques to Improve Erectile Function Following Robotic Cystoprostatectomy Dr. A. Ta.mp4" ] }, { "messages": [ { "content": "After the flexible camera tip curls back on itself inside the stomach, when does the seal integrity check actually begin?", "role": "user" }, { "content": "It starts right after completing the two-layer repair, as the camera retroflexes to inspect the closure line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Cardia Mass.mp4" ] }, { "messages": [ { "content": "When does the closure of the opening in the joined bowel segments actually begin, relative to the firing of the joining device?", "role": "user" }, { "content": "Closure begins immediately after the firing, with a running suture to seal it air‑tight.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Radical Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "Once tenting makes a central blood‑supply bundle stand out, when does the cutting around it begin?", "role": "user" }, { "content": "Immediately afterward—once it’s prominent, they incise above and below it to enter the areolar plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Once the mass is detached, does removal begin by bagging it intra-abdominally, or by first creating a low transverse suprapubic incision?", "role": "user" }, { "content": "Extraction begins by first making a low transverse incision rather than bagging.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/PURE LAPAROSCOPIC LEFT LATERAL SECTIONECTOMY FOR GIANT HEMANGIOMA OF LEFT LATERAL SEGMENT OF LIVER.mp4" ] }, { "messages": [ { "content": "Which jetting device is used to wash away soft tissue around a delicate vessel, and what action is performed once a tunnel is created?", "role": "user" }, { "content": "A pressurized-fluid jet is used to clear tissue around the vessel, then the vessel is ligated after a tunnel is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver-Video guide Technique of right and left hepatectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: running a check for fluid tightness of the new join or sealing the access points?", "role": "user" }, { "content": "The fluid-tightness check occurs before sealing the access points.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Klinik für Urologie am KSW bietet als erste Klinik der Schweiz roboterassistierte Blasen-Ersatz-OP.mp4" ] }, { "messages": [ { "content": "Which occurs first: aligning a visible length marker on the cartridge with both lumens, or beginning the corner stitch of the seam?", "role": "user" }, { "content": "Alignment to the marker occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devils in the Details-Linear stapled gastro jejunostomy.mp4" ] }, { "messages": [ { "content": "Between sealing the inflow channel to the right-sided intestinal segment and securing its paired outflow channel, which action occurs first in this clip?", "role": "user" }, { "content": "The inflow channel is sealed first, followed by the outflow channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Hybrid robotic and laparoscopic hand-assisted proctocolectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "At what moment does the team visibly switch from working behind the target organ to working in front of it?", "role": "user" }, { "content": "The transition occurs when they state they are turning to the front, immediately after the backside dissection and nerve protection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic TME - PG： MIS Colorectal Surgery.mp4" ] }, { "messages": [ { "content": "After a metal head is attached to the end of the intestinal segment through the extraction site, when does the reconnection actually begin?", "role": "user" }, { "content": "It begins once the round stapling device is engaged after the metal head is secured.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/LAPAROSCOPIC POSTERIOR RESECTION RECTOPEXY： MODIFIED WITH OBLITERATION OF POUCH OF DOUGLAS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from placing a bite to applying tension on the strand?", "role": "user" }, { "content": "It occurs when the needle-holder is switched and the operator begins pulling to stretch the strand.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/TAPPの腹膜縫合：内視鏡外科技術認定対策.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from sealing the cut edges to closing the gap between body compartments?", "role": "user" }, { "content": "Right after the glue is applied to the cut line, when stitches begin to draw the edges of the opening together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Heller Myotomy W Esophageal Diverticulectomy for Achalasia.mp4" ] }, { "messages": [ { "content": "Which tool tamps down a small bleeder in the connective layer, and on what target is it applied?", "role": "user" }, { "content": "The energized tip uses brief coagulation taps on the adjacent wall tissue to control the small vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Клинический Случай. Лапароскопическая холецистэктомия с нюансами..mp4" ] }, { "messages": [ { "content": "As the camera reaches the curved bony landmark at the back of the pelvis, when does the sidewall approach actually begin?", "role": "user" }, { "content": "It begins only after the angulation of the posterior pelvic bone is reached.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Nervenschonende offene tiefe anteriore Rektumresektion bei Rektumkarzinom.mp4" ] }, { "messages": [ { "content": "When do knobbly nodules beneath the grasper first become apparent, and where are they seen relative to the clamp?", "role": "user" }, { "content": "Early in the procedure, a cluster of enlarged nodes becomes visible just beneath the grasper tip.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from mobilizing the neck organ to actually detaching it from surrounding structures?", "role": "user" }, { "content": "The transition occurs at the start of the fourth step, when they enter the small upper-notch space and begin detaching the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/esophagectomy/腋窝径路后入路全腔镜甲状腺切除术.mp4" ] }, { "messages": [ { "content": "At what exact moment does the dissection change from advancing in one direction to working bilaterally around the tube?", "role": "user" }, { "content": "As soon as they reach the intended distal level, they switch to bilateral dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌根治术 (4).mp4" ] }, { "messages": [ { "content": "What device is used to transect the distal urinary drainage tube from the organ?", "role": "user" }, { "content": "An endoscopic stapler is used to divide the distal ureter.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Then and Now： Lessons Learned From 400 Laparoscopic Donor Nephrectomies.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: placing a reinforcement stitch at the narrow section of the central organ, or performing the final coverage over the implant?", "role": "user" }, { "content": "The reinforcement stitch at the narrow section is placed first; the final coverage is done at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/5th Symposium 2018 – Dr Perrouin Verbe – Management of urogenital prolapse based on 2016 guidelines.mp4" ] }, { "messages": [ { "content": "When and where does the unusual closeness of a large arterial branch to the organ’s neck first become visibly apparent?", "role": "user" }, { "content": "Early in the initial survey, when the camera shows an arterial branch lying unusually close to the organ’s neck.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Subtotal Cholecystectomy – Tips and Tricks.mp4" ] }, { "messages": [ { "content": "Which occurs first: recognizing the right-side tubular structure tracing along the lateral wall, or making the first cut into the thin lining?", "role": "user" }, { "content": "Recognition of the tubular structure comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy Vignette： Sacral Dissection & Fixation of biologic graft.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the upstream bowel segment to accomplish its division?", "role": "user" }, { "content": "A linear stapler divides the proximal (upstream) bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Transrectal Natural Orifice Specimen Extraction after Sigmoidectomy with D2 Lymph Node Dissection.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from widening the narrowed segment to beginning the re-approximation that inverts the edges?", "role": "user" }, { "content": "The transition occurs when the first continuous serosal bites are taken to fold the edges inward with the running suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Lap Pyloroplasty for Gastroparesis - Severely Thickened Pylorus.mp4" ] }, { "messages": [ { "content": "Once a curved right-side mark is made on the pelvic membrane, when is the forward separation between the two organs actually initiated?", "role": "user" }, { "content": "It begins as they tack that curved segment and start dividing the plane in front.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Ventral Mesh rectopexy for recurrent rectal prolapse KSELS 2021 video.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: transection of the first intestinal segment just beyond the stomach, or firing the ring-based device to create the upper connection?", "role": "user" }, { "content": "Transection of the segment just beyond the stomach occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer# Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "Which device compresses the lining of the confined chamber to tamp the tissue surface?", "role": "user" }, { "content": "A compaction device (壓實機) presses the small cavity wall to perform tissue compression.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrojejunostomy/肝脓肿ERCP置管后，ERCP胆管取石术（含讲解）.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from safeguarding key neural strands to focusing on the nearby slender tube that courses downward?", "role": "user" }, { "content": "Right after securing the neural strands, the focus immediately shifts to the nearby tubular structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/21 Steps of Robotic Low Anterior Resection with Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Once a small inner opening comes into view during scope navigation, at what moment does the advance into the narrow channel actually begin?", "role": "user" }, { "content": "It begins as the instrument passes through the visible orifice and enters the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Inside Hepatitis： Causes, Treatment & a Rare Look at Liver Surgery ⧸ 肝炎：原因、治疗方案和肝脏手术的全过程.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the wall of the tube to start the side-opening, and what does it do?", "role": "user" }, { "content": "An electric knife cuts through the full wall to create the initial opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrectomy/腹腔镜全胃切除术 第九步 空肠脚的制作.mp4" ] }, { "messages": [ { "content": "During the first look inside, when does a structural irregularity first become visibly apparent, and on which half of the lower abdomen is it noted?", "role": "user" }, { "content": "It’s identified during the initial inspection, on the patient’s right side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Minimal-invasive Operation eines Leistenbruchs in TAPP-Technik.mp4" ] }, { "messages": [ { "content": "Which instrument working from inside the lumen is used to breach all layers of the bowel wall, and what structure is it acting on?", "role": "user" }, { "content": "The internal knife acts on the intestinal wall, cutting through the lining, sublining, and muscle to perforate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Full-thickness resection of colonic metastasis using endo- laparoscopic approach - a video vignette.mp4" ] }, { "messages": [ { "content": "Between releasing the bulging pouch from its attachments and starting to draw the gap’s edges together, which happens first?", "role": "user" }, { "content": "Releasing the pouch from its attachments happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Umbilical Hernia repair.mp4" ] }, { "messages": [ { "content": "When and where does the growth on the lower right bowel first become clearly visible on screen?", "role": "user" }, { "content": "During lateral mobilization of the right-side bowel, where it’s adherent to the abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/May 2021 ｜ 20-1225 ｜ Didactic Video Collection ｜ Laparoscopic Right Hemicolectomy ｜.mp4" ] }, { "messages": [ { "content": "Which instrument is used to cut through the organ’s substance, and what specific action does it perform?", "role": "user" }, { "content": "An ultrasonic cutter (harmonic) is used to transect the liver parenchyma.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder.mp4" ] }, { "messages": [ { "content": "After a rectangular implant is passed through the central entry, when does the fixation to the front surface of the target organ actually begin?", "role": "user" }, { "content": "Fixation begins immediately after the implant is introduced, when interrupted stitches are placed on the anterior wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Ventral Mesh Rectopexy with Biologic Mesh ｜ Case Review ｜ ASCRS 2019 Best Video.mp4" ] }, { "messages": [ { "content": "After the right-sided sheet is lifted toward the midline, when do they actually begin clearing the deep back plane?", "role": "user" }, { "content": "Right after the lift, as they initiate combined blunt–sharp dissection to open the back plane from caudal to cephalad.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy with a cephalic caudal medial approach for right sided colon cancer.mp4" ] }, { "messages": [ { "content": "Between securing the left-side corner stitch and the right-side corner stitch of the join, which one is tied first?", "role": "user" }, { "content": "The left-side corner is tied before the right-side corner.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy： Dr Atul Mishra, Ludhiana.mp4" ] }, { "messages": [ { "content": "At what moment does the clip transition from vessel control to freeing the organ off the underlying bed occur?", "role": "user" }, { "content": "Immediately after the large branch vessel is clipped and divided, they start freeing the organ off its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/A I Guided cholecystectomy ｜ AI in laparascopy ｜ ICG guided laparoscopic cholecystectomy ｜ Lap chole.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the sidewall connective tissue next to the uterus to both secure and divide it, and for what purpose?", "role": "user" }, { "content": "A reusable energy-sealing clamp grips the lateral connective tissue to close vessels and then divide it for bloodless release.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 2.mp4" ] }, { "messages": [ { "content": "After the mass is freed, at what moment does the sequence shift from removal to reconstruction?", "role": "user" }, { "content": "It shifts when stitching begins to approximate the edges of the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myome der Gebärmutter： Diagnose und individuelle Therapie.mp4" ] }, { "messages": [ { "content": "When do extensive liquid pools across multiple regions first become visible, and where?", "role": "user" }, { "content": "Immediately after rupture, across multiple abdominal quadrants filling the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Salpingo oophorectomy for Huge Ovarian Cyst by Dr. R.K. Mishra.mp4" ] }, { "messages": [ { "content": "Which device acts on which specific tissues to accomplish the sequential control of the two companion vessels feeding the right-sided segment?", "role": "user" }, { "content": "An energy device is used on the pedicle to separately seal and divide the artery and the vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right colon cancer： Medial to lateral.mp4" ] }, { "messages": [ { "content": "At what moment does the procedure move from securing the panel to anchoring the stomach to the right-side pillar?", "role": "user" }, { "content": "Right after the panel fixation is completed with multiple side sutures, the team transitions to anchoring the stomach to the right crura with two stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Large Hiatus Hernia.mp4" ] }, { "messages": [ { "content": "Which tool acts on the small arterial branches along the side of the pelvis, and what is done to them?", "role": "user" }, { "content": "A clip applier secures the small anterior pelvic arterial branches, which are then divided by dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultralow anterior resection, enbloc hysterectomy and unilateral ureterectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow move from completing the back‑side stitches to verification and then proceed to the front‑side stitches?", "role": "user" }, { "content": "Right after finishing the posterior stitches, the tube is passed to confirm the join, then anterior suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/prostatectomy/叶定伟：腹腔镜下前列腺根治性切除术（含讲解）.mp4" ] }, { "messages": [ { "content": "When the operator approaches the defect using a hooded-tip scope and a two-pronged grasper, at what moment does the actual closure begin?", "role": "user" }, { "content": "Closure starts when the edges are drawn into the hooded tip and the metal clasp is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/PER-ORAL ENDOSCOPIC MYOTOMY FOR REFRACTORY DYSPHAGIA AFTER HELLER MYOTOMY.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected cross‑traffic of a small tube first become visibly apparent?", "role": "user" }, { "content": "While lifting the lower part and tracing the big central vein upward, an aberrant crossing vessel first appears along its course.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Hand Assisted Radical Nephrectomy.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal tethering of the nearby bowel first become clearly visible?", "role": "user" }, { "content": "Right at the beginning, the bowel is seen densely stuck across the entire front of the enlarged organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic left Nephrectomy ｜ Non functional kidney ｜ Chronic PUJ Obstruction ｜ Dr Keyur Bhatt.mp4" ] }, { "messages": [ { "content": "When working from two directions, which occurs first: initiating the approach from the underside or reaching the point where both trajectories meet?", "role": "user" }, { "content": "Initiating the underside approach happens first; the meeting of the two trajectories occurs afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic TME.mp4" ] }, { "messages": [ { "content": "Between instituting blood-flow control and beginning removal of the outer shell of the organ, which occurs first in this clip?", "role": "user" }, { "content": "Blood-flow control occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy for Completely Intra-Renal Tumor： Dr. N. Ragavan.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from the initial central deep dissection to the next phase where the bowel is relocated to the opposite side?", "role": "user" }, { "content": "Right after the dorsal structures are displayed, the bowel is moved to the opposite quadrant, marking the transition.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Extended right hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "In the alternative method that uses tiny locking pieces on a thread to create side‑to‑side pull, which portion of the target is engaged, and what maneuver does this enable?", "role": "user" }, { "content": "It engages Hartmann’s pouch, and the clips on the thread enable medial and lateral traction—marionette-style—to retract the gallbladder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Single Incision Lap Chole： Retractable, Operative Strategives, and Safety.mp4" ] }, { "messages": [ { "content": "After completing the loop-to-loop union using a curved configuration, when does the team initiate the cut that creates the Y-shaped arrangement?", "role": "user" }, { "content": "Right after the loop-to-loop anastomosis is completed, they begin the division to form the Y.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/gastro jejunal anastomosis in Gastric bypass - Technique 1.mp4" ] }, { "messages": [ { "content": "Which energy device is used to transect the small vessel encountered during the tissue split, and what structure is being divided?", "role": "user" }, { "content": "A bipolar device divides a branch of the right hepatic vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic hepatectomy partial seg 8.mp4" ] }, { "messages": [ { "content": "When does the procedure transition from perfusion mapping to dissecting along the vascular border within the liver?", "role": "user" }, { "content": "Right after the contrast boundary is established, dissection continues until the venous border is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Difficulty score in laparoscopic liver resection.mp4" ] }, { "messages": [ { "content": "Which comes first: tightening stitches into the pelvic floor muscles or dividing the downstream bowel segment?", "role": "user" }, { "content": "Stitching the pelvic floor muscles occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Perineal approach for complete rectal prolapse： Delorme and Altemeier.mp4" ] }, { "messages": [ { "content": "When does the operation transition from excision work to rebuilding the passage?", "role": "user" }, { "content": "Right after the specimen is removed through the lower abdominal incision, reconstruction begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic subtotal gastrectomy with D2 lymph node dissection for gastric cancer - Step by step.mp4" ] }, { "messages": [ { "content": "After repeated sizing and setup for joining the channel to the loop, when does the actual stitching of the join begin?", "role": "user" }, { "content": "It begins when the duct end is brought to the intestinal loop and suturing is initiated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD011 肝外胆管癌的手术治疗.mp4" ] }, { "messages": [ { "content": "Given that small occluders are set on selected inflow branches, when does the actual separation of the growth begin?", "role": "user" }, { "content": "Right after the selective occlusion is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/AUA 2016 - Robotic partial nephrectomy hilar tumor - Pr Bernhard CHU BX.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from drawing bowel through a clear sleeve to taking that sleeve out?", "role": "user" }, { "content": "The transition occurs when they cut the inner band of the device to remove it after the pull-through is complete.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/The Impossible Stoma： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "During the sequence of stitching the cut tube closed, when does notable bleeding become visible?", "role": "user" }, { "content": "It becomes apparent mid-way through the continuous suturing sequence, when bleeding is remarked upon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pre laparoscopic right hepatectomy with tumor thrombectomy.mp4" ] }, { "messages": [ { "content": "When does upward traction on the reservoir begin relative to the prior division along the sidewall?", "role": "user" }, { "content": "Traction begins immediately after the sidewall structure is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Robotic Assisted Radical Cystoprostatectomy： Dr. T. B. Yuvaraja.mp4" ] }, { "messages": [ { "content": "What energy device is used to take down the upper-abdominal apron attachments to expose the mid-portion of the large intestine?", "role": "user" }, { "content": "Heated scissors are used to divide those attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Right Colectomy For Cancer.mp4" ] }, { "messages": [ { "content": "Which device divides the initial segment of small bowel, and how is that loop subsequently brought up for the duct-to-bowel connection?", "role": "user" }, { "content": "An Endo-GIA stapler divides the jejunum, and the loop is brought up through the mesocolon for the hepaticojejunostomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robot-Assisted Hepatectomy & Complete Excision of the Extrahepatic Bile Duct.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a grasper passing behind the tube and seizing the upper stomach, when does the wrapping maneuver actually begin?", "role": "user" }, { "content": "It starts once the upper stomach is delivered behind the tube after the posterior pass of the grasper.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophagomyotomy.mp4" ] }, { "messages": [ { "content": "Which light-based device is used to stop minor bleeding on the raw surface after the organ is freed, and on what tissue does it act?", "role": "user" }, { "content": "A light-based energy device (laser) is used in non-contact mode to coagulate the liver surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/腹腔鏡膽囊切除術.mp4" ] }, { "messages": [ { "content": "At what precise moment does the workflow shift from internal dissection to extraction through the access site?", "role": "user" }, { "content": "Right after confirming a clear field and cutting the final attachment, they proceed to extraction via the access site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Dr R K Mishra Explaining Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a clear corridor around a major arterial boundary, when does the irreversible phase of the operation actually start?", "role": "user" }, { "content": "Right after confirming there’s no arterial involvement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparascopic pancreaduodenectomy using artery first approach.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the membranous fold attached to the bowel to carry out its division?", "role": "user" }, { "content": "A bipolar energy device (Ligasure Impact) is used to divide the mesentery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Altemeier procedure： A Step By Step Video Vignette for trainees.mp4" ] }, { "messages": [ { "content": "Between securing the left-side main vessel near the uterine neck and beginning the circular incision around the top of the vaginal canal, which occurs first?", "role": "user" }, { "content": "Securing the vessel on the left occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "Between fixing the front of the new chamber to the anterior wall to prevent collapse and placing an additional drain from above, which is performed first?", "role": "user" }, { "content": "Fixation is performed first, then the suprapubic catheter is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Radical Cystectomy And Orthotopic Bladder Replacement In Female Patients.mp4" ] }, { "messages": [ { "content": "Which comes first: drying the raw surface with a fan-shaped energy plume, or bagging the removed pieces?", "role": "user" }, { "content": "Drying the surface happens before bagging the specimens.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Partial Hepatectomy for Benign Liver Tumor Without Vascular Clamping.mp4" ] }, { "messages": [ { "content": "As the camera surveys the main bile channel after energy has been used, when and where does a conspicuous gap first become obvious?", "role": "user" }, { "content": "It becomes apparent during the post-energy inspection along the main duct, where a long segment is visibly absent.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Medico-legal consequences of bile duct injuries.mp4" ] }, { "messages": [ { "content": "Which occurs first: tightening the corner stitches to center the patch, or applying circular fasteners around it?", "role": "user" }, { "content": "Corner stitches are tightened first, followed by circular fastener application.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Repair of Umbilical Hernia HD Video.mp4" ] }, { "messages": [ { "content": "Which device deploys color‑coded loads to build the two side‑by‑side joins, and what structures does each one act upon?", "role": "user" }, { "content": "A linear stapler is used; a blue load constructs the esophagus–jejunal side‑to‑side, and white loads build and close the jejuno–jejunal side‑to‑side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Distal Esophagectomy, Proximal Gastrectomy With Roux-En-Y Reconstruction For ....mp4" ] }, { "messages": [ { "content": "Which instrument is used on the small urinary tube to free it from the adherent lesion near the front of the rectal unit, and what is accomplished?", "role": "user" }, { "content": "Sharp dissection with clips and an energy device is used on the distal ureter to separate it from the adherent deposit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/A Novel Technique for lap abdomino-perineal resection in case of locally advanced low rectal cancers.mp4" ] }, { "messages": [ { "content": "After the camera is deliberately tilted downward, when does the final detachment begin?", "role": "user" }, { "content": "It starts immediately after the downward tilt of the view and removal of the fourth tool.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Dr R K Mishra Explaining Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: freeing the segment just beyond the outlet of the upper pouch, or measuring and bringing up the distant small-bowel loop for the new connection?", "role": "user" }, { "content": "They free and divide the proximal segment first, then measure and bring up the downstream loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Roux en Y Gastric bypass to SADI S for weight regain.mp4" ] }, { "messages": [ { "content": "After a protective pad is set against the sidewall, when does the side-approach dissection actually begin?", "role": "user" }, { "content": "It begins immediately after the pad is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy - Complicated Diverticulitis.mp4" ] }, { "messages": [ { "content": "Given that a small pad is visible in the upper field as a landmark, when does the subsequent lower-plane dissection actually begin?", "role": "user" }, { "content": "It begins after the lower arcade is identified and the incision line is marked, using the previously placed gauze as a guide.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Supramesocolic approach to laparoscopic CME for right colon cancer for diffuse polyposis.mp4" ] }, { "messages": [ { "content": "What action and tool are used on the pelvic region to check whether the new connection is watertight?", "role": "user" }, { "content": "They fill the pelvis with water and insufflate air through the anus to test the anastomosis seal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Nervenschonende offene tiefe anteriore Rektumresektion bei Rektumkarzinom.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: creating a tunnel behind a major vein or applying metal fasteners to an upper-area artery?", "role": "user" }, { "content": "Tunneling behind the portal vein occurs before clipping the gastroduodenal artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Technique of laparoscopic pancreaticoduodenectomy.mp4" ] }, { "messages": [ { "content": "What specific stapling cartridge is used to join the two intestinal segments, and what action is it performing?", "role": "user" }, { "content": "A 45 mm white stapler load is used to staple the bowel together, creating the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Combined laparoscopic Heller myotomy & RYGB in a morbidly obese patient with achalasia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from removing the involved portion to reconnecting the bowel segments?", "role": "user" }, { "content": "Right after the resection is declared complete, the side-to-side connection begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic radical extended right hemicolectomy with CME using an artery first approach.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected residual pouch first become visibly recognized?", "role": "user" }, { "content": "Right after the far-end cut of the duct, a cystic remnant is identified adjacent to the duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Re Hepaticoyeyunoanastomosis laparoscopica.mp4" ] }, { "messages": [ { "content": "At the conclusion of the resection, which device acts on the central pedicle-like structure to finish the division?", "role": "user" }, { "content": "A mechanical stapling device divides the main vascular-biliary bundle to complete the resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Right Hepatectomy.mp4" ] }, { "messages": [ { "content": "Between rotating the bowel segment and coupling the two halves of the joining device, which occurs first?", "role": "user" }, { "content": "The rotation happens first, then the device halves are coupled to make the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Anastomotic Techniques for Left Colectomy - Colorectal or Colo-Colic.mp4" ] }, { "messages": [ { "content": "In the sequence shown, does the broad survey of upper cavity surfaces occur before the moment when fluid is introduced and withdrawn, or after?", "role": "user" }, { "content": "The survey of upper cavity surfaces occurs before the fluid is introduced and withdrawn.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Best Practices for Performing a Risk-Reducing Bilateral Salpingo-oophorectomy.mp4" ] }, { "messages": [ { "content": "During closure of the common opening after the bowel has been joined, what handheld tool does the assistant use?", "role": "user" }, { "content": "The assistant uses scissors.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic right hemicolectomy and partial nephrectomy for synchronous malignancies.mp4" ] }, { "messages": [ { "content": "Which comes first: pressing on the constricting strand at the planned cut site to check tissue response, or surveying the remaining loops for additional issues?", "role": "user" }, { "content": "Testing the strand at the planned cut site occurs before the broader survey.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's band division for intestinal Malrotation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from completing the rear layer to starting stitches on the front layer?", "role": "user" }, { "content": "Immediately after tying the third stitch of the rear layer, the scene transitions to starting the front layer from the lateral side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Roux En Y hepaticojejunostomy #apexhospital #painlesssurgery #gallbladderproblems.mp4" ] }, { "messages": [ { "content": "Between inserting two internal supports into separate lumens and sewing the trimmed liver-drain channel to the bowel opening, which happens first?", "role": "user" }, { "content": "The internal supports are inserted first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Pylorus Preserving Pancreatico Duodenectomy (Whipple's Procedure).mp4" ] }, { "messages": [ { "content": "Which device is applied to a narrow tubular conduit before it is separated, and what is done to that conduit?", "role": "user" }, { "content": "Two clips are applied to the distal ureter, and it is then cut between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/V06-01： Nerve-Sparing Robot-Assisted Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "Which tool acts on a suspending band adjacent to the organ to enable improved mobilization, and what action is carried out?", "role": "user" }, { "content": "A cutting device (scissors) divides the suspending band to improve mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboterassistierte Nierenteilresektion bei komplexen und multifokalen Tumoren.mp4" ] }, { "messages": [ { "content": "When they begin the front-compartment separation for the second repair, which grasper replaces the prior tool, and what role does it play?", "role": "user" }, { "content": "They swap to a Maryland tip grasper, which assists in developing the plane during sharp and energy-based separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy and Sacrocolpopexy.mp4" ] }, { "messages": [ { "content": "After measuring out a fixed distance along the small bowel from a recognizable bend, when is the cut actually made?", "role": "user" }, { "content": "The division occurs precisely at the measured mark 340 cm from the bend.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/本編　胃癌に対する胃全摘術.mp4" ] }, { "messages": [ { "content": "After pairs of metal fasteners are placed on both sides of a pulsating tube near the liver, when does the cut actually begin?", "role": "user" }, { "content": "Once both pairs are in place, the cutting begins immediately afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pancreaticoduodenectomy Guide.mp4" ] }, { "messages": [ { "content": "Which happens earlier: confirming placement with real-time X‑ray, or enlarging the newly created channel using an inflatable device?", "role": "user" }, { "content": "Placement is confirmed with real-time X‑ray before the channel is enlarged by the inflatable device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/2015 October VideoGIE-Joan Gornals.mp4" ] }, { "messages": [ { "content": "When and where does the abnormality first become visibly apparent in the clip?", "role": "user" }, { "content": "Early after entry, at the junction where the tube passes through into the abdomen, a large hernia becomes apparent.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Making do with less： Our decade of experience with LESS Heller myotomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure shift from cutting/working phases to closing the entry site with fasteners?", "role": "user" }, { "content": "Right at the conclusion, when the entry site is re-approximated with clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic Per-Oral Pyloromyotomy (POP).mp4" ] }, { "messages": [ { "content": "After the gland is rotated to expose the far side, when does the left‑sided dissection actually start?", "role": "user" }, { "content": "It begins immediately after the gland is rotated into a favorable angle, following the completion on the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/张骞-三孔法腹腔镜前列腺癌根治术-19分钟.mp4" ] }, { "messages": [ { "content": "At what moment does the presentation shift from the operating phase to the postoperative follow-up segment?", "role": "user" }, { "content": "Immediately after the wound is taped and the operation is reported complete, the footage shifts to postoperative and discharge scenes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/単孔式腹腔鏡下胆嚢摘出術についてテレビで紹介されました。.mp4" ] }, { "messages": [ { "content": "When and where does the dissection plane first look unusually dense, prompting the team to discontinue that line of dissection?", "role": "user" }, { "content": "While freeing the tube between about 12 and 11 o’clock off the right pillar, the plane appears extremely thick, leading them to stop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM complications with delayed Laparoscopic Heller Myotomy.mp4" ] }, { "messages": [ { "content": "During a later follow-up, when does a concentric narrowing above the inlet first become clearly visible on camera?", "role": "user" }, { "content": "It first appears during the four-month follow-up gastroscopy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Treatment of Anastmotic Leakage After Gastric Bypass Surgery and a Later Occurring Cardia.mp4" ] }, { "messages": [ { "content": "When and where do swollen nodal clusters first become visibly apparent in the field?", "role": "user" }, { "content": "Early during the initial medial approach, near the suspensory region at the upper left, enlarged nodes become visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Extended Left Hemicolectomy With Deloyers Procedure.mp4" ] }, { "messages": [ { "content": "Which happens first at the end: returning the small intestine to its resting position or creating the temporary protective diversion at the skin?", "role": "user" }, { "content": "Returning the small intestine to its natural position happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down-To-Up Transanal Rectal Resection With TME Assisted By Single-Incision Laparoscopy.mp4" ] }, { "messages": [ { "content": "When does the scene shift from controlling a key arterial supply to lifting the mesentery off the back-wall structures?", "role": "user" }, { "content": "Right after dividing the initial arterial pedicle, when the mesocolon is lifted off the retroperitoneum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "Between elevating a segment of the upper large bowel to reveal a deeper loop and opening the thin covering layer over that loop, which happens first?", "role": "user" }, { "content": "Elevating the upper large-bowel segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Duodeno-Jejunostomy For Superior Mesenteric Artery Syndrome.mp4" ] }, { "messages": [ { "content": "After a soft marker is left in the upper field and the bowel is lifted from below, when does the deliberate dissection aimed at meeting that marker actually begin?", "role": "user" }, { "content": "It begins when the mesocolon dissection is initiated specifically to find the previously placed marker.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic transverse colectomy with ICG-guided lymphadenectomy.mp4" ] }, { "messages": [ { "content": "What auxiliary mechanism is used to park a strand out of the working field, and what is its role at that moment?", "role": "user" }, { "content": "An auxiliary robotic arm parks the strand for clearance only; it is not maintaining tension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Edited Anastamosis Robotic.mp4" ] }, { "messages": [ { "content": "After the two bowel ends are aligned side-by-side, when does the actual creation of the join begin?", "role": "user" }, { "content": "It starts when the linear cutter enters the field and is used to create the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/全腹腔镜下根治性右半结肠切除术.mp4" ] }, { "messages": [ { "content": "At what instant does the workflow move from removing the segment to bringing an end of the bowel out to the surface?", "role": "user" }, { "content": "Right after the specimen is resected, the bowel end is exteriorized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection - Laparoscopic Cancer surgery.mp4" ] }, { "messages": [ { "content": "At what precise moment does the sequence shift from working around the rectum to actually cutting it?", "role": "user" }, { "content": "The transition occurs when the stapler is applied and the rectum is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoidectomy with end-to-side colorectal anastomosis & transanal extraction.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene shift from taking out the abnormal channel to stitching the remaining opening closed?", "role": "user" }, { "content": "Right after excision with cutting tools, when the running suture is started on the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Treatment of Gastro-Colic Fistula： A Rare Complication of Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "What fastening method is applied to the two small pulsating branches before they are separated?", "role": "user" }, { "content": "Metal clips are placed proximally and distally on each branch before cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laproscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Between taking off a metallic fastener near the central ductal area and freeing the adjacent curved bowel from its attachment, which action happens first?", "role": "user" }, { "content": "Removing the metallic fastener occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Delayed Robotic Roux-en-Y Hepaticojejunostomy Repair of an Iatrogenic Type E Bile Duct Injury fr....mp4" ] }, { "messages": [ { "content": "What instrument is applied to the distal small‑bowel segment to complete its transection during removal?", "role": "user" }, { "content": "A linear cutting stapler is used to transect the terminal ileum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Two Birds with Five Trocars： Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "Between identifying critical conduits and vessels and addressing the left-side fold, which micro-action occurs first?", "role": "user" }, { "content": "Identification of the conduits and vessels occurs first, followed by division of the left-side fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic mesh rectopexy in recurrent rectal prolapse.mp4" ] }, { "messages": [ { "content": "Which tip-mounted accessory on the flexible camera engages the narrowed passage, and what effect does it produce on the passage lining as the instrument moves forward?", "role": "user" }, { "content": "A conical tip accessory on the scope engages the tight segment and, as it advances, mechanically widens it, producing visible linear tears in the lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic bougienage - The bougie cap - A new method.mp4" ] }, { "messages": [ { "content": "Which happens first: cutting through the hidden connecting channel or placing fasteners to stop the leak?", "role": "user" }, { "content": "Cutting through the channel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Extrahepatic bile duct anomalies： A case series using fluorescent cholangiography.mp4" ] }, { "messages": [ { "content": "When and where does the blockage first become visibly apparent within the operative field?", "role": "user" }, { "content": "It first appears immediately after opening the front wall of the channel, at the junction where the passage divides into two branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic Redo Hepaticojejunostomy——Biliary Strictures After Laparoscopic Pancreaticoduodenec....mp4" ] }, { "messages": [ { "content": "Between sealing and cutting the tubular structure on the surgeon’s right versus the one on the left, which side is treated first?", "role": "user" }, { "content": "The right side is treated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystoprostatectomy & Laparosopic Intracorporeal Ileal Conduit Urethrectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first: tying the second anchoring stitch or closing the opened layer over the side?", "role": "user" }, { "content": "Tying the second anchoring stitch happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Proctopexy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the membranous fatty layer beside the colon to divide it, and what supportive tool assists?", "role": "user" }, { "content": "An energized curved dissector divides the mesenteric layer, assisted by a curved grasper providing traction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Down-To-Up Transanal Rectal Resection With TME Assisted By Single-Incision Laparoscopy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from central vessel work to freeing the corner bend of the colon from above?", "role": "user" }, { "content": "The transition occurs immediately after dividing the mesocolon attachments, when cranial mobilization of the bend begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/LAPAROSCOPIC EXTENDED RIGHT HEMICOLECTOMY - COLON CANCER.mp4" ] }, { "messages": [ { "content": "Between building a smooth working layer along the inner side and sealing/cutting a small side feeder, which action takes place first in the clip?", "role": "user" }, { "content": "They first build the smooth working layer, then seal and cut the small side feeder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌本指数-NOSES2式.mp4" ] }, { "messages": [ { "content": "At what precise point does the leak-check move from filling with fluid to the white-sponge inspection?", "role": "user" }, { "content": "Right after the water test shows no leak, when the white gauze is applied for inspection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Roux-en-Y Hepaticojejunostomy for CBD Injury.mp4" ] }, { "messages": [ { "content": "Between lifting the fatty apron toward the head and cutting it near the central horizontal segment of the large bowel, which action happens first?", "role": "user" }, { "content": "The upward lift happens before the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence transition from checking for an abnormal channel to starting the entrance cut into the hollow segment?", "role": "user" }, { "content": "It occurs when probing ends and the first incision into the hollow segment begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/頑固型邊緣性潰瘍治療.