Technical skills errors in laparoscopic cholecystectomy by expert surgeons.
BACKGROUND: Performing laparoscopic surgery involves a complex cascade of cognitive skills, which may inherently have a constant technical error rate. We assess generic and specific minor and major error rates in laparoscopic cholecystectomies (LCs) performed by consultant surgeons. METHODS: Checkli...
| Main Authors: | , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
2005
|
| _version_ | 1797104700834709504 |
|---|---|
| author | Sarker, S Chang, A Vincent, C Darzi, A |
| author_facet | Sarker, S Chang, A Vincent, C Darzi, A |
| author_sort | Sarker, S |
| collection | OXFORD |
| description | BACKGROUND: Performing laparoscopic surgery involves a complex cascade of cognitive skills, which may inherently have a constant technical error rate. We assess generic and specific minor and major error rates in laparoscopic cholecystectomies (LCs) performed by consultant surgeons. METHODS: Checklists of generic (11) and specific technical minor (six) and major events (eight) were devised for LCs. Two experienced surgeons assessed each full-length operation blindly and independently. RESULTS: A total of 37 LCs were performed by eight consultants. There were no major intraoperative or postoperative complications. Mean inter-rater reliability was kappa = 0.91 (range 0.80-0.98) for each of the error categories. Error rates were generic (27/407) 6.6%, minor (59/222) 26.6%, and major (8/296) 2.7%, respectively. There was a significant statistical difference between the minor error group and the other groups, p |
| first_indexed | 2024-03-07T06:37:17Z |
| format | Journal article |
| id | oxford-uuid:f81412de-6cb9-4799-844a-37f200ab593c |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:37:17Z |
| publishDate | 2005 |
| record_format | dspace |
| spelling | oxford-uuid:f81412de-6cb9-4799-844a-37f200ab593c2022-03-27T12:47:41ZTechnical skills errors in laparoscopic cholecystectomy by expert surgeons.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f81412de-6cb9-4799-844a-37f200ab593cEnglishSymplectic Elements at Oxford2005Sarker, SChang, AVincent, CDarzi, ABACKGROUND: Performing laparoscopic surgery involves a complex cascade of cognitive skills, which may inherently have a constant technical error rate. We assess generic and specific minor and major error rates in laparoscopic cholecystectomies (LCs) performed by consultant surgeons. METHODS: Checklists of generic (11) and specific technical minor (six) and major events (eight) were devised for LCs. Two experienced surgeons assessed each full-length operation blindly and independently. RESULTS: A total of 37 LCs were performed by eight consultants. There were no major intraoperative or postoperative complications. Mean inter-rater reliability was kappa = 0.91 (range 0.80-0.98) for each of the error categories. Error rates were generic (27/407) 6.6%, minor (59/222) 26.6%, and major (8/296) 2.7%, respectively. There was a significant statistical difference between the minor error group and the other groups, p |
| spellingShingle | Sarker, S Chang, A Vincent, C Darzi, A Technical skills errors in laparoscopic cholecystectomy by expert surgeons. |
| title | Technical skills errors in laparoscopic cholecystectomy by expert surgeons. |
| title_full | Technical skills errors in laparoscopic cholecystectomy by expert surgeons. |
| title_fullStr | Technical skills errors in laparoscopic cholecystectomy by expert surgeons. |
| title_full_unstemmed | Technical skills errors in laparoscopic cholecystectomy by expert surgeons. |
| title_short | Technical skills errors in laparoscopic cholecystectomy by expert surgeons. |
| title_sort | technical skills errors in laparoscopic cholecystectomy by expert surgeons |
| work_keys_str_mv | AT sarkers technicalskillserrorsinlaparoscopiccholecystectomybyexpertsurgeons AT changa technicalskillserrorsinlaparoscopiccholecystectomybyexpertsurgeons AT vincentc technicalskillserrorsinlaparoscopiccholecystectomybyexpertsurgeons AT darzia technicalskillserrorsinlaparoscopiccholecystectomybyexpertsurgeons |