Guillonneau B, Abbou C C, Doublet J D, Gaston R, Janetschek G, Mandressi A, Rassweiler J J, Vallancien G
European Society of Uro-Technology, European Union.
Eur Urol. 2001 Jul;40(1):2-6; discussion 7. doi: 10.1159/000049742.
To propose a scoring system of difficulties for the most currently performed laparoscopic procedures in urology.
Each current laparoscopic procedure has been evaluated according to three different criteria: technical difficulty, operative risk and the attention required. Each criterion is scored from 1 (minimal impact of the criteria) to 7 (maximal impact of the criteria). The sum of the 3 criteria is used to classify each operation according to an increasing level of global difficulty, classified into 6 levels: easy (E: sum of criteria between 3 and 5), slightly difficult (SD: sum of criteria between 6 and 8), fairly difficult (FD: sum of criteria between 9 and 11), difficult (D: sum of criteria between 12 and 14), very difficult (VD: sum of criteria between 15 and 17), extremely difficult (ED: sum of criteria greater than 18).
Procedures currently performed by laparoscopy have been selected for evaluation according to the above criteria, and retrospectively validated by European experts in laparoscopic urology according to their experience and the international literature.
This proposal of a scoring scale system is a basis for discussion, teaching and learning of urological laparoscopy. By necessity, this scale is evolving and will be regularly reconsidered and updated every 5 years.
提出一种针对目前泌尿外科最常开展的腹腔镜手术的难度评分系统。
根据三个不同标准对每种当前的腹腔镜手术进行评估：技术难度、手术风险和所需注意力。每个标准从1分（该标准影响最小）到7分（该标准影响最大）进行评分。这三个标准的总和用于根据整体难度的递增水平对每种手术进行分类，分为6个级别：容易（E：标准总和在3至5之间）、稍难（SD：标准总和在6至8之间）、相当困难（FD：标准总和在9至11之间）、困难（D：标准总和在12至14之间）、非常困难（VD：标准总和在15至17之间）、极其困难（ED：标准总和大于18）。
根据上述标准选择目前通过腹腔镜进行的手术进行评估，并由欧洲腹腔镜泌尿外科专家根据他们的经验和国际文献进行回顾性验证。
这种评分系统的提议是泌尿外科腹腔镜手术讨论、教学和学习的基础。该评分系统必然会不断发展，每5年将定期重新审议和更新。
