Tanigawa N, Lee S W, Kimura T, Mori T, Uyama I, Nomura E, Okuda J, Konishi F
Japan Society for Endoscopic Surgery, Tokyo, Japan.
Asian J Endosc Surg. 2011 Aug;4(3):112-5. doi: 10.1111/j.1758-5910.2011.00082.x. Epub 2011 Apr 20.
Laparoscopic surgery has been increasing in popularity in recent years. In 2004, the Japan Society for Endoscopic Surgery developed its Endoscopic Surgical Skill Qualification System (ESSQS) to assess surgeons.
To earn the ESSQS accreditation, applicants must submit an unedited operative video in which they perform either a distal gastrectomy or pylorus-preserving gastrectomy with lymph node dissection for gastric cancer. The videos are assessed by two separate judges based on detailed criteria for common and procedure-specific technical-grade slips. Common criteria from all fields of gastrointestinal and general surgery are used to evaluate the basic laparoscopic surgical skills and autonomy of the operator. The target organ determines the procedure-specific criteria are set to assess whether or not adequate oncological clearance has been achieved.
Between 2004 and 2009, 154 (44.6%) out of 345 applicant surgeons assessed under the ESSQS for gastric surgery have been accredited. Interrater agreement was acceptable and ranged between 0.21 and 0.59.
The ESSQS system may facilitate improvement in surgical technique and the standardization of laparoscopic surgery in Japan.
近年来，腹腔镜手术越来越受欢迎。2004年，日本内镜外科学会制定了内镜手术技能资格认定系统（ESSQS）以评估外科医生。
为获得ESSQS认证，申请者必须提交一段未经编辑的手术视频，视频中他们要进行远端胃切除术或保留幽门的胃癌淋巴结清扫胃切除术。两位独立的评委根据常见和特定手术技术失误的详细标准对视频进行评估。胃肠外科和普通外科所有领域的通用标准用于评估术者的基本腹腔镜手术技能和自主性。目标器官决定了特定手术标准的设定，以评估是否实现了足够的肿瘤学切缘。
2004年至2009年期间，在接受ESSQS胃手术评估的345名申请外科医生中，有154名（44.6%）获得认证。评分者间一致性可接受，范围在0.21至0.59之间。
ESSQS系统可能有助于日本手术技术的提高和腹腔镜手术的标准化。
