Cited 25 times in
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 | 형우진 | - |
dc.date.accessioned | 2021-04-29T16:47:27Z | - |
dc.date.available | 2021-04-29T16:47:27Z | - |
dc.date.issued | 2021-02 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182020 | - |
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.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | ANNALS OF SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Clinical Competence* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Gastrectomy / standards* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy / standards* | - |
dc.subject.MESH | Lymph Node Excision / standards* | - |
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 / pathology | - |
dc.subject.MESH | Stomach Neoplasms / surgery* | - |
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.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Sang-Uk Han | - |
dc.contributor.googleauthor | Hoon Hur | - |
dc.contributor.googleauthor | Hyuk-Joon Lee | - |
dc.contributor.googleauthor | Gyu Seok Cho | - |
dc.contributor.googleauthor | Min-Chan Kim | - |
dc.contributor.googleauthor | Young Kyu Park | - |
dc.contributor.googleauthor | Wook Kim | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.identifier.doi | 10.1097/SLA.0000000000003883 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J00178 | - |
dc.identifier.eissn | 1528-1140 ( | - |
dc.identifier.pmid | 33064386 | - |
dc.identifier.url | https://insights.ovid.com/pubmed?pmid=33064386 | - |
dc.contributor.alternativeName | Hyung, Woo Jin | - |
dc.contributor.affiliatedAuthor | 형우진 | - |
dc.citation.volume | 273 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 315 | - |
dc.citation.endPage | 324 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGERY, Vol.273(2) : 315-324, 2021-02 | - |
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