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Value of Nontechnical Skills in Minimally Invasive Surgery.

Sergio Eduardo Alonso Araujo1, Nam Jin Kim1, Neto Miguel Cendoroglo1

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|April 5, 2021
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Summary

Nontechnical skills are crucial for surgical safety, especially in minimally invasive surgery. Despite consensus on their importance, robust evidence remains scarce, necessitating further research and institutional support for these vital competencies.

Keywords:
minimally invasive surgerynontechnical skillssurgical training

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Area of Science:

  • Surgical Education and Patient Safety
  • Minimally Invasive Surgery Techniques

Background:

  • Nontechnical skills (NTS) significantly impact surgical safety and effectiveness, with early studies concentrated in the 2000s.
  • Interest in NTS evaluation waned due to complexity, but minimally invasive surgery (MIS) has reignited focus on these skills.

Purpose of the Study:

  • To review instruments for measuring NTS in surgical teams.
  • To analyze key competencies like situational awareness, leadership, and communication in MIS.
  • To assess the consistency of intraoperative decision-making.

Main Methods:

  • Systematic review of existing literature on NTS measurement tools.
  • Analysis of core competencies underpinning NTS in surgical contexts.
  • Examination of decision-making processes during MIS procedures.

Main Results:

  • A wide consensus exists on the importance of NTS in MIS.
  • Reproducible evidence on NTS impact in MIS is limited and challenging to acquire.
  • Key NTS include situational awareness, leadership, communication, and decision-making consistency.

Conclusions:

  • NTS are fundamental for high-reliability healthcare institutions, particularly in MIS.
  • Continued research and institutional promotion of NTS are essential for advancing surgical safety and quality in MIS.
  • Developing new research models is critical to generate robust evidence on NTS in MIS.