Stylopoulos Nicholas, Vosburgh Kirby G
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Surg Innov. 2007 Jun;14(2):113-21. doi: 10.1177/1553350607302330.
Historically, the performance of surgeons has been assessed subjectively by senior surgical staff in both training and operating environments. In this work, the position and motion of surgical instruments are analyzed through an objective process, denoted C-PASS, to measure surgeon performance of laparoscopic, endoscopic, and image-guided procedures. To develop C-PASS, clinically relevant performance characteristics were identified. Then measurement techniques for parameters that represented each characteristic were derived, and analytic techniques were implemented to transform these parameters into explicit, robust metrics. The metrics comprise the C-PASS performance assessment method, which has been validated over the last 3 years in studies of laparoscopy and endoscopy. These studies show that C-PASS is straightforward, reproducible, and accurate. It is sufficiently powerful to assess the efficiency of these complex processes. It is likely that C-PASS and similar approaches will improve skills acquisition and learning and also enable the objective comparison of systems and techniques.
从历史上看，外科医生的表现一直由资深外科人员在培训和手术环境中进行主观评估。在这项工作中，通过一个名为C-PASS的客观过程来分析手术器械的位置和运动，以衡量外科医生在腹腔镜、内镜和图像引导手术中的表现。为了开发C-PASS，确定了临床相关的性能特征。然后推导了代表每个特征的参数的测量技术，并实施了分析技术将这些参数转换为明确、可靠的指标。这些指标构成了C-PASS性能评估方法，该方法在过去3年的腹腔镜和内镜研究中得到了验证。这些研究表明，C-PASS简单、可重复且准确。它有足够的能力评估这些复杂过程的效率。C-PASS和类似方法可能会提高技能获取和学习，并能够对系统和技术进行客观比较。
