PicSOr - An objective test of perceptual skill that predicts laparoscopic technical skill in three initial studies of laparoscopic performance

作者: A. G. Gallagher , R. Cowie , J. -A. Jordan-Black , R. M. Satava , I. Crothers

DOI: 10.1007/S00464-002-8569-4

关键词: Objective testPerceptionTask (project management)CholecystectomyLaparoscopyTest (assessment)MedicinePhysical medicine and rehabilitationLaparoscopic surgeryAptitudeSurgery

摘要: Background: Laparoscopic surgery requires surgeons to infer the shape of 3-D structures, such as internal organs patients, from 2-D displays on a video monitor. Recent evidence indicates that issue is not resolved by use contemporary camera systems. It therefore crucial find ways measuring differences in aptitude for recovering structure images, and assessing its impact performance. Our aim was test empirically relationship between laparoscopic ability perceptual skill information about structures monitor displays. Methods: Participants three studies completed simulated cutting task well Pictorial Surface Orientation (PicSOr)3 Test. In 1 (n = 48) 2 32) both groups were novices, study 3 34) 18 participants experienced surgeons. Findings: All showed PicSOr consistently predicted performance (study 1, r 0.5, p < 0.0003; 2, 0.004; 3, 0.42, 0.017). Furthermore, it also significant predictor surgeons’ (r 0.54, 0.047). Interpretations: This first objective psychometric reliably predict technical skills. provides tool which trainees have potential learn minimal access surgery.

参考文章(15)
Anthony Reinhardt-Rutland, A. G. Gallagher, Visual depth perception in minimally invasive surgery Taylor and Francis. pp. 530- 536 ,(1995)
A. Darzi, S. Smith, N. Taffinder, Assessing operative skill: Needs to become more objective BMJ. ,vol. 318, pp. 887- 888 ,(1999) , 10.1136/BMJ.318.7188.887
The Southern Surgeons Club, Michael J Moore, Charles L Bennett, The learning curve for laparoscopic cholecystectomy The American Journal of Surgery. ,vol. 170, pp. 55- 59 ,(1995) , 10.1016/S0002-9610(99)80252-9
David C. Wherry, Charles G. Rob, Michael R. Marohn, Norman M. Rich, An external audit of laparoscopic cholecystectomy performed in medical treatment facilities of the department of Defense. Annals of Surgery. ,vol. 220, pp. 626- 634 ,(1994) , 10.1097/00000658-199411000-00005
David Carrier, Margaret A. Hagen, The Perception of Pictures Leonardo. ,vol. 15, pp. 250- ,(1982) , 10.2307/1574721
AG Gallagher, N McClure, J McGuigan, K Ritchie, NP Sheehy, None, An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. Endoscopy. ,vol. 30, pp. 617- 620 ,(1998) , 10.1055/S-2007-1001366
Robert J. Miller, Cross-cultural research in the perception of pictorial materials. Psychological Bulletin. ,vol. 80, pp. 135- 150 ,(1973) , 10.1037/H0034739
I. R. Crothers, A. G. Gallagher, N. McClure, D. T. D. James, J. McGuigan, Experienced laparoscopic surgeons are automated to the "fulcrum effect": an ergonomic demonstration. Endoscopy. ,vol. 31, pp. 365- 369 ,(1999) , 10.1055/S-1999-26