Skip to main content
Log in

Objective assessment of technique in laparoscopic colorectal surgery: What are the existing tools?

  • Challenges in Coloprctology
  • Published:
Techniques in Coloproctology Aims and scope Submit manuscript

Abstract

Assessment can improve the effectiveness of surgical training and enable valid judgments of competence. Laparoscopic colon resection surgery is now taught within surgical residency programs, and assessment tools are increasingly used to stimulate formative feedback and enhance learning. Formal assessment of technical performance in laparoscopic colon resection has been successfully applied at the specialist level in the English “LAPCO” National Training Program. Objective assessment tools need to be developed for training and assessment in laparoscopic rectal cancer resection surgery. Simulation may have a future role in assessment and accreditation in laparoscopic colorectal surgery; however, existing virtual reality models are not ready to be used for assessment of this advanced surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Van Sickle KR, Gallagher AG, Smith CD (2007) The effect of escalating feedback on the acquisition of psychomotor skills for laparoscopy. Surg Endosc 21:220–224

    Article  PubMed  Google Scholar 

  2. American Board of Surgery (2014). http://www.absurgery.org/default.jsp?certgsqe_resassess. Accessed 14 July 2014

  3. Kohn LT, Corrigan JM, Donaldson MS (1999) To err is human: building a safer health system. Institute of Medicine. National Academy of Sciences, Washington

    Google Scholar 

  4. Smith R (1998) All changed, changed utterly. British medicine will be transformed by the Bristol case. BMJ 27:1917–1918

    Article  Google Scholar 

  5. Watts J, Feldman WB (1985) Assessment of technical skills. In: Neufeld VR, Norman GR (eds) Assessing clinical competence. Springer, New York, pp 259–274

    Google Scholar 

  6. Miskovic D, Wyles SM, Ni M et al (2010) Systematic review on mentoring and simulation in laparoscopic colorectal surgery. Ann Surg 252:943–951

    Article  PubMed  Google Scholar 

  7. Larson JL, Williams RG, Ketchum J, Boehler ML, Dunnington GL (2005) Feasibility, reliability and validity of an operative performance rating system for evaluating surgery residents. Surgery 138:640–647

    Article  PubMed  Google Scholar 

  8. Intercollegiate Surgical Curriculum Project (2014). https://www.iscp.ac.uk. Accessed 14 July 2014

  9. Beard J, Rowley D, Bussey M, Pitts D (2009) Workplace-based assessment: assessing technical skill throughout the continuum of surgical training. ANZ J Surg 79:148–153

    Article  PubMed  Google Scholar 

  10. Coleman MG, Hanna GB, Kennedy R (2011) National training programme lapco. The national training programme for laparoscopic colorectal surgery in England: a new training paradigm. Colorectal Dis 13:614–616

    Article  CAS  PubMed  Google Scholar 

  11. Miskovic D, Wyles SM, Carter F, Coleman MG, Hanna GB (2011) Development, validation and implementation of a monitoring tool for training in laparoscopic colorectal surgery in the English National Training Program. Surg Endosc 25:1136–1142

    Article  PubMed  Google Scholar 

  12. Mackenzie H, Miskovic D, Ni M et al (2013) Clinical and educational proficiency gain of supervised laparoscopic colorectal surgical trainees. Surg Endosc 27:2704–2711

    Article  PubMed  Google Scholar 

  13. Miskovic D, Ni M, Wyles SM et al (2013) National training programme in laparoscopic colorectal surgery in England. Is competency assessment at the specialist level achievable? A study for the national training programme in laparoscopic colorectal surgery in England. Ann Surg 257:476–482

    Article  PubMed  Google Scholar 

  14. Sarker SK, Kumar I, Delaney C (2010) Assessing operative performance in advanced laparoscopic colorectal surgery. World J Surg 34:1594–1603

    Article  PubMed  Google Scholar 

  15. Palter VN, MacRae HM, Grantcharov TP (2011) Development of an objective evaluation tool to assess technical skill in laparoscopic colorectal surgery: a Delphi methodology. Am J Surg 201:251–259

    Article  PubMed  Google Scholar 

  16. Palter VN, Grantcharov TP (2012) A prospective study demonstrating the reliability and validity of two procedure-specific evaluation tools to assess operative competence in laparoscopic colorectal surgery. Surg Endosc 26:2489–2503

    Article  PubMed  Google Scholar 

  17. van der Pas MH, Haglind E, Cuesta MA et al (2013) COlorectal cancer Laparoscopic or Open Resection II (COLOR II) Study Group. Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol 14:210–218

    Article  PubMed  Google Scholar 

  18. Jeong SY, Park JW, Nam BH et al (2014) Open versus laparoscopic surgery for mid-rectal or low-rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): survival outcomes of an open-label, non-inferiority, randomised controlled trial. Lancet Oncol 15:767–774

    Article  PubMed  Google Scholar 

  19. Seymour NE, Gallagher AG, Roman SA et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236:458–463

    Article  PubMed Central  PubMed  Google Scholar 

  20. Shanmugan S, Leblanc F, Senagore AJ et al (2014) Virtual reality simulator training for laparoscopic colectomy: what metrics have construct validity? Dis Colon Rectum 57:210–214

    Article  PubMed  Google Scholar 

  21. Neary PC, Boyle E, Delaney CP, Senagore AJ, Keane FB, Gallagher AG (2008) Construct validation of a novel hybrid virtual-reality simulator for training and assessing laparoscopic colectomy; results from the first course for experienced senior laparoscopic surgeons. Surg Endosc 22:2301–2309

    Article  PubMed  Google Scholar 

  22. LeBlanc F, Champagne BJ, Augestad KM et al (2010) Colorectal Surgery Training Group. A comparison of human cadaver and augmented reality simulator models for straight laparoscopic colorectal skills acquisition training. J Am Coll Surg 211:250–255

    Article  PubMed  Google Scholar 

  23. Wyles SM, Miskovic D, Ni Z et al (2011) Analysis of laboratory-based laparoscopic colorectal surgery workshops within the English National Training Programme. Surg Endosc 25:1559–1566

    Article  PubMed  Google Scholar 

  24. Foster JD, Gash KJ, Carter FJ et al (2014) Development and evaluation of a cadaveric training curriculum for low rectal cancer surgery in the English lorec national development programme. Colorectal Dis 16:o308–o319

    Article  CAS  PubMed  Google Scholar 

  25. Pan JJ, Chang J, Yang X et al (2014) Virtual reality training and assessment in laparoscopic rectum surgery. Int J Med Robot. doi:10.1002/rcs.1582

    PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to N. K. Francis.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Foster, J.D., Francis, N.K. Objective assessment of technique in laparoscopic colorectal surgery: What are the existing tools?. Tech Coloproctol 19, 1–4 (2015). https://doi.org/10.1007/s10151-014-1242-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10151-014-1242-9

Keywords

Navigation