Steinberg-Bernstein Centre for Minimally Invasive Surgery and Inovation, McGill University, Montreal, QC, Canada.
Am J Surg. 2011 Jan;201(1):54-61. doi: 10.1016/j.amjsurg.2010.09.006.
the purpose of this study was to develop an assessment tool specific to laparoscopic inguinal hernia repair (LIHR), and to evaluate its reliability and validity in the operating room (OR) and skills laboratory.
the Global Operative Assessment of Laparoscopic Skills-Groin Hernia (GOALS-GH) was developed by surgeon-educators. Participants were assessed in the OR and/or on a physical simulator using GOALS-GH. Interrater reliability, internal consistency, and construct and concurrent validity were evaluated for 23 participants.
the interrater reliability of GOALS-GH was >.70 for all raters in the OR and during simulated LIHR. The internal consistency of GOALS-GH items was .97. The mean total GOALS-GH score for experts was significantly higher than for novices in both environments. The correlation between GOALS-GH scores in the OR and simulator was .81 (P < .01; n = 12).
GOALS-GH is an objective, reliable, and valid measure of the skills required to perform LIHR.
本研究旨在开发一种专门针对腹腔镜腹股沟疝修补术（LIHR）的评估工具，并在手术室（OR）和技能实验室中评估其可靠性和有效性。
由外科医生教育者开发了全球腹腔镜技能评估-腹股沟疝（GOALS-GH）。使用 GOALS-GH 在 OR 和/或物理模拟器上对参与者进行评估。对 23 名参与者进行了评分者间可靠性、内部一致性以及结构和同时效度的评估。
OR 和模拟 LIHR 中，GOALS-GH 的所有评分者的评分者间可靠性均>0.70。GOALS-GH 项目的内部一致性为 0.97。在两种环境下，专家的平均总 GOALS-GH 评分均显著高于新手。OR 和模拟器中的 GOALS-GH 评分之间的相关性为 0.81（P<0.01；n=12）。
GOALS-GH 是一种评估进行 LIHR 所需技能的客观、可靠和有效的方法。
