ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2023
Development of a procedure-specific tool for skill assessment in left- and right-sided laparoscopic complete mesocolic excision.
Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Training and assessment for colorectal surgery and appendicectomy- a systematic review.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Pooled it
- Video-based tools for surgical quality assessment of technical skills in laparoscopic procedures: a systematic review.Surgical endoscopy · 2023Pooled it
- [Application of artificial intelligence for surgical skill assessment and quality control in minimally invasive surgery: progress, problems and prospect].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026Review
- Developing a phantom for simulating robotic-assisted complete mesocolic excision using 3D printing and medical imaging.BMC surgery · 2024Article
- Best Evidence for Each Surgical Step in Minimally Invasive Right Hemicolectomy: A Systematic Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023Review
- Development of a procedure-specific tool for skill assessment in left- and right-sided laparoscopic complete mesocolic excision.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023Article
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Authors and funding
12 authors.
Funding
Abstract
aimTo (1) develop an assessment tool for laparoscopic complete mesocolic excision (LCME) and (2) report evidence of its content validity.
methodAssessment statements were revealed through (1) semi-structured expert interviews and (2) consensus by the Delphi method, both involving an expert panel of five LCME surgeons. All experts were interviewed and then asked to rate LCME describing statements from 1 (strongly disagree) to 5 (strongly agree). Responses were returned anonymously to the panel until consensus was reached. Statements were directly included as content in the assessment tool if ≥60% of the experts responded "agree" or "strongly agree" (ratings 4 and 5), with the remaining responses being "neither agree nor disagree" (rating 3). Interclass correlation coefficient (ICC) was calculated for expert agreement evaluation. All included statements were subsequently reformulated as tool items and approved by the experts.
resultsFour Delphi rounds were performed to reach consensus. Disagreement was reported for statements describing instrument handling around pancreas; visualisation of landmarks before inferior mesenteric artery ligation; lymphadenectomy around the inferior mesenteric artery, and division of the terminal ileum and transverse colon. ICC in the last Delphi-round was 0.84. The final tool content included 73 statements, converted to 48 right- and 40 left-sided items for LCME assessment.
conclusionA procedure-specific, video-based tool, named complete mesocolic excision competency assessment tool (CMECAT), has been developed for LCME skill assessment. In the future, we hope it can facilitate assessment of LCME surgeons, resulting in improved patient outcome after colon cancer surgery.
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