How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review.

Autor: Haug TR; Department of Surgery, Regional Hospital West Jutland, Herning, Denmark.; Aarhus University, Aarhus, Denmark., Ørntoft MW; Department of Surgery, Regional Hospital West Jutland, Herning, Denmark.; Department of Surgery, Aarhus University Hospital, Aarhus, Denmark., Miskovic D; St Mark's Hospital, Northwick Park, Harrow, England., Iversen LH; Department of Surgery, Aarhus University Hospital, Aarhus, Denmark., Johnsen SP; Danish Center for Clinical Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark., Madsen AH; Department of Surgery, Regional Hospital West Jutland, Herning, Denmark. andemads@rm.dk.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2022 Mar; Vol. 36 (3), pp. 1761-1774. Date of Electronic Publication: 2021 Dec 06.
DOI: 10.1007/s00464-021-08914-z
Abstrakt: Background: In laparoscopic colorectal surgery, higher technical skills have been associated with improved patient outcome. With the growing interest in laparoscopic techniques, pressure on surgeons and certifying bodies is mounting to ensure that operative procedures are performed safely and efficiently. The aim of the present review was to comprehensively identify tools for skill assessment in laparoscopic colon surgery and to assess their validity as reported in the literature.
Methods: A systematic search was conducted in EMBASE and PubMed/MEDLINE in May 2021 to identify studies examining technical skills assessment tools in laparoscopic colon surgery. Available information on validity evidence (content, response process, internal structure, relation to other variables, and consequences) was evaluated for all included tools.
Results: Fourteen assessment tools were identified, of which most were procedure-specific and video-based. Most tools reported moderate validity evidence. Commonly not reported were rater training, assessment correlation with variables other than training level, and validity reproducibility and reliability in external educational settings.
Conclusion: The results of this review show that several tools are available for evaluation of laparoscopic colon cancer surgery, but few authors present substantial validity for tool development and use. As we move towards the implementation of new techniques in laparoscopic colon surgery, it is imperative to establish validity before surgical skill assessment tools can be applied to new procedures and settings. Therefore, future studies ought to examine different aspects of tool validity, especially correlation with other variables, such as patient morbidity and pathological reports, which impact patient survival.
(© 2021. The Author(s).)
Databáze: MEDLINE
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