3D laparoscopic camera equipment results in a significant improvement in depth perception, spatial location, and precision of surgical performance compared with the conventional 2D camera equipment. With this improved quality of vision, even expert laparoscopic surgeons may benefit from 3D imaging.
The concordance of crowdsourcing with faculty panels and speed of reviews is sufficiently high to merit its further investigation alongside automated motion metrics. The overall agreement among faculty, motion metrics and crowdworkers provides evidence in support of the construct validity for 2 of the 4 BLUS tasks.
The S.T.O.N.E. nephrolithometry has excellent interobserver reliability. Quantifying the S and N metrics was the most challenging and least reliable. Standardized protocols to measure these components should be considered to improve accuracy and reproducibility of the scoring system.
BLUS skill task performance scoring can discriminate among basic laparoscopic technical skill levels. Self-reported demographics are an unreliable source of determining laparoscopic technical skill.
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