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首页> 外文期刊>Surgical Endoscopy >The use of surgical rating scales for the evaluation of surgical working conditions during laparoscopic surgery: a scoping review
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The use of surgical rating scales for the evaluation of surgical working conditions during laparoscopic surgery: a scoping review

机译：手术评级尺度用于评估腹腔镜手术期间的外科工作条件：范围审查

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IntroductionSurgical rating scales (SRSs) enable the surgeon to uniformly quantify surgical working conditions. They are increasingly used as a primary outcome in studies evaluating the effect of anaesthesia or surgery-related interventions on the quality of the surgical work field. SRSs are especially used in laparoscopic surgery due to a renewed interest in deep neuromuscular block. There are however no guidelines regarding the uniform use of SRS and the uniform reporting of results.MethodsA systematic search was conducted in the databases of PubMed, Web of Science and Embase for studies that reported the use of an SRS to evaluate surgical conditions in laparoscopic surgery. Only original human research in English language with full text availability through the Leiden university library was considered for this review. The full texts of eligible abstracts were independently reviewed by the first and second author. The quality of SRSs and methodology of rating were systematically reviewed.ResultsThe search yielded 2830 reports, of which 17 were identified using a surgical rating scale (SRS) in laparoscopic surgery. Ten of these reports used a unique SRS, these were systematically appraised for their quality. The overall quality of the SRSs was low: the majority of the scales were poorly described and lacked assessment of inter- and intra-rater reliability. In addition, considerable differences exist in the methodology of rating and the reporting of results.ConclusionThere is substantial inconsistency in SRS quality, methodology, and results reporting. The uniform use of high-quality surgical rating scales is needed to improve the quality and reproducibility of future research.
机译：介绍性评级尺度（SRSS）使外科医生能够统一地量化外科工作条件。他们越来越多地用作研究在学习中评估麻醉或手术相关干预对外科工作领域的质量影响的主要结果。由于对深神经肌肉块的重新感兴趣，SRSS尤其用于腹腔镜手术。然而，没有关于SRS统一使用的准则以及结果统一报告。在PubMed，科学网站的数据库中进行了方法，用于研究使用SRS评估腹腔镜手术的外科病症的研究。只有通过莱顿大学图书馆的全文供应的英语唯一的原始人工研究被认为进行了评论。符合条件的摘要的全部文本由第一和第二作者独立审查。系统地审查了SRS的质量和评级的方法。探索结果产生了2830个报告，其中使用腹腔镜手术中的外科额定量表（SRS）鉴定了17个。这些报告中的十者使用了独特的SRS，这些报告系统地评估了他们的质量。 SRSS的整体质量很低：大多数尺度描述且缺乏对帧内间可靠性的评估。此外，评级方法和结果的报告中存在相当大的差异。结论是SRS质量，方法和结果报告中的实质性不一致。需要使用高质量的外科评级秤来提高未来研究的质量和再现性。

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