Toward reliable operative assessment - The reliability and feasibility of videotaped assessment of laparoscopic technical skills
Toward reliable operative assessment - The reliability and feasibility of videotaped assessment of laparoscopic technical skills
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DOI：
10.1007/s00464-003-8157-2
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发表时间：
2004-12-01
影响因子：
3.1
通讯作者：
MacRae, HM
中科院分区：
文献类型：
--
作者：
Dath, D;Regehr, G;MacRae, HM
背景资料：由于缺乏可靠的方法来评估手术性能，外科实习生进行腹腔镜手术的能力的决策受到阻碍。本研究的目标是制定一个可行的和可靠的方法evaluation.Methods：29名高级外科住院医师进行了录像低前切除术和尼森胃底折叠术在猪。10名盲态腹腔镜医生在两个量表上独立地对视频进行评分。通过允许评分员自行决定快进磁带，最大限度地缩短了评分时间。评估者间的可靠性和所需的时间进行了assessed.Results：评级时间每一个程序的中位数为15分钟（范围，6-40）。两个量表的平均评分者间信度为0.74。结论：使用手术录像带使多个评分者能够可靠地评估一个表现，并缩短了80%的评估时间。这种评估技术显示出潜力，作为一种手段，评估先进的腹腔镜手术的外科实习生的表现。
Background: Decision making on the competency of surgical trainees to perform laparoscopic procedures has been hampered by the lack of reliable methods to evaluate operative performance. The goal of this study was to develop a feasible and reliable method of evaluation.Methods: Twenty-nine senior surgical residents were videotaped performing a low anterior resection and a Nissen fundoplication in a pig. Ten blinded laparoscopists rated the videos independently on two scales. Rating time was minimized by allowing raters to fast-forward through the tapes at their discretion. Interrater reliability and the time required to rate a procedure were assessed.Results: Rating time per procedure was a median of 15 min (range, 6-40). The mean interrater reliability for the two scales was 0.74.Conclusions: The use of videotapes of operations enabled multiple raters to assess a performance reliably and shortened assessment times by 80%. This assessment technique shows potential as a means of evaluating the performance of advanced laparoscopic procedures by surgical trainees.