Department of Anesthesiology, Leiden University Medical Center, Albinusdreef 2, 2333, Leiden, The Netherlands.
Surg Endosc. 2019 Jan;33(1):19-25. doi: 10.1007/s00464-018-6424-5. Epub 2018 Sep 14.
Surgical rating scales (SRSs) enable the surgeon to uniformly quantify surgical working conditions. They are increasingly used as a primary outcome in studies evaluating the effect of anaesthesia or surgery-related interventions on the quality of the surgical work field. SRSs are especially used in laparoscopic surgery due to a renewed interest in deep neuromuscular block. There are however no guidelines regarding the uniform use of SRS and the uniform reporting of results.
A systematic search was conducted in the databases of PubMed, Web of Science and Embase for studies that reported the use of an SRS to evaluate surgical conditions in laparoscopic surgery. Only original human research in English language with full text availability through the Leiden university library was considered for this review. The full texts of eligible abstracts were independently reviewed by the first and second author. The quality of SRSs and methodology of rating were systematically reviewed.
The search yielded 2830 reports, of which 17 were identified using a surgical rating scale (SRS) in laparoscopic surgery. Ten of these reports used a unique SRS, these were systematically appraised for their quality. The overall quality of the SRSs was low: the majority of the scales were poorly described and lacked assessment of inter- and intra-rater reliability. In addition, considerable differences exist in the methodology of rating and the reporting of results.
There is substantial inconsistency in SRS quality, methodology, and results reporting. The uniform use of high-quality surgical rating scales is needed to improve the quality and reproducibility of future research.
手术评分量表（SRS）使外科医生能够统一量化手术工作条件。它们越来越多地被用作评估麻醉或与手术相关的干预措施对手术工作领域质量影响的主要结果。由于对深度神经肌肉阻滞的重新关注，SRS 尤其在腹腔镜手术中使用。但是，关于 SRS 的统一使用和结果的统一报告没有指南。
在 PubMed、Web of Science 和 Embase 数据库中进行了系统搜索，以查找使用 SRS 评估腹腔镜手术中手术条件的研究。仅考虑通过莱顿大学图书馆可获得全文的原始英语人类研究。合格摘要的全文由第一和第二作者独立审查。系统地审查了 SRS 的质量和评分方法。
搜索产生了 2830 份报告，其中有 17 份使用腹腔镜手术中的手术评分量表（SRS）进行了评估。其中 10 份报告使用了独特的 SRS，对这些 SRS 的质量进行了系统评估。SRS 的总体质量较低：大多数量表描述不充分，缺乏对内部和外部评估者可靠性的评估。此外，评分方法和结果报告存在相当大的差异。
SRS 的质量、方法和结果报告存在很大的不一致性。需要统一使用高质量的手术评分量表，以提高未来研究的质量和可重复性。
