ArticleSurgical endoscopy2022
Validation study of a skill assessment tool for education and outcome prediction of laparoscopic distal gastrectomy.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Video-based tools for surgical quality assessment of technical skills in laparoscopic procedures: a systematic review.Surgical endoscopy · 2023Pooled it
- A Disease-Specific Simulator of the Laparoscopic Percutaneous Extraperitoneal Closure (LPEC) Method for Pediatric Inguinal Hernia: A Validation Study With Comparison of Experienced Pediatric Surgeons and Novices.World journal of surgery · 2025Article
- Initial surgical performance in robot-assisted radical prostatectomy is associated with clinical outcomes and learning curves.Surgical endoscopy · 2024Article
- Surgical quality assessment of critical view of safety in 283 laparoscopic cholecystectomy videos by surgical residents and surgeons.Surgical endoscopy · 2024Article
- Nationwide standardization of minimally invasive right hemicolectomy for colon cancer and development and validation of a video-based competency assessment tool (the Right study).The British journal of surgery · 2024Article
- National implementation of an optimal standardised technique for right-sided colon cancer: protocol of an interventional sequential cohort study (Right study).Techniques in coloproctology · 2023Article
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14 authors.
Funding
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Abstract
backgroundThe Japanese operative-rating scale for laparoscopic distal gastrectomy (JORS-LDG) was developed through cognitive task analysis together with the Delphi method to measure intraoperative performance during laparoscopic distal gastrectomy. This study aimed to investigate the value of this rating scale as an educational tool and a surgical outcome predictor in laparoscopic distal gastrectomy.
methodsThe surgical performance of laparoscopic distal gastrectomy was assessed by the first assistant, through self-evaluation in the operating room and by video raters blind to the case. We evaluated inter-rater reliability, internal consistency, and correlations between the JORS-LDG scores and the evaluation methods, patient characteristics, and surgical outcomes.
resultsFifty-four laparoscopic distal gastrectomy procedures performed by 40 surgeons at 16 institutions were evaluated in the operating room and with video recordings using the proposed rating scale. The video inter-rater reliability was > 0.8. Participating surgeons were divided into the low, intermediate, and high groups based on their total scores. The number of laparoscopic surgeries and laparoscopic gastrectomy procedures performed differed significantly among the groups according to laparoscopic distal gastrectomy skill levels. The low, intermediate, and high groups also differed in terms of median operating times (311, 266, and 229 min, respectively, P < 0.001), intraoperative complication rates (27.8, 11.8, and 0%, respectively, P = 0.01), and postoperative complication rates (22.2, 0, and 0%, respectively, P = 0.002).
conclusionsThe JORS-LDG is a reliable and valid measure for laparoscopic distal gastrectomy training and could be useful in predicting surgical outcomes.
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