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from exploring the region near the liver’s ducts to working on the intestinal limb for reconstruction?", "role": "user" }, { "content": "The transition occurs when they begin identifying the proximal segment of intestine to be divided for the reconstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/ROBOTIC BILIARY RECONSTRUCTION UTILIZING HEPP COUINAUD TECHNIQUE WITH ROUX EN Y HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the corridor beneath the lining has been fully formed, when does the division of the deeper layer actually begin?", "role": "user" }, { "content": "Immediately after the corridor is completed, the deeper layer division starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM Surgery for Treatment of Achalasia.mp4" ] }, { "messages": [ { "content": "When the scope is angled for a steeper view, at what point do the operators actually begin advancing along the intended layer rather than just exposing it?", "role": "user" }, { "content": "After switching to the angled view, once the lighter-colored layer is recognized, they begin extending it distally and laterally with blunt and sharp moves.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/#168 Surgical Techniques to Improve Erectile Function Following Robotic Cystoprostatectomy Dr. A. Ta.mp4" ] }, { "messages": [ { "content": "When does the procedure transition from specimen removal to reconstructive closure?", "role": "user" }, { "content": "Immediately after the specimen is removed, when posterior-to-anterior suturing of the canal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Radical hysterectomy for cervical cancer; radical surgical removal of the uterus.mp4" ] }, { "messages": [ { "content": "Between loosening a pelvic tether of the bowel and tilting the setup so the small intestine slides upward, which happens first?", "role": "user" }, { "content": "Loosening the tether happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Right colon cancer： Lateral to medial.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from finishing the gland join to starting the connection of the bile outflow to the bowel?", "role": "user" }, { "content": "Right after finishing the outer anterior layer of the gland anastomosis, when they begin the posterior running layer of the bile duct connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/COMPLETE ROBOTIC ASSISTED PANCREATODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "Once the stomach is visibly decompressed, when is the internal camera actually withdrawn?", "role": "user" }, { "content": "Immediately after decompression, the camera is removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Resection of Gastric Cardia Mass.mp4" ] }, { "messages": [ { "content": "Which device with a small black tip applies rapid vibrations to separate attachments from the fatty layer?", "role": "user" }, { "content": "The vibration-tip energy device acts on the fatty tissue to separate attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/「大腸がんの外科的治療について」鶴田 淳 ブルーリボンキャラバン～もっと知ってほしい大腸がんのこと2019in倉敷～川崎医科大学附属病院 市民公開講座～.mp4" ] }, { "messages": [ { "content": "When and where does the inward bulge first become visibly apparent?", "role": "user" }, { "content": "Immediately upon entering the inside of the organ, the inward protrusion is visible within the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC PARTIAL GASTRECTOMY FOR INCIDENTAL GIST TUMOR.mp4" ] }, { "messages": [ { "content": "When does the clip transition from integrity testing of the new connection to placing a fluid-diverting tube?", "role": "user" }, { "content": "Immediately after confirming no leak, the pelvic tube is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastrojejunostomy for treatment of Gastric Outlet obstruction.mp4" ] }, { "messages": [ { "content": "When do fibrous bands restricting movement first become clearly visible, and where are they located?", "role": "user" }, { "content": "Early in the case upon entering the abdomen, seen as dense adhesions between the undersurface of the liver and the adjacent stomach and omentum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Totally Laparoscopic Right Hepatic Lobectomy.mp4" ] }, { "messages": [ { "content": "After the head and body of the connecting device are engaged and tightened, at what moment does the actual cut-and-seal of the connection begin on screen?", "role": "user" }, { "content": "Right after the device is unlocked following full approximation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/卫生部医学视听教材—消化外科—XHW008 全胃切除术.mp4" ] }, { "messages": [ { "content": "Using the placement of a small marker pad as the visual cue, when does the re-approach from above actually connect to the earlier plane?", "role": "user" }, { "content": "When the marker pad becomes visible again from above during mobilization, showing both planes have met.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Extended Right Hemicolectomy (CME-CVL) & Intracorporeal Anastomosis by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "In the second device‑assisted join demonstrated, what comes first: making the openings or firing the device loaded with colored inserts?", "role": "user" }, { "content": "The openings are made first, then the device is fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/EIGHT TYPES OF LAP INTRACORPOREAL ANASTOMOSES DURING SUPRAPUBIC SINGLE-INCISION RIGHT HEMICOLECTOMY.mp4" ] }, { "messages": [ { "content": "Which powered instrument is used right next to the bowel to spread, seal, and cut the flimsy supporting tissue to form a passage, and what does it do to that tissue?", "role": "user" }, { "content": "A 5‑mm sealing device acts adjacent to the bowel, clamping, sealing, and dividing the mesenteric tissue to create the passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Pediatric Laparoscopic Sigmoidectomy For Sigmoid Volvulus.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from inside-body manipulation to outside-body handling of the tissue?", "role": "user" }, { "content": "When the conduit is exteriorized and the segment is brought out for extracorporeal preparation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拉出切除标本的腹腔镜下中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which self-anchoring thread engages the cut edge to tuck both ends inward, and what maneuver is performed?", "role": "user" }, { "content": "A knotless, self-anchoring suture is used to run along the cut edge and tuck both ends inward via a continuous invagination maneuver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/whipple_procedure/After cutting of duodenal stump of about 1–1.5 cm length using linear stapler LARS commenced from upper to lower or from lower to upper part on staple-line of duodenal stump.mp4" ] }, { "messages": [ { "content": "In the sequence, do they approximate the corner junction before bringing in the flexible support, or after?", "role": "user" }, { "content": "They approximate the corner junction before bringing in the flexible support.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Complex robotic correction for complex degenerative mitral valve.mp4" ] }, { "messages": [ { "content": "At what moment is complete detachment above the cervix declared, prompting the team to switch to cleanup and tissue fragmentation?", "role": "user" }, { "content": "As soon as they state the supracervical detachment is finished, they proceed to cleanup and fragmentation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Subtotal hysterectomy in case of very huge uterus.mp4" ] }, { "messages": [ { "content": "Between placing the ring-like part and making the separation cut along the marked boundary, which action happens earlier?", "role": "user" }, { "content": "The cut happens first, and the ring-like part is placed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Selective Stoma Use： Watch and Wait Policy to Defer Protective Stoma After Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Which device is used to construct a parallel channel between the two aligned bowel ends, and what does it act on to accomplish this?", "role": "user" }, { "content": "A stapler is used, acting on enterotomies in the terminal ileum and transverse colon to create the anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis. Dr Suhail Anwar.mp4" ] }, { "messages": [ { "content": "At what point does the scene switch from clearing tissue around a small structure near the artery to addressing the main supply structures to the lobe?", "role": "user" }, { "content": "The transition occurs immediately after completing the nodal dissection, when attention shifts to inflow control.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Extra-Glissonian Approach to Laparoscopic Left Hepatectomy.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected attachment to a venous wall first become apparent, prompting inclusion of a segment in the specimen?", "role": "user" }, { "content": "During the resection, at the lower aspect of the mesenteric vein, where the growth adheres to the venous wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple procedure.mp4" ] }, { "messages": [ { "content": "After a clamp with a sponge is inserted into a hollow passage to mark the rear apex, at what moment is the back opening actually initiated?", "role": "user" }, { "content": "It starts immediately after that placement, when the posterior fornix is opened at the level of the cervix.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Radical Cystectomy And Orthotopic Bladder Replacement In Female Patients.mp4" ] }, { "messages": [ { "content": "In the throat-pouch treatment, which part attached to the viewing device acts on the inner lining, and what enabling effect does it have for the cut?", "role": "user" }, { "content": "A transparent tip on the endoscope pushes the lining aside, enabling the muscle to be cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/What’s Next： Peroral Pyloroplasty and Beyond.mp4" ] }, { "messages": [ { "content": "Between performing a brief internal canal dissection to secure a distal edge and mounting the access device, which action occurs first?", "role": "user" }, { "content": "The brief internal dissection occurs first, followed by mounting the access device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal-Total Mesorectal Excision (Ta-TME)： Current Update.mp4" ] }, { "messages": [ { "content": "During the deep-cavity dissection, which robotic manipulator acts on a hollow organ to create working space, and what does it do?", "role": "user" }, { "content": "The third robotic arm elevates the hollow pelvic organ by pushing it upward to create working space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic left colectomy with pTME： Set-up and approaches with Si and Xi systems.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: mobilizing the right-sided bend of the colon region or returning to divide the supporting tissue near the inflamed segment?", "role": "user" }, { "content": "Mobilizing the bend occurs first, then the surgeon returns to divide the supporting tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive Surgery for Crohn's Disease at The Mount Sinai Hospital.mp4" ] }, { "messages": [ { "content": "On the right-side bottom dissection, at what exact moment does the view transition from working along the inner cylinder to entering the hollow basin above?", "role": "user" }, { "content": "When they announce being “ready in the pelvis,” immediately after the cautery run just outside the inner layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Extent of perineal dissection during abdominoperineal resection.mp4" ] }, { "messages": [ { "content": "After switching to the glow-view mode, when does the crosswise division of the upper segment actually start?", "role": "user" }, { "content": "Immediately after switching to glow-view, the crosswise division begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy with CME and ICA.mp4" ] }, { "messages": [ { "content": "After a gap is opened along the inner border of the diseased segment, when does the cutting device actually start dividing the intestine?", "role": "user" }, { "content": "It starts once they’ve dissected sufficiently distally after creating the window—at that point the device is deployed to divide the intestine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Subtotal Colectomy for Ulcerative Colitis.mp4" ] }, { "messages": [ { "content": "After the assistant below squeezes the flexible circular frame to collapse it, when does the hand inside the abdomen begin bringing that frame up into the cavity?", "role": "user" }, { "content": "Right after the collapse, when the intra-abdominal operator retrieves the loop and starts delivering the frame into the pelvis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Natural Orifice Specimen Extraction for High Anterior Resection.mp4" ] }, { "messages": [ { "content": "During the sequence where two vascular channels near the bowel are dealt with, which one is secured first—the thinner-walled channel or the thicker-walled one?", "role": "user" }, { "content": "The thinner-walled channel is secured first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Sigmoid Endometriosis – Laparoscopy NOSE Sigmoidectomy and Histerectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: careful clearing along the patient's right pelvic sidewall or deliberate creation of a thin tissue flap in front of the pelvic organs?", "role": "user" }, { "content": "The right-side clearing occurs first, followed by creation of the anterior flap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic rectopexy for recurrent rectal prolapse. Previous Altemeire.mp4" ] }, { "messages": [ { "content": "Which happens first: the energy tip divides the superficial yellow tissue, or the blade makes a small opening in the pale glistening membrane beneath?", "role": "user" }, { "content": "The energy tip divides the superficial yellow tissue first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy- Hands on Hysterectomy Work shop.mp4" ] }, { "messages": [ { "content": "What implement is pressed against the overlying structure to provide upward countertraction, and for what purpose is this done?", "role": "user" }, { "content": "A soft pad is used to lift upward, protecting the area from injury and bleeding while improving visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/ЛХЭ. ЖКБ. САМЫЙ МАЛЕНЬКИЙ ЖЕЛЧНЫЙ ПУЗЫРЬ ⧸⧸ LAPAROSCOPIC CHOLECYSTECTOMY. MINI GALLBLADDER..mp4" ] }, { "messages": [ { "content": "Once a perfused background becomes visible on the remaining surface, when does the exposure of the main right outflow vein take place?", "role": "user" }, { "content": "The right outflow vein is exposed while the perfused (green) background is visible on the remnant surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pushing the Envelope Laparoscopically.mp4" ] }, { "messages": [ { "content": "In the sequence shown, is the freeing of small vessels along the stomach’s outer edge performed before or after the initial split of the muscular tube at the junction?", "role": "user" }, { "content": "It happens before; the small vessels are detached prior to the initial muscle split.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Achalasia cardia #Laparoscopic Heller's with Dor's Fundoplication.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from releasing suspensory bands to working around the left-side inflow bundles?", "role": "user" }, { "content": "Right after completing the suspensory release, when the team begins isolating the main left inflow bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Anatomical Combined Segment 3 and Segment 4 Liver Resection.mp4" ] }, { "messages": [ { "content": "Given the visible cue that the lift of the upper abdominal structure is established, when does the actual cutting and tissue separation begin?", "role": "user" }, { "content": "Right after the lift is in place, when they start separating the tissue around the stomach with the energy device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SALVAGE OF HERNIATED GASTRIC PLICATION BY STAPLED RESECTION.mp4" ] }, { "messages": [ { "content": "Which hand instrument is used to cut through the outer layers of the tube wall during the split?", "role": "user" }, { "content": "Scissors are used to incise the longitudinal and then the circular muscle layers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Long Myotomy and Fundopexy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Between detaching the apron-like fat from the colon and cutting the narrow bowel segment just beyond the stomach with a stapler, which one happens first in the clip?", "role": "user" }, { "content": "Detaching the apron-like fat from the colon happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Minimally Invasive and Robotic Assisted Gastrectomy for Gastric Cancer： Current Evidence and Tec....mp4" ] }, { "messages": [ { "content": "When and where do abnormal scar bands first become visible in the operative field?", "role": "user" }, { "content": "They first appear early in the case on the front surface of the bowel adjacent to a pelvic organ in the midline.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Vizeral Chirurgie： Laparoskopische Sigmaresektion bei benignen Indikationen.mp4" ] }, { "messages": [ { "content": "When does the opening of the anterior fold start relative to the application of traction and counter-traction?", "role": "user" }, { "content": "The incision starts once adequate opposing tension is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Low Anterior Resection and Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which powered instrument is used to open the thin veil near the inlet, and what action does it perform?", "role": "user" }, { "content": "A harmonic energy device is used to open the thin membranous layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Hiatus Hernia Repair with Nissen's Fundoplication- Dr. Aditya Kulkarni.mp4" ] }, { "messages": [ { "content": "In the side‑by‑side comparison, when does noticeable instrument shake first appear, and on which side of the view?", "role": "user" }, { "content": "The tool shake appears at the start on the hand‑held system side, before the console‑driven view shows steady cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic treatment of gastric cancer.mp4" ] }, { "messages": [ { "content": "Which device acts on the bowel to create the opening needed for the later connection?", "role": "user" }, { "content": "A curved electrocautery tip is used on the bowel to make the enterotomy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic treatment of common bile duct cyst.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow switch from peeling the soft envelope off a supply tube to committing its division at the origin?", "role": "user" }, { "content": "The switch occurs when the loop is tightened at the origin and the scissors make the division.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの手術と手術後の生活　安野 正道.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from placing rear-side passes on the looped segment to placing front-side passes?", "role": "user" }, { "content": "Immediately after all rear-side passes are secured, the team switches to front-side passes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Step-by-step Surgery - Roux-en-Y hepaticojejunostomy -benign biliary stricture(post cholecystectomy).mp4" ] }, { "messages": [ { "content": "At what point does the workflow switch from internal clipping and tying to bringing the segment out through a small lower incision for reconnection?", "role": "user" }, { "content": "Immediately after intracorporeal ligation, the segment is exteriorized through the small lower incision to prepare for reconnection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Frykman-Goldberg for Internal Rectal Prolapse and Chronic Constipation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from mechanical access setup to gas expansion of the workspace?", "role": "user" }, { "content": "Right after the entry tube is secured to the skin, when gas is connected to expand the space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Totally extraperitoneal (TEP) for right direct inguinal hernia.mp4" ] }, { "messages": [ { "content": "Given that the cap on the drainage tubing is closed, when does the connection to the lower end of the receptacle actually start?", "role": "user" }, { "content": "Immediately after the cap is closed, when the tubing is coupled to the bottom end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SOINS INFIRMIERS N°9 - SOINS D'ILÉOSTOMIE + ABLATION BAGUETTE.mp4" ] }, { "messages": [ { "content": "What containment accessory interacts with the excised pieces to allow them to be safely reduced in size, and how is it used?", "role": "user" }, { "content": "A flexible pouch holds the removed pieces so they can be fragmented inside it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Fibroids.mp4" ] }, { "messages": [ { "content": "After the main inflow channel is secured, when do the surgeons commence fine cutting in the deep tissue layer?", "role": "user" }, { "content": "Fine cutting begins immediately after the central vessel is ligated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TME, Total Mesorectal Excision ： Tips and Techniques.mp4" ] }, { "messages": [ { "content": "Once the specimen is enclosed in a retrieval pouch, when does the actual extraction through a small lower incision begin?", "role": "user" }, { "content": "Immediately after bagging; extraction usually starts at that point through the small incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Radical Cystectomy with and Reconstruction of Intracorporeal Ileal Conduit....mp4" ] }, { "messages": [ { "content": "When and where does a bulbous swelling on the broad reddish organ’s surface first become visibly apparent in the clip?", "role": "user" }, { "content": "It first appears during the initial survey on the front surface of the large reddish organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic management of intra-hepatic gall bladder perforation.mp4" ] }, { "messages": [ { "content": "After the surgeon encircles the main drainage tube and confirms stable flow, when does the cut on the adjacent arterial branch actually start?", "role": "user" }, { "content": "It begins right after that confirmation, when clips are applied to the arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatico duodenectomy.mp4" ] }, { "messages": [ { "content": "During removal of the small sac organ, which is managed first: the arterial branch or the tubular outflow?", "role": "user" }, { "content": "The arterial branch is managed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Whipple procedure.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the upstream limb being pinched off, when does the pressurization of the reservoir actually begin?", "role": "user" }, { "content": "Immediately after the upstream limb is occluded, they begin inflation to pressurize the reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/What are the indications, techniques, and outcomes for pouch revision surgery.mp4" ] }, { "messages": [ { "content": "What material is used to control a pinpoint leak when a previous tie is insufficient?", "role": "user" }, { "content": "They use suture to ligate the point and stop the bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/liver_resection/张宇华：腹腔镜左半肝切除术1.mp4" ] }, { "messages": [ { "content": "Given the creation of opposing traction in the upper pelvis, when does active separation resume in relation to that setup?", "role": "user" }, { "content": "It starts once counter-traction is established.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Ultra Low Anterior Resection Surgery.mp4" ] }, { "messages": [ { "content": "After the wrap is completed over a calibrating tube, when does the internal camera-based leak check begin?", "role": "user" }, { "content": "Immediately after finishing the operation (following the wrap), the endoscopic leak check is performed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Paraesophageal Hernia Repair.mp4" ] }, { "messages": [ { "content": "Which instruments act on which structure to accomplish the removal performed through minimally invasive access?", "role": "user" }, { "content": "Slim laparoscopic instruments act on the storage sac under the liver to dissect and remove it through small ports.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/TVB最強生命線｜膽結石(繁 ⧸ 簡字幕)｜膽石｜減肥｜醫療｜治療｜中醫｜無綫新聞｜TVB News.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure transition from detachment to retrieval?", "role": "user" }, { "content": "Right after the last attachment is cut and immediately as the retrieval pouch is introduced for loading.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic oophorectomy in 3 year old child.mp4" ] }, { "messages": [ { "content": "When and where does the breakdown of the prior connection first visibly reveal itself?", "role": "user" }, { "content": "As they lift anteriorly into the cavity around the old join, the prior connection is seen to be obliterated and falling apart.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer： You Never Know What You're Going to Get.mp4" ] }, { "messages": [ { "content": "Which implement is used to elevate the abdominal wall muscle so an under-the-wall gateway can be seated, and what action is performed on which tissue?", "role": "user" }, { "content": "S-shaped retractors elevate the rectus muscle to allow seating of the cannula beneath the abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Laparoscopic totally extraperitoneal (TEP) repair of right ingui.mp4" ] }, { "messages": [ { "content": "Between sealing the front incision and repositioning the body for the second phase, which happens first?", "role": "user" }, { "content": "Sealing the front incision occurs first, then the patient is repositioned.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Video Rektumexstirpation mit VRAM-Lappen.mp4" ] }, { "messages": [ { "content": "Which cutting tip acts on which target to carry out the separation later in the case?", "role": "user" }, { "content": "A monopolar hook acts on the gallbladder-liver interface to separate the gallbladder from the liver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/THE MOUNT SINAI SURGICAL FILM ATLAS： Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "What device is used to detach the organ from its bed, and what tissue interface does it act on to accomplish the separation?", "role": "user" }, { "content": "Coagulative energy is used at the gallbladder–liver interface to separate the gallbladder from its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Robotic Cholecystectomy - Gallbladder Removal Surgery Explained.mp4" ] }, { "messages": [ { "content": "When and where in the case does the issue of the running strand having insufficient length first become apparent?", "role": "user" }, { "content": "In the concluding summary segment, when they review drawbacks, they note the strand length is inadequate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/EARLY EXPERIENCE WITH A V-LOCK ABSORBABLE SUTURE IN ROUX-EN-Y GASTRIC BYPASS.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from working along the inner planes to freeing the outer attachments?", "role": "user" }, { "content": "Right after the inner-plane work is finished, the sequence switches to outer-side freeing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/17 Steps of a Robotic Right ⧸ Ascending Colectomy with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "What device is applied to a small offshoot of a short trunk that drains into a larger vein, and what happens to that offshoot afterward?", "role": "user" }, { "content": "A clip applier places clips on the offshoot, and it is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from freeing the upper-left bend to working on the right-sided segment?", "role": "user" }, { "content": "The transition occurs immediately after confirming the upper-left bend is fully freed, when step 3 (right-sided work) begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Extended Right Hemicolectomy for Locally AdvancedSplenic Flexure Tumou.mp4" ] }, { "messages": [ { "content": "Between the cold-based treatment and the later high-frequency heat method, which one is presented earlier in the talk?", "role": "user" }, { "content": "The cold-based treatment appears earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/MIS Liver Ablation and Image Guidance for CRLM.mp4" ] }, { "messages": [ { "content": "Which happens first: identifying the problematic segment or attempting to push it back into place?", "role": "user" }, { "content": "The segment is identified first, then an attempt is made to push it back.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Colonic intussusception in an adult patient.mp4" ] }, { "messages": [ { "content": "Which occurs first: freeing the fourth lump from the wall or beginning to close the defect with sutures?", "role": "user" }, { "content": "The fourth lump is freed first, then suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy Step by Step Video.mp4" ] }, { "messages": [ { "content": "Between the moment when small tubular supply lines to the segment are secured and divided and the moment when dissection enters the deep posterior pelvic plane, which occurs first in the sequence?", "role": "user" }, { "content": "Securing and dividing the supply lines happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Intraoperative Microperfusion Assessment by PINPOINT® in Laparoscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "Which instrument is used to split the connective tissue in a vessel-free window of the loop, and what action does it perform?", "role": "user" }, { "content": "A bipolar energy device is applied to the avascular tissue to divide and open the loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details： Gastro-jejunal anastomosis Robotic anastomosis.mp4" ] }, { "messages": [ { "content": "Which happens earlier: trimming extra length from the wall or pulling the removed tissue out through the natural opening?", "role": "user" }, { "content": "Trimming occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Intracorporeal Completion Proctectomy with Restorative IPAA： NICE Approach.mp4" ] }, { "messages": [ { "content": "At what exact point does the sequence shift from freeing the right-sided bowel to the stage where a deep central vein and an adjacent small-intestinal segment come into view?", "role": "user" }, { "content": "When the infra-mesenteric vein and the nearby fourth segment of the small bowel first come into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Advances in Colorectal Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the outer wall of the organ to create a horizontal opening that allows the deep mass to be freed?", "role": "user" }, { "content": "A vibrating energy blade makes a horizontal cut in the uterine wall to start freeing the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Intramural Fibroid.mp4" ] }, { "messages": [ { "content": "At what point does the procedure shift from working along a bloodless layer behind the colon to freeing the bend of the transverse segment?", "role": "user" }, { "content": "The transition occurs when they start dividing the membrane between the stomach and colon to mobilize the bend of the transverse segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic right hemicolectomy with complete mesocolic excision and indocyanine green.mp4" ] }, { "messages": [ { "content": "Given that the joining device shows its ready indicator, at what moment does the outward extraction motion begin?", "role": "user" }, { "content": "Right after confirming orientation following the ready signal, the operator initiates the oscillating extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Low Anterior Resection with Diverting Loop Ileostomy for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Which instrument is used to grasp the weakened rear sling muscles, and for what purpose during the tightening step?", "role": "user" }, { "content": "A toothed grasper holds the weakened posterior sling muscles so they can be tightened to restore the angle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Asvide： Redo perineal rectosigmoidectomy with posterior levatorplasty.mp4" ] }, { "messages": [ { "content": "At what exact point does the operation move from clearing nodal tissue to addressing the paired drainage tubes from the kidneys?", "role": "user" }, { "content": "When the border near the vessels is incised and the left tube is mobilized—marking the start of step two.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radikale roboterassistierte Zystektomie mit intrakorporalem orthotopem Ileumpouch bei der Frau.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from deep internal pelvic dissection to the external circumferential approach around the outlet?", "role": "user" }, { "content": "When they begin the external phase by cutting the skin and entering the cavity outside the pelvic floor muscles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominoperineal Resection (APR) Dr Atul MISHRA Ludhiana.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence switch from placing guiding stitches on the organ to making the first deliberate cut into its wall?", "role": "user" }, { "content": "Right after placing the reference stitches, the surgeon begins cutting the anterior seromuscular layer with a knife.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/1995. Baltasar. VARY (Billroth-III). Vagotomy + Antrectomy and RNY reconstruction for duodenal ulcer.mp4" ] }, { "messages": [ { "content": "After an auxiliary instrument lifts the tissues to improve the view, when does the team start shifting the nearby bowel medially?", "role": "user" }, { "content": "Immediately after the assisted retraction, they begin the medialization maneuver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Choledochoduodenostomy for Refractory Benign Biliary Stricture.mp4" ] }, { "messages": [ { "content": "At what moment does the operation move from creating the vertical opening to beginning the side‑to‑side closure?", "role": "user" }, { "content": "Immediately after completing the lengthwise cuts on both sides, the team starts the sideways closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/SURGERY VIDEO： Laparoscopic Pyloroplasty for Gastroparesis by Dr. Michael Hughes.mp4" ] }, { "messages": [ { "content": "When and where does the constrictive abnormality first become visibly apparent in the presented sequence?", "role": "user" }, { "content": "It first appears during the third case, at the junction, as a visible pinching.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Handling the Reflux Barrier After Large Hernia Repair.mp4" ] }, { "messages": [ { "content": "During the sequence where two neighboring blood tubes to the bowel are individually secured and cut, which one is divided first: the deeper, more robust channel or the thinner surface one?", "role": "user" }, { "content": "The deeper, more robust channel is divided first (the arterial branch precedes the vein).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy - ICA (narrated ).mp4" ] }, { "messages": [ { "content": "Given the cue that the implant lies perfectly flat after trimming, when does the lateral-most fixation begin?", "role": "user" }, { "content": "Fixation at the far lateral edge starts immediately after confirming the implant lies flat.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Female Patient).mp4" ] }, { "messages": [ { "content": "As the video reaches its final phase, at what point do you first see the continuous stitch begin along the thin inner lining?", "role": "user" }, { "content": "It begins at the very end, after the implant fixations are completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Ventral Rectopexy with Folded Single Mesh (RVR-FSM) Suspension for Pelvic Organ Prolapse.mp4" ] }, { "messages": [ { "content": "When and where does the stuck, thickened tissue first become visibly apparent along the lateral boundary?", "role": "user" }, { "content": "Early during the initial lifting phase, along the lateral boundary where the tissues are tethered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colorectal_disease/Hand-assisted technique in a difficult diverticulitis case.mp4" ] }, { "messages": [ { "content": "After a long, curved compression tool is placed across the central bundle, when does definitive repair actually start?", "role": "user" }, { "content": "Definitive repair begins when two-layer suturing of the arterial and venous trunks is initiated following temporary occlusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Nightmare Laparoscopic Nephrectomy for non-functioning Kidney.mp4" ] }, { "messages": [ { "content": "In the conventional approach shown earlier, which comes first: fully bringing the segment out or dividing its vascular fold?", "role": "user" }, { "content": "Completing exteriorization comes first, followed by division of the fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/孙东辉医生—地位直肠癌翻出NOSES手术详解.mp4" ] }, { "messages": [ { "content": "Between cutting the thread-like restraints around the junction and placing fluid into the narrowed area, which action happens first?", "role": "user" }, { "content": "Cutting and removing the thread-like restraints happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/PER-ORAL ENDOSCOPIC MYOTOMY FOR REFRACTORY DYSPHAGIA AFTER HELLER MYOTOMY.mp4" ] }, { "messages": [ { "content": "After the tubular cords are shifted backward and inward, at what moment does the peeling of the bag actually commence?", "role": "user" }, { "content": "It starts once the lower edge is grasped and hand-over-hand traction is applied while the cords stay swept back.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Laparoscopic totally extraperitoneal (TEP) repair of right ingui.mp4" ] }, { "messages": [ { "content": "At what moment in the sequence do they shift from freeing the bowel to actually dividing its two ends?", "role": "user" }, { "content": "Right after completing the lateral release and taking down the flexure, they proceed to divide the two ends with the stapling device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic right hemicolectomy and partial nephrectomy for synchronous malignancies.mp4" ] }, { "messages": [ { "content": "Which implement performs the continuous closure, and on what hollow structure is this applied?", "role": "user" }, { "content": "A running suture is used to close openings in the bladder.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic colectomy and repair of colovesical fistula due to diverticulitis – a video vignette.mp4" ] }, { "messages": [ { "content": "Which happens first: locating the narrowing between the tubular organ and the pouch, or deploying the umbrella-like spreader to draw the muscle sheet downward?", "role": "user" }, { "content": "The narrowing is located first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Esophageal Myotomy for Achalasia# The Procedure of Choice#.mp4" ] }, { "messages": [ { "content": "Between delivering a sub-surface fluid bleb along the planned line and making the first opening, which happens earlier?", "role": "user" }, { "content": "The fluid delivery occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Spine Surgery： Anterior Cervical Corpectomy.mp4" ] }, { "messages": [ { "content": "When and where does a small bulge at the entry site first become visible?", "role": "user" }, { "content": "At the very start of access, at the navel entry site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Appendectomy and Open Umbilical Hernia Repair ｜ JOMI at MGH.mp4" ] }, { "messages": [ { "content": "Which comes first in the clip: covering the joined edge by folding muscle over it, or performing the muscle-splitting maneuver at the lower end of the food pipe?", "role": "user" }, { "content": "Folding muscle over the joined edge comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Diverticulectomy, Myotomy, and Roux-en-Y Gastric Bypass for Epiphrenic Diverticulum and.mp4" ] }, { "messages": [ { "content": "Between sliding the intestinal loops inward and opening the outer covering over the top of the organ, which action happens first in the clip?", "role": "user" }, { "content": "Sliding the intestinal loops inward happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Live Donor Nephrectomy.mp4" ] }, { "messages": [ { "content": "Once the color-enhanced view starts showing luminescence on the left side, when does the evaluation step that guides the cut begin?", "role": "user" }, { "content": "It begins as soon as fluorescence reveals a clear demarcation—marked by arrows—immediately after the left-sided illumination appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Modular approach of robotic total mesorectal excision for the trainees.mp4" ] }, { "messages": [ { "content": "Which tool and technique are used to check for a hidden leak in the inner lining, and how is the test performed?", "role": "user" }, { "content": "They use the endoscope to insufflate and irrigate under fluid, watching for escaping bubbles or fluid to detect a leak.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Esophagogastroscopy During Endosurgical Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: cutting the specimen distally or placing drains and creating a protective bypass opening?", "role": "user" }, { "content": "Distal transection occurs before the drains are placed and the diverting stoma is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic low anterior resection with extended TME for locally advanced rectal cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from stapling through the stomach to the specimen being completely freed?", "role": "user" }, { "content": "Immediately after the final staple line and completion of greater curvature dissection, when the specimen lifts free.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy and Billroth II Reconstruction for Gastric Ad....mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: removing the specimen through the small lower-abdominal incision, or constructing the connection between the two bowel ends?", "role": "user" }, { "content": "Specimen extraction comes first, then the anastomosis is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/LAPAROSCOPIC SIGMOIDECTOMY WITH COMPLETE MESOCOLIC EXCISION AND EXTENDED LYMPHADENECTOMY.mp4" ] }, { "messages": [ { "content": "Which tool acts on the fatty apron to separate it from the upper colon segment, and what is being accomplished?", "role": "user" }, { "content": "A monopolar diathermy hook separates the greater omentum from the distal transverse colon along the avascular plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.1.3. Laparoscopic Left Hemicolectomy for Sigmoid Carcinoma - Amjad Parvaiz.mp4" ] }, { "messages": [ { "content": "Between the circumferential cauterization of the outlet rim and the first noticeable narrowing of that opening on a later visit, which happens earlier in the sequence?", "role": "user" }, { "content": "The circumferential cauterization happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic treatment of weight regain after Roux en Y gastric bypass RYGB use of argon plasma.mp4" ] }, { "messages": [ { "content": "Which implement is used to close the remaining opening after joining the bowel, and what action does it perform?", "role": "user" }, { "content": "A stapling device is used to close the remaining enterotomy, firing to seal the opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic subtotal gastrectomy and left adrenalectomy for large gastric GIST.mp4" ] }, { "messages": [ { "content": "Between recognizing and safeguarding the slender posterior tube and sealing the central feed vessel at its origin, which happens first in this clip?", "role": "user" }, { "content": "Recognizing and safeguarding the posterior tube occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sigmoid - Key Steps.mp4" ] }, { "messages": [ { "content": "Between opening the thin membrane over the swollen food pipe and raising the breathing muscle toward the feet with a fan-like retractor, which action occurs first?", "role": "user" }, { "content": "Opening the membrane occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Esophageal Myotomy for Achalasia： The Procedure of Choice？.mp4" ] }, { "messages": [ { "content": "Is the hidden space behind the stomach opened before or after the nodal clear-out around the base vessel is finished?", "role": "user" }, { "content": "The hidden space is opened after the nodal clear-out is finished.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total proctocolectomy with IPAA and D3 lymph node dissection with IBD-associated colon cancer.mp4" ] }, { "messages": [ { "content": "Between cutting the upper conduit and forming a connection between two downstream segments, which happens first?", "role": "user" }, { "content": "Cutting the upper conduit happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC TOTAL GASTRECTOMY, OMENTECTOMY, SPLEENECTOMY FOR GASTRIC ADENOCARCINOMA.mp4" ] }, { "messages": [ { "content": "Once the front wall is nearly closed, when are the internal drain tubes and the main catheter actually introduced on screen?", "role": "user" }, { "content": "They’re inserted just before finishing the front wall, brought in alongside the main catheter and pulled through.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radical Cystectomy for Bladder Cancer- Prof. Karel Decaestecker.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from encircling work around the tube to breaching the thin, shiny boundary that opens into the larger space?", "role": "user" }, { "content": "The transition occurs when the encircling dissection reaches the reflective boundary and it is opened—often with simultaneous entry from above and below.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total mesorectal excision - Optimizing surgery & managing challenges： taTME.mp4" ] }, { "messages": [ { "content": "Which instrument engages the tissue between the sac and the organ surface to peel it away during the removal phase, and what exact action does it perform?", "role": "user" }, { "content": "A curved electrosurgical hook/spatula acts on the interface, cauterizing and shaving the sac off its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy with IOC.mp4" ] }, { "messages": [ { "content": "After an assistant steadies the loop, at what moment does the mechanical cutter first fire?", "role": "user" }, { "content": "It fires right after traction is established, when the distal segment is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Loop Ileostomy Reversal： Laparoscopic Approach.mp4" ] }, { "messages": [ { "content": "Which happens first: locating the small vessel supplying the target or cutting it?", "role": "user" }, { "content": "The vessel is located first, and then it is cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy 360 Video - Professor Arnie Hill.mp4" ] }, { "messages": [ { "content": "Considering the two additional access points shown, which is positioned first: the one in the upper abdomen or the one at the side?", "role": "user" }, { "content": "The upper-abdominal access is placed before the lateral one.