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Surgeon Quality Control and Standardization of D2 Lymphadenectomy for Gastric Cancer: A Prospective Multicenter Observational Study (KLASS-02-QC)
DC Field | Value | Language |
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dc.contributor.author | Han, SU | - |
dc.contributor.author | Hur, H | - |
dc.contributor.author | Lee, HJ | - |
dc.contributor.author | Cho, GS | - |
dc.contributor.author | Kim, MC | - |
dc.contributor.author | Park, YK | - |
dc.contributor.author | Kim, W | - |
dc.contributor.author | Hyung, WJ | - |
dc.contributor.author | Korean Laparoendoscopic Gastrointestinal Surgery Study (KLASS) Group | - |
dc.date.accessioned | 2023-01-10T00:38:47Z | - |
dc.date.available | 2023-01-10T00:38:47Z | - |
dc.date.issued | 2021 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | http://repository.ajou.ac.kr/handle/201003/23811 | - |
dc.description.abstract | OBJECTIVE: To qualify surgeons to participate in a randomized trial comparing laparoscopic and open distal D2 gastrectomy for advanced gastric cancer. SUMMARY OF BACKGROUND DATA: No studies have sought to qualify surgeons for a randomized trial comparing laparoscopic and open D2 gastrectomy for advanced gastric cancer. METHODS: We conducted a multicenter prospective observational study evaluating unedited videos of laparoscopic and open D2 gastrectomy performed by 27 surgeons. Surgeons performed 3 of each laparoscopic and open distal gastrectomies with D2 lymphadenectomy for gastric cancer. Five peers reviewed each unedited video using a video assessment form. Based on experts' review of videos, a separate review committee decided surgeons as "Qualified" or "Not-qualified." RESULTS: Twelve surgeons (44.4%) were qualified on initial evaluation whereas the other 15 surgeons were not. Another 9 surgeons were finally qualified after re-evaluation. The median score for Qualified was significantly higher than Not-qualified (P < 0.001).Significant differences between Qualified and Not-qualified were noted both in operation type and in all evaluation area of surgical skill, perigastric, and extra-perigastric lymphadenectomy, although the inter-rater variability of the assessment score was low (kappa = 0.285). However, Not-qualified surgeons' scores improved upon re-evaluation of resubmitted videos.When compared laparoscopy with open surgery, median scores were similar between the 2 groups (P = 0.680). However, open gastrectomy scores for surgical skills were significantly higher than for laparoscopic surgery (P = 0.016). CONCLUSIONS: Our surgeon quality control study for gastrectomy represents a milestone in surgical standardization for surgical clinical trials. Our methods could also serve as a system for educating surgeons and assessing surgical proficiency. | - |
dc.language.iso | en | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Clinical Competence | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Gastrectomy | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy | - |
dc.subject.MESH | Lymph Node Excision | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Quality Control | - |
dc.subject.MESH | Randomized Controlled Trials as Topic | - |
dc.subject.MESH | Stomach Neoplasms | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Surgeon Quality Control and Standardization of D2 Lymphadenectomy for Gastric Cancer: A Prospective Multicenter Observational Study (KLASS-02-QC) | - |
dc.type | Article | - |
dc.identifier.pmid | 33064386 | - |
dc.contributor.affiliatedAuthor | Han, SU | - |
dc.contributor.affiliatedAuthor | Hur, H | - |
dc.type.local | Journal Papers | - |
dc.identifier.doi | 10.1097/SLA.0000000000003883 | - |
dc.citation.title | Annals of surgery | - |
dc.citation.volume | 273 | - |
dc.citation.number | 2 | - |
dc.citation.date | 2021 | - |
dc.citation.startPage | 315 | - |
dc.citation.endPage | 324 | - |
dc.identifier.bibliographicCitation | Annals of surgery, 273(2). : 315-324, 2021 | - |
dc.embargo.liftdate | 9999-12-31 | - |
dc.embargo.terms | 9999-12-31 | - |
dc.identifier.eissn | 1528-1140 | - |
dc.relation.journalid | J000034932 | - |
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