Structured assessment of laparoscopic camera navigation skills: the SALAS score
Background Tools are needed to assess laparoscopic camera navigation (LCN) in the operating room. Here, we aimed to develop an objective rating scale for LCN. Study design We defined the following key aspects of LCN: operational field centering, correct angle of the horizon, correct instrument visua...
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| Veröffentlicht in: | Surgical endoscopy 2018-12, Vol.32 (12), p.4980-4984 |
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| container_title | Surgical endoscopy |
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| creator | Huber, T. Paschold, M. Schneble, F. Poplawski, A. Huettl, F. Watzka, F. Lang, H. Kneist, W. |
| description | Background
Tools are needed to assess laparoscopic camera navigation (LCN) in the operating room. Here, we aimed to develop an objective rating scale for LCN.
Study design
We defined the following key aspects of LCN: operational field centering, correct angle of the horizon, correct instrument visualization, verbal commands from the operating surgeon, and manual corrections from the operating surgeon. We then developed a score based on intraoperative error evaluation from intraoperative recordings of 80 procedures. Finally, the newly developed score was validated by four different raters using video-based analysis of 20 elective laparoscopic cholecystectomies.
Results
We developed and validated a tool for the structured assessment of laparoscopic assistant skills (SALAS). This score showed good internal consistency, with a Cronbach’s alpha of > 0.7. Intraclass correlation revealed a low interrater variability (ICC 0.866) for the total score. Comparison of experienced and inexperienced camera assistants revealed significantly better SALAS scores for experienced assistants (
p
|
| doi_str_mv | 10.1007/s00464-018-6260-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2050486131</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2050486131</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a5ce8ea2acf3bae0393596b027400bf4df3ea27ac7b55bd8c72d37486d00930b3</originalsourceid><addsrcrecordid>eNp1kD1PwzAQhi0EoqXwA1iQJRYWw9mO44StqviSKnUozJbjOCUlH8VOkPj3OEoBCYnphnvuvbsHoXMK1xRA3niAKI4I0ITELAYiD9CURpwRxmhyiKaQciBMptEEnXi_hYCnVByjCUuTOIVETNFq3bnedL2zOdbeW-9r23S4LXCld9q13rS70mCja-s0bvRHudFd2TbYv5VV5W9x92rxer6cr3FAnT1FR4WuvD3b1xl6ub97XjyS5erhaTFfEsMl64gWxiZWM20KnmkLPOUijTNgMgLIiigveOhKbWQmRJYnRrKcyyiJcxieyvgMXY25O9e-99Z3qi69sVWlG9v2XjEQEHDKaUAv_6DbtndNuC5QUSoFxEwGio6UCU97Zwu1c2Wt3aeioAbbarStgm012FbDzMU-uc9qm_9MfOsNABsBH1rNxrrf1f-nfgG7PInB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2049750627</pqid></control><display><type>article</type><title>Structured assessment of laparoscopic camera navigation skills: the SALAS score</title><source>SpringerNature Complete Journals</source><creator>Huber, T. ; Paschold, M. ; Schneble, F. ; Poplawski, A. ; Huettl, F. ; Watzka, F. ; Lang, H. ; Kneist, W.</creator><creatorcontrib>Huber, T. ; Paschold, M. ; Schneble, F. ; Poplawski, A. ; Huettl, F. ; Watzka, F. ; Lang, H. ; Kneist, W.</creatorcontrib><description>Background
Tools are needed to assess laparoscopic camera navigation (LCN) in the operating room. Here, we aimed to develop an objective rating scale for LCN.
Study design
We defined the following key aspects of LCN: operational field centering, correct angle of the horizon, correct instrument visualization, verbal commands from the operating surgeon, and manual corrections from the operating surgeon. We then developed a score based on intraoperative error evaluation from intraoperative recordings of 80 procedures. Finally, the newly developed score was validated by four different raters using video-based analysis of 20 elective laparoscopic cholecystectomies.
Results
We developed and validated a tool for the structured assessment of laparoscopic assistant skills (SALAS). This score showed good internal consistency, with a Cronbach’s alpha of > 0.7. Intraclass correlation revealed a low interrater variability (ICC 0.866) for the total score. Comparison of experienced and inexperienced camera assistants revealed significantly better SALAS scores for experienced assistants (
p
< 0.05).
Conclusion
Our present results show that SALAS score is valid, reliable, and practicable. This score can be used for future investigations of camera navigation efficiency and training.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-018-6260-7</identifier><identifier>PMID: 29869085</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Cameras ; Gastroenterology ; Gynecology ; Hepatology ; Laparoscopy ; Medicine ; Medicine & Public Health ; Proctology ; Surgery</subject><ispartof>Surgical endoscopy, 2018-12, Vol.32 (12), p.4980-4984</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>Surgical Endoscopy is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a5ce8ea2acf3bae0393596b027400bf4df3ea27ac7b55bd8c72d37486d00930b3</citedby><cites>FETCH-LOGICAL-c372t-a5ce8ea2acf3bae0393596b027400bf4df3ea27ac7b55bd8c72d37486d00930b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-018-6260-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-018-6260-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29869085$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huber, T.</creatorcontrib><creatorcontrib>Paschold, M.</creatorcontrib><creatorcontrib>Schneble, F.</creatorcontrib><creatorcontrib>Poplawski, A.</creatorcontrib><creatorcontrib>Huettl, F.</creatorcontrib><creatorcontrib>Watzka, F.</creatorcontrib><creatorcontrib>Lang, H.</creatorcontrib><creatorcontrib>Kneist, W.</creatorcontrib><title>Structured assessment of laparoscopic camera navigation skills: the SALAS score</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Tools are needed to assess laparoscopic camera navigation (LCN) in the operating room. Here, we aimed to develop an objective rating scale for LCN.
