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evaluated as the most accurate parameter to predict the risk of anastomotic complications. The F1 score of the AI-based method increased by 31% for , 8% for TR, and 8% for RS. The processing time of AIRAM was measured as 48.03 s, which was suitable for real-time processing. In conclusion, AI-based real-time microcirculation analysis had more accurate and consistent performance than the conventional parameter-based method. In conclusion, AI-based real-time microcirculation analysis had more accurate and consistent performance than the c