Colorectal Surgical Unit, Whittington Hospital, London, UK. doctors.org.uk
Colorectal Dis. 2011 Jul;13(7):805-10. doi: 10.1111/j.1463-1318.2010.02271.x. Epub 2010 Mar 23.
To date there has been no attempt to assess comprehensively generic and specific technical skills in live advanced laparoscopic colorectal surgery. In this study, we aim to develop and validate a new tool which can assess these skills.
Weighted Likert scales were constructed individually for generic and specific technical skills on three key laparoscopic colorectal operations: right hemicolectomy, sigmoid colectomy and anterior resection, after expert discussions.
Fifty-two live operations were assessed, performed by four consultants and six trainees. The interclass correlation coefficient between the operating surgeon and first assistant was 0.94, P ≤ 0.05 for generic technical skills and 0.88, P ≤ 0.05 for the specific technical skills. Construct validity for both generic and specific technical skills for consultants and trainees were significant using ANOVA, P ≤ 0.05.
This new assessment tool of technical skills in laparoscopic colorectal surgery is reliable, has face content, concurrent and construct validities. The tool could be used as an instant surgical training tool and avoids watching videos retrospectively.
迄今为止，尚无尝试全面评估活体先进腹腔镜结直肠手术中的通用和特定技术技能。在这项研究中，我们旨在开发和验证一种新工具，以评估这些技能。
经过专家讨论，为右半结肠切除术、乙状结肠切除术和前切除术这三个关键腹腔镜结直肠手术分别构建了通用和特定技术技能的加权李克特量表。
评估了 52 例由 4 位顾问医生和 6 位受训者进行的活体手术。手术医生和第一助手之间的组内相关系数为 0.94，P≤0.05，通用技术技能的特定技术技能为 0.88，P≤0.05。顾问医生和受训者的通用和特定技术技能的结构效度均通过方差分析具有统计学意义，P≤0.05。
这种新的腹腔镜结直肠手术技术技能评估工具可靠，具有表面内容、同时和结构有效性。该工具可作为即时手术培训工具，避免了回顾性观看视频。