Study design
We defined the following key aspects of LCN: operational field centering, correct angle of the horizon, correct instrument visualization, verbal commands from the operating surgeon, and manual corrections from the operating surgeon. We then developed a score based on intraoperative error evaluation from intraoperative recordings of 80 procedures. Finally, the newly developed score was validated by four different raters using video-based analysis of 20 elective laparoscopic cholecystectomies.
Results
We developed and validated a tool for the structured assessment of laparoscopic assistant skills (SALAS). This score showed good internal consistency, with a Cronbach’s alpha of > 0.7. Intraclass correlation revealed a low interrater variability (ICC 0.866) for the total score. Comparison of experienced and inexperienced camera assistants revealed significantly better SALAS scores for experienced assistants (
p
< 0.05).
Conclusion
Our present results show that SALAS score is valid, reliable, and practicable. This score can be used for future investigations of camera navigation efficiency and training.</description><subject>Abdominal Surgery</subject><subject>Cameras</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Proctology</subject><subject>Surgery</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kD1PwzAQhi0EoqXwA1iQJRYWw9mO44StqviSKnUozJbjOCUlH8VOkPj3OEoBCYnphnvuvbsHoXMK1xRA3niAKI4I0ITELAYiD9CURpwRxmhyiKaQciBMptEEnXi_hYCnVByjCUuTOIVETNFq3bnedL2zOdbeW-9r23S4LXCld9q13rS70mCja-s0bvRHudFd2TbYv5VV5W9x92rxer6cr3FAnT1FR4WuvD3b1xl6ub97XjyS5erhaTFfEsMl64gWxiZWM20KnmkLPOUijTNgMgLIiigveOhKbWQmRJYnRrKcyyiJcxieyvgMXY25O9e-99Z3qi69sVWlG9v2XjEQEHDKaUAv_6DbtndNuC5QUSoFxEwGio6UCU97Zwu1c2Wt3aeioAbbarStgm012FbDzMU-uc9qm_9MfOsNABsBH1rNxrrf1f-nfgG7PInB</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Huber, T.</creator><creator>Paschold, M.</creator><creator>Schneble, F.</creator><creator>Poplawski, A.</creator><creator>Huettl, F.</creator><creator>Watzka, F.</creator><creator>Lang, H.</creator><creator>Kneist, W.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20181201</creationdate><title>Structured assessment of laparoscopic camera navigation skills: the SALAS score</title><author>Huber, T. ; Paschold, M. ; Schneble, F. ; Poplawski, A. ; Huettl, F. ; Watzka, F. ; Lang, H. ; Kneist, W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a5ce8ea2acf3bae0393596b027400bf4df3ea27ac7b55bd8c72d37486d00930b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal Surgery</topic><topic>Cameras</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Proctology</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huber, T.</creatorcontrib><creatorcontrib>Paschold, M.</creatorcontrib><creatorcontrib>Schneble, F.</creatorcontrib><creatorcontrib>Poplawski, A.</creatorcontrib><creatorcontrib>Huettl, F.</creatorcontrib><creatorcontrib>Watzka, F.</creatorcontrib><creatorcontrib>Lang, H.</creatorcontrib><creatorcontrib>Kneist, W.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huber, T.</au><au>Paschold, M.</au><au>Schneble, F.</au><au>Poplawski, A.</au><au>Huettl, F.</au><au>Watzka, F.</au><au>Lang, H.</au><au>Kneist, W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structured assessment of laparoscopic camera navigation skills: the SALAS score</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>32</volume><issue>12</issue><spage>4980</spage><epage>4984</epage><pages>4980-4984</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Tools are needed to assess laparoscopic camera navigation (LCN) in the operating room. Here, we aimed to develop an objective rating scale for LCN.
Study design
We defined the following key aspects of LCN: operational field centering, correct angle of the horizon, correct instrument visualization, verbal commands from the operating surgeon, and manual corrections from the operating surgeon. We then developed a score based on intraoperative error evaluation from intraoperative recordings of 80 procedures. Finally, the newly developed score was validated by four different raters using video-based analysis of 20 elective laparoscopic cholecystectomies.
Results
We developed and validated a tool for the structured assessment of laparoscopic assistant skills (SALAS). This score showed good internal consistency, with a Cronbach’s alpha of > 0.7. Intraclass correlation revealed a low interrater variability (ICC 0.866) for the total score. Comparison of experienced and inexperienced camera assistants revealed significantly better SALAS scores for experienced assistants (
p
< 0.05).
Conclusion
Our present results show that SALAS score is valid, reliable, and practicable. This score can be used for future investigations of camera navigation efficiency and training.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29869085</pmid><doi>10.1007/s00464-018-6260-7</doi><tpages>5</tpages></addata></record> |
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| subjects | Abdominal Surgery Cameras Gastroenterology Gynecology Hepatology Laparoscopy Medicine Medicine & Public Health Proctology Surgery |
| title | Structured assessment of laparoscopic camera navigation skills: the SALAS score |
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