Assessing Operative Performance in Advanced Laparoscopic Colorectal Surgery

Abstract

This new assessment tool of generic and specific technical skills in advanced laparoscopic colorectal surgery is reliable and has face, content, concurrent, and construct validities. The tool has the possibility of being used as a surgical training and appraisal tool.

Development, validation and implementation of a monitoring tool for training in laparoscopic colorectal surgery in the English National Training Program

“…Other tools, such as the Objective Structured Assessment of Technical Skill (OS-ATS), also use descriptive scales, but each category has its specific descriptors, which makes the assessment more difficult and creates a learning curve for the assessor [8]. In a recent study, the authors constructed an assessment tool for laparoscopic colorectal surgery following a task-specific approach based on OSATS [29]. Using OSATS requires assessor training, which is logistically difficult to coordinate for a National Training Program with a high number of trainers in different locations.…”

Hand-Assisted Laparoscopic Sigmoid Colectomy Skills Acquisition: Augmented Reality Simulator Versus Human Cadaver Training Models

“…Each specific skill criterion was scored from 2 to 10. 13 Higher scores indicated a better skills performance. The generic events included appropriate incisions, planes of dissection, instruments and diathermy use, retraction, hand-eye coordination, tissues handling, suturing technique, bleeding control, and speed of procedure.…”

“…Each generic event criterion was scored from 1 to 2. 13 The specific events included artery control, material fallen in abdomen, bleeding, colonic ischemia, and organs injury. Each specific event criterion was scored from 1 to 24 according to event gravity.…”

“…Each generic skill criterion was scored from 1 to 5. 13 The specific skills included port insertion, vessels exposure and division, Toldt's fascia dissection, left ureter identification, rectal transection, specimen extraction, and colorectal anastomosis. Each specific skill criterion was scored from 2 to 10.…”

“…During the training, technical skills and events (scores, no unit) were assessed using Objective Structured Assessment Technical Skills (OSATS) forms completed by trainers and trainees, which have been validated previously in clinical laparoscopic colorectal practice. 12,13 The generic skills included respect for tissues, time and motion, instrument handling, knowledge of instruments, retraction, and flow of the operation. Each generic skill criterion was scored from 1 to 5.…”