ArticleBJS open2020
Impact of technically qualified surgeons on laparoscopic colorectal resection outcomes: results of a propensity score-matching analysis.
Article in BJS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Preoperative mechanical bowel preparation using conventional versus hyperosmolar polyethylene glycol-electrolyte lavage solution before laparoscopic resection for colorectal cancer (TLUMP test): a phase III, multicenter randomized controlled non-inferiority trial.Journal of gastroenterology · 2023Trial
- Interaction Between Operator and Assistant Certification Is Associated With Local Recurrence After Laparoscopic Rectal Cancer Surgery: An Ancillary Analysis of the EnSSURE Study.Annals of gastroenterological surgery · 2026Article
- Effect of the endoscopic surgical skill qualification system for laparoscopic right colectomy: a Japanese multicenter analysis.Surgery today · 2026Article
- Machine learning-driven automated evaluation of surgical skills during laparoscopic distal gastrectomy based on blood pixel analysis.Surgical endoscopy · 2026Article
- Article
- Automatic surgical skill assessment using a task classification model in laparoscopic sigmoidectomy.Surgical endoscopy · 2025Article
- Risk factors for anastomotic leakage in rectal cancer surgery reflecting current practices.Surgery today · 2025Article
- Artificial intelligence assessment of tissue-dissection efficiency in laparoscopic colorectal surgery.Langenbeck's archives of surgery · 2025Article
- Artificial intelligence-enhanced navigation for nerve recognition and surgical education in laparoscopic colorectal surgery.Surgical endoscopy · 2025Article
- Effect of endoscopic surgical skill qualification system for laparoscopic rectal surgery: Japanese multicenter analysis.Surgical endoscopy · 2025Article
- Automated surgical skill assessment in colorectal surgery using a deep learning-based surgical phase recognition model.Surgical endoscopy · 2024Article
- Development of a laparoscopic sigmoidectomy simulator: Sigmaster.Surgery today · 2024Article
- C-reactive protein-to-albumin ratio as a risk factor for anastomotic leakage after anterior resection for rectal cancer with intraoperative use of indocyanine green fluorescence imaging.Surgical endoscopy · 2024Article
- Evaluation of the advantage of surgeons certified by the endoscopic surgical skill qualification system participating in laparoscopic low anterior rectal resection.Annals of gastroenterological surgery · 2024Article
- Cesarean Myomectomy: Reflections on Clinical and Surgical Controversies between a New Trans-Decidual Technique vs. Traditional Method.Medicina (Kaunas, Lithuania) · 2024Review
- A surgical training system designed to help trainees acquire laparoscopic surgical skills at a rural Japanese institute.Surgery today · 2024Article
- Automatic surgical phase recognition-based skill assessment in laparoscopic distal gastrectomy using multicenter videos.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024Article
- Usefulness of the endoscopic surgical skill qualification system for laparoscopic colectomy for transverse colon cancer: a Japanese multicenter analysis.Langenbeck's archives of surgery · 2023Article
- Automatic purse-string suture skill assessment in transanal total mesorectal excision using deep learning-based video analysis.BJS open · 2023Article
- The usefulness of the endoscopic surgical skill qualification system in laparoscopic right hemicolectomy: a single-center, retrospective analysis with propensity score matching.Langenbeck's archives of surgery · 2023Article
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Authors and funding
16 authors.
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Abstract
backgroundThe Endoscopic Surgical Skill Qualification System (ESSQS) was introduced in Japan to improve the quality of laparoscopic surgery. This cohort study investigated the short- and long-term postoperative outcomes of colorectal cancer laparoscopic procedures performed by or with qualified surgeons compared with outcomes for unqualified surgeons.
methodsAll laparoscopic colorectal resections performed from 2010 to 2013 in 11 Japanese hospitals were reviewed retrospectively. The procedures were categorized as performed by surgeons with or without the ESSQS qualification and patients' clinical, pathological and surgical features were used to match subgroups using propensity scoring. Outcome measures included postoperative and long-term results.
resultsOverall, 1428 procedures were analysed; 586 procedures were performed with ESSQS-qualified surgeons and 842 were done by ESSQS-unqualified surgeons. Upon matching, two cohorts of 426 patients were selected for comparison of short-term results. A prevalence of rectal resection (50·3 versus 40·5 per cent; P < 0·001) and shorter duration of surgery (230 versus 238 min; P = 0·045) was reported for the ESSQS group. Intraoperative and postoperative complication and reoperation rates were significantly lower in the ESSQS group than in the non-ESSQS group (1·2 versus 3·6 per cent, P = 0·014; 4·6 versus 7·5 per cent, P = 0·025; 1·9 versus 3·9 per cent, P = 0·023, respectively). These findings were confirmed after propensity score matching. Cox regression analysis found that non-attendance of ESSQS-qualified surgeons (hazard ratio 12·30, 95 per cent c.i. 1·28 to 119·10; P = 0·038) was independently associated with local recurrence in patients with stage II disease.
conclusionLaparoscopic colorectal procedures performed with ESSQS-qualified surgeons showed improved postoperative results. Further studies are needed to investigate the impact of the qualification on long-term oncological outcomes.
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