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The Endoscopic Surgical Skill Qualification System for gastric surgery in Japan
N Tanigawa1, S W Lee, T Kimura
1Japan Society for Endoscopic Surgery, Tokyo, Japan.
Asian Journal of Endoscopic Surgery
|July 11, 2012
Summary
The Endoscopic Surgical Skill Qualification System (ESSQS) in Japan accredited 44.6% of gastric surgery applicants. This system may improve laparoscopic surgical skills and standardization.
Area of Science:
- Laparoscopic Surgery
- Surgical Education
- Gastric Cancer Surgery
Background:
- Laparoscopic surgery is increasingly popular.
- The Japan Society for Endoscopic Surgery established the Endoscopic Surgical Skill Qualification System (ESSQS) in 2004 to evaluate surgeons.
- The ESSQS aims to standardize and improve surgical techniques.
Purpose of the Study:
- To assess the effectiveness of the Endoscopic Surgical Skill Qualification System (ESSQS) in evaluating laparoscopic gastric surgery skills.
- To determine the accreditation rate and interrater reliability of the ESSQS.
Main Methods:
- Applicants submitted unedited operative videos of distal gastrectomy or pylorus-preserving gastrectomy for gastric cancer.
- Two independent judges assessed videos using common and procedure-specific criteria.
- Criteria evaluated basic laparoscopic skills, operator autonomy, and oncological clearance.
Main Results:
- Between 2004 and 2009, 154 out of 345 (44.6%) applicants were accredited.
- Interrater agreement was acceptable, ranging from 0.21 to 0.59.
Conclusions:
- The ESSQS system shows potential for improving surgical technique in laparoscopic gastric surgery.
- The system may contribute to the standardization of laparoscopic surgery in Japan.
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