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo Oophorectomy for Large Ovarian Cyst.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from internally freeing the specimen to extracting it through the natural passage?", "role": "user" }, { "content": "Right after the final attachment is divided and the specimen is fully mobile.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Female Radical Cystectomy Procedure ｜ Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "When the operator aligns both hand controllers with the target, does the platform start mirroring those motions instantly or with noticeable delay?", "role": "user" }, { "content": "It mirrors the motions instantly, in real time.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/SS10 Instrumentation ⧸ Ergonomics： S052 MINIATURE SURGICAL ROBOT FOR LAPAROENDOSCOPIC COLECTOMY.mp4" ] }, { "messages": [ { "content": "At what point does the operation move from controlling the main side pedicles and lower segment to addressing the posterior supporting bands?", "role": "user" }, { "content": "When the dissection proceeds past the narrowed lower portion and the surgeon announces they are heading toward the posterior supporting bands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Abdominal Hysterectomy Surgery - THUNDERBEAT - Olympus Surgical - Dr. Francois Blaudeau.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: gaining access with ports in the setting of dense scar tissue, or removing diseased tissue segments?", "role": "user" }, { "content": "Port access in the setting of adhesions is addressed first; tissue resection comes afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details： Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "What is done to the consistent vessel encountered near the greater curve during the upper-left mobilization, and what action is performed on it?", "role": "user" }, { "content": "The encountered vessel is ligated to complete the upper-left mobilization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/A Novel U-tied End-to-End Anastomosis in Total Laparoscopic Left Hemicolectomy for Colorectal Cancer.mp4" ] }, { "messages": [ { "content": "Once a distant wall marking is visible, when do they actually cut and bring out the target segment?", "role": "user" }, { "content": "After adequate division of the supporting tissue, the segment is exteriorized and then transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Home-made Hand-port Assisted Laparoscopic Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene move from finishing the deep pelvic dissection to beginning extraction of the removed segment?", "role": "user" }, { "content": "When it is stated to be ready for removal—just before clearing residual blood and confirming hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Laparoscopic Abdominal Resection for T4 Rectal Cancer.mp4" ] }, { "messages": [ { "content": "After the ports are placed and the camera surveys the field, when does a distinct lesion first come into view, and in which part of the organ is it located?", "role": "user" }, { "content": "It first appears during the initial inspection after port placement, in segments 2 and 3 on the left side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left lateral hepatic segmentectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from pulling out solid fragments to inspecting the channel with a camera?", "role": "user" }, { "content": "Right after the last fragment is removed, when the scope is introduced into the channel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LCBDE in a patient with previous total gastrectomy.mp4" ] }, { "messages": [ { "content": "After the segment has been drawn out sufficiently and a new cut line is marked, where does the next cutting pass begin?", "role": "user" }, { "content": "It begins on the front side (the anterior aspect).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/ALTEMEIER PROCEDURE FINAL.mp4" ] }, { "messages": [ { "content": "Between dividing the sidewall’s anterior cord-like band and treating the short vascular bundle linking the organ to its upper pole, which occurs first in the sequence?", "role": "user" }, { "content": "The anterior cord-like band is divided first, followed by sealing/division of the short upper vascular bundle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/TOTAL LAPAROSCOPIC HYSTERECTOMY IN PREVIOUS LSCS WITH VOICEOVER.mp4" ] }, { "messages": [ { "content": "Between sealing the main drain and opening the neighboring pulsatile branch, which one happens first?", "role": "user" }, { "content": "Sealing and dividing the venous channel comes first, followed by exposing the adjacent artery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How I do it - Komplette mesokolische Exzision - Teil 1 - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from freeing the organ off its bed to removal logistics?", "role": "user" }, { "content": "When the scope is moved to the upper midline access and the collection pouch is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap Chole (routine elective ).mp4" ] }, { "messages": [ { "content": "Which instrument is used to separate tissue around the injured distal bowel, and what structure does it act on to achieve isolation?", "role": "user" }, { "content": "An energy-based ultrasonic dissector acts on the rectal tissue to isolate the segment below the tear.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Hartmann sigmoid resection in penetrating or blunt severe colonic injuries.mp4" ] }, { "messages": [ { "content": "After a pelvic landmark is highlighted, when does the actual division of the downstream segment begin?", "role": "user" }, { "content": "It begins right after the landmark is shown, using a linear stapler about 1–2 cm below that point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Open left hemicolectomy for proximal sigmoid cancer.mp4" ] }, { "messages": [ { "content": "As the team approaches the posterior pole of the adjacent gland, at what moment do they switch from energy-based sealing to using small metallic fasteners to initiate the delicate preservation phase?", "role": "user" }, { "content": "They switch as they near the tip of that structure, starting the preservation phase at that moment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/RARC With Intracorporeal Urinary Diversion Dr. N. Peter Wiklund.mp4" ] }, { "messages": [ { "content": "Which occurs first: breaching the chronic pocket or creating a passage into the upper compartment?", "role": "user" }, { "content": "Breaching the chronic pocket occurs before creating the passage into the upper compartment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Transanal Minimally Invasive Surgery ｜ Redo Proctectomy ｜ Patients with Chronic Anastomotic Leak.mp4" ] }, { "messages": [ { "content": "After the lower robotic arm is introduced from the underside, grasps, and levels the structure to elevate it out of the cavity, when does the actual dissection begin?", "role": "user" }, { "content": "Immediately after that lift exposes the back-space; the dissection begins behind the organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "When and where does an unusual dark stain first become visible on the organ surface during the clip?", "role": "user" }, { "content": "Early in the clip, on the intestinal wall at the target site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/「ブルーリボンキャラバン　もっと知ってほしい大腸がんのこと2019in福島」 ～大腸がんの外科的治療～「QOLを考慮した術前放射線治療や腹腔鏡補助下手術」　石井 恒.mp4" ] }, { "messages": [ { "content": "When does the suturing technique transition from leaving stitches loose to cinching them down?", "role": "user" }, { "content": "At the corner around the 3 o’clock position, when both sutures are tied together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/ROBOTIC BILIARY RECONSTRUCTION UTILIZING HEPP COUINAUD TECHNIQUE WITH ROUX EN Y HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Between energizing the tense strand and mechanically transecting it, which action occurs first in this sequence?", "role": "user" }, { "content": "Energy application occurs first, followed by mechanical cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopy in Intestinal obstruction.mp4" ] }, { "messages": [ { "content": "When during the case does a midline muscle separation become visible, and how is it demonstrated on screen?", "role": "user" }, { "content": "It first appears when external pressure is applied; as the surgeon presses down, the two muscle bands are seen separated by several centimeters.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Ventral Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "Between rotating the specimen by dividing lower attachments and the renewed burst from the back plane, which occurs first?", "role": "user" }, { "content": "Rotation by dividing the lower tethers happens first, followed by the renewed posterior burst.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Unexpected Torrential bleeding during Radical Nephrectomy - How to Manage.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from creating a vertical window in the fatty apron to delivering a loop of intestine forward above the colonic frame?", "role": "user" }, { "content": "The transition occurs as the intestinal loop is pulled through the newly made window, bringing it above the colon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Tips for Laparoscopic Pancreaticoduodenectomy Reconstruction.mp4" ] }, { "messages": [ { "content": "When does the clip shift from exposing the main arterial trunk to actually securing the side branch?", "role": "user" }, { "content": "Right after dissection to 1 cm from the aorta, the branch is ligated proximal to its origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic-Assisted Colonic Resection for Splenic-Flexure Cancer With D3 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "When and where does the obstructing object within the neck of the sac first clearly appear?", "role": "user" }, { "content": "It first appears at the neck of the sac (Hartmann’s area) when the impacted stone is shown lodged there.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy Surgery｜ Gallbladder Surgery ｜ Complete Procedure of Open Chole. ｜ Stepwise.mp4" ] }, { "messages": [ { "content": "Which is recognized first: the safe working zone on the outer side, or the curling vessel on the back side?", "role": "user" }, { "content": "The safe outer-side zone is recognized first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy - 53 Year Old Diabetic with Acute Cholecystitis.mp4" ] }, { "messages": [ { "content": "Between releasing the constricting band around the bowel and taking the excised piece out of the body, which action happens earlier in the operation?", "role": "user" }, { "content": "Releasing the constriction happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic small bowel resection with intracorporeal anastomosis for small bowel obstruction.mp4" ] }, { "messages": [ { "content": "Between moving the large intestine off the front and entering the space behind the upper digestive organ, which one happens first in this clip?", "role": "user" }, { "content": "Moving the large intestine off the front happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatico duodenectomy.mp4" ] }, { "messages": [ { "content": "What implements are used to anchor one cut end to a neighboring support, and for what dual purpose is this fixation performed?", "role": "user" }, { "content": "Suture-based fixation is used to anchor the cut end to the adjacent support; it both reduces tension on the upstream-to-downstream join and helps shape the path of the reconstruction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/gastrojejunostomy/腹腔镜全胃切除术 第十步 食管空肠吻合及系膜孔闭合.mp4" ] }, { "messages": [ { "content": "Which action happens first: closing the newly opened soft wall or checking the join for bleeding?", "role": "user" }, { "content": "They close the soft wall first, then check the join for bleeding.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/手術視頻轉播｜艾貴海教授－腹腔鏡深部內異症直腸切除吻合術.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the downstream bowel to separate it cleanly, and what action does it perform?", "role": "user" }, { "content": "A stapling cutter is used to transect the lower segment by simultaneously sealing and cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经肛门外翻切除标本的腹腔镜低位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence transition from construction to internal inspection with aeration to check for seepage?", "role": "user" }, { "content": "Right after trimming and removing the extra piece, they perform the intraluminal camera exam and air test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/A LAPAROSCOPIC ROUX-EN-Y AFTER A HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "When and where would it first become clear that the wrong bowel loop—one lacking the fatty apron attachments—is being brought out?", "role": "user" }, { "content": "During the segment-identification step, as the fatty apron is delivered and attachments are checked at the wound; absence of attachments reveals the wrong loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/A technique for emergent, decompressive loop colostomy – A video vignette.mp4" ] }, { "messages": [ { "content": "Which comes first in the sequence of slides: the section on outcomes from older cohorts or the segment highlighting improved results from selective modern series?", "role": "user" }, { "content": "The older cohort outcomes are shown first, followed by the modern selective series.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Current Role of Partial Cystectomy in the Treatment of Bladder Cancer.mp4" ] }, { "messages": [ { "content": "When does the summary segment actually begin after the closing title appears?", "role": "user" }, { "content": "It begins immediately as the presenter starts listing the key takeaways after the conclusion slide appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Should Robotic Surgery be Reserved for Rectal Cancer？ What About Robotic Colectomy？.mp4" ] }, { "messages": [ { "content": "At what moment does the scene move from ongoing division to the final separation adjacent to the central vessel?", "role": "user" }, { "content": "At the final stapler firing across the junction, achieving flush division next to the central vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Roux-En-Y Hepaticojejunostomy for Right Hepatic Duct Transection.mp4" ] }, { "messages": [ { "content": "During division of the liver substance, which energy-enabled instrument is applied to the parenchyma, and for what specific task?", "role": "user" }, { "content": "A vessel-sealing energy device is used on liver parenchyma to perform the dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic pump with liver resection # Memorial Sloan Kettering.mp4" ] }, { "messages": [ { "content": "Between opening a plane behind the fan-shaped tissue that suspends the intestines and cutting the main vessels feeding the right-sided bowel, which action happens first in the sequence?", "role": "user" }, { "content": "Opening the posterior plane happens first, followed by cutting the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Two Birds with Five Trocars： Laparoscopic Pancreaticoduodenectomy and Right Hemicolectomy.mp4" ] }, { "messages": [ { "content": "At what precise moment does the operation shift from preparation to actual splitting of the organ?", "role": "user" }, { "content": "When the transection line is marked and the first centimeter of parenchyma is divided with the energy sealer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy for HCC in Childs A Cirrhosis.mp4" ] }, { "messages": [ { "content": "Which non-energized cutting tool acts on the plane between two organs to separate the connection while minimizing heat-related risk?", "role": "user" }, { "content": "Laparoscopic scissors act on the plane between the stomach and colon to divide the tract with minimal thermal risk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Treatment of Gastro-Colic Fistula# A Rare Complication of Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "When does an unexpected right-sided arterial offshoot first become visible, and in which operative area does this appear?", "role": "user" }, { "content": "It first appears during the step dissecting and dividing the GDA at the hepatic inflow area, when an accessory right hepatic artery arising from the GDA comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Laparoscopic Pancreaticoduodenectomy for Benign Disease 腹腔鏡胰十二指腸切除手術.mp4" ] }, { "messages": [ { "content": "Which comes first: creating the side-to-side join between two bowel segments or closing the potential gap in the tissue fold near their roots?", "role": "user" }, { "content": "The join between the two bowel segments is created first, followed by closure of the tissue fold gap.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy Conversion To Laparoscopic Roux En Y Gastric Bypass For Treatment....mp4" ] }, { "messages": [ { "content": "Given that traction stitches are placed along the organ’s edges as a visible setup, when does the actual transection of that organ begin?", "role": "user" }, { "content": "Transection begins right after the stay sutures are placed and the area is prepared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pylorus Preserving Pancreatoduodenectomy (PPPD).mp4" ] }, { "messages": [ { "content": "Once a visible closure is completed, when does the stabilizing hand motion actually begin?", "role": "user" }, { "content": "It begins immediately after the closure is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/ЖИЗНЬ С ИЛЕОСТОМОЙ И ДВУМЯ УРОСТОМАМИ.LIFE WITH AN ILEOSTOMA AND TWO UROSTOMAS..mp4" ] }, { "messages": [ { "content": "Which instrument engages which structure to achieve which effect during the dissection phase?", "role": "user" }, { "content": "A blunt dissector (band retriever) acts on flimsy adhesions around the pancreas to enter the avascular plane, facilitating separation and subsequent division of the adjacent segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/DS Duodenal Switch with Nissen Fundoplication for Bile reflux.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence change from working behind the pelvic target to working in front of it?", "role": "user" }, { "content": "When the dissection reaches the front and the anterior plane is begun, immediately after the posterior work.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Hybrid robotic and laparoscopic hand-assisted proctocolectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "At what exact moment does the case shift from mobilizing tissues to removing the specimen en bloc?", "role": "user" }, { "content": "Right after finishing division of the apron and upper-organ attachments, when en bloc removal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Adequate Lymphadenectomy in Advanced Mid-Transverse Colon.mp4" ] }, { "messages": [ { "content": "After the operator recognizes a firm gleaming layer covering bone at the chosen landing area, when is the main deep release actually initiated?", "role": "user" }, { "content": "It starts immediately after the firm bony covering is visualized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic rectopexy for full thickness rectal prolapse.mp4" ] }, { "messages": [ { "content": "After a ring-shaped tool completes the join, when does the clear-fluid check actually begin?", "role": "user" }, { "content": "It starts immediately after the join is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laproscopic Low Anterior Resection.mp4" ] }, { "messages": [ { "content": "When and where does the structural issue causing renewed descent first become visibly apparent during the operation?", "role": "user" }, { "content": "Early after initial exposure, the prior sheet is seen laterally attached to the mid rectal segment, revealing the cause of recurrence.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic ventral re rectopexy for symptomatic rectocele recurrence A video vignette.mp4" ] }, { "messages": [ { "content": "In the clip, which occurs first: carefully clearing a front-facing nerve along the tube or beginning the muscle split?", "role": "user" }, { "content": "The anterior nerve is cleared and preserved first, then the muscle split is begun.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Endoscopic-Guided Laparoscopic Heller’s Myotomy with ICG ｜ Achalasia Cardia Surgery By Dr. Samrat.mp4" ] }, { "messages": [ { "content": "After a loop is placed around a target conduit, when does the actual cut across that conduit begin?", "role": "user" }, { "content": "Cutting begins after the long instrument is brought in through the lower natural passage, following the loop ligation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜直肠癌本指数-NOSES2式.mp4" ] }, { "messages": [ { "content": "Given the moment when a long passer is advanced from a small skin entry near the hip and tunneled under a fibrous layer, when does the intended lifting maneuver actually begin?", "role": "user" }, { "content": "It starts when the passer hooks the implant’s arm and gentle traction is applied.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/PR JB DUBUISSON - LATERAL SUSPENSION FOR THE TREATMENT OF GENITAL PROLAPSE.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from freeing tissue to initiating the posterior outlet opening for specimen removal?", "role": "user" }, { "content": "When the posterior wall is horizontally incised between the sacral bands to create the exit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Salpingo-Oophorectomy for Recurrent Endometrioma and Retrieval through Colpotomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from closing down the pelvic space to testing the newly created join for tightness?", "role": "user" }, { "content": "Immediately after completing the suspension/closure, they switch to washing and pressure-testing the join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Prolapse of the rectum , Laparoscopic approach ： anterior resection with rectopexy.mp4" ] }, { "messages": [ { "content": "Between laying down a reinforcing stitch along the back of the new join and cutting the adjacent upstream loop beside the new reservoir, which happens first?", "role": "user" }, { "content": "The posterior reinforcement occurs before cutting the adjacent loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic assisted repair of paraesophageal hernia, partial gastrectomy & RYGB.mp4" ] }, { "messages": [ { "content": "When and where does the unexpected clear fluid, rather than the normal content, first become evident?", "role": "user" }, { "content": "It first appears during decompression of the swollen sac, showing clear, water-like fluid instead of the expected content.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Importance of Palliative Klatskin Tumor Surgey ｜ Prof. Dr. Ünal Aydın.mp4" ] }, { "messages": [ { "content": "Between sealing the supply lines to the initial bowel segment and freeing the upper-right bend of the organ, which action happens first?", "role": "user" }, { "content": "Sealing and dividing the paired vessels occurs first, before the upper-right bend is freed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Port placement strategies and management of the robotic system during colo⧸proctectomy for cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene switch from ongoing dissection to specimen extraction and display?", "role": "user" }, { "content": "When the mass is lifted out and shown to the camera.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/TİP 4 KLATSKİN TÜMÖRÜ İÇİN EN BÜYÜK AVANTAJ İLERİ TEKNİKLE TEMİZ AMELİYAT.mp4" ] }, { "messages": [ { "content": "When deep oozing is seen on the back wall, which instrument is applied to what target to stop it?", "role": "user" }, { "content": "A penetrating bipolar is applied directly to the bleeding vessel/plexus on the back wall to achieve hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from working along the tube’s wall to reshaping the adjacent reservoir organ for diversion?", "role": "user" }, { "content": "The transition occurs when the team begins firing the stapling device vertically to create the small upper chamber.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Roux-en-Y Gastric Bypass with Heller Myotomy.mp4" ] }, { "messages": [ { "content": "When and where does a distinct dark focus first become visibly apparent during the upper-abdominal overview?", "role": "user" }, { "content": "It first appears as a dark spot in the upper organ during the initial upper-abdominal view, before the later scan.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの外科的治療（手術） 板橋 道朗.mp4" ] }, { "messages": [ { "content": "Between arranging the body on the table and beginning to inflate the abdomen to create a working space, which happens first in the clip?", "role": "user" }, { "content": "Positioning on the table occurs first, before abdominal inflation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic extended right colectomy with complete mesocolic excision.mp4" ] }, { "messages": [ { "content": "Between dividing the main arterial trunk to the left side of the colon and beginning the deep posterior envelope dissection around the target organ, which occurs first?", "role": "user" }, { "content": "The vessel division happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/3 Easy step Laparoscopic low anterior resection ⧸ Pelvic anatomy ⧸ Rectal cancer - Dr. Archit Pandit.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from work on the upper organ to freeing the left-sided bowel segment?", "role": "user" }, { "content": "Right after completing the wedge and gaining retraction, when lateral-to-medial mobilization of the left-sided bowel begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Partial colectomy with en bloc resection of stomach for splenic flexure tumor.mp4" ] }, { "messages": [ { "content": "At what stage and in which adjacent region does unusually dense scarring first become visibly apparent during the procedure?", "role": "user" }, { "content": "It first becomes apparent during the early work around the outflow region adjoining the storage organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Prostate-sparing Laparoscopic Radical Cystectomy with intracorporeal Neobladder.mp4" ] }, { "messages": [ { "content": "Identify the exact instant the workflow transitions from rhythmic priming to the start of execution.", "role": "user" }, { "content": "At the unique definitive line that follows the repeated priming cadence.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic salpingoophorectomy for a huge left ovarian cyst.mp4" ] }, { "messages": [ { "content": "When does the operation on the inside give way to wound closure at the entry site?", "role": "user" }, { "content": "Right after the hemostasis check, when the access is removed and the gas is released, the clip transitions to wound closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Single Port Laparoscopic Rectopexy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to accomplish what, when the lower portion of the target tract is separated?", "role": "user" }, { "content": "A handheld closing-and-cutting device acts on the distal tract to divide and seal it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜下直肠癌根治术Dixon术.mp4" ] }, { "messages": [ { "content": "At what exact point does the procedure move from showing the restored interior to undertaking the last removal step?", "role": "user" }, { "content": "Immediately after confirming the inner chamber’s good condition, the team proceeds to the final extraction step.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic and Hysteroscopic Myomectomy.mp4" ] }, { "messages": [ { "content": "After placing a clear stabilizing barrier over the field, when does the main division actually start?", "role": "user" }, { "content": "It starts immediately after the clear barrier is positioned, as shown by the onset of transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/USING TRANSTHORACIC TROCARS FOR LAPAROSCOPIC RESECTION OF SUBPHRENIC HEPATIC TUMORS.mp4" ] }, { "messages": [ { "content": "After a small white marker is placed to mark the working line at the flank, when does the peel-off from the sidewall actually start?", "role": "user" }, { "content": "Right after the marker is set, traction is applied and the energy instrument starts dividing the side attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/How I Do It： Extended Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "During the initial freeing of the right side of the organ, which happens first: releasing the narrow band on the front surface or cutting the broader attachment to the abdominal roof on the right?", "role": "user" }, { "content": "The narrow front band is released first, then the broader right-side attachment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver-Video guide Technique of right and left hepatectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is applied to the mid pelvic tubular segment to divide it, and what action does it perform?", "role": "user" }, { "content": "An articulating endoscopic stapler is applied to the mid pelvic tube to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Prolapse of the rectum , Laparoscopic approach ： anterior resection with rectopexy.mp4" ] }, { "messages": [ { "content": "At what precise point does the case shift from the phase of placing fold-forming stitches in the deeper layer to trimming away the excess inner lining?", "role": "user" }, { "content": "Right after all the fold-forming stitches are tied and the folding phase is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Complete rectal prolapse｜ Perineal Rectopexy｜ Delorme procedure｜ DR. Pandiaraja.mp4" ] }, { "messages": [ { "content": "When and where does a deliberately placed dark mark first become visibly apparent in the operative field?", "role": "user" }, { "content": "Just before planning the proximal stomach cut, a dark mark appears on the proximal stomach and guides positioning.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy and Billroth II Reconstruction for Gastric Ad....mp4" ] }, { "messages": [ { "content": "At what moment does the operation shift from internal cutting to pulling the removed segment out through the access site?", "role": "user" }, { "content": "When the protective sleeve is placed at the enlarged port and the segment is drawn out through it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Closed loop bowel obstruction： Laparoscopic resection with fully stapled intra-corporeal anastomosis.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence transition from the first sealing pass to the final pass that completes the closure?", "role": "user" }, { "content": "Right after the partial 30 mm closure, they proceed to the complete 60 mm closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/A new intracorporeal stapled end-to-end anastomosis in laparoscopic left-colectomy for colon cancer.mp4" ] }, { "messages": [ { "content": "Which occurs first: joining the ends back together or creating the upstream temporary detour?", "role": "user" }, { "content": "The reconnection is completed first, followed by creation of the temporary diversion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/V021 ROBOTIC-ASSISTED TRANSANAL ENDOSCOPIC TOTAL MESORECTAL EXCISION (TME).mp4" ] }, { "messages": [ { "content": "At what moment does the team move from working with a flexible camera inserted from above to operating through body-wall access directly into the organ?", "role": "user" }, { "content": "The transition occurs when the sealed ports are inserted and gas insufflation through them begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Hybrid Endoscopic-Laparoscopic Transgastric Resection of Gastric Subepithelial Tumor.mp4" ] }, { "messages": [ { "content": "Which device is used to clamp and divide the leftward glandular tail so it can be taken out together with the main piece?", "role": "user" }, { "content": "A surgical stapling device clamps and divides the glandular tail for en bloc removal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Excision of GIST.mp4" ] }, { "messages": [ { "content": "In the intraluminal sequence, once the collapsed mesh is centered over the blockage, at what moment does the visible widening actually begin?", "role": "user" }, { "content": "It begins at the moment of device release (deployment).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Approach for Obstructing Colorectal Cancer： Nicolas Demartines, M.D..mp4" ] }, { "messages": [ { "content": "Which happens first: sealing off the narrow tube itself, or cutting through its supporting fold?", "role": "user" }, { "content": "Sealing off the tube itself occurs first, followed by cutting its supporting fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/A Case of Malrotation & Situs Inversus Totalis.mp4" ] }, { "messages": [ { "content": "Which implement draws the protruding inner lining toward the deeper muscle layer, and what stitch pattern is used?", "role": "user" }, { "content": "A curved suture needle bites the inner lining and its sublayer to secure it to the deeper muscle using a continuous locking pattern.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/RECTAL PROLAPSE IN THE ELDERLY- OUR SURGICAL APPROACH ＊老年人直肠脱垂——我们的手术方法.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the first short segment of hollow tube beyond the outlet to perform the division?", "role": "user" }, { "content": "A linear stapler divides that short segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic conversion of RYGB to BPD⧸DS.mp4" ] }, { "messages": [ { "content": "Which occurs first: showing the pelvic nerve network or looping around the main blood supply tube to the area?", "role": "user" }, { "content": "Showing the pelvic nerve plexus occurs first, then the artery is encircled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy with Transanal Specimen Extraction： Step by Step.mp4" ] }, { "messages": [ { "content": "Between tidying the tissue around the future join-site and performing the final integrity check, which happens first?", "role": "user" }, { "content": "Tidying the tissue around the join-site occurs first, followed by the integrity check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic high anterior resection with apical lymph node dissection of the IMA.mp4" ] }, { "messages": [ { "content": "Between separating the thin sheet over the upper stomach and revealing the front of the upper swallowing conduit, which happens earlier in the clip?", "role": "user" }, { "content": "Separating the thin sheet over the upper stomach happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/esophagectomy/Functional end-to end esophago-jejunal anastomosis using linear .mp4" ] }, { "messages": [ { "content": "Which tool closes and divides the deep hollow tube, and what action does it perform to accomplish separation?", "role": "user" }, { "content": "A linear mechanical cutter that lays down staple rows and slices between them divides the distal bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "In this segment, which occurs first: placing clamps on the narrow tubes or separating them between the clamps?", "role": "user" }, { "content": "Clamps are placed first, then the separation occurs between them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/DaVinci Single Incision Cholecystectomy.mp4" ] }, { "messages": [ { "content": "After a taut cord-like bridge linking two regions is highlighted, when does the cutting of that bridge begin?", "role": "user" }, { "content": "In the next step, when the sealing device is applied to divide it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic management of reverse malrotation of mid gut.mp4" ] }, { "messages": [ { "content": "In the smaller access technique, which spreading device acts on which part of the body’s framework to achieve exposure?", "role": "user" }, { "content": "A retractor spreads the bony edges (ribs) to create a viewing window.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Apollo Hospitals ｜ All you need to know about CABG ｜ Dr. MM Yusuf.mp4" ] }, { "messages": [ { "content": "After two holding stitches are set to align a future side‑to‑side link between the upper pouch and an intestinal loop, at what moment does the cutting‑and‑sealing device actually begin forming that link?", "role": "user" }, { "content": "Right after the two openings are created and widened, the device begins forming the side‑to‑side link.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic revision of Billroth II to RNY gastrojejunostomy & hiatal hernia repair.mp4" ] }, { "messages": [ { "content": "At what point in the procedure does the first visibly abnormal growth appear, and in which region?", "role": "user" }, { "content": "Early inspection shows an abnormal lesion first in the upper stomach region.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Simultaneous lap subtotal gastrectomy and total colectomy for synchronous gastric and colon cancers.mp4" ] }, { "messages": [ { "content": "Between tracing a cut line on the stomach and dividing the bowel just beyond the gastric outlet, which action is performed first in the clip?", "role": "user" }, { "content": "Tracing the stomach cut line occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH ROUX-EN-Y RECONSTRUCTION FOR TYPE 1 GASTRIC CARCINOID.mp4" ] }, { "messages": [ { "content": "At what point does the dissection transition from work along the deep central plane near the major branches to freeing the outer sidewall attachments?", "role": "user" }, { "content": "Only after completing the central-plane work; the sidewall attachments are freed last.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Intracorporeal anastomosis： right and left colon.mp4" ] }, { "messages": [ { "content": "After the internal dome is rotated to the lowest position, at what moment does the circumferential cut around the cervix actually begin?", "role": "user" }, { "content": "It begins immediately once the dome is set at the lowest position and rotation starts, with the device cutting over the dome.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy for Large Lateral Wall Fibroid Uterus.mp4" ] }, { "messages": [ { "content": "Which instrument is used to attach the circular reinforcement to the inner belly wall, and what does it do to achieve fixation?", "role": "user" }, { "content": "A handheld fastener applicator is used; it places a ring of absorbable anchors around the implant’s edge to pin it against the inner wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Ventral Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "At what point does the workflow change from freeing adhesions to transecting a healthy segment with a stapler?", "role": "user" }, { "content": "The change occurs right after mobilization and mesorectal division, when the healthy segment is stapled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Robotic colectomy and repair of colovesical fistula due to diverticulitis – a video vignette.mp4" ] }, { "messages": [ { "content": "When and where does the significant narrowing of the outflow tract first become visibly apparent?", "role": "user" }, { "content": "It first appears right after the lengthwise opening of the outlet region near the pyloric/duodenal area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Hiatal Hernia Repair With Vagotomy And Heineke-Mikulicz Pyloroplasty.mp4" ] }, { "messages": [ { "content": "During the exploration on the initial side, when does the atypical bulge through the muscle first become visibly apparent?", "role": "user" }, { "content": "As the view moves medially on the first side, abnormal fat protruding through the muscle becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Bilateral Inguinal Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "Toward the end, which comes first: sealing the inner lining over the reinforcement, or letting the gas out?", "role": "user" }, { "content": "Sealing the inner lining over the reinforcement happens before releasing the gas.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Hernia Repair Inguinal (Laparoscopic) PreOp® Patient Education.mp4" ] }, { "messages": [ { "content": "Which instrument is used on two loops of small intestine to create the preparatory openings before they are joined in parallel, and what action is it performing?", "role": "user" }, { "content": "Electrically heated shears are used to make openings in two small-intestine loops.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Total Gastrectomy for Microscopic Gastric Adenocarcinoma.mp4" ] }, { "messages": [ { "content": "At what point in the sequence does a distinct mass first become visible, and in what area of the field does it appear?", "role": "user" }, { "content": "It first becomes apparent during the lateral work, appearing beneath the sidewall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic Extended Right Hemicolectomy for Locally AdvancedSplenic Flexure Tumou.mp4" ] }, { "messages": [ { "content": "During the pelvic transection scene, once the jawed instrument closes on the target segment, at what point does the actual cut begin?", "role": "user" }, { "content": "Immediately after the jaws fully close, the cutting starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/「大腸がんの外科的治療について」鶴田 淳 ブルーリボンキャラバン～もっと知ってほしい大腸がんのこと2019in倉敷～川崎医科大学附属病院 市民公開講座～.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from freeing tissue planes to building the new connection?", "role": "user" }, { "content": "Right after the size check, when continuous suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic assisted Re do gastrojejunostomy for a giant ulcer.mp4" ] }, { "messages": [ { "content": "Given the appearance of a clear boundary line on the organ surface, when does the main tissue division actually begin?", "role": "user" }, { "content": "It starts right after the boundary line appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver： Go Wakabayashi, M.D..mp4" ] }, { "messages": [ { "content": "Which implement acts on the duct-like bundle near the organ to achieve occlusion?", "role": "user" }, { "content": "A looped tie is passed around the duct-like bundle and tightened to occlude it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/肝中央区域の肝葉切除（動画字幕解説付き）.mp4" ] }, { "messages": [ { "content": "Between advancing a wire from the groin vessel up to the target and injecting the occlusive material while watching the screen, which occurs first?", "role": "user" }, { "content": "Advancing and positioning the catheter happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/卫生部医学视听教材—肝胆外科—GD008 肝海绵状血管瘤的治疗.mp4" ] }, { "messages": [ { "content": "When and where does any unexpected bleeding or leak first become visibly apparent?", "role": "user" }, { "content": "No abnormality becomes visible; there is no bleeding at the arterial stump and the leak test is negative.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Sept 2020 Medial to Lateral Approach ｜ Laparoscopic Low Anterior Resection ｜ Diseases Colon & Rectum.mp4" ] }, { "messages": [ { "content": "At what exact point does the workflow transition from rotating the intestinal tract to confirming the end-of-bowel landmarks?", "role": "user" }, { "content": "The transition occurs when the terminal ileum and cecum are reached.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's for Malrotation - Narrated - 3mm JustRight Sealer.mp4" ] }, { "messages": [ { "content": "After the support arm locks the thin lining to create a barrier, when does the upward lift of the large upper mass actually begin?", "role": "user" }, { "content": "It starts immediately after the lock is set and the mass rests on the barrier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Master Class of Laparoscopic Nephrectomy by Dr. R.K. Mishra.mp4" ] }, { "messages": [ { "content": "Which takes place first at the initial operation: the internal air-check of the new connection or the application of sealant along the seam?", "role": "user" }, { "content": "The air-check occurs first, followed by application of the sealant.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Dehiscencia de cisto-gastro anastomosis.mp4" ] }, { "messages": [ { "content": "At what point does unexpected oozing first become evident, and in which tissue plane is it seen?", "role": "user" }, { "content": "It first appears while working inside the fatty plane during the intramesenteric phase, prompting hemostasis before continuing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Expect the unexpected： Laparoscopic sigmoid colectomy.mp4" ] }, { "messages": [ { "content": "Which happens earlier in the sequence: selecting the external spot where the new opening will go, or sealing the first access incision?", "role": "user" }, { "content": "Selecting the site occurs first; sealing the initial access happens later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Laparoscopic Loop Ileostomy Creation Step by Step.mp4" ] }, { "messages": [ { "content": "Which handheld device is used to loop under a vessel near the pancreas, and what is done to that vessel?", "role": "user" }, { "content": "A dedicated forceps is used to pass under the vessel, which is then ligated with clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Totally Laparoscopic Total Gastrectomy for Gastric Cancer with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the tight bands tethering the C‑shaped first segment to neighboring loops, and what effect is achieved?", "role": "user" }, { "content": "An energized dissector with blunt and sharp tools releases the tethering bands, straightening the segment’s course.