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首页> 外文期刊>Surgical Endoscopy >Toward reliable operative assessment: the reliability and feasibility of videotaped assessment of laparoscopic technical skills.
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Toward reliable operative assessment: the reliability and feasibility of videotaped assessment of laparoscopic technical skills.

机译：迈向可靠的手术评估：对腹腔镜技术技能进行录像评估的可靠性和可行性。

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BACKGROUND: Decision making on the competency of surgical trainees to perform laparoscopic procedures has been hampered by the lack of reliable methods to evaluate operative performance. The goal of this study was to develop a feasible and reliable method of evaluation. METHODS: Twenty-nine senior surgical residents were videotaped performing a low anterior resection and a Nissen fundoplication in a pig. Ten blinded laparoscopists rated the videos independently on two scales. Rating time was minimized by allowing raters to fast-forward through the tapes at their discretion. Interrater reliability and the time required to rate a procedure were assessed. RESULTS: Rating time per procedure was a median of 15 min (range, 6-40). The mean interrater reliability for the two scales was 0.74. CONCLUSIONS: The use of videotapes of operations enabled multiple raters to assess a performance reliably and shortened assessment times by 80%. This assessment technique shows potential as a means of evaluating the performance of advanced laparoscopic procedures by surgical trainees.
机译：背景：缺乏可靠的评估手术性能的方法，阻碍了外科手术学员执行腹腔镜手术能力的决策。这项研究的目的是开发一种可行且可靠的评估方法。方法：对29名高级外科住院医师进行了录像，对猪进行了低位前切除术和尼森胃底折叠术。十位盲肠镜医师分别以两个等级对视频进行了评分。通过允许评估者根据自己的判断快进磁带，从而使评估时间最小化。评估了评估者的信度和评估过程所需的时间。结果：每个程序的评估时间为中位数15分钟（范围6-40）。两种量表的平均间位信度为0.74。结论：操作录像带的使用使多个评估者能够可靠地评估绩效，并将评估时间缩短了80％。这种评估技术显示出潜力，可以评估外科手术学员进行高级腹腔镜手术的性能。

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