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Technical and Technological Skills Assessment in Laparoscopic Surgery

OBJECTIVES: Surgical appraisal and revalidation are key components of good surgical practice and training. Assessing technical skills in a structured manner is still not widely used. Laparoscopic surgery also requires the surgeon to be competent in technological aspects of the operation. METHODS: Ch...

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Autores principales: Sarker, Sudip K., Chang, Avril, Vincent, Charles
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015707/
https://www.ncbi.nlm.nih.gov/pubmed/17212881
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author Sarker, Sudip K.
Chang, Avril
Vincent, Charles
author_facet Sarker, Sudip K.
Chang, Avril
Vincent, Charles
author_sort Sarker, Sudip K.
collection PubMed
description OBJECTIVES: Surgical appraisal and revalidation are key components of good surgical practice and training. Assessing technical skills in a structured manner is still not widely used. Laparoscopic surgery also requires the surgeon to be competent in technological aspects of the operation. METHODS: Checklists for generic, specific technical, and technological skills for laparoscopic cholecystectomies were constructed. Two surgeons with >12 years postgraduate surgical experience assessed each operation blindly and independently on DVD. The technological skills were assessed in the operating room. RESULTS: One hundred operations were analyzed. Eight trainees and 10 consultant surgeons were recruited. No adverse events occurred due to technical or technological skills. Mean interrater reliability was kappa=0.88, P=<0.05. Construct validity for both technical and technological skills between trainee and consultant surgeons were significant, Mann-Whitney P=<0.05. CONCLUSIONS: Our study demonstrates that technical and technological skills can be measured to assess performance of laparoscopic surgeons. This technical and technological assessment tool for laparoscopic surgery seems to have face, content, concurrent, and construct validities and could be modified and applied to any laparoscopic operation. The tool has the possibility of being used in surgical training and appraisal. We aim to modify and apply this tool to advanced laparoscopic operations.
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spelling pubmed-30157072011-02-17 Technical and Technological Skills Assessment in Laparoscopic Surgery Sarker, Sudip K. Chang, Avril Vincent, Charles JSLS Scientific Papers OBJECTIVES: Surgical appraisal and revalidation are key components of good surgical practice and training. Assessing technical skills in a structured manner is still not widely used. Laparoscopic surgery also requires the surgeon to be competent in technological aspects of the operation. METHODS: Checklists for generic, specific technical, and technological skills for laparoscopic cholecystectomies were constructed. Two surgeons with >12 years postgraduate surgical experience assessed each operation blindly and independently on DVD. The technological skills were assessed in the operating room. RESULTS: One hundred operations were analyzed. Eight trainees and 10 consultant surgeons were recruited. No adverse events occurred due to technical or technological skills. Mean interrater reliability was kappa=0.88, P=<0.05. Construct validity for both technical and technological skills between trainee and consultant surgeons were significant, Mann-Whitney P=<0.05. CONCLUSIONS: Our study demonstrates that technical and technological skills can be measured to assess performance of laparoscopic surgeons. This technical and technological assessment tool for laparoscopic surgery seems to have face, content, concurrent, and construct validities and could be modified and applied to any laparoscopic operation. The tool has the possibility of being used in surgical training and appraisal. We aim to modify and apply this tool to advanced laparoscopic operations. Society of Laparoendoscopic Surgeons 2006 /pmc/articles/PMC3015707/ /pubmed/17212881 Text en © 2006 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Sarker, Sudip K.
Chang, Avril
Vincent, Charles
Technical and Technological Skills Assessment in Laparoscopic Surgery
title Technical and Technological Skills Assessment in Laparoscopic Surgery
title_full Technical and Technological Skills Assessment in Laparoscopic Surgery
title_fullStr Technical and Technological Skills Assessment in Laparoscopic Surgery
title_full_unstemmed Technical and Technological Skills Assessment in Laparoscopic Surgery
title_short Technical and Technological Skills Assessment in Laparoscopic Surgery
title_sort technical and technological skills assessment in laparoscopic surgery
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015707/
https://www.ncbi.nlm.nih.gov/pubmed/17212881
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