ArticleSurgical endoscopy2023
Objective metrics for hand-sewn bowel anastomoses can differentiate novice from expert surgeons.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Real-Time Haptic-Based Soft Body Suturing in Virtual Open Surgery Simulations.Computers & graphics · 2026Article
- The virtual colorectal surgical trainer-ileal pouch-anal anastomosis simulator shows evidence of validity.Surgical endoscopy · 2026Article
- Validity of a virtual reality-based straight coloanal anastomosis simulator.International journal of computer assisted radiology and surgery · 2025Article
- From the simulation lab to the operating room: simulation performance predicts intraoperative performance in robotic gastrojejunostomy.Surgical endoscopy · 2024Article
- Validity of task-specific metrics for assessment in perineal proctectomy.Surgical endoscopy · 2024Article
- Validity and reliability evidence support task-specific metrics for laparoscopic fundoplication.Surgical endoscopy · 2024Article
Corrections and comments
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundAssessing performance automatically in a virtual reality trainer or from recorded videos is advantageous but needs validated objective metrics. The purpose of this study is to obtain expert consensus and validate task-specific metrics developed for assessing performance in double-layered end-to-end anastomosis. MATERIALS AND
methodsSubjects were recruited into expert (PGY 4-5, colorectal surgery residents, and attendings) and novice (PGY 1-3) groups. Weighted average scores of experts for each metric item, completion time, and the total scores computed using global and task-specific metrics were computed for assessment.
resultsA total of 43 expert surgeons rated our task-specific metric items with weighted averages ranging from 3.33 to 4.5 on a 5-point Likert scale. A total of 20 subjects (10 novices and 10 experts) participated in validation study. The novice group completed the task significantly more slowly than the experienced group (37.67 ± 7.09 vs 25.47 ± 7.82 min, p = 0.001). In addition, both the global rating scale (23.47 ± 4.28 vs 28.3 ± 3.85, p = 0.016) and the task-specific metrics showed a significant difference in performance between the two groups (38.77 ± 2.83 vs 42.58 ± 4.56 p = 0.027) following partial least-squares (PLS) regression. Furthermore, PLS regression showed that only two metric items (Stay suture tension and Tool handling) could reliably differentiate the performance between the groups (20.41 ± 2.42 vs 24.28 ± 4.09 vs, p = 0.037).
conclusionsOur study shows that our task-specific metrics have significant discriminant validity and can be used to evaluate the technical skills for this procedure.
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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.