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd Procedure in Intestinal Nonrotation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from peeling tissue planes to revealing a prominent pulsating structure along the pelvic brim?", "role": "user" }, { "content": "The transition occurs when the left common iliac artery becomes visible during the medial-to-lateral dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic High Anterior Resection En-bloc Partial Cystectomy For Locally Advanced Sigmoid Cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from freeing the segment to managing the central supply channels?", "role": "user" }, { "content": "Right after sufficient mobilization, when they begin applying fasteners and dividing the central branches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/大腸がんの外科的治療とその後の生活 吉福 清二郎【ブルーリボンキャラバン～もっと知ってほしい大腸がんのことin松本】.mp4" ] }, { "messages": [ { "content": "At what point does limited instrument spacing become visually evident, and where in the field is it seen first?", "role": "user" }, { "content": "During knot-tying at the deep midline fixation stage, where limited tool angle prompts switching to curved instruments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Single Incision Posterior Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which visual device is introduced through the first opening to enable internal viewing during the procedure?", "role": "user" }, { "content": "An optical viewing port (camera) is introduced through the first opening to allow internal visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Laparoscopic Loop Ileostomy Creation Step by Step.mp4" ] }, { "messages": [ { "content": "In a multi-field case that uses two working zones, when does the repositioning of the machine support begin?", "role": "user" }, { "content": "Repositioning starts immediately after the second working zone is selected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic left colectomy with pTME： Set-up and approaches with Si and Xi systems.mp4" ] }, { "messages": [ { "content": "Between repositioning a cord-like tubular structure and opening the adjacent sheet-like layer, which happens first?", "role": "user" }, { "content": "The tubular structure is repositioned first, then the sheet-like layer is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer.mp4" ] }, { "messages": [ { "content": "Between safeguarding a major vessel along the upper curvature and cutting a different vessel on the opposite side, which step takes place earlier?", "role": "user" }, { "content": "Safeguarding the first vessel occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC ROBOTIC-ASSISTED CONVERTION OF DUODENAL SWITCH TO PARTIAL GASTRECTOMY WITH ROUX-EN-.mp4" ] }, { "messages": [ { "content": "During removal of the upper-left solid organ en bloc, which instrument is used on its central pedicle, and what action does it perform?", "role": "user" }, { "content": "A laparoscopic stapling device is used to ligate and divide the organ’s central pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic left hemicolectomy and en bloc splenectomy for locally advanced descending colon cancer.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from operating on the first side to carrying out the same maneuvers on the opposite side?", "role": "user" }, { "content": "When the team begins the mirrored removal on the other side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Robotic supracervical hysterectomy & colpo-procto-sacropexy with folded titanized polypropylene mesh.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from forming the straight passage to extracting the detached portion?", "role": "user" }, { "content": "The transition occurs immediately after the straight passage is created, when the removed segment is taken out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/GERD after Sleeve Gastrectomy = Laparoscopic Management By Daniel Cottam, MD.mp4" ] }, { "messages": [ { "content": "Between the initial slight central aperture formation and the later decisive enlargement, which occurs first in the sequence?", "role": "user" }, { "content": "The initial slight central formation occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/膀胱下垂，怎麼辦？ cystocele repair.mp4" ] }, { "messages": [ { "content": "When is the lesion’s location confirmed, and in which segment of the upper tract is it situated?", "role": "user" }, { "content": "During intraluminal verification; it is at the distal thoracic segment where it meets the stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Distal Esophagectomy, Proximal Gastrectomy With Roux-En-Y Reconstruction For ....mp4" ] }, { "messages": [ { "content": "Which comes first near the end: closing internal gaps to prevent future bowel slippage, or placing the suction tube for postoperative monitoring?", "role": "user" }, { "content": "Closing the internal gaps is done first, followed by placement of the drain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic excision of Choledochal cyst with intracorporeal Roux-en-Y hepaticojejunostomy for chol.mp4" ] }, { "messages": [ { "content": "What device seals the small channels during the split of the organ, and how are the larger ones dealt with?", "role": "user" }, { "content": "A heat-sealing grasper treats the small vessels; the larger ones are controlled with clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Assisted Portal Lymphadenectomy and Partial Hepatectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from the upper-region dissection to extending the cut downward?", "role": "user" }, { "content": "Right after finishing the upper-region dissection to its planned length, when the stepwise downward extension begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/V043 ESOPHAGOGASTRIC JUNCTION DISTENSIBILITY MEASURED.mp4" ] }, { "messages": [ { "content": "Which powered instrument is applied to the firm shelves at the top and bottom of the gap to thin them down?", "role": "user" }, { "content": "A diamond-tipped burr is used on the endplate bone to thin it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Spine Surgery： Anterior Cervical Corpectomy.mp4" ] }, { "messages": [ { "content": "After the surgeon performs a squeezing motion along the narrow channel, when does the actual securing of that channel commence?", "role": "user" }, { "content": "It starts right after the milking motion, when clips are applied to the duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/SAGES Top 21 Videos： Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Between making the two cross-oriented enterotomies and placing the corner tethers, which occurs first?", "role": "user" }, { "content": "The cross-oriented cuts are made first, followed by the corner tethers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Duodeno-duodenostomy Diamond Anastomsis for Duodenal Atresia. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal fusion between the bulky lesion and an adjacent small-bowel loop first become visibly apparent?", "role": "user" }, { "content": "During the initial survey, on the right side of the abdomen crossing the midline, the mass is seen matted to a small-bowel loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right hemicolectomy (CME with CVL) with jejunal resection in a T4b Ascending colon ....mp4" ] }, { "messages": [ { "content": "Between widening the body-wall opening and cinching it down around the exteriorized segment, which takes place first?", "role": "user" }, { "content": "They widen the opening first, then cinch it down afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/The Impossible Stoma： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "When and where in the removed part does a prominent growth first come into view in the clip?", "role": "user" }, { "content": "During the end-of-case specimen display, at the neck area of the removed bladder adjacent to the prostate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystoprostatectomy & Laparosopic Intracorporeal Ileal Conduit Urethrectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the procedure transition from tightening the exit to reshaping the reservoir?", "role": "user" }, { "content": "Immediately after confirming the reduced opening, the focus shifts to reshaping the reservoir.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Gastric Outlet Reduction (POSE).mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from locating the target area to actually creating an opening in its supporting fold?", "role": "user" }, { "content": "The transition occurs when a window is made into the supporting fold (mesentery) at the junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Appendectomy and Open Umbilical Hernia Repair ｜ JOMI at MGH.mp4" ] }, { "messages": [ { "content": "When and where does any abnormal visual finding first become apparent in this clip?", "role": "user" }, { "content": "No abnormality appears at any point; the field remains normal throughout.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/St Joe's Live Video 6 Nagas kidney removed.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from exploration of the junction area to confirmation with a simple fluid test?", "role": "user" }, { "content": "The transition occurs when they aspirate fluid from the channel to confirm it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Hepaticojejunostomy： Dr Atul Mishra, Ludhiana.mp4" ] }, { "messages": [ { "content": "When and where does the first clear sign of upstream enlargement and bending of the tube above a tight segment become visible?", "role": "user" }, { "content": "Right after circumferential exposure at the hiatus, the tight junction with a dilated, sigmoid-shaped upstream segment becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/e-LHCM(ENDOSCOPIC GUIDED LAPAROSCOPIC HELLER'S CARDIOMYOTOMY WITH DOR FUNDOPLICATION).mp4" ] }, { "messages": [ { "content": "When and where does an unintended communication with the side cavity first become visibly apparent during the dissection?", "role": "user" }, { "content": "It first appears when the side lining is incised, revealing the airy organ and necessitating evacuation of the resulting air entry.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Redo Heller myotomy for megaesophagus.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to accomplish the initial exposure maneuver?", "role": "user" }, { "content": "An atraumatic grasper lifts an enteral segment to expose the central field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/altemeier procedure.mp4" ] }, { "messages": [ { "content": "Once the ring‑shaped device is docked to its parked head and the two ends are fully approximated, at what moment does the firing actually occur?", "role": "user" }, { "content": "Immediately after full approximation and a brief pause, they fire to complete the staple line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Total Gastrectomy with D2 dissection.mp4" ] }, { "messages": [ { "content": "Which device divides the supporting fold of the narrow intestine, and what action is it performing on that tissue?", "role": "user" }, { "content": "A sealing device divides the supporting fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot Assisted Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "At what exact moment does the process shift from collapsing individual chambers to actual removal of the mass?", "role": "user" }, { "content": "When the compartments collapse, extraction begins and the mass starts coming out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Salpingo oophorectomy for Huge Ovarian Cyst by Dr. R.K. Mishra.mp4" ] }, { "messages": [ { "content": "During separation of an inflamed plane between the bowel and the urinary organ, which tools are applied and for what purpose?", "role": "user" }, { "content": "A suction–irrigation instrument and a blunt dissector are used to separate the inflamed plane between the bowel and the urinary organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy for Diverticular Disease： Clinical Scenarios and Technical Options.mp4" ] }, { "messages": [ { "content": "At what exact moment does the video move from the phase of re-covering the implant to the phase of specimen fragmentation and pouching?", "role": "user" }, { "content": "The transition occurs immediately after the inner lining closure is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Subtotal hysterectomy and sacrocolpopexy for uterovaginal prolapse.mp4" ] }, { "messages": [ { "content": "After the tissue visibly blanches from an injection, when is the actual cutting on the thick layer initiated?", "role": "user" }, { "content": "Cutting begins immediately after the blanching appears.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid..mp4" ] }, { "messages": [ { "content": "At the start of the deep dissection near the back of the pelvis, which instrument makes the initial cut through the thin covering layer, and what is that layer being separated from?", "role": "user" }, { "content": "Robotic scissors make the first cut, dividing the thin covering layer to separate the space between the two adjacent hollow organs.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Rectopexy (RVR) for Rectal Prolapse and Obstructive Defecation - Chinese Simplified.mp4" ] }, { "messages": [ { "content": "What guiding accessory is pressed against the large posterior vessel to steer and protect while the stapler divides the adjacent conduit?", "role": "user" }, { "content": "An endolid catheter is used against the posterior great vessel to guide and protect during stapling.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/S6 (Left) Robotic Superior Segmentectomy.mp4" ] }, { "messages": [ { "content": "What device is used to divide the distal portion of the stomach along the planned resection line, and on which tissue is it applied?", "role": "user" }, { "content": "A linear stapler is applied to the stomach to divide it along the resection line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOR LOCALLY ADVANCED GASTRIC CANCER.mp4" ] }, { "messages": [ { "content": "What device is used to take down the remaining bridge from the left half of the organ, and what kind of structure is it acting on?", "role": "user" }, { "content": "A sealing-and-dividing device is used to transect the final outflow vein and adjacent tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Extra Glissonian Mass Ligation of the Left Portal Pedicle During Laparoscopic Left Hepatectomy.mp4" ] }, { "messages": [ { "content": "Which is completed first: placing stitches at the front of the new connection or cutting the back and placing the remaining stitches?", "role": "user" }, { "content": "Stitches at the front are placed first; the back is cut and the remaining stitches are placed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/ALTEMEIER PROCEDURE FINAL.mp4" ] }, { "messages": [ { "content": "Between opening the space behind the target organ and incising the fold in front of it, which action happens first in this clip?", "role": "user" }, { "content": "Opening the space behind the organ happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Between cutting open a narrow tube near the pear-shaped organ and injecting dye to outline the channels, which happens first in the sequence?", "role": "user" }, { "content": "The tube is cut open first, then the dye study follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Transgastric ERCP post RYGB for CBD stones for.mp4" ] }, { "messages": [ { "content": "Which device secures the vessel once a stitch has been placed, and what specific action does it perform?", "role": "user" }, { "content": "A knot-pushing tool advances and seats the tie after the stitch is applied to secure the vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/StopPiles from MedTech Devices # Laser Vaporisation # Part 5.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from device-mediated joining to hand-sewn closure of the common channel?", "role": "user" }, { "content": "The transition occurs when the continuous suture is started to close the common opening after the device has been fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastro-jejunostomy (GJ) by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from stitching the sheet to the tube-like organ to fastening it to the bony landmark at the back?", "role": "user" }, { "content": "When the organ is lifted and the fastener applicator is used to secure the sheet to the rear bony ridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectal Prolapse Operation.mp4" ] }, { "messages": [ { "content": "Which occurs first: opening the bowel loop near the join to look for the opening, or using a thin puncture to confirm the upstream channel’s location?", "role": "user" }, { "content": "Opening the bowel loop occurs first, followed by the confirming puncture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic stricturoplasty for tight hepaticojejunostomy stricture following laparoscopic pylorus.mp4" ] }, { "messages": [ { "content": "Given the cue that a lighted, flexible camera is passed through the natural lower passage, when does the team actually begin using it to localize the downstream segment?", "role": "user" }, { "content": "Right after enough working space is gained and during the targeted search for the distal segment in the deep lower abdomen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SILS for ostomy takedowns- The platform for NOTES.mp4" ] }, { "messages": [ { "content": "Which happens first: placing supportive stitches to prevent bending at the new connection, or performing the leak check?", "role": "user" }, { "content": "The supportive anti-bending stitches are placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Gastric Seromyotomy & Conversion to Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which occurs first: peeling a fatty curtain off the large bowel or ligating a smaller arterial branch near the upper digestive organ?", "role": "user" }, { "content": "Peeling the fatty curtain off the large bowel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Total Gastrectomy and Omentectomy with Roux-en-Y Reconstruction.mp4" ] }, { "messages": [ { "content": "Once a ring-like guide is traced around the inner lining, at what moment do the surgeons actually start cutting along it?", "role": "user" }, { "content": "Right after the ring guide is completed, they begin the circular cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme Precedure A stepwise approach.mp4" ] }, { "messages": [ { "content": "After the access points are placed and the view is stabilized, when does the first intentional tissue cut actually begin?", "role": "user" }, { "content": "Immediately after setup, when the powered tip begins dividing the fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Dorsal Rectopexy with Pelvic Peritoneal Sac Excision for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "You can see the pre-formed loop being advanced toward the short channel from the target sac; at what point does the actual tightening of that channel begin?", "role": "user" }, { "content": "Tightening begins when the loop is cinched down, immediately after the suture is fed into place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/HD Lap Chole by Mishra's Knot.mp4" ] }, { "messages": [ { "content": "During the dye-based integrity check, when and where does any leak first visibly appear?", "role": "user" }, { "content": "No leak becomes visible during the test; the team proceeds without any noted abnormality.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastrectomia Total Oncológica -Passo a Passo.mp4" ] }, { "messages": [ { "content": "Which pointed implement is used to tuck the inner lining as the seam is completed, and what action does it perform on that tissue?", "role": "user" }, { "content": "The suturing needle is used to invert the mucosa by tucking it inward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devils in the Details-Linear stapled gastro jejunostomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from carefully peeling tissue off a glandular surface to fully entering the upper cavity and displaying the definitive exposure?", "role": "user" }, { "content": "Right after the tissue is fully lifted off the glandular surface, when they enter the upper cavity and present the third and final critical view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Total Colectomy： Appraisal of Critical Views of Dissection.mp4" ] }, { "messages": [ { "content": "Which device executes the final cut on the lowest segment, and what preparatory change is made right before completing it?", "role": "user" }, { "content": "A stapling device performs the final cut, after multiple repositionings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Pelvic dissection in an ultra-low Anterior resection for low rectal cancer. Dr Suhail Anwar..mp4" ] }, { "messages": [ { "content": "Which occurs first in the setup: confirming the loop cable’s alignment with the scope’s handle or advancing the loop into the field of view?", "role": "user" }, { "content": "Aligning the loop cable with the scope handle happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/HƯỚNG DẪN KỸ THUẬT CẮT POLYP ĐẠI TRÀNG.mp4" ] }, { "messages": [ { "content": "When and where do small oozing bleeds first become visibly apparent during the connection to the outlet?", "role": "user" }, { "content": "They first appear around the outlet muscle region during the suturing phase, before the connection is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Vorstellung einer modifizierten orthotopen neoblasentechnik dem i pouch illustration der chiru.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to accomplish the attachment of the flexible wall to the circular muscle band during the folding step?", "role": "user" }, { "content": "3-0 absorbable sutures act on the proximal vaginal wall to attach it to the sphincter muscle complex.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Repair of a recurrent rectovaginal fistula using a rectal wall a.mp4" ] }, { "messages": [ { "content": "At what exact moment does the video transition from removal of the specimen to the reconnection phase between the two hollow segments?", "role": "user" }, { "content": "Right after the specimen is shown as removed, when the remaining ends are approximated and suturing begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療　坂本 快郎.mp4" ] }, { "messages": [ { "content": "Once the channel cap is locked and the space visibly expands, when does the internal survey begin?", "role": "user" }, { "content": "It starts right after the space is expanded, as the exploration and adhesion division begin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/A New Approach for Rectal Prolapse： Perineal Proctectomy with TAMIS Rectopexy and Mesh Fixation.mp4" ] }, { "messages": [ { "content": "When and where does a non-target protrusion on the upper wall first become visibly apparent?", "role": "user" }, { "content": "Early during the survey, on rotating the view upward, a non-target protrusion on the upper wall becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Live-Op-Photodynamische Diagnostik bei Blasentumor.mp4" ] }, { "messages": [ { "content": "At what point does the operation transition from intraluminal viewing with a slim scope to inserting a cross-shaped drain for ongoing access?", "role": "user" }, { "content": "Right after large stones are removed under endoscopic view, when they place a T-tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/SAGES⧸ALACE Symposium： Common Bile duct Exploration options when you don�t have everything.mp4" ] }, { "messages": [ { "content": "Which tool is used to create a right-to-left cut across the distal target segment, and what action does it perform on the tissue?", "role": "user" }, { "content": "A stapling device is used to transect the distal segment from right to left.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Multiport left colectomy： Anatomic highlights & danger areas--How to organize to succeed.mp4" ] }, { "messages": [ { "content": "Which instrument with a bent tip acts on a tiny side channel entering the sac, and what does it accomplish?", "role": "user" }, { "content": "A hook cautery acts on a lateral arterial branch entering the gallbladder and divides it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic cholecystectomy for Mirizzi syndrome.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from upper-abdomen preparation work to focused dissection in the tight lower cavity?", "role": "user" }, { "content": "The transition occurs immediately after the preparatory freeing work, when the team starts the precise plane dissection in the narrow lower cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Total Mesorectal Excision for Rectal Cancer - Surgical Principles.mp4" ] }, { "messages": [ { "content": "Which device clamps and divides the curved organ segment, and what tissue does it act on?", "role": "user" }, { "content": "An automatic clamping-and-cutting device acts on the organ wall to divide and remove a partial segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "After a cutting device is positioned across the upstream bowel to verify reach and perfusion, when does the actual transection begin?", "role": "user" }, { "content": "Right after confirming good blood flow—immediately upon the command to fire the device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic left hemicolectomy, obstructing descending colon cancer.mp4" ] }, { "messages": [ { "content": "When does the operation shift from working on the first side to beginning the same steps on the second side?", "role": "user" }, { "content": "Immediately after finishing the posterior dissection behind the organ on the first side, the team begins by ligating the lateral pedicles on the second side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy & Bilateral Salpingectomy： Step-by-Step Surgical Procedure.mp4" ] }, { "messages": [ { "content": "Between freeing posterior tethering bands and revealing the bony ridge at the pelvic brim, which happens first?", "role": "user" }, { "content": "Freeing the posterior tethering bands occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection in a Patient with Situs Inversus.mp4" ] }, { "messages": [ { "content": "Once a group of blood channels is aligned and a small metallic fastener is positioned, when does the actual tightening begin?", "role": "user" }, { "content": "Immediately after freeing both sides, the fastener is closed to secure the vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystoprostatectomy performed by Dr. O Ivanovski, Skopje, Macedonia.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from superficial passes on the organ to managing the deeper conduits with an angled clamp?", "role": "user" }, { "content": "The shift occurs when the superficial passes reach the larger deep vessels and the articulating clamp appears to start its firings.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Minimally Invasive Partial Hepatectomy (Liver Resection) - TriHealth Surgical Oncology.mp4" ] }, { "messages": [ { "content": "Which occurs first: rinsing out particulate contamination or closing the enlarged access site with a shuttle device?", "role": "user" }, { "content": "The rinse occurs before closing the enlarged access site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Closed loop bowel obstruction： Laparoscopic resection with fully stapled intra-corporeal anastomosis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from specimen removal to reconstructing the major vessel?", "role": "user" }, { "content": "Right after the specimen is removed, when suturing of the vessel begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/パープルリボンキャラバン2011ｉｎ名古屋 中尾先生2.mpg.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from dividing the back inflow bundle to the phase where the organ is split along the marked plane?", "role": "user" }, { "content": "Right after finishing the posterior bundle transection, when the sling is used to lift and complete the split.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Right Hepatectomy after Right Hemiliver Radiation Lobectomy.mp4" ] }, { "messages": [ { "content": "During the deep-layer removal sequence, which happens earlier: applying a fluid to limit bleeding or using an energized tip to cut within the inner layer?", "role": "user" }, { "content": "Applying the fluid to limit bleeding occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/✅ Laparoscopic myomectomy. Dr. Lucas Minig. Gynecologic Oncologist. Valencia, Spain.mp4" ] }, { "messages": [ { "content": "When and where does any unexpected red fluid at the connection site first appear?", "role": "user" }, { "content": "It does not appear; no abnormal red fluid is seen at the connection site during inspection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic subtotal gastrectomy and anterior resection for synchronous gastric and rectal cancer.mp4" ] }, { "messages": [ { "content": "Between expanding the belly with gas and inserting the first viewing port, which action happens earlier in this clip?", "role": "user" }, { "content": "The expansion with gas happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid..mp4" ] }, { "messages": [ { "content": "Which happens earlier: sealing and cutting the drainage tube from the operative side of the liver or transecting the large outflow vessel from that side?", "role": "user" }, { "content": "The biliary drainage tube is divided before the large outflow vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic assisted left hepatectomy- Dr. Sanjay Goja.mp4" ] }, { "messages": [ { "content": "Between delivering a small preliminary bolus after exposing the lesion and occluding the vessel, which happens first?", "role": "user" }, { "content": "The preliminary bolus occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Use of Firefly for Margin Assessment in Robotic Partial Nephrectomy (Differential Fluorescence).mp4" ] }, { "messages": [ { "content": "Which device is used at the end to fasten the superficial layer, and what does it act on?", "role": "user" }, { "content": "A stapling device fastens the skin at the end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/How Closure of Transverse Loop Colostomy is Performed in Russia.mp4" ] }, { "messages": [ { "content": "Which implement is applied to the tiny channels in the upper part of the dissection field, and what effect does it achieve?", "role": "user" }, { "content": "Small metal clips are applied to those channels to control their drainage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Neobladder Procedure.mp4" ] }, { "messages": [ { "content": "What mechanism is used to temporarily halt inflow to the liver during the resection, and on which structure is it applied?", "role": "user" }, { "content": "A tourniquet/clamp is applied around the portal pedicle (hepatoduodenal ligament) to achieve temporary inflow occlusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic anatomical S8 resection.mp4" ] }, { "messages": [ { "content": "After the on-screen illumination visibly improves, when does the explanatory segment actually begin?", "role": "user" }, { "content": "Immediately after the lights are turned on, when the speaker begins the detailed functional explanation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Partial Gastrectomy for Distal Gastric Cancer.mp4" ] }, { "messages": [ { "content": "Which fixation method secures the implant to the canal walls, and which method secures it to the pelvic ligament near the midline ridge?", "role": "user" }, { "content": "Small metallic clips secure it to the canal walls, while press-in anchors are used at the pelvic ligament near the midline ridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Male Patients： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from controlling inflow to cutting through the organ substance?", "role": "user" }, { "content": "Right after confirming the right-side darkening and stating they’re ready, they begin going through the parenchyma.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Cancer： Hepatectomy with Radiofrequency Resection Video - Brigham and Women's Hospital.mp4" ] }, { "messages": [ { "content": "When and where do the abnormal nodules within the removed tissue first become visually apparent?", "role": "user" }, { "content": "Upon sectioning the removed specimen, on the cut surface.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Totally Laparoscopic Right Hepatectomy by Caudate Hepatotomy Technique.mp4" ] }, { "messages": [ { "content": "Between freeing the upper hollow organ on both sides with energy and seeing a left-side diaphragm landmark, which action occurs first?", "role": "user" }, { "content": "The bilateral energy dissection happens first, followed by visualization of the left diaphragmatic landmark.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Conversione di One Anastomosis Gastric Bypass a Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Considering the sequence across both sides and the anterior plane work, which occurs earlier: dividing the lateral pedicles or creating the anterior separation plane?", "role": "user" }, { "content": "Dividing the lateral pedicles happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Hysterectomy Patient Video.mp4" ] }, { "messages": [ { "content": "In the return visit, which occurs first: removing the curled plastic support or extracting the larger metal implant?", "role": "user" }, { "content": "Removal of the curled plastic support happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/EUS-guided gallbladder drainage in a patient with Billroth II reconstruction.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: outlining the fatty envelope at the bottom of the pelvis or showcasing the paired nerve strands along the back wall?", "role": "user" }, { "content": "Outlining the fatty envelope occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/STANADARDIZATION OF THE APPROACH TO TRANSANAL NOTES TOTAL MESORECTAL EXCISION TME IN PATIENTS WITH R.mp4" ] }, { "messages": [ { "content": "During the deep phase, when do they swap from an angled view to a straight-view lens?", "role": "user" }, { "content": "Once the work drops below the sacral promontory, they switch to the straight-view scope.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "At what visual cue does the scene shift from creating the tunnel beneath the lining to cutting the tight muscle ring?", "role": "user" }, { "content": "The transition occurs once the tunnel exposes the muscle ring; at that visual exposure, they begin dividing it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Per Oral Pyloromyotomy for Gastroparesis： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from teasing down the safe plane to having the main bundle already cut?", "role": "user" }, { "content": "The transition occurs the instant the bundle is divided, marked by the tissue taking on a purplish tinge and only one thin layer remaining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Medial to lateral dissection of the inferior mesenteric artery p.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from internal dissection to pulling the specimen out through the skin access site?", "role": "user" }, { "content": "When the specimen is grasped and begins to be exteriorized through the access incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SINGLE INCISION LAPAROSCOPIC CLOCK WISE CONTINUOUS TOTAL ABDOMINAL COLECTOMY WITH END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "Which happens first: parking the freed material in the upper part of the organ, or removing it through a natural passage?", "role": "user" }, { "content": "Parking in the upper part occurs first, followed by removal through the natural passage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Hybrid Endoscopic-Laparoscopic Transgastric Resection of Gastric Subepithelial Tumor.mp4" ] }, { "messages": [ { "content": "Between securing the right-sided attachments near the adnexa and clamping tissue on the opposite side to begin shelling out the lower uterine segment, which happens first?", "role": "user" }, { "content": "The broad right-sided detachment near the adnexa happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 2.mp4" ] }, { "messages": [ { "content": "Which occurs first: a broad look around the cavity or beginning to free the right-sided segment?", "role": "user" }, { "content": "The broad exploration comes first, followed by the right-sided dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/SS14 Plenary Session II： V030 SINGLE INCISION LAPAROSCOPIC TOTAL ABDOMINAL COLECTOMY.mp4" ] }, { "messages": [ { "content": "When does the process shift from dividing the mass to retrieving it through the access site?", "role": "user" }, { "content": "Right after the pieces are fully separated and the team begins extracting them through the entry site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/What is Laparoscopic Myomectomy？.mp4" ] }, { "messages": [ { "content": "At what moment does the video shift from the untwisting phase to the phase where the central stalk of the small bowel is being widened?", "role": "user" }, { "content": "Right after the twist is undone and the crossing strands are cut—when the surgeon starts spreading attachments at the root to broaden the base.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Malrotation with Midgut Volvulus.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the solid organ tissue to separate it by crushing and dividing along the planned margin?", "role": "user" }, { "content": "A clamp-like crush device acts on the organ parenchyma to crush and divide along the planned margin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic radical cholecystectomy for gallbladder cancer.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the hollow tube to achieve both separation and closure at the same time?", "role": "user" }, { "content": "A cartridge-based cutter divides the hollow tube while closing both sides simultaneously.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科療法〜開腹手術と腹腔鏡手術　和嶋 直紀.mp4" ] }, { "messages": [ { "content": "Around the initial cut, does the team first pinpoint the inner circular layer or do they make the cut in the lining first?", "role": "user" }, { "content": "They identify the inner circular layer first, then make the cut in the lining.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Ultrashort-segment Hirschsprung's disease complicated by megarectum – a video vignette.mp4" ] }, { "messages": [ { "content": "When and where in the field does the unexpected additional conduit—one that does not actually enter the pouch-like organ—first become clearly noticeable?", "role": "user" }, { "content": "It first becomes evident during careful lifting and dissection around the neck area, when a third channel is seen coursing separately in the working space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Безопасная холецистэктомия-практикум..mp4" ] }, { "messages": [ { "content": "Which occurs first: dealing with the large-caliber vessel along the outer border, or dividing the smaller-caliber vessel along the inner border on the right?", "role": "user" }, { "content": "They address the outer-border vessel first, then divide the right-sided inner-border vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Mininvasive D2 Subtotal Gastrectomy for advanced gastric cancer post neoadiuvant chemotherapy..mp4" ] }, { "messages": [ { "content": "Between disengaging the curved stapler and the segment snapping back inside, which event happens first?", "role": "user" }, { "content": "Disengagement happens first, followed by the rectum falling back into place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Perineal Stapled Prolapse Resection for full thickness external rectal prolapse.mp4" ] }, { "messages": [ { "content": "Around the time of closing the entry point, does the team first pass the camera through the outlet or perform the closure?", "role": "user" }, { "content": "They pass the camera through first, and closure happens afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Endoscopic management of late post-esophagectomy complications： Per-oral endoscopic pyloromyotom....mp4" ] }, { "messages": [ { "content": "Which containment accessory is applied to the resected bowel to allow protected retrieval through a small opening, and what task does it perform?", "role": "user" }, { "content": "A retrieval pouch (bag/wound protector) is applied around the specimen to contain it and enable protected extraction, reducing spillage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Intracorporeal anastomosis： right and left colon.mp4" ] }, { "messages": [ { "content": "After the targeted half of the organ visibly changes color due to inflow control, when does cutting on the front-facing branch actually begin?", "role": "user" }, { "content": "It starts right after the color change and boundary marking, when the front-facing branch is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Extrahepatic Glissonean Access in Laparoscopic Anatomical Liver Resection.mp4" ] }, { "messages": [ { "content": "Between cutting the lower pelvic bowel segment and freeing the left upper bend of the colon, which action is performed first?", "role": "user" }, { "content": "Cutting the lower pelvic segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Lap. Sigmoidectomy with Splenic Flexure Mobilization for Diverticulitis. Dr. Mahmoud Abd El-Naby.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: the first application of the dividing device or the reinforcement with a fatty tissue patch over the cut line?", "role": "user" }, { "content": "The first device application happens before the reinforcement with the fatty tissue patch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Two Techniques For Laparoscopic Resection Of Gastric Gists.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing tissue planes to tightening the gap in the muscle partition?", "role": "user" }, { "content": "When the view shifts from dissection/mobilization to placing stitches across the widened opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Toupet Fundoplication with Hiatal Hernia Repair - Animation & Actual Surgical Footage.mp4" ] }, { "messages": [ { "content": "After the lower end has been closed, when is the stapled edge pulled out through the side access?", "role": "user" }, { "content": "Retrieval of the stapled edge occurs after the lower end is closed, via the 12 mm side access.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from shredding tissue pieces to placing an anti-adhesion sheet over the repair?", "role": "user" }, { "content": "Immediately after finishing the shredding, the anti-adhesion sheet is placed over the suture line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid..mp4" ] }, { "messages": [ { "content": "In the outcome comparison between a same‑day dual‑procedure and a separated schedule, when and in which group does the first unexpected downturn in disease control become apparent?", "role": "user" }, { "content": "At the three‑year mark, in the same‑day dual‑procedure group.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Minimally invasive liver resection for simultaneous colon & liver resection.mp4" ] }, { "messages": [ { "content": "After access points are established, when does the extensive peeling of stuck surfaces actually begin?", "role": "user" }, { "content": "It begins immediately after the ports are placed, with extensive dissection using energy.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Re Hepaticoyeyunoanastomosis laparoscopica.mp4" ] }, { "messages": [ { "content": "Which device is applied to the vessels feeding the lower segment to clamp and separate them?", "role": "user" }, { "content": "Metal clips are used to divide the distal segment’s vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Unusual Intraoperative Complications in Laparoscopic Sigmoidectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip switch from sewing the far wall of the join to sewing the near wall?", "role": "user" }, { "content": "Right after finishing the far (back) half, the team immediately begins sewing the near (front) side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/大腸がんの手術と手術後の生活　安野 正道.mp4" ] }, { "messages": [ { "content": "When a cord-like strand looks vascular, which tool acts on it and what action is performed on that structure?", "role": "user" }, { "content": "A powered dissector is used to divide the vascular-appearing adhesion band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Laparoscopic Surgery for Subacute Small Bowel Obstruction.mp4" ] }, { "messages": [ { "content": "In the second sequence, which occurs first: forceful spreading in a confined tunnel or placement of a temporary occlusion device?", "role": "user" }, { "content": "The blind spreading that causes the tear occurs first; the occlusion device is placed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Case Presentations： 'Masters Disasters'.mp4" ] }, { "messages": [ { "content": "After the view pivots to reveal a conspicuous gap near the upper edge of the frame, when does the sealing effort actually begin?", "role": "user" }, { "content": "It begins when the rolled flexible sheet is introduced into the space immediately after that rotation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Inguinal Hernia Repair (4k).mp4" ] }, { "messages": [ { "content": "After the team elevates a loop and exposes a glistening membrane, when does the cutting actually begin relative to that cue?", "role": "user" }, { "content": "The cutting begins immediately after the loop is lifted and the membrane is exposed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Frykman-Goldberg for Internal Rectal Prolapse and Chronic Constipation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from dividing vessels on the side opposite the camera’s initial focus to working on the central small-bowel supply?", "role": "user" }, { "content": "It transitions after the right-side vessels and lateral attachments are divided, when they pivot back to the midline and begin dissecting the ileal mesentery.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/腹部无辅助切口经肛门拖出标本的腹腔镜下全结肠切除+回肠-直肠吻合术.mp4" ] }, { "messages": [ { "content": "Which occurs earlier: division of the bowel just beyond the stomach or transection across the main body of the stomach itself?", "role": "user" }, { "content": "Division of the bowel just beyond the stomach happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH D2 LYMPHADENECTOMY FOR LOCALLY ADVANCED GASTRIC CANCER.mp4" ] }, { "messages": [ { "content": "During the diagnostic camera exam inside the small reservoir, when does a yellow backflow first surge into view, and from which side passage does it enter?", "role": "user" }, { "content": "It first appears during the endoscopic inspection, entering from the incoming side passage into the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Omega Loop Bypass to Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "After an ink mark on the bowel wall appears in view, when does the actual division along the planned vascular fan begin?", "role": "user" }, { "content": "It begins when the surgeon starts cutting through the tissue plane from the marked line toward the central pedicle.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Extended Right Colectomy.mp4" ] }, { "messages": [ { "content": "Comparing two steps near the top of the sac: does pulling the red vessel medially happen before the blue sling is placed around the upper end, or after?", "role": "user" }, { "content": "Pulling the vessel medially happens before placing the sling.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "Between closing the front rim of the join with stitches and separating the looping segment, which happens earlier in the video?", "role": "user" }, { "content": "Closing the front rim happens first, then the loop is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details： Gastro-jejunal anastomosis Robotic anastomosis.mp4" ] }, { "messages": [ { "content": "During the approach to the outer boundary, what occurs first: recognizing the large lateral vein, or deepening the plane down to the deep fibrous band and muscular arch?", "role": "user" }, { "content": "Recognition of the large lateral vein comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic prophylactic lateral pelvic lymph node dissection in advanced low rectal cancer..mp4" ] }, { "messages": [ { "content": "Which happens earlier: finishing the take-down along the bowel’s inner edge, or confirming that nearby structures have remained intact?", "role": "user" }, { "content": "The take‑down along the bowel’s edge is finished first; the integrity check follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Pediatric Laparoscopic Sigmoidectomy For Sigmoid Volvulus.mp4" ] }, { "messages": [ { "content": "Between instilling a clear fluid into the operative field and starting powered separation of the target tissue, which occurs earlier in the clip?", "role": "user" }, { "content": "The fluid instillation occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy- subserous pedunculated fibroid stuck to abdominal wall & bowel.mp4" ] }, { "messages": [ { "content": "Between safeguarding a nerve bundle running along the pelvic sidewall and identifying a thin tubular structure exhibiting rhythmic motion, which occurs first in this clip?", "role": "user" }, { "content": "Safeguarding the nerve bundle occurs first, followed by identifying the peristaltic tubular structure (the left ureter).