Key result
Objective assessment methods, including structured checklists, surgical simulators, and instrument motion analysis, are increasingly demanded to replace subjective criteria for evaluating laparoscopic surgical skills.
This review highlights the need for standardized, objective, and automatic assessment methods for surgical skills in laparoscopic surgery to ensure patient safety.
May warrant objective laparoscopic skill assessment to enhance training safety; leaves open optimal metric validation and curriculum integration.
Minimally invasive surgery is a highly demanding surgical approach regarding technical requirements for the surgeon, who must be trained in order to perform a safe surgical intervention. Traditional surgical education in minimally invasive surgery is commonly based on subjective criteria to quantify and evaluate surgical abilities, which could be potentially unsafe for the patient. Authors, surgeons and associations are increasingly demanding the development of more objective assessment tools that can accredit surgeons as technically competent. This paper describes the state of the art in objective assessment methods of surgical skills. It gives an overview on assessment systems based on structured checklists and rating scales, surgical simulators, and instrument motion analysis. As a future work, an objective and automatic assessment method of surgical skills should be standardized as a means towards proficiency-based curricula for training in laparoscopic surgery and its certification.
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Sánchez‐Margallo et al. (2013) conducted a review in Minimally invasive surgery. Objective assessment methods of surgical skills vs. Traditional subjective criteria was evaluated. Objective assessment methods, including structured checklists, surgical simulators, and instrument motion analysis, are increasingly demanded to replace subjective criteria for evaluating laparoscopic surgical skills.
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