Development of an objective endoscopic surgical skill assessment system for pediatric surgeons: suture ligature model of the crura of the diaphragm in infant fundoplication
Development of an objective endoscopic surgical skill assessment system for pediatric surgeons: suture ligature model of the crura of the diaphragm in infant fundoplication
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DOI：
10.1007/s00383-013-3276-x
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发表时间：
2013-05-01
影响因子：
1.8
通讯作者：
Taguchi, Tomoaki
中科院分区：
文献类型：
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作者：
Ieiri, Satoshi;Ishii, Hiroyuki;Taguchi, Tomoaki
日本小儿内窥镜外科医师协会开发了一种内窥镜手术技能鉴定（ESSQ）系统。然而，这是一个主观的系统，我们开发和验证了一个客观的技能评估系统的儿科医生。在ESSQ系统中，任务手术是腹腔镜胃底折叠术。因此，我们建立了一个婴儿胃底折叠术的膈脚缝合结扎模型。考生分为两组，10名专家和16名学员。他们不得不使用包装盒中的髓内结对小腿进行两次缝合结扎。评价点为时间、组织受力、缝线张力、缝线间距、等距、平均评分和总评分。统计学分析，P < 0.05为有统计学意义，专家组在时间得分上优于学员组（p < 0.0001），组织受力评分（p < 0.0001），针距评分（p < 0.05），等距评分（p < 0.005），平均得分（p < 0.0001），总分结果表明，与新手相比，专家组具有温和和快速的技能。利用此验证研究，我们建立的模型可以用来客观地评估小儿外科医生的内镜手术技能。
The Japanese Society of Pediatric Endoscopic Surgeons developed an endoscopic surgical skill qualification (ESSQ) system. However, this is a subjective system we developed and validated an objective skill evaluation system for pediatric surgeons.In the ESSQ system, the task operation is laparoscopic fundoplication. Therefore, we set up a suture ligature model of the crura of the diaphragm for infant fundoplication. Examinees were divided into 2 groups, 10 experts and 16 trainees. They had to perform two suture ligatures of the crura using an intracorporeal knot in the box. Evaluation points were time, force on the tissue, suture tension, stitch spacing, equidistance, mean score, and total score. Statistical analysis was performed and p < 0.05 was considered statistically significant.Experts showed better score than trainees in the time score (p < 0.0001), the score for force on the tissue (p < 0.0001), the stitch spacing score (p < 0.05), the equidistance score (p < 0.005), the mean score (p < 0.0001), and the total score (p < 0.0005), respectively.The results revealed that the expert group possessed gentle and speedy skills compared with that of the novices. Using this validation study, our established model could be used to objectively evaluate the endoscopic surgical skills of pediatric surgeons.