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Ultra-low Anterior Resection for Rectal Cancer by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "Given the visible application of metal fasteners to arterial branches, when does the actual cross-cutting of the upper bowel occur relative to that sequence?", "role": "user" }, { "content": "It occurs before the arterial fasteners—transection precedes those clips.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/The page-turning approach： a novel technique for laparoscopic right hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "Which occurs first: the operator makes a shallow sweep across the lining at the suspected site, or the hidden bump becomes clearly visible?", "role": "user" }, { "content": "The shallow sweep comes first, followed by the bump becoming clearly visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Resection of Deep Sub Endometrial Fibroid FIGO stage III bordering on hybrid stage II.mp4" ] }, { "messages": [ { "content": "During the final closure of the canal wall, what material and technique are used to accomplish the seal, and how are the bites taken?", "role": "user" }, { "content": "Alternating interrupted Vicryl sutures are placed, taking full-thickness bites of healthy tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Transanal repair of a recto-urethral fistula after robotic prost.mp4" ] }, { "messages": [ { "content": "Which handheld cutting tool is used on the basin tissue to carve out the strip, and what action does it perform?", "role": "user" }, { "content": "Handheld scissors act on the basin tissue to dissect and harvest the strip.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Robotic Dismembered Tubularized Flap Pyeloplasty for Ureteropelvic Junction Obstruction.mp4" ] }, { "messages": [ { "content": "Once the two segments achieve colinear alignment, when does the long-jawed joining device actually get introduced?", "role": "user" }, { "content": "After the loops are stitched side by side and aligned, the EndoGIA is introduced from the left-sided port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Jejuno-Jenunostomy in Laparoscopic Gastric bypass.mp4" ] }, { "messages": [ { "content": "Which item is used on the removed segment to measure and label a safe downstream cutoff, and what action is performed?", "role": "user" }, { "content": "A measuring/marking implement is used to measure and mark a 10 cm distal cutoff on the specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Application of the two-partition method in laparoscopic radical left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Once the upper hollow organ is lifted forward by the operator on the right side, when does the peel of the membrane supporting the mid-abdominal bowel actually begin?", "role": "user" }, { "content": "It starts during that same interval, immediately after the forward lift, as they focus on separating the mesocolon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Extended Kocher, Step 1 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "In the overall flow, which is shown first: the removal of pelvic structures or the excision of deposits from the broad, apron-like fatty layer?", "role": "user" }, { "content": "Removal of pelvic structures is shown first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Excision of gastrohepatic ligament lesion using Ethicon bipolar .mp4" ] }, { "messages": [ { "content": "Which occurs earlier: securing the small feeding branches to the right‑sided segment, or cutting through the bowel to separate it?", "role": "user" }, { "content": "They secure the feeding branches first, before cutting the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Right colectomy.mp4" ] }, { "messages": [ { "content": "Which happens first in the clip: extending the encircling cut behind the target, or performing a dual-route tactile confirmation of the dissection depth?", "role": "user" }, { "content": "The encircling posterior cut occurs first, followed by the dual-route confirmation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Translevator Abdominal Perineal Resection for an Early Anastomotic Rectal Cancer Recurrence.mp4" ] }, { "messages": [ { "content": "Given the cue of an illuminated guide appearing inside the channel, when does the stapling actually start?", "role": "user" }, { "content": "Stapling begins immediately after the illuminated guide is placed and aligned at the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robotic-assisted Heller myotomy with giant esophageal diverticulum.mp4" ] }, { "messages": [ { "content": "Which occurs first: visualization of rhythmic movement in the thin tube at the pelvic sidewall or repeating the elevation steps on the opposite side?", "role": "user" }, { "content": "The rhythmic movement is seen first, then the steps are repeated on the other side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Uterosacral Ligament Suspension ｜ Uterine Prolapse, Hysterectomy, Vaginal Prolapse.mp4" ] }, { "messages": [ { "content": "Which mapping is carried out first: sending the central marker from the narrow conduit to an edge point on the looped segment, or routing an edge marker from the conduit to the center of the looped segment?", "role": "user" }, { "content": "The central-to-edge mapping is carried out first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Step-by-step Surgery - Roux-en-Y hepaticojejunostomy -benign biliary stricture(post cholecystectomy).mp4" ] }, { "messages": [ { "content": "Given that the team is setting up for reconnecting the bile pathway, at what moment is the clamp actually applied to the main duct?", "role": "user" }, { "content": "Immediately before reconstruction, they apply the clamp to the main duct to control leakage.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Pancreaticoduodenectomy and mesopancreas resection 腹腔鏡胰十二指腸切除手術.mp4" ] }, { "messages": [ { "content": "Given the moment when the mass is pulled upward with a pointed grasper, when does the layer-by-layer separation with the blade actually begin?", "role": "user" }, { "content": "It starts right after traction—when the blade begins the 45-degree, crescent-shaped cuts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myomectomy for a large uterine fibroid via mini-laparotomy – a step by step video tutorial.mp4" ] }, { "messages": [ { "content": "Which device acts on the lower-pole vessels of the upper-left organ, and what does it achieve?", "role": "user" }, { "content": "A clip‑applying ligation device is used to occlude the lower‑pole vein and arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic left hemicolectomy and en bloc splenectomy for locally advanced descending colon cancer.mp4" ] }, { "messages": [ { "content": "Given the visible cue that traction stops and the field becomes still, when does traction on the supporting fold actually begin?", "role": "user" }, { "content": "It begins only after the loop is divided following the pause.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/孙东辉医生—地位直肠癌翻出NOSES手术详解.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from freeing the loop within the wall to actually breaching the body cavity?", "role": "user" }, { "content": "When the dissection breaks through and entry into the body cavity is achieved.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Loop Ileostomy Reversal.mp4" ] }, { "messages": [ { "content": "At what precise moment does the operation switch from the belly view to the incision above the collarbone?", "role": "user" }, { "content": "When the above‑collarbone incision begins and the view shifts to the head-side field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Esophagus Resection.mp4" ] }, { "messages": [ { "content": "Which instrument simultaneously aspirates and coagulates while separating fatty tissue off a major pedicle, and what is it used to achieve during that phase?", "role": "user" }, { "content": "A suction–cautery device acts on the fatty/nodal tissue around the pedicle to control bleeding and keep the field clear.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/3.2.2. Oncologic Laparoscopic Left Hemicolectomy for Splenic Flexure Cancer - Seon-Hahn Kim.mp4" ] }, { "messages": [ { "content": "After the grasper locks a thin flap to support the lifted upper lobe, when does the mobilization of the adjacent corner of the bowel actually begin?", "role": "user" }, { "content": "It begins immediately after the flap is locked and the upper lobe is lifted and resting on it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Master Class on Laparoscopic Nephrectomy by Dr.R.K.Mishra.mp4" ] }, { "messages": [ { "content": "After the rotated structure is reoriented by the assistant, when does the actual reconnection process begin?", "role": "user" }, { "content": "It begins once the narrowing is excised and the first hand sutures are placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/What are the indications, techniques, and outcomes for pouch revision surgery.mp4" ] }, { "messages": [ { "content": "Which occurs first: temporarily occluding side branches to a large vein or performing an end-to-end repair of another major vein?", "role": "user" }, { "content": "The side branches are occluded and the infiltrated segment is resected first; the end-to-end reconstruction is done afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Konventionelle Pankreaskopfresektion mit Pfortaderresektion Grützmann Chirurgie Uniklinik Erlangen.mp4" ] }, { "messages": [ { "content": "Between trimming the excess ends of the flexible sheet and completing the first pair of knots, which happens earlier?", "role": "user" }, { "content": "Completing the first pair of knots happens before trimming the sheet ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Umbilical Hernia Repair at California Hernia Specialists (4K).mp4" ] }, { "messages": [ { "content": "What delivery device is used to place processed material into the space under the skin, and what is its effect?", "role": "user" }, { "content": "An injection device delivers processed fat, filling the residual cavity under the skin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Perineal lipofilling after an extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "When and where do the sticky attachments on the front inner surface first become visible?", "role": "user" }, { "content": "They first appear during the post-expansion exploration, on the anterior abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/A New Approach for Rectal Prolapse： Perineal Proctectomy with TAMIS Rectopexy and Mesh Fixation.mp4" ] }, { "messages": [ { "content": "During setup, does the team first position the machine relative to the entry point, or trigger the automated alignment sequence?", "role": "user" }, { "content": "They position the machine first, then trigger the automated alignment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic left colectomy with pTME： Set-up and approaches with Si and Xi systems.mp4" ] }, { "messages": [ { "content": "Which occurs first: tying the two lines together to finish the side-to-side intestinal join, or beginning the front-layer sewing of the bile-to-bowel connection?", "role": "user" }, { "content": "Tying the two lines to finish the intestinal join occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/ROBOTIC BILIARY RECONSTRUCTION UTILIZING HEPP COUINAUD TECHNIQUE WITH ROUX EN Y HEPATICOJEJUNOSTOMY.mp4" ] }, { "messages": [ { "content": "Triggered by the stall at the upper gateway, when does the alternate extraction route actually commence?", "role": "user" }, { "content": "It begins when a retrieval bag is introduced through the intragastric port for abdominal extraction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Endoluminal Stomach-Sparing Resection of Gastric Gists.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from finishing the target opening to placing the first stitch of the connection?", "role": "user" }, { "content": "The transition occurs when the mobile conduit is opened and the first stitch is placed to start the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Roux En Y Hepaticojejunostomy after Bismuth IV Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "Between placing a gauze pad to check for bleeding and pressurizing the remaining rectal segment to look for bubbles, which action happens first in the clip?", "role": "user" }, { "content": "The bleeding check with a pad happens first, followed by the pressurization test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Anastomotic Techniques for Left Colectomy - Colorectal or Colo-Colic.mp4" ] }, { "messages": [ { "content": "After the internal camera’s light is visible within the tubular structure, when does the longitudinal cutting of its outer muscular layer actually begin?", "role": "user" }, { "content": "It begins just above the bulge once the scope confirms the level.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Robot Assisted Trans-thoracic Esophageal Diverticulectomy and Heller Myotomy.mp4" ] }, { "messages": [ { "content": "Following the entry checks through the initial needle, at what moment does the team begin expanding the working cavity?", "role": "user" }, { "content": "Right after the needle-entry checks are completed, when the tubing is connected to the device and insufflation is started.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle.mp4" ] }, { "messages": [ { "content": "Between cutting a smaller inflow branch and looping a tape around the main inflow trunk, which occurs first?", "role": "user" }, { "content": "The smaller inflow branch is cut first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic live donor hepatectomy.mp4" ] }, { "messages": [ { "content": "Which tool is used to extract the fragmented pieces through the access site?", "role": "user" }, { "content": "Ring forceps are used to remove the fragments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoskopische radikale Tumornephrektomie.mp4" ] }, { "messages": [ { "content": "Which device acts on which structure to accomplish the division of the targeted intestinal segment?", "role": "user" }, { "content": "A stapling device acts on the large-bowel segment to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Purulent Peritonitis.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a tube being positioned into the newly formed sac, when does the pressure test actually begin?", "role": "user" }, { "content": "It starts when the pouch is distended with dyed fluid through the tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Gastric Bypass Surgery Demonstration： Memorial Weight-Loss Surgery Program.mp4" ] }, { "messages": [ { "content": "Which happens earlier: closing and cutting the stomach-outlet segment with the metallic-line device, or splitting the mid-gland over a prominent vein using a hook-like tip?", "role": "user" }, { "content": "The stomach-outlet division with the metallic-row device occurs earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Pancreaticoduodenectomy Guide.mp4" ] }, { "messages": [ { "content": "Between inserting the vacuum device into the fluid-filled cavity and beginning the broad removal of its thin dome, which happens first?", "role": "user" }, { "content": "The vacuum entry and evacuation occur first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Leberzyste Entdeckelung.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow switch from perimeter preparation to committed removal in the colon case?", "role": "user" }, { "content": "Immediately after finishing the perimeter markings, when the snare is deployed to start en bloc resection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endo-Master Class 2017# #Endoscopic Innovation#.mp4" ] }, { "messages": [ { "content": "What thread material is used to sew shut the potential gap between the sheet-like supports near the colon, and what nearby structure is included in that line?", "role": "user" }, { "content": "A 2-0 silk suture is used, and the transverse colon is included.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/THE MOUNT SINAI SURGICAL FILM ATLAS Laparoscopic Roux en Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "When and where is the disease focus first shown on screen during the procedure?", "role": "user" }, { "content": "It first appears when the freed segment is exteriorized; the visible lesion is on the low part of the surgical specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic TME with Intersphincteric Dissection and Coloanal Anastomosis in Ultra-Low Rectal Cance.mp4" ] }, { "messages": [ { "content": "After the team points toward a thick curved structure and cautions the area, when does the actual entry into the dissection plane begin?", "role": "user" }, { "content": "It begins at the moment they say OK and proceed in—marked by “OK 可以进去”.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Fluorescence laparoscopic radical gastrectomy No.11P LND 荧光腹腔镜胃癌根治术 11p组淋巴清扫.mp4" ] }, { "messages": [ { "content": "After shifting the viewpoint to the upper midline access and bringing in the retrieval tool, when does the extraction maneuver actually start?", "role": "user" }, { "content": "It starts when the specimen is guided into the central port and pulled out with the extractor.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/腹腔鏡膽囊切除術.mp4" ] }, { "messages": [ { "content": "When reconnecting the bowel using a device inserted from below, which tool acts on the two cut ends and how is the union initiated?", "role": "user" }, { "content": "A circular joining device engages both ends via a central guide and, once docked, creates the new internal connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Chirurgie der kleinen Schnitte Darmoperation in Schlüssellochtechnik.mp4" ] }, { "messages": [ { "content": "During the scope survey of the tiny upper reservoir, when does it first become apparent that no downstream opening can be located?", "role": "user" }, { "content": "During the preoperative endoscopy, when the contracted reservoir is seen and no outlet can be found.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer： You Never Know What You're Going to Get.mp4" ] }, { "messages": [ { "content": "When does the clip transition from constructing the join to checking its integrity with fluid and gas?", "role": "user" }, { "content": "Once clear fluid is added and gas is introduced after the device activation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Resection for Diverticulitis.mp4" ] }, { "messages": [ { "content": "When does the clip move from an unobstructed field to requiring brief hand-assisted elevation for exposure near the inlet to the organ?", "role": "user" }, { "content": "At the point the work reaches the upper region, the view becomes blocked and the surgeon briefly lifts the overlying organ with the left hand.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Sleeve Gastrectomy without Liver Retractor.mp4" ] }, { "messages": [ { "content": "When does the operation move from clearing the channel to removing the sac from its bed?", "role": "user" }, { "content": "Right after the completion dye run confirms resolution, when the electric hook begins dissecting the organ off its bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic common bile duct exploration and trans-cystic sphincter of Oddi dilation： a safe al....mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from working inside the hollow organ to performing the external approach through ports?", "role": "user" }, { "content": "The transition occurs right after the inner-lining opening is closed with multiple clips and they proceed to the port-based external phase.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Re-do Laparoscopic Heller Myotomy for Recurrent Achalasia after attempted Per Oral Endoscopic My....mp4" ] }, { "messages": [ { "content": "Which stitched material is anchored to which internal column to control the flap edge position, and what action is achieved?", "role": "user" }, { "content": "Synthetic cords are stitched onto the lateral and medial muscular columns (papillary muscles) and attached to the corresponding flap segments to set the edge at the annular plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Complex robotic correction for complex degenerative mitral valve.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action during the freeing of the protruding material?", "role": "user" }, { "content": "A cutting/energy instrument acts on the fatty apron and the sac’s lining to divide adhesions and free the contents.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/IPOM Umbilical Hernia Repair by VIPRO II Mesh.mp4" ] }, { "messages": [ { "content": "Which device acts on a slender pulsating channel near the stomach’s outlet to halt flow, and what action is performed on that channel afterward?", "role": "user" }, { "content": "A clip applier occludes an arterial vessel near the outlet, and the vessel is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Outcomes of total and subtotal laparoscopic gastrectomy with D2 lymphadenectomy....mp4" ] }, { "messages": [ { "content": "Between placing the clear ring‑like implant and thoroughly suctioning out the gel‑like material, which action occurs first?", "role": "user" }, { "content": "Placing the clear implant happens before thoroughly suctioning out the gel‑like material.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/手术演示：使用 Kahook Dual刀行超声乳化术并房角切开术.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from freeing the right-side attachments to advancing towards work on the opposite side of the transverse segment?", "role": "user" }, { "content": "Right after the right side is fully mobilized, when they start dividing the remaining attachments toward the opposite side and enter the lesser sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "After the sac is fully freed from its bed, when does the introduction of a retrieval pouch actually begin?", "role": "user" }, { "content": "Right after complete detachment, the retrieval pouch is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Lehrvideo⧸Real Surgery： Entferung der Gallenblase - Surgical Removal of the Gallbladder.mp4" ] }, { "messages": [ { "content": "When is it first apparent that the lesion is tethered high in the field, and what immediate adjustment is made to address this?", "role": "user" }, { "content": "Mid-dissection, when superior fixation is recognized, the team adds an extra right-sided working access to assist.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Video-Assisted Thoracoscopic Resection of a Large Anterior Mediastinal Mass.mp4" ] }, { "messages": [ { "content": "Which tool acts on the tethering band that anchors the left-sided bend to the adjacent organ, and what action is performed on that tissue?", "role": "user" }, { "content": "Dissection instruments are used to take down the suspensory ligament connecting the bend to the spleen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic extended left hemicolectomy with complete mesocolic excision & transverse colon - r.mp4" ] }, { "messages": [ { "content": "At exactly what action does the workflow switch from peeling the sac off its bed to evacuating obstructing material from the outflow tube?", "role": "user" }, { "content": "The transition occurs when the channel is opened to begin retrieval.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy with trans-cystic common bile duct exploration and stones extraction in ....mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation switch from freeing tissue planes to dividing a major vessel?", "role": "user" }, { "content": "When the mesenteric vein is divided at its origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Totally Robotic Splenic Flexure Resection with Intracorporeal Anastomosis.mp4" ] }, { "messages": [ { "content": "Which tool is used on the thin membranous tissue attached to the small intestine, and what action does it perform?", "role": "user" }, { "content": "A handheld energy device is applied to the small-intestine mesenteric tissue to divide it along the plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/李军：腹腔镜下右半结肠癌根治术.mp4" ] }, { "messages": [ { "content": "When and where does increased bleeding first become apparent in the field?", "role": "user" }, { "content": "It first appears at the peripheral target zone as the operator navigates a curved path with the instrument.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver Surgery - Lesion Resection Using Microwave Ablation # J&J MedTech.mp4" ] }, { "messages": [ { "content": "Between orienting the two limbs of the reconstruction (keeping one segment outside and the other inside) and switching to a lower right instrument port, which happens first?", "role": "user" }, { "content": "Orientation occurs first, followed by the switch to the lower right port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/李军：腹腔镜下右半结肠癌根治术.mp4" ] }, { "messages": [ { "content": "Once the distal segment is clamped off at the bony prominence with forceps, when does the gas-injection check of the join actually start?", "role": "user" }, { "content": "It starts when a 60 ml syringe is inserted through the sphincter and the rectum is gently insufflated after occlusion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic high anterior resection Sigmoid colon and proximal rectum.mp4" ] }, { "messages": [ { "content": "When and where does an unintended cut on a slender structure first become visibly apparent?", "role": "user" }, { "content": "It first appears in the retro area behind the main passage, when a cut on the posterior slender strand (the posterior vagus nerve) is noticed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Esophageal Myotomy.mp4" ] }, { "messages": [ { "content": "Which occurs sooner: verifying that the segment is not twisted, or reducing the gas to collapse the workspace?", "role": "user" }, { "content": "Verification of non-rotation occurs before gas reduction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Laparoscopic Loop Ileostomy Creation Step by Step.mp4" ] }, { "messages": [ { "content": "Once the connector is mated, at what moment is the firing executed in relation to closing the device?", "role": "user" }, { "content": "Immediately after closing, they fire the device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Anterior Resection in a Patient with Situs Inversus.mp4" ] }, { "messages": [ { "content": "Given the plan to keep thin loops to the patient’s right and the thicker segment to the left, when is the final orientation check performed?", "role": "user" }, { "content": "At the end, after widening, during the final survey from the upper bend to the small–large junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in adult.mp4" ] }, { "messages": [ { "content": "Which implement applies energy to the bleeding edge to achieve hemostasis, and on what tissue is it used?", "role": "user" }, { "content": "A button electrode is used to coagulate the liver edge at the bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Open Cholecystectomy - A Rarity now !.mp4" ] }, { "messages": [ { "content": "At exactly what moment does the scene shift from separating tissues to introducing the implant?", "role": "user" }, { "content": "Immediately after the dissection is completed, when the polypropylene mesh is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Posterior Mesh Rectopexy ： Steps with Voice over.mp4" ] }, { "messages": [ { "content": "Which device with a curved, heated tip acts on the outer muscle bands of the swallowing tube, and what does it accomplish?", "role": "user" }, { "content": "A hook cautery divides the longitudinal and circular muscle fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC HELLER MYOTOMY POST GASTRIC BYPASS.mp4" ] }, { "messages": [ { "content": "At the initial setup, which tool manipulates which tissue to establish exposure: the angled retractor lifting the junctional loop, or the cutting instrument initiating division?", "role": "user" }, { "content": "The angled retractor lifts the junctional loop to provide exposure; cutting comes later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection Medial to Lateral Dissection Techniques.mp4" ] }, { "messages": [ { "content": "Which device is used on the initial arterial–venous pedicle to strip it clean at its origin?", "role": "user" }, { "content": "An ultrasonic dissector is used to skeletonize the first artery and vein at their origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Rt Hemicolectomy & Extended D3 Lymph Node Dissection with Specimen Extraction.mp4" ] }, { "messages": [ { "content": "Which handheld energy instrument is used on the outer muscle layer of the conduit to split it open and expose the inner lining?", "role": "user" }, { "content": "An ultrasonic energy device (harmonic) acts on the circular muscle fibers to split them and expose the mucosal tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/e-LHCM(ENDOSCOPIC GUIDED LAPAROSCOPIC HELLER'S CARDIOMYOTOMY WITH DOR FUNDOPLICATION).mp4" ] }, { "messages": [ { "content": "When and where does the tight segment first become clearly outlined during inflation, relative to the puffy area that appears?", "role": "user" }, { "content": "Right after the lining puffs up, the tight zone becomes clearly visible just beyond that bulged area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Revision of Esophagomyotomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used on the bowel ends outside the body to reconnect them?", "role": "user" }, { "content": "A stapler is used to create an extracorporeal anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic left hemicolectomy.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: clearing scarred attachments in the upper-right area, or making a lengthwise cut to enlarge the outlet from the upstream reservoir?", "role": "user" }, { "content": "Clearing the scarred attachments happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Lap Pyloroplasty for Gastroparesis - Severely Thickened Pylorus.mp4" ] }, { "messages": [ { "content": "After the inner pouch is unfolded, when does the powered reducer actually start operating relative to the placement of the specimens?", "role": "user" }, { "content": "It starts after the specimens are placed inside; the reduction occurs within the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Fibroids.mp4" ] }, { "messages": [ { "content": "During the sequence, which happens earlier: pulling the swallowing tube junction downward into the abdomen or using a cutting-and-seal device to divide the enlarged upper pouch?", "role": "user" }, { "content": "Lowering the junction into the abdomen occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/GERD after Sleeve Gastrectomy = Laparoscopic Management By Daniel Cottam, MD.mp4" ] }, { "messages": [ { "content": "During removal of the front-channel in a female case, when and where does a new opening first become visibly apparent?", "role": "user" }, { "content": "It first appears as a tiny opening on the vaginal side, visible at the moment the channel is completely freed and delivered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic Cystectomy with Diversion by Jonathon Wright, M.D..mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from working in two separate corridors to their convergence?", "role": "user" }, { "content": "Right after the lateral adhesions are released, when the medial and lateral planes are joined together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic High Anterior Resection with pre-aortic lymph node dissection - Suhail Anwar.mp4" ] }, { "messages": [ { "content": "Between sealing a prominent blood supply to the right-sided bowel and sweeping the dissection from the inner plane outward toward the mid-abdominal segment, which action occurs first?", "role": "user" }, { "content": "The vascular bundle is sealed and divided first, followed by the medial-to-lateral dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SINGLE INCISION LAPAROSCOPIC CLOCK WISE CONTINUOUS TOTAL ABDOMINAL COLECTOMY WITH END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "After the new intestinal segment is fashioned and oriented, when does the device-driven joining of the two segments actually begin?", "role": "user" }, { "content": "It begins immediately after completing the new segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH ROUX-EN-Y RECONSTRUCTION.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from placing stitches on the back side of the join to working on the front side?", "role": "user" }, { "content": "The transition occurs immediately after finishing the back row and beginning the front row of stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Dehiscencia de cisto-gastro anastomosis.mp4" ] }, { "messages": [ { "content": "Which occurs first: bringing out the broad fatty apron to identify the target bowel segment, or passing a guide next to the bowel through the thin tissue web?", "role": "user" }, { "content": "Bringing out the fatty apron happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/A technique for emergent, decompressive loop colostomy – A video vignette.mp4" ] }, { "messages": [ { "content": "When and where does an unusual surge of red fluid first obscure the view, specifically on the ventral aspect during separation?", "role": "user" }, { "content": "It first appears during the anterior separation from the bladder, when the field briefly becomes bloody.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy or Removal of Uterus, Both Fallopian Tubes and Ovaries.mp4" ] }, { "messages": [ { "content": "During the dye‑illumination check, when and where does a segment fail to light up first?", "role": "user" }, { "content": "During the fluorescence check, the distal ~5 cm of the right-sided segment fails to light up first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radical Cystectomy for Bladder Cancer- Prof. Karel Decaestecker.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the gap in the intestine’s supporting tissue, and what task does it perform?", "role": "user" }, { "content": "Running sutures are used to close the defect in the supporting tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/esophagectomy/Functional end-to end esophago-jejunal anastomosis using linear .mp4" ] }, { "messages": [ { "content": "Between freeing the right-sided reproductive structures from the organ surface and releasing the side tethering of the organ itself, which happens earlier in the clip?", "role": "user" }, { "content": "Freeing the right-sided reproductive structures occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Bladder Dermoid Cyst Surgery ｜ Laparoscopic Partial Cystectomy for Bladder Dermoid Cyst.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the stomach wall to create an access opening, and what action does it perform?", "role": "user" }, { "content": "An electrocautery device creates an opening in the stomach wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Transgastric ERCP post RYGB for CBD stones for.mp4" ] }, { "messages": [ { "content": "Which device is used on the far end of the slender abdominal conduit, and what action does it perform there?", "role": "user" }, { "content": "Hem-o-lok clips are applied to the distal end to occlude it and secure a holding suture.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radikale roboterassistierte Zystektomie mit intrakorporalem orthotopem Ileumpouch bei der Frau.mp4" ] }, { "messages": [ { "content": "Between applying the second fastener and making the cut on the narrow tube, which happens earlier in the opening sequence?", "role": "user" }, { "content": "The second fastener is applied before the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Donor Nephrectomy - Stapler Control of Hilum.mp4" ] }, { "messages": [ { "content": "When a slender tubular structure along the sidewall becomes clearly identifiable with a thin guide seen within it, at what moment does the team begin separating the front surface of the target segment?", "role": "user" }, { "content": "Immediately after that identification, the anterior separation begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Translevator Abdominal Perineal Resection for an Early Anastomotic Rectal Cancer Recurrence.mp4" ] }, { "messages": [ { "content": "Which device is employed to create the new connection between the upper conduit and the intestinal limb, and what does it accomplish?", "role": "user" }, { "content": "A 25 mm circular stapler is used to join the upper conduit to the intestinal limb, completing the anastomotic connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/LAPAROSCOPIC TOTAL GASTRECTOMY, OMENTECTOMY, SPLEENECTOMY FOR GASTRIC ADENOCARCINOMA.mp4" ] }, { "messages": [ { "content": "At what moment does the previously created central plane meet the lower plane of dissection?", "role": "user" }, { "content": "When the inferior dissection advances after the viewpoint change and visibly connects with the central plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Extended Right Colectomy.mp4" ] }, { "messages": [ { "content": "Which instrument from the auxiliary arm acts on the connective fold beside the horizontal bowel segment to lift it toward the patient's upper left, and what does this achieve?", "role": "user" }, { "content": "The auxiliary arm’s tip‑up grasper lifts the connective fold of the transverse segment toward the upper left, opening the deep plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Learn to do a Robotic Right Colectomy.mp4" ] }, { "messages": [ { "content": "Which instrument first opens the surface bands, and what inner layer does that maneuver reveal before the sweeping tool peels the remaining strands away?", "role": "user" }, { "content": "A scissor-like instrument scores the surface bands, revealing the mucosal lining; then a hook-like tip sweeps and divides the remaining circular strands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/20200922 ROBOTIC HELLER MYOTOMY R001.mp4" ] }, { "messages": [ { "content": "At what point does the scene shift from freeing the front-facing bowel surface away from its posterior neighbor to introducing a flexible reinforcement strip through the access port?", "role": "user" }, { "content": "The transition occurs when the flexible strip is introduced immediately after the posterior separation is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Ventral Mesh Rectopexy Technique for Rectal Intussusception with Rectocele.mp4" ] }, { "messages": [ { "content": "Between setting the orientation with the first linear line of the firing device and constructing the actual join, which happens first?", "role": "user" }, { "content": "Orientation with the first line comes first; the join is constructed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil in the Details： Revision of gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "When does the first clear deviation from normal anatomy become visible, and where is it located?", "role": "user" }, { "content": "Early in the survey phase, showing tethering between the rectum and the uterus and a bulge on the posterior uterine wall near the cervix.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video).mp4" ] }, { "messages": [ { "content": "Given that an assistant is pressing a dome-shaped guide firmly inside the passage, when does the smooth circumferential incision actually begin?", "role": "user" }, { "content": "It begins the moment the energy tip contacts the pressed guide.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Learn Steps of Total Laparoscopic Hysterectomy in 15 Minutes with Dr R K Mishra.mp4" ] }, { "messages": [ { "content": "Which instrument is used inside the narrow channel to dislodge obstructions, and what action does it perform on that channel?", "role": "user" }, { "content": "An inflatable-tipped catheter is inserted into the duct to sweep out stones.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Avoid mistakes in Laparoscopic Cholecystectomy narrated.mp4" ] }, { "messages": [ { "content": "Between verifying blood flow with a dye and making the first cut across the lower segment, which happens first?", "role": "user" }, { "content": "The dye-based perfusion check occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/robotic sigmoid colectomy with trans-anal specimen extraction.mp4" ] }, { "messages": [ { "content": "Between these two events, which happens first: the internal expandable device is expanded across the connection between the swallowing tube and the food reservoir, or the surgeon begins separating the outer sleeve fibers of the tube?", "role": "user" }, { "content": "The expansion of the internal device happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Esophageal Balloon-Assisted Laparoscopic Heller Myotomy for Achalasia.mp4" ] }, { "messages": [ { "content": "Between revealing a crisp dividing line that separates two adjacent subregions and starting to cut along that line, which occurs first?", "role": "user" }, { "content": "The separating line is revealed first, then the cutting begins along it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic liver resection： 10 yr experience in one center.mp4" ] }, { "messages": [ { "content": "Between encircling the deeper, firm tubular structure at the root and encircling the more superficial, thin-walled channel running alongside it, which happens first in this clip?", "role": "user" }, { "content": "The deeper, firmer root vessel is encircled first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/腹腔鏡下S状結腸切除術（ple_2）.mp4" ] }, { "messages": [ { "content": "Between securing a loop of bowel with a white strap and beginning the cut to open the connection, which occurs first?", "role": "user" }, { "content": "Securing the loop happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Redo Hepaticojejunostomy after Open Whipple Procedure： details of the hilar dissection.mp4" ] }, { "messages": [ { "content": "When and where does the first sign of prior surface injury become visibly noticeable in the session?", "role": "user" }, { "content": "Early in the setup, two sizable marks are visible on the abdominal wall and guide entry avoidance.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneal Partial Nephrectomy： Patient Positioning Port Placement and Docking.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from undoing the external reinforcement to internal inspection that shows distension above a narrowing?", "role": "user" }, { "content": "It transitions when the internal inspection begins and the lumen balloons from air, revealing the narrowing below.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/SS03 Best of Video I# V004. LAPAROSCOPIC REVISION OF ESOPHAGOMYOTOMY.mp4" ] }, { "messages": [ { "content": "Which energy-based instrument acts on the thin vascular fold beside the gut to seal it?", "role": "user" }, { "content": "The thermal sealing tool (bipolar device) is used on the adjacent vascular fold to ligate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Loop Ileostomy Reversal： Laparoscopic Approach.mp4" ] }, { "messages": [ { "content": "When does the sequence shift from positioning the implant to actually fastening it against the inner wall?", "role": "user" }, { "content": "When it is grasped at the six o’clock position and tacks begin approximating it to the wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Pure Transvaginal Laparoscopic Umbilical Hernia Repair.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow transition from flushing and clearing solids to constructing the stapled connection between the stomach and loop?", "role": "user" }, { "content": "Right after irrigation and suction flatten the stomach, the stapled construction begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Gastrojejunal Bypass in a patient with gastric outlet obstruction.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip move from setting up the connection to actually creating it?", "role": "user" }, { "content": "When the device is fired right after rechecking orientation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic-Assisted Deloyers Procedure.mp4" ] }, { "messages": [ { "content": "Between dividing the blood supply and cutting the bowel near the posterior bony landmark, which event occurs first?", "role": "user" }, { "content": "Division of the blood supply occurs first, followed by bowel transection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Unusual Intraoperative Complications in Laparoscopic Sigmoidectomy.mp4" ] }, { "messages": [ { "content": "Which stitching material is applied to the lining versus the outer wrapper, and how is each applied to repair the opening?", "role": "user" }, { "content": "An absorbable stitch is run continuously on the inner layer, and a longer-lasting absorbable stitch imbricates the adventitia and pelvic peritoneum on the outside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Dr. Joseph R. Karam - Robotic Assisted Colovesicle Fistula Takedown and Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "Which part of the device is used to vacuum up the small leftover fragments at the end?", "role": "user" }, { "content": "The scope’s suction channel collects the remnants.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Advanced colonic resection EMR, FTR, ESD by Rajvinder Singh.mp4" ] }, { "messages": [ { "content": "Which tool manipulates the horizontal bowel while the cutting tip separates the fatty curtain, and what result does that achieve?", "role": "user" }, { "content": "An auxiliary grasper elevates the horizontal bowel while the heated tip divides the apron-to-bowel bridges, opening the space and fully mobilizing the transverse colon.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Splenic Flexure Mobilization⧸Takedown.mp4" ] }, { "messages": [ { "content": "When and where does the segment of bowel sliding into another segment first become visibly apparent?", "role": "user" }, { "content": "It first becomes apparent during the early reduction, at the colon’s upper-left bend.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Left Colectomy with Complete Mesocolic Excision for Splenic flexure tumour.mp4" ] }, { "messages": [ { "content": "What protective item is positioned under the planned exit point to shield deeper structures during the deeper cut?", "role": "user" }, { "content": "A mop (gauze pad) is placed under the site to protect the bowel during deep cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/BROOKE'S END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "When and where does a perceived constriction first become noticeable during the procedure?", "role": "user" }, { "content": "After the repair, the outside surface appears constricted, prompting a repeat internal check; inside, it is wide open.