Assessing the Surgical Skills of Trainees in Learning the LDG

Not Applicable

Completed

• Conditions: Surgical Procedure, Unspecified; Gastrostomy; Assessment, Self
• Interventions: Procedure: Laparoscopic distal gastrectomy

• Registration Number: NCT03408795
• Lead Sponsor: Nagasaki University

Brief Summary

Laparoscopic distal gastrectomy (LDG) is a common surgery in the surgical trainees. However, there is no assessment system to measuring the surgical skill of surgical trainees. The novel surgical assessment system, which called Japanese Operative Rating Scale for Laparoscopic Distal Gastrectomy (JORS-LDG) by the task analysis and the Delphi method have been developed. This study describes assessing the development of surgical skill by JORS-LDG in the initial experience of LDG.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-02-01
• Study First Submitted: 2018-01-08
• Study First Submitted QC: 2018-01-23
• Study First Posted: 2018-01-24
• Primary Completion: 2019-03-30
• Study Completion: 2020-03-30
• Status Verified: 2020-12
• Last Update Submitted: 2020-12-31
• Last Update Posted: 2021-01-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 31

Inclusion Criteria

• Laparoscopic distal gastrectomy to early gastric cancer
• D1 plus or D2 lymphadenectomy
• Provide signed informed consent

Exclusion Criteria

• postoperative conditions affecting LDG
• pregnancy
• advanced gastric cancer
• D1 lymphadenectomy
• Total or subtotal gastrectomy
• unsuitable condition

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
JORS-LDG Group	Laparoscopic distal gastrectomy	Participants in JORS-LDG Group score the performance of procedure after LDG.

Primary Outcome Measures

Name	Time	Method
Assessing the development of surgical skill by JORS-DG in the initial experience of LDG.	Participants will be followed for the duration of the educational study for 3 years.	The surgical skill and performance of LDG was scored using JORS-DG by a trainee and an instructor. The difference in mean surgical performance score of JORS-DG was evaluated in tree phase. The score about JORS-DG is evaluated on a three or two level scale ( 28items in B-1 reconstruction or 31items in R-Y reconstruction). Maximum of total score is 46 in B-1 reconstruction or 52 in R-Y reconstruction. High score is good surgical skill. Low score is poor surgical skill.

Secondary Outcome Measures

Name	Time	Method
Assessing the value of surgical skill by JORS-DG in the initial experience of LDG and surgical outcome.	Participants will be followed for the duration of the educational study for 3 years.	Procedures' time in each items of LDG was evaluated for difficulty of surgical technics. The scoring rates in each items of LDG are compared with Procedures' time. The average of score about JORS-LDG is evaluated on a three or two level scale ( 28items in B-1 reconstruction or 31items in R-Y reconstruction). High score is good surgical skill. Low score is poor surgical skill.

Trial Locations

Locations (1)

Nagasaki University Hospital; 🇯🇵 Nagasaki, Japan