Hardon Sem F, Horeman Tim, Reijers Sophie J M, Schoonmade Linda J, Daams Freek, van der Peet Donald L
Department of Surgery, Amsterdam UMC - VU University Medical Center, Amsterdam, The Netherlands.
Department of BioMechanical Engineering, Delft University of Technology, Delft, The Netherlands.
Surg Innov. 2025 May 5;32(5):15533506251336824. doi: 10.1177/15533506251336824.
BackgroundTechnological innovations have significantly enhanced the objective assessment of technical skills in minimally invasive surgery, offering substantial potential for proficiency-based training. However, the integration of these innovative tools into surgical education curricula remains limited. This study aims to evaluate the adoption and implementation of data-driven assessment tools within laparoscopic simulation training.MethodsA systematic search of PubMed and Embase was conducted following PRISMA guidelines, identifying studies that employed objective assessments of technical skills in surgical training curricula. Eligible studies utilized data-driven assessment methods as part of structured training programs for surgical residents. A descriptive analysis was performed on the included studies.ResultsFrom 2814 identified articles, 718 were eligible for full-text screening, and 35 studies met the inclusion criteria. These studies described the implementation of 14 different data-driven tools in laparoscopic skills training. Most tools focused on assessing instrument handling, measuring parameters such as motion speed, path length, and accuracy. Only three studies evaluated tissue handling skills using metrics like knot quality, tissue handling forces, and anastomotic integrity.ConclusionsThe adoption of data-driven tools in laparoscopic simulation training is progressing slowly and exhibits considerable variability. Most technologies emphasize instrument handling, while tools for assessing tissue manipulation and force application are limited. To improve training outcomes, a combination of motion- and force-based assessment tools should be considered, enabling a more comprehensive evaluation of technical skills in minimally invasive surgery.
背景
技术创新显著提升了微创手术技术技能的客观评估水平，为基于熟练度的培训提供了巨大潜力。然而，这些创新工具在外科教育课程中的整合仍然有限。本研究旨在评估腹腔镜模拟训练中数据驱动评估工具的采用和实施情况。
方法
按照PRISMA指南对PubMed和Embase进行系统检索，确定在外科培训课程中采用技术技能客观评估的研究。符合条件的研究将数据驱动评估方法作为外科住院医师结构化培训项目的一部分。对纳入的研究进行描述性分析。
结果
从2814篇检索到的文章中，718篇符合全文筛选条件，35项研究符合纳入标准。这些研究描述了14种不同数据驱动工具在腹腔镜技能训练中的实施情况。大多数工具侧重于评估器械操作，测量运动速度、路径长度和准确性等参数。只有三项研究使用打结质量、组织操作力和吻合完整性等指标评估组织操作技能。
结论
腹腔镜模拟训练中数据驱动工具的采用进展缓慢，且存在很大差异。大多数技术强调器械操作，而评估组织操作和力应用的工具有限。为了提高训练效果，应考虑结合基于运动和力的评估工具，以便更全面地评估微创手术中的技术技能。