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Gastric GIST (Gastrointestinal Stromal Tumor) Resection Surgery Video # Laparoscopic surgery.mp4" ] }, { "messages": [ { "content": "Once the new internal connection is visible, at what point does the leak test start relative to checking the join and placing the drain?", "role": "user" }, { "content": "It starts after the join is checked and before the drain is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Application of Two Ties in Laparoscopic Anterior Resection for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Between the sequential peeling of a fatty apron off a horizontal segment and the inward-and-downward rotation of the upper bend, which action happens first?", "role": "user" }, { "content": "The peeling occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/colectomy/Splenic flexure mobilization.mp4" ] }, { "messages": [ { "content": "Between securing the lateral feeder on the left side and securing it on the right side, which occurs first in the sequence shown?", "role": "user" }, { "content": "The left side is secured first, then the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Operation Technik. Laparoskopie Myomektomie. Minimal Invasiv Surgery. Gynäkologie..mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from creating space and freeing tissues to bringing in and spreading the net-like implant?", "role": "user" }, { "content": "The transition occurs when the sheet is introduced through the assistant port and unfolded.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Robotic TAPP mesh repair of an inguinal hernia using the Hugo™ R.mp4" ] }, { "messages": [ { "content": "When does the procedure switch from removing tissue to building the new join between bowel segments?", "role": "user" }, { "content": "Right after the specimen is fully divided and parked in the pelvis—the team immediately starts setting up the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy - ICA (narrated ).mp4" ] }, { "messages": [ { "content": "Between freeing the tubular structure from its surrounding diaphragmatic attachments and beginning the lengthwise split of its outer layer, which occurs first in the clip?", "role": "user" }, { "content": "Freeing the structure from its attachments occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Myotomie de Heller laparoscopique pour achalasie. Dr W. Lemhouer.mp4" ] }, { "messages": [ { "content": "Which occurs first in the clip: looping a band around the central gateway of the organ, or isolating the main tube that drains it?", "role": "user" }, { "content": "The band is looped first, then the main draining tube is isolated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Purely laparoscopic left hepatectomy with choledochojejunostomy for recurrent pyogenic cholangitis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from active shaving of nodules to a clear view of the underlying smooth wall layer?", "role": "user" }, { "content": "The transition occurs when the smooth underlying wall becomes visible and is explicitly pointed out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy for multiple submucosal leiomyomas.mp4" ] }, { "messages": [ { "content": "Which occurs first: repositioning the loop so it encircles only the intended bundle, or the oval reproductive organ coming into view due to traction?", "role": "user" }, { "content": "The loop is repositioned first, then the gonad comes into view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Right Inguinal Hernia Repair (Male Patient).mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from the removal phase to the specimen containment phase?", "role": "user" }, { "content": "The transition occurs when the specimen is placed into the retrieval bag.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/432 Utility of near infrared fluorescence imaging in robotic partial cystectomy- Karthik Thandapani.mp4" ] }, { "messages": [ { "content": "Which occurs first: clipping and dividing a small vessel near the central vein, or cutting across the glandular neck?", "role": "user" }, { "content": "The small arterial branch is clipped and divided before the neck is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/＂Artery First＂ Approach at a Pancreatic Head Resection.mp4" ] }, { "messages": [ { "content": "When does the case shift from clearing tissue off the sides to the step where a bulky jawed device is applied to the side bundles?", "role": "user" }, { "content": "At the moment the side pedicles are fully exposed—immediately before the stapling device is applied and fired.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Robotic-Assisted Laparoscopic Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from working under the left-sided layer to entering the hidden space behind the upper hollow organ?", "role": "user" }, { "content": "The transition occurs as the dissection curves around the landmark and begins opening the hidden cavity behind the upper organ.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/How I Do It： Limited Resection of the Splenic Flexure is the Way to Go!.mp4" ] }, { "messages": [ { "content": "On the second side addressed in the clip, which is treated first: the cord-like band at the top of the sidewall or the nearby hollow tube leading from the organ?", "role": "user" }, { "content": "The cord-like band is treated first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Laparoscopic Subtotal Hysterectomy ｜ Dr Kunal Rathod.mp4" ] }, { "messages": [ { "content": "Between freeing the midline stalk that descends from the belly button area and opening the thin, glistening covering over the target, which action happens first?", "role": "user" }, { "content": "Freeing the midline stalk happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/12 212PED Robot-Assisted Partial Cystectomy for a Large Urachal Hemangioma in a Child.mp4" ] }, { "messages": [ { "content": "Given the cue that both lips of the opening have been grasped on the right side, when does the tightening maneuver actually begin?", "role": "user" }, { "content": "Right after both edges on that side are captured; the tightening starts immediately afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic Gastric Outlet Reduction (POSE).mp4" ] }, { "messages": [ { "content": "Between placing thread loops slightly above the tight segment and re-seating the internal tube into the central sac, which event happens earlier in the clip?", "role": "user" }, { "content": "The thread loops are placed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/EUPSA WebSeminar Robotics in Pediatric Urology. REDO PYELOPLASTY, Prof Ramnath Subramaniam.mp4" ] }, { "messages": [ { "content": "Which instrument is used to divide the distal bowel segment during work in the deep lower compartment, and what action does it perform?", "role": "user" }, { "content": "A stapler is used to transect the distal bowel segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/LAPAROSCOPIC SIGMOIDECTOMY WITH COMPLETE MESOCOLIC EXCISION AND EXTENDED LYMPHADENECTOMY.mp4" ] }, { "messages": [ { "content": "Which atraumatic grasper handles the stomach��s dome to thread it beneath the tube?", "role": "user" }, { "content": "A Babcock grasper acts on the fundus to pass it under the esophagus.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy with Toupet Fundoplication for Treatment of Achalasia.mp4" ] }, { "messages": [ { "content": "After a droplet at the tip is seen to be drawn inward, when does gas delivery actually begin, and at what initial rate?", "role": "user" }, { "content": "Gas delivery starts after the tubing is attached, at an initial rate of 1 L/min.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy Full HD Video.mp4" ] }, { "messages": [ { "content": "During the mid-portion of the clip, which instrument acts on which layer to accomplish the cutting step?", "role": "user" }, { "content": "A triangle-tip electrocautery acts on the circumferential muscle fibers to divide them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Pre-Oral Endoscopic Myotomy for Refractory Dysphagia After Heller Myotomy.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from working on nerve pathways to opening the stomach’s exit channel?", "role": "user" }, { "content": "The transition occurs when the team turns to the thickened outlet and begins the longitudinal incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Highly Selective Vagotomy and Pyloroplasty： An Educational Video.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected increase in bleeding first become visibly apparent?", "role": "user" }, { "content": "During closure of the extraction access site, increased bleeding first appears, and it resolves after suturing.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colon_cancer/腹部无辅助切口经阴道拖出标本的腹腔镜下右半结肠癌根治术.mp4" ] }, { "messages": [ { "content": "Once temporary occlusion devices are visible on three adjacent channels in the field, when does cutting of the abnormal segment actually begin?", "role": "user" }, { "content": "It begins immediately after the occlusion devices are in place, as the segment is excised with scissors.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Robotic Whipple Procedure with Portal Vein Reconstruction.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from clearing surface tissues to entering the hidden posterior pocket?", "role": "user" }, { "content": "The transition occurs when they open into and announce being inside the pocket, as marked by “we're already in the bursa.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/laparoskopische Sigmaresektion bei Sigmakarzinom.mp4" ] }, { "messages": [ { "content": "After a capture pouch is introduced into view, when does the actual extraction through the main access point begin?", "role": "user" }, { "content": "It begins when the material inside the pouch is incrementally evacuated, enabling removal through the access port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Left Salpingo - oophorectomy for Ruptured Dermoid with Right Ovarian Cystectomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the workflow shift from exposing the target area and freeing the organ’s base to the final group confirmation step?", "role": "user" }, { "content": "Once only two connections to the organ are clearly isolated, the scene transitions to the final group confirmation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Medico-legal consequences of bile duct injuries.mp4" ] }, { "messages": [ { "content": "Which fastening device acts on which layers during the three passes, and what does it do?", "role": "user" }, { "content": "A suturing device places stitches: first fold-to-fold, second through the fold and the esophageal wall, and third incorporating the sphincter region to secure the encirclement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Nissen Fundoplication with Hiatal Hernia Repair - Animation & Actual Surgical Footage.mp4" ] }, { "messages": [ { "content": "When does inadequate blood supply first become suspected on the bowel side—at what moment is a clear perfusion border absent?", "role": "user" }, { "content": "Right after division and assessment, if the expected color-change border is absent, inadequate perfusion is first suspected at that moment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Резекция сигмовидной кишки.mp4" ] }, { "messages": [ { "content": "Between pushing the large bowel aside and the first clear view of the major conduits at the organ’s root, which happens earlier in the clip?", "role": "user" }, { "content": "The bowel is moved aside first, then the central conduits are shown.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboter-assistierte Nierenteilentfernung (partielle Nephrektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "Which device acts on the small tubular connections to the target to secure them so that division can be performed, and what structures does it act upon?", "role": "user" }, { "content": "A clip applier secures the duct and artery connected to the target, enabling them to be divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/単孔式腹腔鏡下胆嚢摘出術についてテレビで紹介されました。.mp4" ] }, { "messages": [ { "content": "During the detachment phase, which instrument lifts tissues, which structure is lifted, and which instrument performs the separation?", "role": "user" }, { "content": "A fastener applicator lifts the liver and the gallbladder, while the curved cautery hook separates the gallbladder from the liver bed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robot Assisted Cholecystectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to peel along the natural plane between the retroperitoneal layer and the mesenteric fat, and what action does it accomplish?", "role": "user" }, { "content": "A fine hook is used to separate along the plane between the retroperitoneal fascia and mesenteric fat, creating a clean space.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Distal Rectal Cancer Surgery - LAR vs APE.mp4" ] }, { "messages": [ { "content": "In the progression of the operation, which happens first: creating a window behind the tubular structure or starting the muscle split near the junction?", "role": "user" }, { "content": "The window behind the structure is created first, followed by starting the muscle split near the junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Endoscopic-Guided Laparoscopic Heller’s Myotomy with ICG ｜ Achalasia Cardia Surgery By Dr. Samrat.mp4" ] }, { "messages": [ { "content": "When does the case pivot from extra-organ dissection to inward traction bringing the growth into the cavity?", "role": "user" }, { "content": "Right after finishing the outer dissection, they switch to traction and pull the growth inward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Innovative Closure Techniques Have Expanded the Role in Endoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "At what exact point does the clip move from internal anchoring steps to external tunneling through the body wall?", "role": "user" }, { "content": "When the instrument is introduced through the skin near the hip to begin lateral suspension.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/PR JB DUBUISSON - LATERAL SUSPENSION FOR THE TREATMENT OF GENITAL PROLAPSE.mp4" ] }, { "messages": [ { "content": "Which imaging aid acts on which structures to evaluate blood supply, and what is observed?", "role": "user" }, { "content": "A fluorescent dye highlights the new join and nearby colon, showing excellent blood supply in both.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/gastrojejunostomy/A robotic-assisted trans-mesocolic side-to-side duodenojejunosto.mp4" ] }, { "messages": [ { "content": "During the passage‑widening sequence, when does the stretch actually take hold, and what visual sign marks it?", "role": "user" }, { "content": "It takes hold the moment the tissue blanches to white, which signals adequate stretching.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Marginal Ulceration and Strictures after Roux-en-Y Gastric Bypass # Conditions Requiring Attention.mp4" ] }, { "messages": [ { "content": "When does the scene move from cutting the abdominal lining to freeing the curved colon segment’s side attachments?", "role": "user" }, { "content": "Right after the lining is divided, the focus shifts to releasing the segment’s side attachments.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic ProTack Rectopexy for the Management of Full Thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When the thin glistening layer over a prominent vertical blue structure is tented up, at what moment does the actual opening along that line begin?", "role": "user" }, { "content": "It starts as soon as the sheath is incised along that vertical blue structure, proceeding from the side branch area toward the central branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/LAPAROSCOPIC RIGHT HEMICOLECTOMY WITH EXTENDED LYMPHADENECTOMY.mp4" ] }, { "messages": [ { "content": "Between the team's initial patient setup and the moment the target piece is freed, which happens first?", "role": "user" }, { "content": "The initial patient setup occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/子宫肌瘤 剔除术.mp4" ] }, { "messages": [ { "content": "In the pelvic dissection scene, when and where does unintended dye first become visibly apparent?", "role": "user" }, { "content": "Early during pelvic inspection, stray pigment appears along the side of the pelvic cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Minimally Invasive Management of Colorectal Cancer ｜ UCLA Digestive Diseases.mp4" ] }, { "messages": [ { "content": "Between forming a hidden passage under the inner lining and beginning to divide the ring-shaped muscle layer, which action happens first in this clip?", "role": "user" }, { "content": "The hidden passage is formed first, and the muscle division begins afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Peroral Endoscopic Myotomy (POEM) for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "Given that a long marker is visible on the thin tube to the left, when does the planned further displacement of that tube actually begin?", "role": "user" }, { "content": "It begins right after the external and internal branches are exposed and they state they will mobilize it further.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Stöckle⧸Ohlmann： Radikale Cystoprostatovesiculektomie mit Anlage einer Ileum-Neoblase.mp4" ] }, { "messages": [ { "content": "Between freeing scar bands and clearly seeing the two adjacent hollow organs, which occurs first?", "role": "user" }, { "content": "Freeing the scar bands occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Treatment of Gastro-Colic Fistula# A Rare Complication of Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "Between elevating the hollow organ to inspect its back surface and performing the removal of the focal tissue in the thin connective fold, which action occurs first in this clip?", "role": "user" }, { "content": "Elevation and posterior inspection occur first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Excision of gastrohepatic ligament lesion using Ethicon bipolar .mp4" ] }, { "messages": [ { "content": "In the segment where a cutting-fastening device is positioned across upper organ tissue, once a flexible camera is inside, at what point does the actual cut start?", "role": "user" }, { "content": "It starts right after the obstructing remnants are cleared with the camera, immediately followed by forming the pouch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence shift from completing the main division across the tight gateway to beginning the anti-backflow maneuver?", "role": "user" }, { "content": "The transition occurs once the cut reaches about two centimeters beyond the gateway; then the anti-backflow step begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Diagnosis and Therapy in Achalasia # Peroral Endoscopic Myotomy (POEM) # Prof. Neuhaus.mp4" ] }, { "messages": [ { "content": "When and where does unexpected tethering between pelvic structures first become apparent?", "role": "user" }, { "content": "During distal dissection near the recto‑sigmoid region, dense tethering between the rectum and uterus first becomes evident.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic sigmoid colectomy with transanal natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from working along the inner plane to separating the outer attachments toward the upper right?", "role": "user" }, { "content": "Right after the central division, the scene shifts to separating the outer attachments upward and laterally.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic right colectomy with extracorporeal anastomosis-standard approach.mp4" ] }, { "messages": [ { "content": "After the chest is opened and tubing is seated into the central vessels, at what point does the external circulation actually begin?", "role": "user" }, { "content": "It begins right after the cannulas are placed, at the moment the extracorporeal circuit is activated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Nefrectomia radicale sinistra, trombectomia totale e sostituzione cavale.mp4" ] }, { "messages": [ { "content": "At precisely what point does the scene shift from trimming the excess inner lining to tightening the underlying contractile layer?", "role": "user" }, { "content": "The transition occurs immediately after the excess lining is removed, when tightening of the deeper layer begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/BDMS Annual Meeting 2017_31-08-17 (11)Ball2.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from managing the downstream segment to advancing the dissection proximally?", "role": "user" }, { "content": "Right after the distal segment is cut, the team shifts to proximal dissection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Laparoscopic treatment of common bile duct cyst.mp4" ] }, { "messages": [ { "content": "During postoperative surveillance, when and where do solid deposits first become visibly apparent in this case series?", "role": "user" }, { "content": "At 12–24 months, deposits appear inside the reconstructed pouch and are removed endoscopically.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Laparoscopic Radical Cystectomy LRC and Intracorporeal Urinary Diversion ICUD 1.mp4" ] }, { "messages": [ { "content": "Between turning a right-sided large bowel segment inward to reveal deeper structures and removing a slender vermiform organ nearby, which action happens first?", "role": "user" }, { "content": "Removing the slender vermiform organ happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in an adult.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from planning and localization to actually creating access into the abdomen?", "role": "user" }, { "content": "When they state they are starting the port placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Partial Gastrectomy for Gastrointestinal Stromal Tumor - Dr. Ninh T. Nguyen.mp4" ] }, { "messages": [ { "content": "Between applying a temporary occlusion device to a side vessel and creating the opening into that vessel, which event happens first in the clip?", "role": "user" }, { "content": "The temporary occlusion is applied first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/V083 ROBOTIC-ASSISTED PLACEMENT.mp4" ] }, { "messages": [ { "content": "Between clipping and dividing a superficial vessel along the stomach's outer curve, and firing the stapler across the first section of bowel, which one happens earlier in the clip?", "role": "user" }, { "content": "The vessel clipping and division occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/19.188 GS - Robotic-Assisted Pylorus Sparing Pancreatoduodenectomy.mp4" ] }, { "messages": [ { "content": "After a soft sling is seen looped around the upper conduit, when does the actual freeing of that conduit start?", "role": "user" }, { "content": "It begins when the surrounding membrane is divided on the right and then anteriorly after the sling is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Prophylactic Laparoscopic Total Gastrectomy for Hereditary Gastric Cancer Gene (CDH-1).mp4" ] }, { "messages": [ { "content": "Between sealing a right-sided venous branch near its origin and recognizing the venous confluence along the stomach’s lower edge, which happens first?", "role": "user" }, { "content": "Sealing the venous branch near its origin happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/The page-turning approach： a novel technique for laparoscopic right hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "Between ligating the dominant arterial supply and freeing additional bowel length for later connection, which one occurs first?", "role": "user" }, { "content": "Ligating the artery occurs first, followed by mobilizing additional bowel length.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拉出切除标本的腹腔镜下中位直肠癌根治术.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which layer to perform what action when the initial entry is created for tunneling?", "role": "user" }, { "content": "A pointed energy knife acts on the inner lining to make a small opening large enough for the scope to enter.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Per oral endoscopic pyloromyotomy after esophagectomy.mp4" ] }, { "messages": [ { "content": "Given that an assistant reaches in to strip away a layer from the field, when does the removal actually start?", "role": "user" }, { "content": "Removal starts at the command «Снимай.»", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Резекция кишки у собаки. Паховая грыжа.mp4" ] }, { "messages": [ { "content": "Which implement acts on a small tube-like structure to prevent bleeding before it is divided?", "role": "user" }, { "content": "Metal fasteners are applied to a blood vessel to seal it, and then it is divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/「ブルーリボンキャラバン　もっと知ってほしい大腸がんのこと2019in福島」 ～大腸がんの外科的治療～「QOLを考慮した術前放射線治療や腹腔鏡補助下手術」　石井 恒.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from surveying the inflamed region to active repair?", "role": "user" }, { "content": "The transition occurs when the first stitch is placed into the tissue at the defect.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Treatment of Ruptured Diverticulitis： Morris Franklin, MD.mp4" ] }, { "messages": [ { "content": "After the two components are visually aligned and docked together, at what moment does the actual joining action begin?", "role": "user" }, { "content": "Right after the lock is confirmed under direct vision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/segmental resection of duodenal jejunal junction for benign tumor.mp4" ] }, { "messages": [ { "content": "Which happens first: attaching the instrument arms to the entry sites, or initiating the opening cut over the back pelvic ridge?", "role": "user" }, { "content": "Attaching the instrument arms to the entry sites happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Robotic Redo Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which tissue to perform what action when the two adjacent intestinal loops are brought together?", "role": "user" }, { "content": "A linear cutting‑and‑sealing device is applied to the opposing bowel walls to create a side‑to‑side anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/How I do it - Mesenterica Superior Syndrom - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "Given that a wide retractor is set under the hollow structure at the front for protection, does the rotation tool begin positioning the organ before or after that retractor is in place?", "role": "user" }, { "content": "After—the rotation and positioning start once the wide retractor is already in place.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Schmerzfreie vaginale Hysterektomie mit der ERBE BiClamp.mp4" ] }, { "messages": [ { "content": "After creating a passage behind the first bowel segment, when does the stapler actually fire to separate it?", "role": "user" }, { "content": "Right after the tunnel is created, when the stapler transects the segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/19.188 GS - Robotic-Assisted Pylorus Sparing Pancreatoduodenectomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of two thin prongs being positioned into the target from inside the canal, when does the heat-based treatment actually start?", "role": "user" }, { "content": "It starts right after the prongs are seated in the target and energy is applied to heat it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Myome der Gebärmutter： Diagnose und individuelle Therapie.mp4" ] }, { "messages": [ { "content": "Exactly when does the clip move from anchoring the strip to sealing it beneath the sliding inner lining?", "role": "user" }, { "content": "Right after anchoring is completed, when the lining is drawn over and closed to cover the strip.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Management of Complete rectal prolapse.mp4" ] }, { "messages": [ { "content": "When and where does a clear color demarcation between the resected portion and the remaining bowel first become visible?", "role": "user" }, { "content": "Right after the right colon is transected, at the resection margin between the specimen and the preserved bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Resection Terminal Ileum and Cecum in Endometriosis.mp4" ] }, { "messages": [ { "content": "When and where does a non-instrument briefly appear in the view?", "role": "user" }, { "content": "During the deep, low work just below the lesion, a gloved finger briefly appears before the scope view resumes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultra Low Anterior Resection - woman (TME).mp4" ] }, { "messages": [ { "content": "Which happens earlier: sealing a major vessel to the diseased area or confirming the location of a delicate thin tube coursing along the side that must be protected?", "role": "user" }, { "content": "The major vessel is addressed first, before the thin tubular structure is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoidectomy for Perforated Diverticulitis with Purulent Peritonitis.mp4" ] }, { "messages": [ { "content": "After a long, jawed cutting device is brought into view and lined up across the distal segment, at what moment does its actual cutting start?", "role": "user" }, { "content": "When the device is fired under direct visualization after it’s aligned at the pre-prepared level.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Sticking it to Cancer： Single Incision and Lap Colectomy for Cancer.mp4" ] }, { "messages": [ { "content": "After looping a thin tubular structure with a tape, when does the actual cut on that structure begin?", "role": "user" }, { "content": "It starts later, at the moment the duct is sharply divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/19.188 GS - Robotic-Assisted Pylorus Sparing Pancreatoduodenectomy.mp4" ] }, { "messages": [ { "content": "What device is used to close off and divide the small channels at the root, and what structures are those channels?", "role": "user" }, { "content": "A ligation device (clip/sealer) is applied to small venous channels and the arterial branch at the central root to occlude and divide them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Complete response in a patient with locally advanced colon cancer after neoadjuvant treatment.mp4" ] }, { "messages": [ { "content": "When and where does an unusually tight adjacency between two channels first become visibly apparent?", "role": "user" }, { "content": "It first appears during central exposure, where the two channels are seen lying very close together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/『当院における肝切除術に対するVRの使用状況』トヨタ記念病院 消化器外科 越智靖夫 先生.mp4" ] }, { "messages": [ { "content": "Early in the clip, between elevating a small sac-like structure to open the view and tracing a faint burn line on the organ surface, which action happens first?", "role": "user" }, { "content": "Lifting the sac-like structure for exposure occurs before tracing the surface line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Hand-Assisted Resection of a Segment 4B Liver Tumor.mp4" ] }, { "messages": [ { "content": "At what moment does the reconstruction segment conclude and the connection become complete?", "role": "user" }, { "content": "Right after the second stapler closes the opening, the connection is complete.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic partial hepatectomy with small bowel resection and aortocaval lymphadenectomy NET.mp4" ] }, { "messages": [ { "content": "After the access sites are sutured, when does the team begin visually confirming re-expansion of the breathing organ?", "role": "user" }, { "content": "Immediately after closing the port site, they start checking for re-expansion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic transthoracic and thoracoscopic liver resection.mp4" ] }, { "messages": [ { "content": "After metal clips are applied to a small artery along the right border of the upper hollow organ, when does the actual cut happen?", "role": "user" }, { "content": "Right after clip placement at the junction, the artery is transected.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic D2 lymph node dissection with total gastrectomy and jejunal pouch reconstruction for ea.mp4" ] }, { "messages": [ { "content": "At what point in the dissection does a small venous leak adjacent to a major central vein first become visible on the field?", "role": "user" }, { "content": "It first becomes visible during the medial dissection near the central vein, before the organ is fully mobilized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Transvaginal Nephrectomy.mp4" ] }, { "messages": [ { "content": "Which instrument acts on the stomach-side muscle bands to lengthen the cut, and how does it interact with the tissue?", "role": "user" }, { "content": "A curved-tip energy hook engages the stomach-side muscle bands, using cautery and traction to lengthen the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Redo Heller Myotomy, Hiatal Hernia repair, and conversion of Dor to Toupet Fundopli....mp4" ] }, { "messages": [ { "content": "Which energy device is applied to a small branch vessel near the organ wall to seal it, and what target does it act on?", "role": "user" }, { "content": "A fine bipolar cautery is used to cauterize the cystic artery at its distal end near the gallbladder wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Choledocal Cyst Excision & Roux-en-Y Hepatico-jejunostomy. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "During the operation, when and where does the first visible sign of a problem appear?", "role": "user" }, { "content": "It first becomes visible on the patient’s monitor when the oxygen level indicator drops.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Assisted Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "After placing a guiding sling around the low hollow segment to protect it, when does the actual division across it begin?", "role": "user" }, { "content": "Division begins when the stapling device is fired distally after the margin check, following the tape placement.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Lap TME and hepatic resection for low rectal cancer with single synchronous liver metastases.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from separating tissues in the front pouch area to introducing the implant through a port?", "role": "user" }, { "content": "The transition occurs right after the lining is freed from pelvic tissues, when the implant is introduced.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Male Patients： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "After the surgeon creates small slits on the free edges opposite the vascular side of two aligned bowel loops, when does the actual side-to-side joining begin?", "role": "user" }, { "content": "It begins when the stapler is applied and fired to create the side-to-side connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy with intracorporeal anastomosis.mp4" ] }, { "messages": [ { "content": "After a short passage is created behind the inner curve of the upper organ, at what moment does the first horizontal cut-and-seal across it actually start?", "role": "user" }, { "content": "It starts once the device is positioned horizontally across the organ immediately after the tunnel is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Roux-en-Y Gastric Bypass in a Patient with Situs Inversus.mp4" ] }, { "messages": [ { "content": "Between dividing the vessel supplying the upper stomach and creating the small stomach pouch, which occurs first in the clip?", "role": "user" }, { "content": "Division of the upper stomach vessel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/APPLICATIONS OF INDOCYANINE GREEN FLUORESCENCE IN LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH D2 LYMP....mp4" ] }, { "messages": [ { "content": "Given the visual cue of a slim, pale band being pulled taut beside the heart sac, at what point does the cutting actually begin on that structure?", "role": "user" }, { "content": "Cutting starts after the band is stretched, and it is the first cut once inside.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Transthoracic Heller Myotomy for Esophageal Achalasia.mp4" ] }, { "messages": [ { "content": "What extraction aid is used to bag and remove the excised piece at the end?", "role": "user" }, { "content": "A retrieval bag (endocache bag) is used to enclose and remove the excised tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Lap Management of Bladder Mass with Dermoid Cyst (Partial Cystectomy) by Dr Anup Kumar.mp4" ] }, { "messages": [ { "content": "During the initial inspection, where does excessive billowing first become apparent in the posterior region—toward the middle or the inner corner?", "role": "user" }, { "content": "It first appears in the middle posterior segment (P2).", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Complex robotic correction for complex degenerative mitral valve.mp4" ] }, { "messages": [ { "content": "At what point does the view shift from the repair line on the central organ to inspecting the paired side structures?", "role": "user" }, { "content": "Right after highlighting the repair line, the camera turns to the paired side structures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Fibroid Surgery.mp4" ] }, { "messages": [ { "content": "During the final fluid-and-gas integrity check, when and where do any escaping air traces first become visible?", "role": "user" }, { "content": "None appear anywhere; no air escapes are seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Thoracoscopic Esophageal Myotomy for Achalasia# The Procedure of Choice#.mp4" ] }, { "messages": [ { "content": "Which energy-based tool is applied to the supportive tissue sheet to separate it and create a gap at the intended resection levels?", "role": "user" }, { "content": "Ligasure is used on the mesentery to divide it and create the window at the resection levels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Kono-S Anastomosis in Stricturing Crohn’s Disease： A Step-by-Step Surgical Guide for Trainees.mp4" ] }, { "messages": [ { "content": "Which bladed instrument acts on the thin tube-like appendage near the side organ, and what maneuver is performed on it?", "role": "user" }, { "content": "A bladed scissor is used to cut the tube and its supporting fold to remove it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Ambulatory subtotal hysterectomy for adenomyosis.mp4" ] }, { "messages": [ { "content": "At what moment do they leave vessel‑centered clean‑up and begin focused work on the adjacent conduit?", "role": "user" }, { "content": "The transition occurs when nodal/vascular work concludes and they begin dissecting the duct.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Portal Lymphadenectomy and 4b⧸5 Liver Resection for Incidental Gallbladder Cancer.mp4" ] }, { "messages": [ { "content": "Which is performed first: fastening the sheet to the bottom segment or anchoring it to the upper bony ridge?", "role": "user" }, { "content": "Fastening the sheet to the bottom segment occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic Ventral Mesh Rectopexy.mp4" ] }, { "messages": [ { "content": "Between tightening a loop around the tubular junction and placing a metallic fastener on the neighboring vessel, which one occurs first?", "role": "user" }, { "content": "The loop tightening at the junction occurs first, followed by placement of the metallic fastener on the adjacent vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Gallbladder Stone Surgery.mp4" ] }, { "messages": [ { "content": "During the careful separation of the tube’s outer layers, which instruments provide exposure and which device performs the cutting, and what tissue do they act on?", "role": "user" }, { "content": "Fine-tipped graspers expose and separate the tubular organ’s muscle fibers from the lining, and an energy sealing device divides the circular muscle fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy with Toupet fundoplication with voice over by Dr. Samrat Jankar.mp4" ] }, { "messages": [ { "content": "Once the organ is freed, when does the retrieval into a bag start, and through which access is the bag introduced?", "role": "user" }, { "content": "Bagging begins right after the organ is freed, with the bag introduced through the left-side port.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Narrated Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "In the initial side-by-side joining sequence, which implement acts on which structures to accomplish the union?", "role": "user" }, { "content": "A linear stapler acts on the jejunal wall and the gastric wall to create a side-to-side union.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/22ndMESDA： Laparoscopic gastrojejunostomy by Dr.Poon Wongvisavavit.mp4" ] }, { "messages": [ { "content": "When and where does the unexpected tunnel between two parts first become visibly apparent?", "role": "user" }, { "content": "It first appears at the narrowed segment, showing an opening into the excluded stomach during the segment’s excision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic revision of gastrojejunostomy stricture after roux en y gastric bypass.mp4" ] }, { "messages": [ { "content": "When and where does the unexpected hemorrhage first become visibly apparent during the procedure?", "role": "user" }, { "content": "It first appears abruptly during dissection near the upper central vessel region, only a few millimeters from the large midline vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy renal vein injury happened & repaired.mp4" ] }, { "messages": [ { "content": "When and where is the initial abnormal spiral at the bowel’s vascular base first seen?", "role": "user" }, { "content": "At the very start, centrally at the mesenteric root, the spiral twist is visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Ladds procedure for volvulus neonatorum due to malrotation of gut. Neonatal surgery.mp4" ] }, { "messages": [ { "content": "Between securing a small metallic fastener on a vessel and highlighting the prominent central tube, which action occurs first in the clip?", "role": "user" }, { "content": "The fastener placement occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Genç hasta için yedi kanal safra yolu klatskin tümörü ameliyatı yaptım ｜ Hepaticojejunostomy.mp4" ] }, { "messages": [ { "content": "At what moment does the operation switch from central dissection and specimen division to starting the reconstruction phase?", "role": "user" }, { "content": "Immediately after the segment is divided and left attached laterally, the team turns to creating the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Right Colectomy For Cancer.mp4" ] }, { "messages": [ { "content": "After the covering over a major vessel is lifted, at what moment do they start the tie-and-cut on that vessel?", "role": "user" }, { "content": "Once node clearance is completed, they begin ligation about 1 cm distal to the vessel’s origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/2.2.6. Left Hemicolectomy for Locally Advanced Sigmoid Carcinoma - M. Ayhan Kuzu.mp4" ] }, { "messages": [ { "content": "At what point does the sequence shift from freeing the band to placing stitches through it?", "role": "user" }, { "content": "Right after the edges are fully freed, they begin passing stitches through the band.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/手术演示：65三棱镜度数的内斜视病例中的内直肌后徙术.mp4" ] }, { "messages": [ { "content": "Which tool manages small crossing structures during the cut, and how are the two major conduits handled near the pinch point?", "role": "user" }, { "content": "Small branches are sealed with a dedicated sealing tool, while the duct and main vein are transected and blocked just beyond the pinch point.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Robotic Roux-En-Y Hepaticojejunostomy for Right Hepatic Duct Transection.mp4" ] }, { "messages": [ { "content": "Between rotating the organ to the right and threading a loop around the targeted vessel, which action happens first in this clip?", "role": "user" }, { "content": "Rotating the organ to the right happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hepatic Vein Isolation.mp4" ] }, { "messages": [ { "content": "After the circular joining device is brought into view, assembled, and closed, when is it actually activated?", "role": "user" }, { "content": "It is activated after confirming there is no undue tension or twist on the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Laparoscopic Total Mesorectal Excision for Rectal Cancer (RCSI Charter Day Video Session 2016).mp4" ] }, { "messages": [ { "content": "Which device acts on two intestinal limbs to create a side-to-side opening, and what does it achieve?", "role": "user" }, { "content": "A linear stapling device is used to join the two bowel limbs side‑to‑side, creating their internal connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic R-Y choledochojejunostomy via retrocolo-gastric route, an uncommon approach.mp4" ] }, { "messages": [ { "content": "Between tying an initial stitch at the apex of the newly formed reservoir and seating a ring-shaped device into that apex, which occurs first?", "role": "user" }, { "content": "The stitch at the apex is placed first, then the ring-shaped device is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Fluorescence Angiography during Transanal Trans-stomal Proctectomy and Ileal Pouch Anal Anastomosis.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from defining the two connections to permanently closing them?", "role": "user" }, { "content": "The shift occurs the instant the view shows only two connections with the base cleared; closures are placed immediately after.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Behind the Knife - Robotic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the scene move from assembling the new joint to testing it for leaks?", "role": "user" }, { "content": "Right after completing the stapled connection, they immediately perform the leak test.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/colectomy/腹部无辅助切口经肛门拖出标本的腹腔镜下全结肠切除+回肠-直肠吻合术.mp4" ] }, { "messages": [ { "content": "Which device is used on the sizable edge vessel near the mid-arch of the colon, and what action is performed on it?", "role": "user" }, { "content": "Clips are applied to the marginal artery to divide it safely.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Extended Right Hemicolectomy - Dr Abhimanyu Kapoor.mp4" ] }, { "messages": [ { "content": "Which instrument uses vibration to part a delicate membrane, and what is it acting on?", "role": "user" }, { "content": "A vibrating energy device (harmonic) opens the peritoneum over the pars flaccida.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from energy-based tissue separation to the final mechanical transection phase?", "role": "user" }, { "content": "The transition occurs when the mechanical transection device is introduced and opened/straightened over the target.