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What are the skills that represent expert-level laparoscopic suturing? A Delphi Study
Rachel Mathis1,2, Yusuke Watanabe3, Iman Ghaderi4
1Department of Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA. rachelhmathis@gmail.com.
Surgical Endoscopy
|June 20, 2019
Summary
Expert laparoscopic surgeons identified key suturing skills for assessment. This research defines criteria for evaluating surgical proficiency in minimally invasive procedures.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Skill Assessment
Background:
- The increasing prevalence of laparoscopic surgery necessitates robust methods for evaluating surgeon proficiency.
- Objective identification of expert-level laparoscopic suturing skills is crucial for developing valid assessment tools.
Purpose of the Study:
- To identify specific laparoscopic suturing skills that distinguish expert surgeons.
- To lay the groundwork for a competency-based assessment tool in laparoscopic surgery.
Main Methods:
- A Delphi study involving expert laparoscopic surgeons was conducted over three rounds.
- Consensus was defined as 80% agreement among participants on the importance of specific skills.
- Survey results were iteratively shared to guide participant responses.
Main Results:
- Eight suturing skills achieved consensus, including forehand suturing, continuous suturing, tissue trauma avoidance, secure knot tying, and accurate depth perception.
- Skills approaching consensus included correct tissue penetration, surgeon's knot creation, and bimanual dexterity.
Conclusions:
- Delphi methodology successfully identified core laparoscopic suturing skills representative of expert performance.
- The identified skills can inform the development and validation of objective assessment tools for surgical competency.
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