SynthesisSurgical endoscopy2016
Non-technical skills in minimally invasive surgery teams: a systematic review.
Synthesis in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 7 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Objective technical skills assessment in laparoscopic cholecystectomy: a systematic review of manual, kinematic, and AI-based tools.Surgical endoscopy · 2026Pooled it
- Effectiveness of non-technical skills training in intensive care units: a systematic review.BMC medical education · 2025Pooled it
- Preoperative educational briefings: systematic review and novel evidence-based framework.The British journal of surgery · 2025Pooled it
- Assessment and application of non-technical skills in robotic-assisted surgery: a systematic review.Surgical endoscopy · 2024Pooled it
- European Society of Coloproctology guideline on training in robotic colorectal surgery (2024).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Guideline
- Video-based tools for surgical quality assessment of technical skills in laparoscopic procedures: a systematic review.Surgical endoscopy · 2023Pooled it
- Dedicated teams to optimize quality and safety of surgery: A systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Pooled it
- Educational value of a novel telestration device for surgical coaching-a randomized controlled trial.Surgical endoscopy · 2024Trial
- 3D laparoscopy does not reduce operative duration or errors in day-case laparoscopic cholecystectomy: a randomised controlled trial.Surgical endoscopy · 2020Trial
- Treatment Regret in Patients Undergoing Minimally Invasive Treatments for Benign Prostatic Hyperplasia.Journal of clinical medicine · 2026Article
- Feedback gap and strategies for handling criticism in early surgical career.Surgery open science · 2025Article
- Impact of operating room technology on intra-operative nurses' workload and job satisfaction: An observational study.International journal of nursing studies advances · 2025Article
- Eye tracking and audio sensors to evaluate surgeon's non-technical skills: An empirical study.Applied ergonomics · 2024Article
- The Implementation of Simulation-Based Learning for Training Undergraduate Medical Students in Essential Surgical Care Across Sub-Saharan Africa: a Scoping Review.Medical science educator · 2024Article
- Operating room organization and surgical performance: a systematic review.Patient safety in surgery · 2024Review
- The making of a (new) surgeon: Opportunities for repeated messaging on NOTSS in the Canadian medical system.Surgery open science · 2023Article
- Unpacking the Broad Landscape of Intraoperative Stressors for Clinical Personnel: A Mixed-Methods Systematic Review.Journal of multidisciplinary healthcare · 2023Review
- Factors affecting workflow in robot-assisted surgery: a scoping review.Surgical endoscopy · 2022Article
- A Pilot Study of Heart Rate Variability Synchrony as a Marker of Intraoperative Surgical Teamwork and Its Correlation to the Length of Procedure.Sensors (Basel, Switzerland) · 2022Article
- Implementation of a standardized robotic assistant surgical training curriculum.Journal of robotic surgery · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoot cause analyses show that up to 70 % of adverse events are caused by human error. Strong non-technical skills (NTS) can prevent or reduce these errors, considerable numbers of which occur in the operating theatre. Minimally invasive surgery (MIS) requires manipulation of more complex equipment than open procedures, likely requiring a different set of NTS for each kind of team. The aims of this study were to identify the MIS teams' key NTS and investigate the effect of training and assessment of NTS on MIS teams.
methodsThe databases of PubMed, Cochrane Library, Embase, PsycINFO, and Scopus were systematically searched according to Preferred Reporting Item for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles containing outcome measures related to MIS teams' key NTS, training, or assessment of NTS were included.
resultsThe search yielded 1984 articles, 11 of which were included. All were observational studies without blinding, and they differed in aims, types of evaluation, and outcomes. Only two studies evaluated patient outcomes other than operative time, and overall, the studies' quality of evidence was low. Different communication types were encountered in MIS compared to open surgery, mainly due to equipment- and patient-related challenges. Fixed teams improved teamwork and safety levels, while deficient planning and poor teamwork were found to obstruct workflow and increase errors. Training NTS mitigates these issues and improves staff attitudes towards NTS.
conclusionsMIS teams' NTS are important for workflow and prevention of errors and can be enhanced by working in fixed teams. In the technological complex sphere of MIS, communication revolves around equipment- and patient-related topics, much more so than in open surgery. In all, only a few heterogeneous-design studies have examined this. In the future, the focus should shift to systematically identifying key NTS and developing effective, evidence-based team training programmes in MIS.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.