A multi-national, video-based qualitative study to refine training guidelines for assigning an "unsafe" score in laparoscopic cholecystectomy critical view of safety.

Gina Adrales¹, Francesco Ardito², Pradeep Chowbey³, Salvador Morales-Conde⁴, Alberto R Ferreres⁵, Chrys Hensman⁶, David Martin⁷, Hanno Matthaei⁸, Bruce Ramshaw^9,10, J Keith Roberts¹¹, Harald Schrem¹², Anil Sharma³, Stephen Tabiri¹³, Eric Vibert¹⁴, Michael S Woods¹⁰

¹Division of Minimally Invasive Surgery, Minimally Invasive Surgical Training and Innovation Center (MISTIC), Johns Hopkins Hospital, 600 N. Wolfe St., Blalock 618, Baltimore, MD, 21287, USA. gadrale1@jhmi.edu.

²Hepatobiliary Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, Catholic University, Rome, Italy.

³Institute of Laparoscopic, Endoscopic and Bariatric Surgery, Max Super Specialty Hospital, Saket, New Delhi, India.

⁴Unit of Innovation in Minimally Invasive Surgery, University Hospital Virgen del Rocío, University of Sevilla, Seville, Spain.

⁵Department of Surgery, University of Buenos Aires, Buenos Aires, Argentina.

⁶Monash University Department of Surgery & Lap Surgery, Melbourne, Australia.

⁷Division of Critical Care/Acute Care Surgery, University of Minnesota, Minneapolis, USA.

⁸Department of Surgery, University Medical Center Bonn, Bonn, Germany.

⁹CQInsights PBC, Knoxville, TN, USA.

¹⁰Caresyntax Corporation, Boston, USA.

¹¹Liver Transplant and HPB Surgery, University Hospitals Birmingham NHS Trust, Birmingham, UK.

¹²General, Visceral and Transplant Surgery, Medical University Graz, Graz, Austria.

¹³Tamale Teaching Hospital, University for Development Studies-School of Medicine and Health Sciences, Tamale, Ghana.

¹⁴Centre Hépato-Biliaire, Paul Brousse Hospital, AP-HP, Villejuif, France.

PubMed DOI

Abstract

BACKGROUND: The critical view of safety (CVS) was incorporated into a novel 6-item objective procedure-specific assessment for laparoscopic cholecystectomy (LC-CVS OPSA) to enhance focus on safe completion of surgical tasks and advance the American Board of Surgery's entrustable professional activities (EPAs) initiative. To enhance instrument development, a feasibility study was performed to eluci…

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