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Right Hepatectomy.mp4" ] }, { "messages": [ { "content": "In this clip, which comes earlier: recognizing that the lesion overlies key central vessels, or choosing a broader segment removal?", "role": "user" }, { "content": "Recognition of the lesion’s relation to central vessels comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robotic Transverse Colectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the operation transition from tissue division to packaging and removal through the central access site?", "role": "user" }, { "content": "Right after the final division, when the specimen is placed in a bag and removed through the umbilical incision.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver resection; laparoscopic removal of liver segments 2 and 3.mp4" ] }, { "messages": [ { "content": "When the team momentarily pauses after the initial surface incision to check for fluid seepage, at what point does the deeper removal actually commence?", "role": "user" }, { "content": "It begins immediately after the brief observation period following the first cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robotic Partial Nephrectomy for Completely Intra-Renal Tumor： Dr. N. Ragavan.mp4" ] }, { "messages": [ { "content": "When and where does bleeding first become noticeable during the bile sac dissection?", "role": "user" }, { "content": "It first appears during the posterior reflection incision near the triangular area at the sac’s neck, then it’s promptly controlled.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Hybrid Transgastric Rendezvous Technique for Common Bile Duct Stones After Gastric Bypass.mp4" ] }, { "messages": [ { "content": "Which tool manipulates the thin covering layer during the final phase to seal the operative field?", "role": "user" }, { "content": "A needle driver with suture is used on the thin covering layer to close and seal it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Rectal Prolapse Operation.mp4" ] }, { "messages": [ { "content": "At what exact moment does the focus shift from working behind the specimen to working in front of it?", "role": "user" }, { "content": "When attention turns anteriorly and the fascia at the neck is incised.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Nerve Sparing Radical Cystectomy And Orthotopic Bladder Replacement In Female Patients.mp4" ] }, { "messages": [ { "content": "When the cut surface is being sealed, which instrument acts on which structure to accomplish what task?", "role": "user" }, { "content": "A needle-holding instrument places a continuous stitch on the inner defect of the organ to stop bleeding and close the cavity.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/【2020 台大全民泌尿抗癌日】民08 周博敏醫師—腎臟癌的手術治療—腎臟全切除，還是部分切除？(達文西機器手臂、腹腔鏡、傳統開放手術的比較).mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from intraperitoneal work to operating through the natural opening?", "role": "user" }, { "content": "The transition occurs when transanal disinfection starts and the segment is pulled outward through the natural orifice.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/低位直肠前切除术NOSES I式B法.mp4" ] }, { "messages": [ { "content": "Which occurs first: damping down bleeding with a series of self-locking knots or excising the smaller rear-lying lesion?", "role": "user" }, { "content": "Bleeding control with multiple knots happens first; the smaller posterior lesion is excised afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Large Uterine Fibroid.mp4" ] }, { "messages": [ { "content": "Following the final internal camera-based inspection, when is the fluid-collecting tube positioned near the new connection?", "role": "user" }, { "content": "Immediately after the internal inspection, the drain is positioned near the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Totally Robotic Roux-en-Y Gastric Bypass (RYGB) with hand sewn Gastro-jejunostomy (GJ).mp4" ] }, { "messages": [ { "content": "Which implement is used on the segment just beyond the organ’s outlet, and what action does it perform there?", "role": "user" }, { "content": "A linear stapling device is used there to transect the segment just beyond the outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Subtotal Gastrectomy with Roux-en-Y.mp4" ] }, { "messages": [ { "content": "During the sequence of supportive stitching, when and where does any unexpected issue first become visibly apparent?", "role": "user" }, { "content": "No abnormality becomes visible; the sequence proceeds without a noticeable unexpected issue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/whipple_procedure/After cutting of duodenal stump of about 1–1.5 cm length using linear stapler LARS commenced from upper to lower or from lower to upper part on staple-line of duodenal stump.mp4" ] }, { "messages": [ { "content": "When and where does unexpected oozing first become visibly apparent?", "role": "user" }, { "content": "It first appears on the backside during division around a small vessel in the thicker tissue area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy： Step- by- Step Surgical guide for Patients and Professionals＂.mp4" ] }, { "messages": [ { "content": "Which instrument is applied to which structure to achieve what effect when the channel to the outside is separated from the front?", "role": "user" }, { "content": "Diathermy is used on the vaginal canal to split it anteriorly.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Removal of extensive pelvic and abdominal tumors.mp4" ] }, { "messages": [ { "content": "In the segment where the protruding bulge is being addressed, which happens first: drawing the bulged soft tissue back inside or freeing a stuck loop of gut from the inner surface?", "role": "user" }, { "content": "They first draw the bulged soft tissue back in, then they free the stuck gut loop.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Laparoscopic Ventral Hernia Repair with Mesh (4k).mp4" ] }, { "messages": [ { "content": "After the operator clearly indicates with a finger where a reinforcement will sit, when does the actual fastening of that reinforcement begin?", "role": "user" }, { "content": "Right after the pointing gesture, as they begin securing it along the upper and lower borders.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/【手術現場】小腸氣修補手術實錄 ｜ 畫面無特别處理.mp4" ] }, { "messages": [ { "content": "What energy-based instrument is used to separate scar bands between the inner abdominal wall and the fatty apron, and what action does it perform?", "role": "user" }, { "content": "Electrocautery is used to take down adhesions between the abdominal wall and the omentum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic hepaticojejunostomy for anastomotic biliary stricture after liver transplantation ｜ Narrated.mp4" ] }, { "messages": [ { "content": "What device is used to advance and secure knots deep in the pelvis, and what structure is it acting on to accomplish the task?", "role": "user" }, { "content": "A knot pusher is used to deliver and cinch sutures deep in the pelvis, attaching the mesh to the anterior rectal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Laparoscopic Approaches to Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "At what moment does the team switch from working behind the target tube to its front side?", "role": "user" }, { "content": "Immediately after finishing the posterior release, they switch to the front side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic Ultra Low Anterior Resection With Colo-Anal Pull-through Anastomosis; TME, Step by Step.mp4" ] }, { "messages": [ { "content": "After the membrane is lifted off the back wall, when are the thin tube and companion vessels swept out of the way?", "role": "user" }, { "content": "Immediately after lifting the membrane off the posterior plane, the ureter and gonadal vessels are swept away.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic-Assisted Colonic Resection for Splenic-Flexure Cancer With D3 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "After placing a bridging connector between two spaces, when does the team actually start using it to traverse into the target area?", "role": "user" }, { "content": "They begin using it one week later, after reconfirming its position, by passing through it into the target area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/EUS-GUIDED ENDOSCOPIC DUODENO-JEJUNAL ANASTOMOSIS AND BILIARY STENTING FOR CHOLANGITIS IN A PATI....mp4" ] }, { "messages": [ { "content": "Which comes earlier: applying downward tension on the left-sided curved pouch or separating the lining on the left side of the hiatus?", "role": "user" }, { "content": "Downward tension on the pouch occurs before the left-side separation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Hellers Myotomy.mp4" ] }, { "messages": [ { "content": "What instruments are used on the lateral supply bundles of the pelvic reservoir, and what action do they perform?", "role": "user" }, { "content": "They use Hem-o-lok clips and a robotic vessel sealer to divide those bundles.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/#168 Surgical Techniques to Improve Erectile Function Following Robotic Cystoprostatectomy Dr. A. Ta.mp4" ] }, { "messages": [ { "content": "After a tear-induced ooze is seen on the cut remnant, what action is taken with the energy device on that site to secure control?", "role": "user" }, { "content": "Reapplication of energy (re-coagulation) is performed directly on the stump to secure hemostasis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 2.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to achieve the lateral release seen during the midline dissection?", "role": "user" }, { "content": "A sharp-tip dissector (scissors/energy) acts on the tissue over the duodenum to laterally isolate it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right hemicolectomy for T4b cecal adenocarcinoma involving the bladder.mp4" ] }, { "messages": [ { "content": "While the operator begins the deep plane from below, which occurs first: the brief appearance of a thin, squiggling tube sliding along the back layer, or the maneuver where the surgeon loops around the central stalk to free it?", "role": "user" }, { "content": "The thin, squiggling tube appears first, and the looping around the central stalk happens afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Low Anterior Resection Medial to Lateral Dissection Techniques.mp4" ] }, { "messages": [ { "content": "For the small tubular-to-bowel connection in the upper abdomen, which stitch pattern is used on the posterior wall: a continuous run or separate interrupted throws, and what does it connect?", "role": "user" }, { "content": "A continuous running stitch is used, connecting the duct to the bowel on the posterior wall from 9 toward 3.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/DECONSTRUCTING THE OPERATIVE DURATION OF ROBOTIC PANCREATICODUODENECTOMY.mp4" ] }, { "messages": [ { "content": "Which comes first: exposing the front of the major vein behind the liver or opening the space tucked behind the stomach?", "role": "user" }, { "content": "Exposing the front of the vein comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/The Whipple Procedure - What It Is & How It Can Work for Pancreatic Cancer.mp4" ] }, { "messages": [ { "content": "When and where does an unusual swelling first become visibly apparent in the field?", "role": "user" }, { "content": "It is apparent at the beginning, centered on the main structure in view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic myomectomy for a large submucous fibroid.mp4" ] }, { "messages": [ { "content": "Once the brought-up segment has been temporarily tacked to the surface of the gland, when is the fine, continuous line of bites across the channel actually started?", "role": "user" }, { "content": "After the loop is anchored to the pancreatic capsule, they begin the continuous duct-to-mucosa suturing, starting near the tail and advancing toward the head.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Pancreas Stones ( Chronic Pancreatitis ) Treatment Dr Avinash Tank, Dwarika hospital, Ahmedabad..mp4" ] }, { "messages": [ { "content": "Near the ileocecal region, which is divided first: the venous branch or its paired arterial branch?", "role": "user" }, { "content": "The venous branch is divided before the arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic extended right hemicolectomy for transverse colon cancer with S4 liver resection.mp4" ] }, { "messages": [ { "content": "Once a shiny tubular channel near the liver’s gateway is identified, when is it actually cut in the workflow?", "role": "user" }, { "content": "It is cut immediately after identification, just below its junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/How I Do It Video： Modified Whipple procedure for Pancreatic Head Carcinoma Greece.mp4" ] }, { "messages": [ { "content": "Between coating the flexible segment and injecting material into the near side of the outer sleeve, which action occurs first?", "role": "user" }, { "content": "Coating the flexible segment happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Digestive bleeding control with FloSeal.mp4" ] }, { "messages": [ { "content": "When do movement constraints from the narrow single access first become evident, and in which operative zone are they seen?", "role": "user" }, { "content": "Early in the initial dissection and mobilization, within the single-port channel where instrument motion is visibly constrained.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Single Port Donor Nephrectomy.mp4" ] }, { "messages": [ { "content": "After the team exposes the rear envelope of the pelvic hollow tube and spirals along it, when does the actual incision through the deep sling begin?", "role": "user" }, { "content": "It starts upon reaching the deep floor muscle level and opening the constructed pathway, immediately followed by cutting the guided posterior sheath.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/anterior_resection/低位直肠前切除术NOSES I式B法.mp4" ] }, { "messages": [ { "content": "Which applicator places permanent metal fasteners on which two structures, and what result does this achieve?", "role": "user" }, { "content": "A fastener applicator places permanent metal clips on the narrow tube and the small vessel to seal them so they can be safely divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/外科医の私が受けたい最新の胆石症手術とは　手術映像あり.mp4" ] }, { "messages": [ { "content": "Which instrument alternates with the suction-like probe to divide the spongy organ substance, and what action does it perform?", "role": "user" }, { "content": "The vibrating shears alternate with the suction-like probe, cutting the parenchyma to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic Extended Right Hepatectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: recognizing the vertical arterial bundle or expanding the lateral pocket?", "role": "user" }, { "content": "Recognizing the arterial bundle occurs before expanding the lateral pocket.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Totally extraperitoneal (TEP) for right direct inguinal hernia.mp4" ] }, { "messages": [ { "content": "Given the visible cue of a bulging mound along the supportive membrane, when does the reversal spin of the small-intestine loops actually start?", "role": "user" }, { "content": "It begins at the moment the operator starts turning the loops counterclockwise, right after the lateral release.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Laparoscopic Ladd's procedure in adult.mp4" ] }, { "messages": [ { "content": "Between infusing fluid into the wall and initiating cutting with an energy device to create an oval opening, which happens first?", "role": "user" }, { "content": "The fluid infusion occurs first, followed by the start of cutting.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy.mp4" ] }, { "messages": [ { "content": "Between freeing a draping membrane off the small bowel and following a venous convergence towards vessels along the stomach, which action happens first?", "role": "user" }, { "content": "Freeing the membrane off the small bowel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/An approach for vessel's management in laparoscopic right colectomy with CME.mp4" ] }, { "messages": [ { "content": "Which implement is used to separate the surrounding fatty sleeve from the central tube during the deep pelvic work, and what outcome is it designed to achieve?", "role": "user" }, { "content": "The paired working instruments under an optical view peel the fatty sleeve off the organ to produce an intact, smooth specimen with an unbreached outer layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Rectal Cancer Treatment by Dr Maher A. Abbas.mp4" ] }, { "messages": [ { "content": "Between freeing the anterior-running nerve off the tube and commencing the muscle-splitting, which happens first?", "role": "user" }, { "content": "The nerve is freed first, then the muscle-splitting begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller myotomy with Toupet fundoplication with voice over by Dr. Samrat Jankar.mp4" ] }, { "messages": [ { "content": "At what precise moment is the case visibly concluded?", "role": "user" }, { "content": "When the final hemostasis check is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic Right Hemicolectomy (DVD Atlas of GI Surgery) - Dr. Sanjiv Haribhakti.mp4" ] }, { "messages": [ { "content": "Which occurs first: the inside-to-outside mobilization along a central plane or the release of the lateral attachments?", "role": "user" }, { "content": "The inside-based mobilization occurs before the lateral release.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹部无辅助切口经直肠拖出切除标本的腹腔镜下直肠癌根治术.mp4" ] }, { "messages": [ { "content": "During the right‑sided phase, which happens first: clearing the tissue off the front of the C‑shaped small‑bowel segment and the gland behind it, or cutting the lateral bands that tether the right colon?", "role": "user" }, { "content": "Medial clearance over the duodenum and pancreas occurs first; the lateral bands are divided afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Indo-UK SURGICON Week 6, Day 2： Master Videos (How I Do It).mp4" ] }, { "messages": [ { "content": "Which device is used to skeletonize the main arterial corridor near the organ by acting directly on the surrounding soft tissue?", "role": "user" }, { "content": "Bipolar energy forceps act on the perivascular soft tissue to skeletonize the artery and clear the nodes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder.mp4" ] }, { "messages": [ { "content": "After the new junction is completed, when does placement of the enteral access begin?", "role": "user" }, { "content": "Immediately after the anastomosis is completed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Esophageal reconstruction by gastric pull-up in a hemi-gastrectomized patient with esophageal cancer.mp4" ] }, { "messages": [ { "content": "Which comes first: fully freeing the herniated sac from both curvatures or placing the reinforcement patch?", "role": "user" }, { "content": "Freeing the sac comes first; the reinforcement patch is placed later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Mesh crural reinforcement for hiatal hernia repair： The devil is indeed in the details!.mp4" ] }, { "messages": [ { "content": "Which occurs first: freeing the organ from the large central vein behind it, or beginning to cut through the organ substance?", "role": "user" }, { "content": "Freeing the organ from the central vein occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/The Effects of Laparoscopic Liver Resection on Cardiopulmonary Performance.mp4" ] }, { "messages": [ { "content": "What materials are applied along the sides of the implanted sheet, and for what purpose are they used?", "role": "user" }, { "content": "Absorbable sutures and cyanoacrylate glue are applied along the sides to secure the sheet with adequate overlap and prevent recurrence.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic Repair of perineal hernia after extralevator abdominoperineal excision.mp4" ] }, { "messages": [ { "content": "During removal of the lesion, which instrument is used on the organ surface to separate the mass along the pre-marked path, and what does it accomplish?", "role": "user" }, { "content": "Cold scissors cut through the organ tissue along the marked line to excise the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Robot Assisted Laparoscopic Partial Nephrectomy - Step by Step Contemporary Technique.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation shift from access and setup to actual tissue release around the stomach?", "role": "user" }, { "content": "When they start the first energy dissection along the stomach’s outer border to enter the lesser sac.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy： Surgical Technique.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene move from resection to the hemostasis-and-cleanup phase?", "role": "user" }, { "content": "Immediately after the final clamp‑cutter fires across the deep structures; the team then shifts to spot‑coagulation and cleanup.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Left Lateral Hepatectomy - Take 1.mp4" ] }, { "messages": [ { "content": "At what moment do they shift from working in the deep basin area to addressing the segment higher up near the upper left region?", "role": "user" }, { "content": "When the system is undocked and retargeted to continue mobilization upstream near the upper left area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic Low Anterior Resection for a Distal Sigmoid Colon Cancer during the COVID-19 Pandemic.mp4" ] }, { "messages": [ { "content": "Between beginning a continuous threadline along the inner surface and confirming a faint rhythmic reading in a lower sector, which happens first?", "role": "user" }, { "content": "The continuous threadline begins first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Proctopexy Hemorrhoid Repair 2.mp4" ] }, { "messages": [ { "content": "When does the scene transition from working within a narrow canal to operating in the broader belly space?", "role": "user" }, { "content": "At the moment the peritoneal fold is incised and the mobilized segment is pushed up into the belly.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/pure taTME procedure for rectal cancer.mp4" ] }, { "messages": [ { "content": "When does the scene transition from internal camera work to making a small external opening to remove the specimen and reconnect the bowel?", "role": "user" }, { "content": "After finishing lateral attachments under head-down tilt, they proceed to the small external incision for extraction and anastomosis.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic right colectomy with co-axial port setting.mp4" ] }, { "messages": [ { "content": "Watching the reanimation phase, after the team gives a warmed direct infusion and reopens inflow to the organ, at what moment do coordinated contractions actually begin?", "role": "user" }, { "content": "Right after the warmed flush washes out the arresting ions and inflow is reopened—ideally immediately; if not, it begins after a corrective shock.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/WATCH Triple Bypass Open Heart Surgery.mp4" ] }, { "messages": [ { "content": "Which instrument engages the two ends to perform the final end-to-end join, and how does it achieve this?", "role": "user" }, { "content": "A circular joining device couples both ends; when fired, it deploys ring sutures to connect them and simultaneously trims excess tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Low anterior resection and hysterectomy.mp4" ] }, { "messages": [ { "content": "After the tunnel is opened, at what cue does the operator begin the controlled separation along the back wall?", "role": "user" }, { "content": "It starts immediately upon recognizing the correct plane—when the sacrum/posterior package is seen—initiating gentle elevation and posterior glide.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/New techniques for rectal cancer surgery.mp4" ] }, { "messages": [ { "content": "Which tool acts on a small arterial branch along the stomach to achieve division?", "role": "user" }, { "content": "A clip and an energy sealing device are used to divide the arterial branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Whipple Procedure with Situs Inversus Anatomy.mp4" ] }, { "messages": [ { "content": "Given the moment the ring is lightly traced with heat as a visual cue, when does the actual unpeeling of the inner lining from the deeper layer begin?", "role": "user" }, { "content": "It begins immediately after the circular opening is made following the heat-marked ring.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Complete rectal prolapse｜ Perineal Rectopexy｜ Delorme procedure｜ DR. Pandiaraja.mp4" ] }, { "messages": [ { "content": "When and where does extensive scarring first become visibly evident during the operation?", "role": "user" }, { "content": "At the beginning of the intra-abdominal work, along the interface between the liver and stomach.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy # Surgery.mp4" ] }, { "messages": [ { "content": "When and where does unexpected oozing first become visibly apparent in this operation?", "role": "user" }, { "content": "After the specimen is removed, minor oozing appears at the vessel ends of the pedicle, treated with bipolar coagulation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/prostatectomy/叶定伟：腹腔镜下前列腺根治性切除术（含讲解）.mp4" ] }, { "messages": [ { "content": "Between temporarily controlling inflow and beginning suturing/closure of the transection surface, which happens first?", "role": "user" }, { "content": "Inflow control occurs before suturing/closure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/cholestectomy/王军凯：腹腔镜右肾部分切除，胆囊切除术.mp4" ] }, { "messages": [ { "content": "Between noting a corkscrew-like deformity of a distal segment and formally acknowledging the global developmental layout abnormality, which comes earlier?", "role": "user" }, { "content": "The localized corkscrew-like deformity is observed first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic assisted treatment of intestinal malrotation in an adult male.mp4" ] }, { "messages": [ { "content": "During preparation of the cut ends, which instrument is used on the thin, fan-shaped tissue next to the intestine, and what action does it perform?", "role": "user" }, { "content": "A vessel-sealing device is used to transect the distal mesenteric tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/TRİCKS AND PİTFALLS FOR TOTAL MESOCOLİC EXCİSİON İN RİGHT HEMİCOLECTOMY.mp4" ] }, { "messages": [ { "content": "Between opening the lining on the right side and performing the lateral release on the opposite side, which occurs first?", "role": "user" }, { "content": "The right-sided opening occurs before the left-sided lateral release.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic-assisted transvaginal radical sigmoidectomy for sigmoid colon cancer.mp4" ] }, { "messages": [ { "content": "At what moment do they switch from working inside to preparing to bring the segment out through the incision?", "role": "user" }, { "content": "Right after repeated cracking and failed sealing make it clear the tools won’t succeed, they pivot to prepare for exteriorization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right colectomy： How to avoid intraoperative difficulties & complications.mp4" ] }, { "messages": [ { "content": "Between pulling the bagged tissue through the pelvic tunnel and suturing that internal cut closed, which occurs earlier in the clip?", "role": "user" }, { "content": "The extraction happens first; suturing is done afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Laparoscopic right hemicolectomy with D3 lymph node dissection and natural orifice specimen.mp4" ] }, { "messages": [ { "content": "Which inserted device keeps the outflow channel propped open during cutting at the junction, and where is it positioned?", "role": "user" }, { "content": "A flexible endoscope, positioned in the downstream limb, props the channel open during the cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Laparoscopic Revision of Omega Loop Bypass to Roux-en-Y Gastric Bypass.mp4" ] }, { "messages": [ { "content": "When the resected bowel is displayed, where does the most severe abnormal appearance first become evident—near the distal pelvic end or closer to the mid-abdominal curve?", "role": "user" }, { "content": "At the end when the specimen is shown, the most severe abnormality first appears in the left-sided portion, extending toward the hepatic flexure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SINGLE INCISION LAPAROSCOPIC CLOCK WISE CONTINUOUS TOTAL ABDOMINAL COLECTOMY WITH END ILEOSTOMY.mp4" ] }, { "messages": [ { "content": "When does unexpected red leakage first appear, and in which region of the pelvis does it become visible?", "role": "user" }, { "content": "It first appears during maturation of the posterior plane, deep in the pelvis over the presacral venous area/levator plate.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic Low Anterior Resection Total Mesorectal Excision.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: the appearance of unexpected fluid output or the subsequent refinement of the view?", "role": "user" }, { "content": "The unexpected fluid output is noted first, followed by the view adjustment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/கருப்பை கட்டி ｜ Fibroids ｜ Uterus Removal ｜ Laparoscopic Surgery ｜ Hysterectomy ｜ Dr.Deepa Ganesh..mp4" ] }, { "messages": [ { "content": "When and where does a mucosal surface defect first become visible in this case?", "role": "user" }, { "content": "At the start, on the preoperative endoscopy view, at the prior stomach‑to‑intestine junction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Robotic revision of Billroth II to RNY gastrojejunostomy & hiatal hernia repair.mp4" ] }, { "messages": [ { "content": "When does the operation move from just separating layers to actively folding the muscle wall inward with stitches?", "role": "user" }, { "content": "It shifts when stitches begin that include the muscle layer, starting its inward fold.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Delorme’s Procedure for Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "After the piece is detached, when does gas-based coagulation begin—before the piece leaves the field or only after removal?", "role": "user" }, { "content": "They start the gas-based coagulation after the specimen is freed/removed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic caudate lobectomy.mp4" ] }, { "messages": [ { "content": "Between releasing the thin tissue bridge near the top of the stomach and dissecting around the pillars to expose the junction and a left-sided nerve, which happens first in the clip?", "role": "user" }, { "content": "Releasing the thin tissue bridge happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Heller Myotomy.mp4" ] }, { "messages": [ { "content": "What stitching material is used to fasten the support to the bowel’s outer layer, and what structures are captured in each bite to avoid contamination?", "role": "user" }, { "content": "A non‑absorbable monofilament is used, capturing the support and the bowel’s surface layer only—avoiding the mucosa.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic Ventral Mesh Rectopexy for Rectal Prolapse in young male patient ｜ Dr.Parveen Bhatia.mp4" ] }, { "messages": [ { "content": "When and where does an unexpected enlargement in a nodal area first become visibly apparent?", "role": "user" }, { "content": "During the second look at the hepatoduodenal ligament, enlarged nodes are first seen behind the common hepatic artery and the portal vein.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Surgical technique for synchronous D23 subtotal gastrectomy and CME right colectomy.mp4" ] }, { "messages": [ { "content": "Which happens earlier: separating the delicate fiber bundle from the target or freeing the target from its outlet tube?", "role": "user" }, { "content": "Separating the fiber–vessel bundle occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/KEM Urologie： Radikale Prostatektomie.mp4" ] }, { "messages": [ { "content": "Which tool is used to hold the access site open, and what does it act on?", "role": "user" }, { "content": "A frame retractor acts on the laparotomy incision to maintain exposure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Hanging liver maneuver and intrahepatic extra-glissonian approach for anatomical right hepatectomy.mp4" ] }, { "messages": [ { "content": "At what point is the blood-supply adequacy of the cut edge on the lower segment visually confirmed during the sequence?", "role": "user" }, { "content": "Right after completing the wedge resection on the colon, when the staple line is shown to be well vascularized.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Treatment of Gastro-Colic Fistula# A Rare Complication of Sleeve Gastrectomy.mp4" ] }, { "messages": [ { "content": "In the segment focusing on circumferential internal bulging, which instrument is used on which tissue to accomplish what procedural effect?", "role": "user" }, { "content": "A stapling device is applied to the circumferential prolapsing tissue to perform a stapled resection and lift the prolapse.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Hemorrhoids： Goligher and the new technologies, we need more？ - Dr. G Naldini @IMoPPD.mp4" ] }, { "messages": [ { "content": "Which occurs first: dividing the central inflow vessel or sampling the firm attachment near the left kidney for on-table analysis?", "role": "user" }, { "content": "Dividing the central inflow vessel happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Robotic left hemicolectomy, obstructing descending colon cancer.mp4" ] }, { "messages": [ { "content": "Between freeing the stuck tissues with an energy instrument and threading a thin probe through the channel, which one happens first in this clip?", "role": "user" }, { "content": "Freeing the stuck tissues happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Repair of Common bile duct (CBD) injury.mp4" ] }, { "messages": [ { "content": "After the two ends are brought together, at what point do they start the check using a glowing filter to confirm the tissue is alive?", "role": "user" }, { "content": "Right after confirming opposition, they begin the fluorescence-based viability check.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Intracorporeal Completion Proctectomy with Restorative IPAA： NICE Approach.mp4" ] }, { "messages": [ { "content": "At what moment does the sequence shift from single, spaced stitches to a continuous running closure?", "role": "user" }, { "content": "Right after the midpoint stitch is placed, when the running suture starts from the opposite end.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/gastro jejunal anastomosis in Gastric bypass - Technique 1.mp4" ] }, { "messages": [ { "content": "Which instrument acts on which structure to create the new passage between the two severed ends?", "role": "user" }, { "content": "A needle driver with suture acts on the bowel edges to stitch them together into a new lumen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoidectomy with Intracorporeal Anastomosis using the “Vijan Pop” Technique.mp4" ] }, { "messages": [ { "content": "After you see widespread yellow fluid pooling across the field, when does the team actually begin clearing the area with a suction‑cleansing maneuver?", "role": "user" }, { "content": "It starts once they focus on the obstructed central area, immediately initiating suction‑clearing to improve the view.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Laparoscopic Repair of Common bile duct (CBD) injury.mp4" ] }, { "messages": [ { "content": "While the team is separating intertwined tubular segments, which instrument acts on what structures to accomplish the separation?", "role": "user" }, { "content": "A vibrating energy device and sharp instruments act on fibrous adhesions between the tubular segments to free them.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/V040 LAPAROSCOPIC REVISION BILLROTH II FOR RECURRENT GASTROJEJUNAL ULCER.mp4" ] }, { "messages": [ { "content": "Which tool acts on which tissue to perform what action?", "role": "user" }, { "content": "A two-port camera with a sewing attachment acts on the stomach’s outlet to seal it shut with a continuous stitch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy with suturing and closure of pylorus.mp4" ] }, { "messages": [ { "content": "Which hand-held energy device is preferred to limit collateral heat, and what structure does it act on to carry out the split?", "role": "user" }, { "content": "A harmonic scalpel is used, acting on the muscular layer to divide the fibers.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Combined laparoscopic Heller myotomy & RYGB in a morbidly obese patient with achalasia.mp4" ] }, { "messages": [ { "content": "Which instrument interacts with the terminal segment of the small bowel to accomplish division?", "role": "user" }, { "content": "A stapling device divides the end of the small intestine.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/The page-turning approach： a novel technique for laparoscopic right hemicolectomy with CME.mp4" ] }, { "messages": [ { "content": "At what moment does the scene shift from removing the mass to reconstructing the organ?", "role": "user" }, { "content": "Right after the mass is removed, when continuous suturing of the inner surface begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/【2020 台大全民泌尿抗癌日】民08 周博敏醫師—腎臟癌的手術治療—腎臟全切除，還是部分切除？(達文西機器手臂、腹腔鏡、傳統開放手術的比較).mp4" ] }, { "messages": [ { "content": "At what exact moment does the presentation pivot from reporting comparable benefits to highlighting worrisome follow-ups?", "role": "user" }, { "content": "The pivot occurs at the line, “But there is a dark side,” immediately after summarizing equivalence.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/POEM vs Heller's.mp4" ] }, { "messages": [ { "content": "Which cutting device is applied to the delicate glistening membrane to start the dissection plane, and what structure is being incised?", "role": "user" }, { "content": "Ultrasonic shears are used to incise the peritoneum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoskopische radikuläre Sigmaresektion.mp4" ] }, { "messages": [ { "content": "At what moment does the scene switch from freeing the mass to closing the defect with stitches?", "role": "user" }, { "content": "Immediately after the mass is freed, when the needle enters and the inner continuous stitch begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Laparoscopic Myomectomy for Intramural Fibroid.mp4" ] }, { "messages": [ { "content": "Given the visual cue that the target channel has been clearly identified, when does the imaging sequence actually begin?", "role": "user" }, { "content": "Immediately after the structure is identified, the imaging begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/APAROSCOPIC HEPATICOJEJUNOSTOMY AFTER BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "Which comes first: positively identifying the small C‑shaped organ in the upper abdomen or cutting the mid‑colon supply line?", "role": "user" }, { "content": "Identifying the small C‑shaped organ occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopy for Crohn's Colitis - Total Abdominal Colectomy： Kirk Ludwig, M.D..mp4" ] }, { "messages": [ { "content": "When and where does unexpected bleeding first become visibly apparent during the procedure?", "role": "user" }, { "content": "After adhesiolysis, bleeding first appears from the surface of the left upper solid organ beneath the diaphragm.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Laparoscopic Redo Heller Myotomy, Hiatal Hernia repair, and conversion of Dor to Toupet Fundopli....mp4" ] }, { "messages": [ { "content": "When and where does an unusually positioned vessel first become visibly apparent?", "role": "user" }, { "content": "It first becomes apparent during the exposure of the duct and adjacent artery, where the hepatic artery is seen unusually high.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/THE MOUNT SINAI SURGICAL FILM ATLAS： Laparoscopic Cholecystectomy.mp4" ] }, { "messages": [ { "content": "What instrument is used to release the thin scar bands near the left side of the liver, and what action is performed?", "role": "user" }, { "content": "A hook-shaped energy tool (L hook) is used to divide the flimsy scar bands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Re-do Laparoscopic Heller Myotomy for Recurrent Achalasia after attempted Per Oral Endoscopic My....mp4" ] }, { "messages": [ { "content": "After the lesion is freed in the joint approach, which tool acts on the specimen to accomplish removal, and how?", "role": "user" }, { "content": "The internal scope apparatus captures the specimen and removes it through the mouth.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/胃癌手術　福永 哲【神奈川胃癌ネッツ⧸神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "Between freeing the upper-left abdominal bowel loop by hand assistance and positioning the multi-armed platform over the patient, which occurs first?", "role": "user" }, { "content": "Hand-assisted mobilization of the upper-left colon segment occurs before the robot is docked.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Robotic ultralow anterior resection, enbloc hysterectomy and unilateral ureterectomy.mp4" ] }, { "messages": [ { "content": "After the switch to a screen-lit view, when does the curved-jaw tool actually start sliding under the firm band to free it?", "role": "user" }, { "content": "It begins right after the screen-lit exposure, when the right-angled instrument is introduced to separate the band from the underlying layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/SACRO-SPINOUS FIXATION ｜ Sacro-spinous colposuspension ｜ Vault Prolapse ｜ Dr Deeksha Pandey.mp4" ] }, { "messages": [ { "content": "When do hardened deposits first become visible, and in what area of the operative field?", "role": "user" }, { "content": "They first appear after the midline split, at the back of the heel bone near the bursal area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Haglund's Syndrome.mp4" ] }, { "messages": [ { "content": "Which material is used to re-approximate the inner lining edges, and what action is performed with it?", "role": "user" }, { "content": "A suture material is used to place interrupted stitches to bring the lining edges together.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How to treat rectal prolapse in a male patient？ Delorme’s Procedure with Levatorplasty.mp4" ] }, { "messages": [ { "content": "Which instrument is used on which layer to prepare it for the lengthwise stitches that cinch the tube?", "role": "user" }, { "content": "Fine pickups grasp the muscle layer to load it onto the needle for lengthwise plication.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/The Delorme Procedure.mp4" ] }, { "messages": [ { "content": "As the muscle fibers change color while being divided, what exact visual signs tell the operator to stop cutting?", "role": "user" }, { "content": "Stop when the blue-stained layer appears and the inner lining beyond the divided fibers becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Per Oral Pyloromyotomy for Gastroparesis： Tips and Tricks.mp4" ] }, { "messages": [ { "content": "When and where does unusual fluid accumulation first become visibly apparent during the through-the-opening work?", "role": "user" }, { "content": "Shortly after the fluorescent signal first appears, in the back region of the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Use of Indocyanine Green to Identify the Transanal Dissection Plane in Abdominoperineal Resection.mp4" ] }, { "messages": [ { "content": "In the bleeding sequence, which happens first: loosening most of the articulated supports or beginning a larger abdominal cut while one gripper keeps control?", "role": "user" }, { "content": "Loosening most of the supports occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Robotic colorectal surgery complications.mp4" ] }, { "messages": [ { "content": "After the top portion of the target is lifted to create tension, when does the removal of connecting strands actually begin?", "role": "user" }, { "content": "It begins immediately after the lift, as the team starts taking down the connecting strands.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Laparoscopic Cholecystectomy 360 Video - Professor Arnie Hill.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from assembling the external entry platform to the first internal panoramic view with the camera?", "role": "user" }, { "content": "Right after the entry device is rolled into place and the cavity is insufflated—specifically when the camera is introduced and the survey starts.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES).mp4" ] }, { "messages": [ { "content": "Between fully freeing the small branch all around and applying a sealing maneuver to it, which step happens first?", "role": "user" }, { "content": "Circumferential freeing comes first, followed by the sealing maneuver.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Robotic Living Donor Hepatectomy.mp4" ] }, { "messages": [ { "content": "Given the visible cue of mapping out danger regions near major vessels, when does stitch-based fixation of the reinforcement actually start?", "role": "user" }, { "content": "After the danger regions are identified and the patch is seated, fixation begins with a stitch at the safe pelvic ridge.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Behind the Knife - Robo Transabdominal Preperitoneal Inguinal Hernia Repair (rTAPP).mp4" ] }, { "messages": [ { "content": "Between placing alignment marks on the surface of the tubular organ and beginning to split its muscle layers, which occurs first in the clip?", "role": "user" }, { "content": "The marking occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Single stage robotic thoracoabdominal myotomy for treatment of Type III achalasia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from testing for free sliding to showing restricted movement after the repair?", "role": "user" }, { "content": "Right after the additional anchoring stitch on the opposite side of the distal limb, when the limited movement is demonstrated.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis.mp4" ] }, { "messages": [ { "content": "Between dividing the nearby thin-walled channel and dividing the nearby thick-walled channel at the root, which is performed first?", "role": "user" }, { "content": "The thin-walled channel is divided first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/rectal_cancer/腹腔镜下直肠癌根治术Dixon术.mp4" ] }, { "messages": [ { "content": "Which occurs first: dividing the main inflow vessel near its root, or addressing the draining channel at the lower border of the upper gland?", "role": "user" }, { "content": "The inflow near its root is divided first; the draining channel at the gland’s lower border comes later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Pelvic anatomy & steps of TME.mp4" ] }, { "messages": [ { "content": "Once a wide-bore suction tip is seen positioned over both limbs of the loop, at what point does the actual evacuation start?", "role": "user" }, { "content": "Evacuation begins immediately after the loop is opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/A technique for emergent, decompressive loop colostomy – A video vignette.mp4" ] }, { "messages": [ { "content": "Which implement is used to secure and then separate the remnant channel running toward the front wall of the basin, and what structure is being acted upon?", "role": "user" }, { "content": "Clips are applied to the obliterated umbilical artery, which is then divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/abdominoperineal_resection/Robotic assisted extralevator abdominoperineal resection with lateral lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which happens first: inserting a clear pouch into the abdomen or making small openings on two hollow structures for a side-by-side join?", "role": "user" }, { "content": "The pouch is inserted first, then the small openings are made.