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Multicenter proficiency benchmarks for advanced laparoscopic suturing tasks.

Elif Bilgic1, Yusuke Watanabe2, Dmitry Nepomnayshy3

  • 1Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Canada.

American Journal of Surgery
|October 26, 2016
PubMed
Summary
This summary is machine-generated.

Expert proficiency benchmarks for advanced laparoscopic suturing tasks were established using time and accuracy metrics. These benchmarks will guide the development of a new surgical skills curriculum.

Keywords:
AssessmentCompetencyLaparoscopyPerformanceProficiencySimulationSuturing

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Area of Science:

  • Minimally invasive surgery
  • Surgical education

Background:

  • Advanced laparoscopic suturing (LS) tasks were developed based on identified needs.
  • Initial validity evidence supports these tasks.
  • A multicenter study aimed to establish expert proficiency benchmarks.

Purpose of the Study:

  • To determine expert proficiency benchmarks for advanced laparoscopic suturing tasks.
  • To provide objective performance standards for minimally invasive surgeons.

Main Methods:

  • Six advanced LS tasks were assessed: needle handling (NH), offset-camera forehand suturing (OF), offset-camera backhand suturing (OB), confined space suturing (CF), suturing under tension (UT), and continuous suturing (CS).
  • Minimally invasive surgeons with LS experience performed each task twice.
  • Benchmarks were established using mean completion times and median accuracy scores.

Main Results:

  • Seventeen surgeons from seven academic centers participated.
  • Mean completion times (seconds) were: NH 169, OF 158, OB 189, CF 181, UT 379, CS 416.
  • Experts demonstrated high accuracy with minimal errors across all tasks.

Conclusions:

  • Time- and accuracy-based proficiency benchmarks for six advanced LS tasks have been successfully established.
  • These benchmarks are intended for integration into an advanced laparoscopic surgery curriculum.