Evidence map›Paper›PMID 27423649›Full record

ArticleInternational journal of computer assisted radiology and surgery2017

Objective assessment based on motion-related metrics and technical performance in laparoscopic suturing.

Juan A Sánchez-Margallo, Francisco M Sánchez-Margallo, Ignacio Oropesa, Silvia Enciso, Enrique J Gómez

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In one paragraph

Article in International journal of computer assisted radiology and surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 46 citations in OpenAlex.

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  14. Needle path planning in semiautonomous and teleoperated robot-assisted epidural anaesthesia procedure: A proof of concept.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
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  17. Identifying Kinematic Markers Associated with Intraoperative Stress during Surgical Training Tasks.... International Symposium on Medical Robotics. International Symposium on Medical Robotics · 2021
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  20. [Chinese Expert Consensus Statement on Clinical Evaluation System of Medical Endoscopy].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Juan A Sánchez-MargalloBioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Ctra. N-521, km 41.8, 10071, Cáceres, Spain. jasanchez@ccmijesususon.com.
Francisco M Sánchez-MargalloLaparoscopy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Ignacio OropesaBiomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM), Madrid, Spain.
Silvia EncisoLaparoscopy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Enrique J GómezBiomedical Engineering and Telemedicine Centre (GBT), ETSI Telecomunicación, Universidad Politécnica de Madrid (UPM), Madrid, Spain.
Centro de Cirugía de Mínima Invasión Jesús Usón · ESBiomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine · ESTechnologies pour la Santé · FRUniversidad Politécnica de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to present the construct and concurrent validity of a motion-tracking method of laparoscopic instruments based on an optical pose tracker and determine its feasibility as an objective assessment tool of psychomotor skills during laparoscopic suturing.

methodsA group of novice ([Formula: see text] laparoscopic procedures), intermediate (11-100 laparoscopic procedures) and experienced ([Formula: see text] laparoscopic procedures) surgeons performed three intracorporeal sutures on an ex vivo porcine stomach. Motion analysis metrics were recorded using the proposed tracking method, which employs an optical pose tracker to determine the laparoscopic instruments' position. Construct validation was measured for all 10 metrics across the three groups and between pairs of groups. Concurrent validation was measured against a previously validated suturing checklist. Checklists were completed by two independent surgeons over blinded video recordings of the task.

resultsEighteen novices, 15 intermediates and 11 experienced surgeons took part in this study. Execution time and path length travelled by the laparoscopic dissector presented construct validity. Experienced surgeons required significantly less time ([Formula: see text]), travelled less distance using both laparoscopic instruments ([Formula: see text]) and made more efficient use of the work space ([Formula: see text]) compared with novice and intermediate surgeons. Concurrent validation showed strong correlation between both the execution time and path length and the checklist score ([Formula: see text] and [Formula: see text], [Formula: see text]).

conclusionsThe suturing performance was successfully assessed by the motion analysis method. Construct and concurrent validity of the motion-based assessment method has been demonstrated for the execution time and path length metrics. This study demonstrates the efficacy of the presented method for objective evaluation of psychomotor skills in laparoscopic suturing. However, this method does not take into account the quality of the suture. Thus, future works will focus on developing new methods combining motion analysis and qualitative outcome evaluation to provide a complete performance assessment to trainees.

Indexed as

Clinical CompetenceLaparoscopyPsychomotor PerformanceSuture TechniquesTask Performance and AnalysisAdultFeasibility StudiesFemaleHumansMaleReproducibility of ResultsSimulation TrainingVideo RecordingIntracorporeal suturingLaparoscopic surgeryMotion metricsObjective assessmentSurgical trainingSuturing checklist

Identifiers

PMID27423649
OpenAlexW2466800504

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.