Development of a technical checklist for the assessment of suturing in robotic surgery

Guni, Ahmad; Raison, Nicholas; Challacombe, Ben; Khan, Shamim; Ahmed, Kamran

doi:10.1007/s00464-018-6407-6

Cited by 18 publications

(11 citation statements)

References 18 publications

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“…Some important items that should be included in the Checklist of a particular surgery can be obtained while viewing common technical errors of expert surgeons and beginners. These are important items that should be included in a Checklist to evaluate a suture: needle positioning and conduction, tissue handling and damage, similar distance between stitches, continuous suture flow, wire manipulation, surgical nodes quality, and the use of both hands 22 .…”

Section: Discussionmentioning

confidence: 99%

Evaluation tool for a gastroenterostomy simulated training

Barreira

Siveira²,

Rocha

et al. 2019

Acta Cir. Bras.

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Purpose To create a checklist to evaluate the performance and systematize the gastroenterostomy simulated training. Methods Experimental longitudinal study of a quantitative character. The sample consisted of twelve general surgery residents. The training was divided into 5 sessions and consisted of participation in 20 gastroenterostomys in synthetic organs. The training was accompanied by an experienced surgeon who was responsible for the feedback and the anastomoses evaluation. The anastomoses evaluated were the first, fourth, sixth, eighth and tenth. A 10 item checklist and the time to evaluate performance were used. Results Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The correlation index of 0.545 and 0,295 showed a high linear correlation between time variables and Checklist. The average Checklist score went from 6.8 to 9 points. Conclusion The proposed checklist can be used to evaluate the performance and systematization of a simulated training aimed at configuring a gastroenterostomy.

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Section: Discussionmentioning

confidence: 99%

Evaluation tool for a gastroenterostomy simulated training

Barreira

Siveira²,

Rocha

et al. 2019

Acta Cir. Bras.

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“…The selection preferably of residents of the last year is justified, as these will be those who will As important as teaching to the learner is feedback 19 . Therefore, we used two tools that have been validated in the literature: the Specific Checklist for Suture and the GOALS 13,14 . The checklists and global scales are used for evaluation in different contexts, including simulation, each with advantages and disadvantages.…”

Section: Residency Training For Minimally Invasive Surgerymentioning

confidence: 99%

“…Although checklists reduce the subjectivity of evaluators, evidence suggests that they can result in information loss when compared to global scales 13,14 . Thus, the joint use of these two assessment tools contributed to results interpretation and verification.…”

Section: Residency Training For Minimally Invasive Surgerymentioning

confidence: 99%

Residency training for minimally invasive surgery

Campos

Monteiro

Kakehasi

2022

Rev. Col. Bras. Cir.

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Objective: to develop a training program in minimally invasive surgery, based on simulation and with an emphasis on the acquisition of laparoscopic competences. Methods: this was a prospective, observational study carried out at a university hospital in Belo Horizonte, Brazil, between April 2020 and January 2021. We recruited residents of surgical specialties for structured, progressive training according to instructional principles to promote learning, such as motivation, activation, demonstration, application, and integration. We filmed the skill tests at the program’s beginning, middle, and end, which were then anonymously evaluated by a surgical education expert. Individual performances were scored using the global assessment tools “GOALS” and “specific checklist for suture”. At the end, all participants received individual feedback and completed a questionnaire to assess the impact of training on the Kirkpatrick model. Results: 43 residents completed the program. The evolution of performances was evident and grew between tests. The average achievements were 29% in the initial test, 43% in the intermediate test, and 88% in the final test, with significant differences between all mean scores, with H=97.59, GL=2, p<0.0001. The program evaluation and learning perceptions were excellent, but only 10.7% of residents felt fully capable of performing unsupervised, low-complexity laparoscopic surgery at the end of training. Conclusions: the training program developed in this study proved to be feasible and promising as a strategy for teaching laparoscopic surgery.

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“…The surgical experts score the performance on a five scale score system. GEARS is a well-studied metric: we can find validity tests and comparisons with GEARS in the literature [12,[27][28][29][30][31][32][33][34][35][36][37]. The original paper of GEARS showed results for the clinical usability (the experts' scores were significantly higher than novice surgeons' based on 29 subjects), and later publications provided construct validity as well.…”

Section: Manual Assessmentmentioning

confidence: 99%

Robot-Assisted Minimally Invasive Surgical Skill Assessment—Manual and Automated Platforms

Elek¹,

Haidegger²

2019

APH

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The practice of Robot-Assisted Minimally Invasive Surgery (RAMIS) requires extensive skills from the human surgeons due to the special input device control, such as moving the surgical instruments, use of buttons, knobs, foot pedals and so. The global popularity of RAMIS created the need to objectively assess surgical skills, not just for quality assurance reasons, but for training feedback as well. Nowadays, there is still no routine surgical skill assessment happening during RAMIS training and education in the clinical practice. In this paper, a review of the manual and automated RAMIS skill assessment techniques is provided, focusing on their general applicability, robustness and clinical relevance.

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Development of a technical checklist for the assessment of suturing in robotic surgery

Abstract: This study reports the development of a valid assessment tool for suturing in robotic surgery. Given that checklists are simple to use, there is significant scope for this checklist to be used in surgical training.

Cited by 18 publications

References 18 publications

Evaluation tool for a gastroenterostomy simulated training

Evaluation tool for a gastroenterostomy simulated training

Residency training for minimally invasive surgery

Robot-Assisted Minimally Invasive Surgical Skill Assessment—Manual and Automated Platforms

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