Background: To improve patient safety, there is an imperative to develop objective performance metrics for basic surgical skills training in robotic surgery. Objective: To develop and validate (face, content, and construct) the performance metrics for robotic suturing and knot tying, using a chicken anastomotic model. Design, setting and participants: Study 1: In a procedure characterization, we developed the performance metrics (i.e., procedure steps, errors, and critical errors) for robotic suturing and knot tying, using a chicken anastomotic model. In a modified Delphi panel of 13 experts from four EU countries, we achieved 100% consensus on the five steps, 18 errors and four critical errors (CE) of the task. Study 2: Ten experienced surgeons and nine novice urology surgeons performed the robotic suturing and knot tying chicken anastomotic task. The mean inter-rater reliability for the assessments by two experienced robotic surgeons was 0.92 (95% CI, 0.9–0.95). Novices took 18.5 min to complete the task and experts took 8.2 min. (p = 0.00001) and made 74% more objectively assessed performance errors than the experts (p = 0.000343). Conclusions: We demonstrated face, content, and construct validity for a standard and replicable basic anastomotic robotic suturing and knot tying task on a chicken model. Patient summary: Validated, objective, and transparent performance metrics of a robotic surgical suturing and knot tying tasks are imperative for effective and quality assured surgical training.

Development and validation of the objective assessment of robotic suturing and knot tying skills for chicken anastomotic model / Puliatti, S.; Mazzone, E.; Amato, M.; De Groote, R.; Mottrie, A.; Gallagher, A. G.. - In: SURGICAL ENDOSCOPY. - ISSN 0930-2794. - 35:8(2020), pp. 4285-4294-4294. [10.1007/s00464-020-07918-5]

Development and validation of the objective assessment of robotic suturing and knot tying skills for chicken anastomotic model

Puliatti S.;Amato M.
;
2020

Abstract

Background: To improve patient safety, there is an imperative to develop objective performance metrics for basic surgical skills training in robotic surgery. Objective: To develop and validate (face, content, and construct) the performance metrics for robotic suturing and knot tying, using a chicken anastomotic model. Design, setting and participants: Study 1: In a procedure characterization, we developed the performance metrics (i.e., procedure steps, errors, and critical errors) for robotic suturing and knot tying, using a chicken anastomotic model. In a modified Delphi panel of 13 experts from four EU countries, we achieved 100% consensus on the five steps, 18 errors and four critical errors (CE) of the task. Study 2: Ten experienced surgeons and nine novice urology surgeons performed the robotic suturing and knot tying chicken anastomotic task. The mean inter-rater reliability for the assessments by two experienced robotic surgeons was 0.92 (95% CI, 0.9–0.95). Novices took 18.5 min to complete the task and experts took 8.2 min. (p = 0.00001) and made 74% more objectively assessed performance errors than the experts (p = 0.000343). Conclusions: We demonstrated face, content, and construct validity for a standard and replicable basic anastomotic robotic suturing and knot tying task on a chicken model. Patient summary: Validated, objective, and transparent performance metrics of a robotic surgical suturing and knot tying tasks are imperative for effective and quality assured surgical training.
35
8
4285-4294
4294
Development and validation of the objective assessment of robotic suturing and knot tying skills for chicken anastomotic model / Puliatti, S.; Mazzone, E.; Amato, M.; De Groote, R.; Mottrie, A.; Gallagher, A. G.. - In: SURGICAL ENDOSCOPY. - ISSN 0930-2794. - 35:8(2020), pp. 4285-4294-4294. [10.1007/s00464-020-07918-5]
Puliatti, S.; Mazzone, E.; Amato, M.; De Groote, R.; Mottrie, A.; Gallagher, A. G.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1248917
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