Educational Scoring System in Laparoscopic Cholecystectomy: Is It the Right Time to Standardize?

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_D3D2595D2200
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Educational Scoring System in Laparoscopic Cholecystectomy: Is It the Right Time to Standardize?
Journal
Medicina
Author(s)
Reitano E., Famularo S., Dallemagne B., Mishima K., Perretta S., Riva P., Addeo P., Asbun H.J., Conrad C., Demartines N., Fuks D., Gimenez M., Hogg M.E., Lin C.C., Marescaux J., Martinie J.B., Memeo R., Soubrane O., Vix M., Wang X., Mutter D.
ISSN
1648-9144 (Electronic)
ISSN-L
1010-660X
Publication state
Published
Issued date
23/02/2023
Peer-reviewed
Oui
Volume
59
Number
3
Pages
446
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Background and Objectives: Laparoscopic cholecystectomy (LC) is one of the most performed surgeries worldwide. Procedure difficulty and patient outcomes depend on several factors which are not considered in the current literature, including the learning curve, generating confusing and subjective results. This study aims to create a scoring system to calculate the learning curve of LC based on hepatobiliopancreatic (HPB) experts' opinions during an educational course. Materials and Methods: A questionnaire was submitted to the panel of experts attending the HPB course at Research Institute against Digestive Cancer-IRCAD (Strasbourg, France) from 27-29 October 2022. Experts scored the proposed variables according to their degree of importance in the learning curve using a Likert scale from 1 (not useful) to 5 (very useful). Variables were included in the composite scoring system only if more than 75% of experts ranked its relevance in the learning curve assessment ≥4. A positive or negative value was assigned to each variable based on its effect on the learning curve. Results: Fifteen experts from six different countries attended the IRCAD HPB course and filled out the questionnaire. Ten variables were finally included in the learning curve scoring system (i.e., patient body weight/BMI, patient previous open surgery, emergency setting, increased inflammatory levels, presence of anatomical bile duct variation(s), and appropriate critical view of safety (CVS) identification), which were all assigned positive values. Minor or major intraoperative injuries to the biliary tract, development of postoperative complications related to biliary injuries, and mortality were assigned negative values. Conclusions: This is the first scoring system on the learning curve of LC based on variables selected through the experts' opinions. Although the score needs to be validated through future studies, it could be a useful tool to assess its efficacy within educational programs and surgical courses.
Keywords
Humans, Cholecystectomy, Laparoscopic/methods, Bile Ducts/injuries, Surveys and Questionnaires, Postoperative Complications, France, cholecystectomy, learning curve, surgical education
Pubmed
Web of science
Open Access
Yes
Create date
06/04/2023 13:18
Last modification date
23/01/2024 8:35
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