TY - JOUR
T1 - Surgical quality assessment of critical view of safety in 283 laparoscopic cholecystectomy videos by surgical residents and surgeons
AU - Grüter, Alexander A. J.
AU - Daams, Freek
AU - Bonjer, Hendrik J.
AU - van Duijvendijk, Peter
AU - Tuynman, Jurriaan B.
AU - Jilesen, Anneke
AU - Blomberg, Björn
AU - Berndsen, Bob
AU - de Betue, Carlijn
AU - Henneman, Daan
AU - Sloothaak, Didi
AU - Wassenaar, Eelco
AU - Bruns, Emma
AU - Westerduin, Emma
AU - van Nieuwenhoven, Ernst-Jan
AU - Frans, Franceline
AU - Hoexum, Frank
AU - Prakken, Fred
AU - Musters, Gijs
AU - Jalalzadeh, Hamid
AU - Ebben, Harm
AU - Palamba, Harm Willem
AU - Atema, Jasper
AU - Posthuma, Jelle
AU - Dikken, Johan
AU - Govaert, Johannes
AU - van Hilst, Jony
AU - ten Brinke, Joost
AU - Volders, Jose
AU - de Leur, Kevin
AU - Govaert, Klaas
AU - van der Werf, Leonie
AU - Busweiler, Linde
AU - Goessens, Marco
AU - Bolster-van Eenennaam, Marieke
AU - van Dorp, Martijn
AU - Ayez, Ninos
AU - Karthaus, Noor
AU - Moerbeek, Patrick
AU - Johannesma, Paul
AU - Coelen, Robert-Jan
AU - Blok, Robin
AU - Bakx, Roel
AU - Mekke, Sander
AU - Gans, Sarah
AU - van Dijk, Stefan
AU - van der Ploeg, Stijn
AU - Poels, Thomas
AU - Coblijn, Usha
AU - Alberts, Victor
AU - Weeda, Viole
AU - Alberda, Wijnand
AU - Lastdrager, Willem
AU - Video-Based Surgical Quality Assessment Collaborators
AU - Issa, Yama
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/7/1
Y1 - 2024/7/1
N2 - Introduction: Surgical quality assessment has improved the efficacy and efficiency of surgical training and has the potential to optimize the surgical learning curve. In laparoscopic cholecystectomy (LC), the critical view of safety (CVS) can be assessed with a 6-point competency assessment tool (CAT), a task commonly performed by experienced surgeons. The aim of this study is to determine the capability of surgical residents to perform this assessment. Methods: Both surgeons and surgical residents assessed unedited LC videos using a 6-point CVS, a CAT, using an online video assessment platform. The CAT consists of the following three criteria: 1. clearance of hepatocystic triangle, 2. cystic plate, and 3. two structures connect to the gallbladder, with a maximum of 2 points available for each criterion. A higher score indicates superior surgical performance. The intraclass correlation coefficient (ICC) was employed to assess the inter-rater reliability between surgeons and surgical residents. Results: In total, 283 LC videos were assessed by 19 surgeons and 31 surgical residents. The overall ICC for all criteria was 0.628. Specifically, the ICC scores were 0.504 for criterion 1, 0.639 for criterion 2, and 0.719 for the criterion involving the two structures connected to the gallbladder. Consequently, only the criterion regarding clearance of the hepatocystic triangle exhibited fair agreement, whereas the other two criteria, as well as the overall scores, demonstrated good agreement. In 71% of cases, both surgeons and surgical residents scored a total score either ranging from 0 to 4 or from 5 to 6. Conclusion: Compared to the gold standard, i.e., the surgeons’ assessments, surgical residents are equally skilled at assessing critical view of safety (CVS) in laparoscopic cholecystectomy (LC) videos. By incorporating video-based assessments of surgical procedures into their training, residents could potentially enhance their learning pace, which may result in better clinical outcomes.
AB - Introduction: Surgical quality assessment has improved the efficacy and efficiency of surgical training and has the potential to optimize the surgical learning curve. In laparoscopic cholecystectomy (LC), the critical view of safety (CVS) can be assessed with a 6-point competency assessment tool (CAT), a task commonly performed by experienced surgeons. The aim of this study is to determine the capability of surgical residents to perform this assessment. Methods: Both surgeons and surgical residents assessed unedited LC videos using a 6-point CVS, a CAT, using an online video assessment platform. The CAT consists of the following three criteria: 1. clearance of hepatocystic triangle, 2. cystic plate, and 3. two structures connect to the gallbladder, with a maximum of 2 points available for each criterion. A higher score indicates superior surgical performance. The intraclass correlation coefficient (ICC) was employed to assess the inter-rater reliability between surgeons and surgical residents. Results: In total, 283 LC videos were assessed by 19 surgeons and 31 surgical residents. The overall ICC for all criteria was 0.628. Specifically, the ICC scores were 0.504 for criterion 1, 0.639 for criterion 2, and 0.719 for the criterion involving the two structures connected to the gallbladder. Consequently, only the criterion regarding clearance of the hepatocystic triangle exhibited fair agreement, whereas the other two criteria, as well as the overall scores, demonstrated good agreement. In 71% of cases, both surgeons and surgical residents scored a total score either ranging from 0 to 4 or from 5 to 6. Conclusion: Compared to the gold standard, i.e., the surgeons’ assessments, surgical residents are equally skilled at assessing critical view of safety (CVS) in laparoscopic cholecystectomy (LC) videos. By incorporating video-based assessments of surgical procedures into their training, residents could potentially enhance their learning pace, which may result in better clinical outcomes.
KW - Laparoscopic cholecystectomy
KW - Surgical quality assessment (SQA)
KW - Training
KW - Video-based assessment
UR - https://www.scopus.com/pages/publications/85197293798
U2 - 10.1007/s00464-024-10873-0
DO - 10.1007/s00464-024-10873-0
M3 - Article
C2 - 38769182
SN - 0930-2794
VL - 38
SP - 3609
EP - 3614
JO - Surgical endoscopy
JF - Surgical endoscopy
IS - 7
ER -