복강경 담낭절제술의 득점 체계에 따른 임상경험 적용에 대한 의의
Analysis of Laparoscopic Cholecystectomy in Structured Scoring Assessment
정호근, 정기훈,
소속 상세정보
정호근 ( )
부산성분도병원
정기훈 ( )
동국대학교 의과대학 외과학교실
KMID : 0978820010040020014
Abstract
Background: Laparoscopy requires a unique subset of surgical skills. Differences between conventional and laparoscopic surgery include optics and instrumentations. We analysed objective structured scoring assessment in laparoscopic
cholecystectomy(LC).
Methods: Between April 2000 and March 2001, 54 cases of LC were performed at Dongguk University hospital. We analysed LC cases in structured scoring assessment by Eubanks study.
Results: We calculated mean total raw scores(74.2 points), error points(8 points), and final scores(65.7 points). In the operating time was less than 90 minutes, the raw score and the final score were more higher than the exceeding 90
minutes
group. The error point was more lower than the exceeding 90 minutes group. The most frequent errors were electrocautery injury to the liver outside the gallbladder fossa(87.0%), unintentional release of the gallbladder(64.8%), and additional
attempt at
cystic duct clip(64.8%).
Conclusions: As the structured scoring system was applied to our clinical experience, we think that technical skills may be advanced to the trainee and the surgeon, and repeated errors may be decreased as a form of self-assessment.
키워드
복강경 담낭절제술; 득점 체계; laparoscopic cholecystectomy; scoring system;
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