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic subtotal gastrectomy and anterior resection for synchronous gastric and rectal cancer.mp4" ] }, { "messages": [ { "content": "After the basin is filled with clear fluid, when does the integrity check actually begin?", "role": "user" }, { "content": "When the scope is inserted and air is insufflated after the fluid fill.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Robotic Sigmoid Colectomy.mp4" ] }, { "messages": [ { "content": "At what moment does the clip shift from mapping the pathway to actively opening it?", "role": "user" }, { "content": "Right after the pathway is stained, when the thin guide is inserted to begin opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/ADJOINING ANAL FISTULAS 邻近肛瘘 FÍSTULAS ANALES CONTIGUAS.mp4" ] }, { "messages": [ { "content": "Between releasing the top-side support on one flank and the matching structure on the opposite flank, which release occurs earlier?", "role": "user" }, { "content": "The first flank is released earlier, before the opposite side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Removal of Uterus or Laparoscopic Hysterectomy with Removal of Fallopian tubes & Ovary.mp4" ] }, { "messages": [ { "content": "During preparation for the connection, which device is used to take down the prior closure on the mobilized segment?", "role": "user" }, { "content": "A vessel-sealing device.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Robotic-Assisted Deloyers Procedure.mp4" ] }, { "messages": [ { "content": "Which tool creates the rear-side opening between the two tubes, and what action does it perform to achieve this?", "role": "user" }, { "content": "A fine-jawed dissector is used; it gradually opens its jaws to form the posterior window between the two tubes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Unedited Laparoscopic Cholecystectomy surgery by Dr. R K. Mishra in 15 minutes.mp4" ] }, { "messages": [ { "content": "In the segment where an internal scope team and an outside camera-guided team work together, which happens first: the internal cutting of the inner lining or the stitching of the outer wall?", "role": "user" }, { "content": "The internal cutting happens first, and the outer wall stitching follows afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/胃癌手術　福永 哲【神奈川胃癌ネッツ⧸神奈川標準的がん治療開発支援システム共催】.mp4" ] }, { "messages": [ { "content": "At what point does the operation move from inside‑out peeling to definitive division of a vessel at its root?", "role": "user" }, { "content": "The transition occurs right after the medial‑to‑lateral dissection, when the vessel is isolated and cut at its origin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic right colectomy after previous colonic surgery： 3D-CT angiography and ICG fluorescence.mp4" ] }, { "messages": [ { "content": "When and where does the unusual positioning of the target organ beneath the upper protective structure first become visibly apparent?", "role": "user" }, { "content": "It first appears on the imaging segment, showing the organ tucked under the upper protective structure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/国際医療福祉大学病院 オンライン市民公開講座　「消化器外科のトピックス」～諦めていた病気が治る時代を迎える～⑥腹腔鏡下肝切除について(14分34秒).mp4" ] }, { "messages": [ { "content": "After oozing becomes visible from a cut edge, at what point do the surgeons initiate energy-based coagulation?", "role": "user" }, { "content": "They start cauterizing as soon as a partially transected bleeding vessel is identified.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/Video of combined transanal excision (TAE) and transanal minimal.mp4" ] }, { "messages": [ { "content": "When does a pulsatile jet of blood first become visible, and on which side of the new join does it show up?", "role": "user" }, { "content": "It first appears right after the stapled join is completed, on the stomach side.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Gastrojejunal Bypass in a patient with gastric outlet obstruction.mp4" ] }, { "messages": [ { "content": "Between securing the midline venous bundle and entering the channel at the pelvic floor, which one happens first in the clip?", "role": "user" }, { "content": "The venous bundle is secured first, and only afterward is the pelvic floor channel opened.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Roboter-assistierte radikale Zysto-Prostatektomie mit intrakorporaler Hautmann-Ileumneoblase-.mp4" ] }, { "messages": [ { "content": "Which device is used on the upper stomach reservoir and a loop of bowel to create a passage, and how is the entry opening then secured?", "role": "user" }, { "content": "A clamping-and-sealing device forms the passage between the upper stomach reservoir and bowel, and the entry is secured with continuous stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic Sleeve Gastrectomy Conversion To Laparoscopic Roux En Y Gastric Bypass For Treatment....mp4" ] }, { "messages": [ { "content": "When does the sequence transition from simply finding the target to actively freeing it from attachments?", "role": "user" }, { "content": "Immediately upon reaching the target area, they begin gradual dissection to free it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/unknown/The robot assisted technique for the resection of the retrorecta.mp4" ] }, { "messages": [ { "content": "When and where do unexpected adhesions first become visible and require release in this clip?", "role": "user" }, { "content": "Early, during the initial medial traction of the bowel segment, adhesions become visible and are released.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Asvide： Narrated hand-assisted left laparoscopic nephrectomy for kidney transplant..mp4" ] }, { "messages": [ { "content": "Between elevating the upper dome of the pear-shaped sac and pressing down the nearby loop that runs from the stomach’s outlet, which action happens first?", "role": "user" }, { "content": "Elevating the sac’s upper dome occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Lap chole step by step & anatomy around-series 2.mp4" ] }, { "messages": [ { "content": "Relative to fixing the conduit on the body surface, when does the external collection setup actually start?", "role": "user" }, { "content": "It starts at the final step when the bag is connected, after skin fixation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Technique of completely diverted tube ileostomy.mp4" ] }, { "messages": [ { "content": "Once a slim port is slid in and an instrument tracks alongside the scope, when does the verification of limb direction start?", "role": "user" }, { "content": "Right after reinflation and reintroduction of the scope, when visualization confirms the inferior limb as distal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/Scarless Single Incision Laparoscopic Loop Ileostomy.mp4" ] }, { "messages": [ { "content": "When a thin flexible insert becomes visible exiting a tubular opening and a loop of intestine is brought up beside it, at what moment do they begin sewing the two together?", "role": "user" }, { "content": "They start sewing as soon as the flexible insert and the intestinal loop are positioned side-by-side in the field.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Conferencia Magistral： Diagnóstico, Tratamiento y Seguimiento... - XVII ECOS - Dr. Steven Strasberg.mp4" ] }, { "messages": [ { "content": "Between sealing a prominent vessel along the stomach’s outer edge and dividing the segment immediately beyond the stomach’s outlet, which happens first?", "role": "user" }, { "content": "The vessel along the outer edge is taken first, followed by division just beyond the outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Subtotal Gastrectomy with Roux-en-Y.mp4" ] }, { "messages": [ { "content": "Which instrument acts on what structure to achieve the freeing step: what device is used to divide internal scar bands tethering bowel so that the intestines can be separated?", "role": "user" }, { "content": "A sealing-and-dividing energy device is used on fibrous bands tethering the intestines, to free and separate the bowel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ileostomy/SILS for ostomy takedowns- The platform for NOTES.mp4" ] }, { "messages": [ { "content": "After placing an out-of-sequence stitch at the far edge, when does the systematic filling of the middle and upper tiers begin?", "role": "user" }, { "content": "Right after the far-edge stitch, the surgeon proceeds to place the middle and then the more proximal tier stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Robotic ventral mesh rectopexy (multiple recurrences).mp4" ] }, { "messages": [ { "content": "Between making a continuous circular cut at the lowest end of the tract and sealing that end closed, which happens first?", "role": "user" }, { "content": "The circular cut happens first, and sealing is performed afterward.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Long-term Outcomes By Transanal Total Mesorectal Excision (taTME) For Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Once the shiny cord-like structure along the pelvic wall is identified, when does meticulous dissection to protect it commence?", "role": "user" }, { "content": "Right after the nerve is identified, the surgeon immediately continues in the correct plane to preserve it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Single Port Surgery for Colorectal Disease.mp4" ] }, { "messages": [ { "content": "After a slender, insulated clamping tool is positioned on scarred lateral tissues, when does energy delivery actually start?", "role": "user" }, { "content": "Energy delivery starts immediately thereafter with stepwise passes over the grasped tissue.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/maXium® und marClamp® in der Hysterektomie – Teil 2.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from tissue removal to surface reconstruction?", "role": "user" }, { "content": "Right after the lesion is separated and shown, when the first closing stitch is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Vaessen： Retroperitoneale Nierenteilresektion li., Fluoreszenzimaging.mp4" ] }, { "messages": [ { "content": "When bleeding threatens along the midline plane, which instrument is used where to compress flow and regain control?", "role": "user" }, { "content": "A straight instrument—often the aspiration/retraction tool—is slid along the midline ligament plane and lifted there to compress inflow and outflow.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Left Lateral Hepatectomy - Take 1.mp4" ] }, { "messages": [ { "content": "Between establishing the main working corridor along a dominant pathway and the first time a side channel is clipped and divided, which happens earlier in the clip?", "role": "user" }, { "content": "Establishing the central corridor occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Laparoscopic radical extended right hemicolectomy with CME using an artery first approach.mp4" ] }, { "messages": [ { "content": "When and where is an unusual tethering of bowel first visibly noticeable?", "role": "user" }, { "content": "Early during dissection, a right-sided bowel attachment becomes visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Laparoscopic Myomectomy and Salpingo-oophorectomy with Palmer's Point and Extraction by Colpotomy.mp4" ] }, { "messages": [ { "content": "When and where does a torn vessel in the central right-sided area first become visibly apparent in the clip?", "role": "user" }, { "content": "At the very beginning, along the right hepatic artery region near the hilum.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/APAROSCOPIC HEPATICOJEJUNOSTOMY AFTER BILE DUCT INJURY.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from dissecting down the front of the channel to introducing the support material?", "role": "user" }, { "content": "The transition occurs once the front wall is fully freed to the muscular floor and the support strip is inserted.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/How I do it - Anteriore Mesh Rektopexie - Viszerale Chirurgie.mp4" ] }, { "messages": [ { "content": "After the applicator’s jaws approach a slender branch but then withdraw, at what moment does actual deployment of metal fasteners begin?", "role": "user" }, { "content": "It begins when the device shifts to the main channel from the organ and places two fasteners on it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Inside a life changing robotic procedure . Da Vinci Robotic Cholecystectomy bloodless with scissors.mp4" ] }, { "messages": [ { "content": "When the imaging probe is brought against the organ surface, at what point does boundary mapping actually occur?", "role": "user" }, { "content": "After fat mobilization, when the probe is applied and the boundaries are defined.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Step by Step Laparoscopic Partial Nephrectomy： Tactics and Techniques (for Residents and Fellows).mp4" ] }, { "messages": [ { "content": "After several small side channels near the bulge are controlled, at what moment does the cut into the organ’s substance actually begin?", "role": "user" }, { "content": "It begins after the two feeding arteries are clamped.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Live Surgery： Robotic Surgery for Right Renal Mass - James Porter, MD.mp4" ] }, { "messages": [ { "content": "What instrument is used on the lower bowel segment to effect its transection for the lower cut?", "role": "user" }, { "content": "A linear cutting stapling device is applied to the lower segment to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Laparoscopic High Anterior Resection for Sigmoid Colon Cancer.mp4" ] }, { "messages": [ { "content": "Between the moment the imaging view is switched to highlight anatomy and the sequence of energy pulses on a posterior vessel branch, which occurs first?", "role": "user" }, { "content": "The anatomy-highlighting view switch happens first, followed by the multi-pulse cauterization of the posterior branch.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic Cholecystectomy(DaVinci X) by Dr.Sumanta Dey.mp4" ] }, { "messages": [ { "content": "Once the canal is marked at four equidistant points, when is the stitch-based reconnection initiated?", "role": "user" }, { "content": "Right after the four-point marking, suturing of the proximal end to the canal begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Perineal Rectosigmoidectomy (Altemeier´s procedure) for Full-thickness Rectal Prolapse.mp4" ] }, { "messages": [ { "content": "When and where does the abnormal region first become visibly obvious in the video?", "role": "user" }, { "content": "It first becomes visible at the lower posterior area during exposure, where discoloration and an irregular surface appear.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Roboter-assistierte Nierenteilentfernung (partielle Nephrektomie) mit dem Da-Vinci Roboter..mp4" ] }, { "messages": [ { "content": "In the sequence where a flexible camera is used to verify that a sealed-off pocket is complete and a closing device is actually triggered, which happens first?", "role": "user" }, { "content": "Verification with the flexible camera occurs before the device is triggered.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/16.156URO Exclusion Technique While Performing Robotic Partial Cystectomy for Urothelium Carci.....mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from a continuous line on the hidden side to spaced single passes on the visible side?", "role": "user" }, { "content": "Right after both junction stitches are tied and the back-side line is secured, the pattern switches to spaced single passes.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/biliary_bypass/Robotic whipple. Biliary anastomosis. How I do it.mp4" ] }, { "messages": [ { "content": "When does the clip transition from closing deeper layers to sealing the surface?", "role": "user" }, { "content": "Right after the subcutaneous tissue is approximated, the subcuticular skin closure begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Shouldice Procedure.mp4" ] }, { "messages": [ { "content": "At what exact point do we move from completing the upper connection to starting the later parallel join between two downstream loops?", "role": "user" }, { "content": "The transition occurs when they begin measuring down and creating two openings in the downstream loops for the parallel join.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Total Gastrectomy for Microscopic Gastric Adenocarcinoma.mp4" ] }, { "messages": [ { "content": "Between temporarily pinching a small pulsating vessel at the liver’s gateway and firing a stapler across the largest vein exiting the resected side, which happens first?", "role": "user" }, { "content": "The temporary pinching of the small arterial vessel occurs first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Pure Laparascopic Right Hepatectomy ICG Immunofluorescence Imagining in Patient With HCC & Cirrhosis.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from cutting and retrieval to reconstructing the wall near the upper junction?", "role": "user" }, { "content": "The transition occurs right after the specimen is removed, when closure begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Innovative Closure Techniques Have Expanded the Role in Endoscopic Gastric Resection.mp4" ] }, { "messages": [ { "content": "Between the initial panoramic survey of the chamber and the first use of the loop-tipped instrument to shave tissue, which one happens first?", "role": "user" }, { "content": "The panoramic survey happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic Myomectomy for multiple submucosal leiomyomas.mp4" ] }, { "messages": [ { "content": "Between the inner-side tissue separation and the outer-side tissue separation, which one happens first in the clip?", "role": "user" }, { "content": "The inner-side separation happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Re‐do laparoscopic ventral rectopexy.mp4" ] }, { "messages": [ { "content": "Which occurs earlier in the sequence: constructing the new join between bowel loops or cutting the segment’s supply lines?", "role": "user" }, { "content": "Cutting the supply lines happens earlier.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Liver flexure colon cancer. Right hemicolectomy..mp4" ] }, { "messages": [ { "content": "Once a flexible line is laid into the back of the cavity, when does stitching of the outermost layer actually commence?", "role": "user" }, { "content": "After completing the deeper-layer closure, they proceed to stitch the skin.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneale Nephrektomie links.mp4" ] }, { "messages": [ { "content": "Which tool manipulates the implant at the end, and what action is achieved with the inner lining after gas removal?", "role": "user" }, { "content": "Graspers hold the implant while gas is released, and the inner lining then presses it against the abdominal wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/AsvideData/hernia/Totally extraperitoneal (TEP) for right direct inguinal hernia.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from the removal phase to the reconstruction phase of the operation?", "role": "user" }, { "content": "The transition occurs when full-thickness sutures are first passed to begin constructing the new connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Open Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which slender-tip instrument initiates the early tissue separation near the back, and what maneuver does it perform?", "role": "user" }, { "content": "A hook is used to dissect and expose the presacral plane.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Laparoscopic rectopexy for prolapse rectum by Dr Hitesh Chavda, Ahmedabad.mp4" ] }, { "messages": [ { "content": "Which comes first: releasing the right‑sided colonic bend or placing the top traction thread on the outlet ring?", "role": "user" }, { "content": "Releasing the colonic bend happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/SURGERY VIDEO： Laparoscopic Pyloroplasty for Gastroparesis by Dr. Michael Hughes.mp4" ] }, { "messages": [ { "content": "At what point and in which area does unexpected bleeding first become noticeable in the tumor bed region?", "role": "user" }, { "content": "No unexpected bleeding is seen during the hemostasis check, so no drain is placed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Colon-Laparoscopic right hemicolectomy for right colon cancer.mp4" ] }, { "messages": [ { "content": "When does the cutting-seal device actually start its work relative to the placement of traction stitches?", "role": "user" }, { "content": "It begins after the traction stitches are placed, when the stapling device is applied to divide and seal.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Dr. James O. Peabody： Robotic Assisted Partial Cystectomy.mp4" ] }, { "messages": [ { "content": "At what exact point does the scene shift from preparing the abdominal wall to introducing the slender tubing through it?", "role": "user" }, { "content": "Immediately after the puncture is made, when the tube is passed through the new opening.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Feeding Jejunostomy (Tube Rationale YTT)– Modified Witzel ｜ Surgical Teaser ｜ Must-Watch.mp4" ] }, { "messages": [ { "content": "During docking of the circular device to the internal cap, when does the compression-and-cut actually begin—only after repositioning to free any pinched tissue, or immediately upon the first closure attempt?", "role": "user" }, { "content": "It begins only after reopening and repositioning to free any pinched tissue, followed by a controlled closure and single cut.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Devil's in the Details： Gastro-jejunal anastomosis The Circular Anastamotic Gastrojejunostomy.mp4" ] }, { "messages": [ { "content": "Which clamp-like tool holds the back wall while which powered device divides along the fatty curtain to expose the next landmark?", "role": "user" }, { "content": "The fenestrated grasper secures the back wall while the ultrasonic energy device divides the fatty curtain.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Robotic Distal Gastrectomy with D2 Lymphadenectomy.mp4" ] }, { "messages": [ { "content": "Which instrument is used to draw the surface line along the central venous course to guide the cut?", "role": "user" }, { "content": "An electrocautery instrument is used to mark the surface line.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Extra-Glissonian Approach to Laparoscopic Left Hepatectomy.mp4" ] }, { "messages": [ { "content": "When does the workflow move from stripping the lining to folding the deeper wall, relative to the adequacy check?", "role": "user" }, { "content": "Right after confirming sufficient detachment by traction or length criteria, the folding of the deeper wall begins.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Perineal approach for complete rectal prolapse： Delorme and Altemeier.mp4" ] }, { "messages": [ { "content": "At what moment does the work shift from pulling outward to pulling inward to avoid a vascular danger area?", "role": "user" }, { "content": "The shift occurs upon reaching the lateral end, when traction changes to a medial direction.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingooophorectomy.mp4" ] }, { "messages": [ { "content": "After the team finishes its initial survey and stabilizes the view, when does the main operative step commence?", "role": "user" }, { "content": "It begins immediately after they announce that the field is stabilized following setup and exploration.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Importance of Palliative Klatskin Tumor Surgey ｜ Prof. Dr. Ünal Aydın.mp4" ] }, { "messages": [ { "content": "After a small measuring tool appears, when does placement of the thin sheet actually begin?", "role": "user" }, { "content": "It starts right after the gauze is removed, when the sheet is slid in through the opening and under the layer.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hernia/Open Umbilical Hernia Repair at California Hernia Specialists (4K).mp4" ] }, { "messages": [ { "content": "Which device is threaded across the new opening into the downstream loop, and at what stage is it introduced?", "role": "user" }, { "content": "A gastric tube is passed through the anastomosis into the distal limb just before the front wall is completely closed.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/卫生部医学视听教材—消化外科—XHW012 胃肠道吻合术.mp4" ] }, { "messages": [ { "content": "At what exact moment does the operation transition from on-occlusion suturing to reperfusion mode?", "role": "user" }, { "content": "The transition occurs at the instant of occlusion release, explicitly noted as “This is the clamp release.”", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Laparoscopic Partial Nephrectomy renal vein injury happened & repaired.mp4" ] }, { "messages": [ { "content": "Between trimming the main feed lines of the blood supply and peeling the tissue off the left side of the specimen, which one happens earlier?", "role": "user" }, { "content": "The blood supply is trimmed first, then the left side is peeled off.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Application of Two Ties in Laparoscopic Anterior Resection for Rectal Cancer.mp4" ] }, { "messages": [ { "content": "Which instrument helps maintain the internal air seal while also aiding orientation at the inlet?", "role": "user" }, { "content": "The endoscope maintains the air seal and aids orientation at the inlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic intra-gastric resection - Dr. Julie Hallet.mp4" ] }, { "messages": [ { "content": "When does the suspicious growth first come into view, and in which part of the organ is it located?", "role": "user" }, { "content": "It first appears during the initial cystoscopy, on the right lateral wall.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/432 Utility of near infrared fluorescence imaging in robotic partial cystectomy- Karthik Thandapani.mp4" ] }, { "messages": [ { "content": "Which end-effector performs cutting on the side-support bands of the target segment, and for what purpose?", "role": "user" }, { "content": "The cutter on the fourth robotic arm divides the lateral attachments to mobilize the segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectopexy/Asvide： Key principles of posterior suture rectopexy..mp4" ] }, { "messages": [ { "content": "Which instrument is used on the downstream bowel segment to achieve separation, and what action does it perform?", "role": "user" }, { "content": "An energy-based laparoscopic cutter (the ‘hamalicoscope’) acts on the distal bowel to transect it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Three-port laparoscopic sigmoidectomy with natural orifice specimen extraction.mp4" ] }, { "messages": [ { "content": "Which occurs first in the sequence: opening a passage behind the food conduit or trimming vessels along the inner curve of the upper reservoir?", "role": "user" }, { "content": "Opening the passage behind the conduit happens first; vessel trimming along the inner curve occurs later.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/LAPAROSCOPIC ROBOTIC-ASSISTED CONVERSION FROM DUODENAL SWITCH TO GASTROJEJUNOSTOMY FOR SEVERE RE....mp4" ] }, { "messages": [ { "content": "During the internal camera portion, which action happens first: marking the outlet region or injecting the colored fluid into the lining?", "role": "user" }, { "content": "Marking the outlet region happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Laparoscopic Management of Duodenal Perforation....mp4" ] }, { "messages": [ { "content": "Which device is used to reconnect the two cut ends of the bowel at the end, and what action does it perform to achieve the join?", "role": "user" }, { "content": "A circular stapling device is used to create an end‑to‑end join of the cut ends.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/anterior_resection/Lap LAR in a case of locally advanced rectal cancer after neoadjuvant short course radiation.mp4" ] }, { "messages": [ { "content": "Between cutting the hollow tube near its outlet and sealing/dividing the feeding vessels right next to its wall, which happens first in the sequence shown?", "role": "user" }, { "content": "Cutting the tube near its outlet happens first, followed by dividing the adjacent feeding vessels.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_prolapse/Asvide： Redo perineal rectosigmoidectomy with posterior levatorplasty.mp4" ] }, { "messages": [ { "content": "Once a left-sided segment of large bowel is divided and its suspending tissue is tacked up to open space, when does the preparatory work for connecting the urinary tubes to the new channel actually start?", "role": "user" }, { "content": "It starts when the small bowel segment is mobilized and then measured and marked for the conduit.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Total Pelvic Exenteration For Locally Advanced Rectal Cancer.mp4" ] }, { "messages": [ { "content": "When the guideline beam appears aligned straight across all marked spots, at what moment does the team actually commit to connecting the visual instrument to its mount?", "role": "user" }, { "content": "Right after confirming the height using the viewing arm reference, they begin docking the visual instrument.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/nephrectomy/Transperitoneal Partial Nephrectomy： Patient Positioning Port Placement and Docking.mp4" ] }, { "messages": [ { "content": "Between verifying the takeoff of a key abdominal artery above the left kidney vein and proceeding with the hook-region dissection of the gland, which step comes first?", "role": "user" }, { "content": "Exploring the artery’s origin above the left kidney vein comes first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Inside the Operating Room： Step-by-Step Whipple's Procedure (PPPD).mp4" ] }, { "messages": [ { "content": "When does the energy application actually begin after the tip is positioned over a target—at the moment of contact, or only once the area starts to visibly fade?", "role": "user" }, { "content": "At the moment of contact.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Karaciğer Metastazlarının Tedavisinde Cerrahi ve RFA： İleri Tekniklerin Gücü ｜ Prof. Dr. Ünal Aydın.mp4" ] }, { "messages": [ { "content": "After changing vantage, when and where do scattered abnormal patches first come into view?", "role": "user" }, { "content": "Immediately after switching to the external view and aspirating the escaped fluid, small deposits become visible on the surrounding surfaces.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/myomectomy/Hysteroscopic myomectomy- bipolar TCRM.mp4" ] }, { "messages": [ { "content": "Which clamp-and-fire implement acts on a hollow segment to create a connection, and what structure is it helping link to?", "role": "user" }, { "content": "A stapling device acts on the selected small-bowel segment to perform the anastomosis, linking it to the urinary outlet.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/V08-01： Single Port Robotic Radical Cystectomy with Intracorporeal Creation of Neobladder.mp4" ] }, { "messages": [ { "content": "Which instrument is used to free the fatty envelope around the distal bowel segment, and what action does it perform?", "role": "user" }, { "content": "An energy-sealing dissector acts on the surrounding fatty envelope to circumferentially dissect and mobilize the distal segment.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/EEA MISADVENTURES： CIRCUMFERENTIAL STAPLER MISFIRE DURING LAPAROSCOPIC SIGMOID COLECTOMY FOR ADE....mp4" ] }, { "messages": [ { "content": "Between forming a small reservoir from the upper digestive organ and attaching a bowel loop to it, which happens first?", "role": "user" }, { "content": "Forming the small reservoir happens first, followed by attaching the bowel loop to it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/إصلاح فتق كبير متكررفي الحجاب الحاجز وإعادة عمل تحويل مسار مصغر بالمنظار.mp4" ] }, { "messages": [ { "content": "Between securing the distal opening with a circumferential stay and firing the cutting device across the low segment, which happens first?", "role": "user" }, { "content": "Securing the distal opening with a circumferential stay happens first.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Lap TME and hepatic resection for low rectal cancer with single synchronous liver metastases.mp4" ] }, { "messages": [ { "content": "After the instrument with clamping jaws closes on the tissue and a caution indicator appears about thickness, when does the team actually actuate the device to cut?", "role": "user" }, { "content": "They actuate only after reapplying to achieve adequate compression; firing starts once the device confirms acceptable tissue thickness.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/Robotic Ultra-low Anterior Resection for Rectal Cancer by Dr Sandeep Nayak, Bangalore.mp4" ] }, { "messages": [ { "content": "During the decompression step, which device is used on the narrowed bowel segment to re-open the passage, and what action does it perform?", "role": "user" }, { "content": "A self-expanding metal scaffold is positioned across the narrowed segment and then expands to restore the lumen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic Approach for Obstructing Colorectal Cancer： Nicolas Demartines, M.D..mp4" ] }, { "messages": [ { "content": "During formation of the connection to the small bowel, when is the seal integrity check performed relative to closing the opening?", "role": "user" }, { "content": "Immediately after closing the connection.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/APPLICATIONS OF INDOCYANINE GREEN FLUORESCENCE IN LAPAROSCOPIC SUBTOTAL GASTRECTOMY WITH D2 LYMP....mp4" ] }, { "messages": [ { "content": "When in the sequence does an abnormal rigidity and overinflation of the tear-drop-shaped sac first become visible, and where within the field is it located?", "role": "user" }, { "content": "Early in the initial survey, beneath the larger organ, the sac appears overinflated and rigid.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/담낭제거수술! 리얼한 수술모습 확인 하세요!.mp4" ] }, { "messages": [ { "content": "At what exact moment does the sequence switch from on-site dissection to the specimen being lifted out and displayed?", "role": "user" }, { "content": "The transition occurs when the specimen is freed and taken out, followed by a separate view of the removed specimen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Hemicolectomy： Tumor in the descending colon.mp4" ] }, { "messages": [ { "content": "After a passageway is developed behind the mid-portion of the central abdominal gland, which instrument acts on that gland and what action does it perform?", "role": "user" }, { "content": "Energy-enabled scissors are used to transect the gland at the selected site.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/whipple_procedure/Experience the Whipple Procedure.mp4" ] }, { "messages": [ { "content": "Which device is applied to separate the downstream digestive tube from the stomach?", "role": "user" }, { "content": "They use a laparoscopic stapling device to separate the downstream digestive tube.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/pyloroplasty/Portal Dissection, Step 2 of Laparoscopic Pylorus-Preserving Whipple.mp4" ] }, { "messages": [ { "content": "After a sizing tube is slid into the conduit, at what moment does the clamp-and-fire action on the bulge begin?", "role": "user" }, { "content": "It starts with the first fire across the neck of the bulge after the tube is in place and the area prepared.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/LAPAROSCOPIC EPIPHRENIC DIVERTICULECTOMY WITH HELLER ESOPHAGOMYOTOMY AND DOR FUNDOPLICATION.mp4" ] }, { "messages": [ { "content": "After the pale tube within the duct-like channel near the liver becomes clearly visible, when does the actual extraction begin?", "role": "user" }, { "content": "It starts once the jawed grasper enters the opening and pulls the tube out.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/choledochojejunostomy/Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury.mp4" ] }, { "messages": [ { "content": "Which tool acts on which opening to achieve ductal access and visualization?", "role": "user" }, { "content": "A cannulating instrument engages the orifice to gain ductal access, followed by dye filling for visualization.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hepaticojejunostomy/Afferent-Loop-Syndrom.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from mobilizing the front surface to dividing the key side-wall vessel?", "role": "user" }, { "content": "The transition occurs once the front surface is mobilized and the side-wall vessel becomes visible, followed by coagulation and division of that vessel on the right.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Skin to Skin Total Laparoscopic Hysterectomy Explained for Bulky Uterus.mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from extraction to repair work?", "role": "user" }, { "content": "Right after the specimen is pulled out completely, the view switches to stitching.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy or Removal of Uterus, Both Fallopian Tubes and Ovaries.mp4" ] }, { "messages": [ { "content": "Which occurs first: creating a small passage at the back of the channel or pulling the specimen out through it?", "role": "user" }, { "content": "The passage is created first, and then the specimen is pulled out through it.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Bilateral Salpingooophorectomy.mp4" ] }, { "messages": [ { "content": "Which is completed first: sealing and dividing the segment’s main supply vessel or doing the same to its main draining vessel?", "role": "user" }, { "content": "The supply vessel is ligated first, followed by the draining vessel.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/rectal_cancer/TRANSANAL TOTAL MESORECTAL EXCISION FOR RECTAL CANCER： A TRAINING PATHWAY.mp4" ] }, { "messages": [ { "content": "After placing crossing stitches along the diaphragm pillars, when does closure of the opening actually begin?", "role": "user" }, { "content": "Closure begins as the two sides are drawn together with the figure-of-eight sutures.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/Laparoscopic repair of recurrent PEH, near-total gastrectomy with RNY reconstruction.mp4" ] }, { "messages": [ { "content": "Given the visible cue of the probe contacting the left gland, when do the energy pulses on that side actually begin?", "role": "user" }, { "content": "They begin immediately after repositioning to the left, when the current is activated for the first couple of drills.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/oophorectomy/Diagnostic Laparoscopy Tubal Patency Test and Ovarian Drilling.mp4" ] }, { "messages": [ { "content": "Between lifting the upper organ with the auxiliary arm and using energy to separate tissue around the target’s neck, which action occurs first?", "role": "user" }, { "content": "The organ lift with the auxiliary arm happens first, followed by energy-based dissection around the neck area.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/robotic_chole/Robotic cholecystectomy with trans-cystic common bile duct exploration and stones extraction in ....mp4" ] }, { "messages": [ { "content": "At what exact moment does the scene shift from cautious exposure to a definitive view of a single connector leaving the organ?", "role": "user" }, { "content": "When the window is completed and a single tubular connector from the organ is clearly visible.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cholestectomy/Клинический Случай. Лапароскопическая холецистэктомия с нюансами..mp4" ] }, { "messages": [ { "content": "Which device is used on the main venous trunk to complete its division once tissue cutting is done?", "role": "user" }, { "content": "A stapling device is introduced through the larger port to divide the main venous trunk.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/liver_resection/Laparoscopic left hemi hepatectomy and left lateral sectionectomy.mp4" ] }, { "messages": [ { "content": "During setup, once small portals are created and long devices are slid inside, when does navigation by the visual feed actually start?", "role": "user" }, { "content": "It begins after the imaging device is inserted and the live view is followed to guide the procedure.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/大腸がんの手術について　田中聡也先生：もっと知ってほしい消化器がんのこと2019 in 佐賀.mp4" ] }, { "messages": [ { "content": "Relative to joining the ends, when is the dye-based blood-flow check actually carried out?", "role": "user" }, { "content": "The perfusion check occurs before the anastomosis is created.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/sigmoidectomy/Laparoscopic Sigmoid Colectomy for Diverticular Disease： Clinical Scenarios and Technical Options.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip shift from completing the back seam to starting the front seam?", "role": "user" }, { "content": "Right after the back side is declared finished, when the first stitches are placed on the front side starting at the corners.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/ladds_procedure/Duodeno-duodenostomy Diamond Anastomsis for Duodenal Atresia. Dr Tamer Ashraf Wafa.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from careful positioning inside the passage to the release phase of the device?", "role": "user" }, { "content": "The transition occurs at the instant the standardized release is initiated and the device begins to open.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Petko Karagyozov # EUS-guided gastroenterostomy in the treatment of malignant GOO. ESGE guidelines..mp4" ] }, { "messages": [ { "content": "During the initial overview inside the abdomen, when and where does the first clear sign of the problem become visibly apparent?", "role": "user" }, { "content": "On the initial survey, at the side of the pelvis, a taut band tethering bowel with an entrapped, non-viable loop is seen.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colectomy/Laparoscopic small bowel resection with intracorporeal anastomosis for small bowel obstruction.mp4" ] }, { "messages": [ { "content": "Once the target chamber is visibly opacified under X-ray, at what point does deployment of the expandable connector actually begin?", "role": "user" }, { "content": "Deployment begins after opacification and only once the flexible lead has been advanced into the target chamber.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/Management of refractory marginal ulcer after Roux-en-Y gastric bypass with EUS-guided RYGB reversal.mp4" ] }, { "messages": [ { "content": "Which instrument creates the circular opening around the lower portion of the central organ, and what structure is being divided?", "role": "user" }, { "content": "An elhook monopolar device is used to create the circumferential colpotomy, dividing the posterior and anterior vaginal walls around the cervical cup.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Total Laparoscopic Hysterectomy with ICG mapping of Sentinel Lymph nodes.mp4" ] }, { "messages": [ { "content": "At what moment does the workflow shift from placing guiding marks around the lesion to actually opening the outer layer?", "role": "user" }, { "content": "The transition occurs when they finish marking and begin cutting the outer layer at a set margin from the lesion.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrectomy/胃がんの外科治療について ～体に優しい縮小手術を目指して～　有上貴明.mp4" ] }, { "messages": [ { "content": "Between lifting the central channel with traction and activating the thermal divider, which action occurs first?", "role": "user" }, { "content": "Traction is applied first, then the thermal division follows.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/CCMTVData/liver_resection/张宇华：腹腔镜左半肝切除术2.mp4" ] }, { "messages": [ { "content": "After the instrument has crossed into the stomach side, when should the operator stop advancing the cut?", "role": "user" }, { "content": "Stop at roughly two centimeters beyond the gateway—no farther.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/heller_myotomy/Diagnosis and Therapy in Achalasia # Peroral Endoscopic Myotomy (POEM) # Prof. Neuhaus.mp4" ] }, { "messages": [ { "content": "When does the operation switch from working deep near central structures to freeing the sidewall tethers?", "role": "user" }, { "content": "The switch occurs when the sidewall tethers are divided.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hemicolectomy/Robot Assisted Right Hemicolectomy with Complete Mesocolic Excision.mp4" ] }, { "messages": [ { "content": "During the intraluminal camera examination of the large tube, what tool interacts with the abnormal area to obtain samples, and what action does it perform?", "role": "user" }, { "content": "A biopsy tool is used to bite and remove small pieces from the lesion for diagnostic sampling.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colon_cancer/Surgical Management of Colorectal Cancer.mp4" ] }, { "messages": [ { "content": "At what exact moment does the clip transition from working behind the gland to working in front of it?", "role": "user" }, { "content": "The transition occurs once the posterior work reaches the tip of the gland, after which they immediately begin the anterior phase by clearing the front fat.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/cystectomy/Radical Cystoprostatectomy.mp4" ] }, { "messages": [ { "content": "After traction through the natural passage fails, when does powered coring of the mass actually start?", "role": "user" }, { "content": "Immediately afterward, when the rotary device is introduced and begins fragmenting the mass.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/hysterectomy/Difficult Total Laparoscopic Hysterectomy.mp4" ] }, { "messages": [ { "content": "When does the operation move from working inside to displaying the removed specimen for confirmation?", "role": "user" }, { "content": "Right after the anastomosis is completed, the specimen is displayed, marking the shift to confirmation.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/colorectal_disease/Single Port Surgery for Colorectal Disease.mp4" ] }, { "messages": [ { "content": "After completing the front-surface stitches on the new join, when does the pressurization check actually begin?", "role": "user" }, { "content": "It starts immediately after finishing the anterior stitches.", "role": "assistant" } ], "videos": [ "/data/wanggui/GeneralSurg/dataset/YouTubeData/gastrojejunostomy/V040 LAPAROSCOPIC REVISION BILLROTH II FOR RECURRENT GASTROJEJUNAL ULCER.mp4" ] } ]