机构：[1]Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan 610041, China四川大学华西医院[2]West China School of Medicine, Sichuan University, Chengdu 610041, China四川大学华西医院[3]Chest Oncology Institute, West China Hospital, Sichuan University, Chengdu 610041, China四川大学华西医院[4]Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China[5]Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, China四川大学华西医院[6]Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA
We report a new thoracoscopic surgical skill training and assessment system with automatic scoring techniques, the Huaxi Intelligent Thoracoscopic Skill Training and Assessment (HITSTA) system. We also evaluated the discriminative ability of this system compared to our conventional scoring method at our institution.We retrospectively collected training data of thoracic board-certified thoracic surgeons at West China Hospital, Sichuan University from January 1, 2018 to January 1, 2019. Surgeons were assessed by HITSTA system and human examiners simultaneously. Total scores were summed from 3 tasks (grasping with delivery, pattern cutting, and suture with knot). Bland-Altman analysis was used to test agreement of scores made by HITSTA system (automatic scoring) and human examiners (manual scoring). Differentiation ability was also compared between the two scoring methods.Thirty-nine surgeons were recruited. Scores made by HITSTA system and human examiners were not consistent. For suture with knot, automatic scoring method could detect the score differences between different training status (trained: 26.92 ± 12.04, untrained: 19.85 ± 11.12; p = 0.026) and training duration (< 10 h: 20.67 ± 15.23, ≥ 10 h: 31.92 ± 5.56; p = 0.003). For total scores, automatic scoring approach could discriminate between different training status (trained: 71.90 ± 12.63; untrained: 61.41 ± 13.87; p = 0.016) and training duration (< 10 h: 65.23 ± 15.31; ≥ 10 h 77.23 ± 6.94; p = 0.046).HITSTA system could discriminate the different levels of thoracoscopic surgical skills better than the traditional manual scoring method. Larger prospective studies are warranted to validate the differentiation ability of HITSTA system.
基金：
This work was supported by the 1.3.5 Project for Disciplines
of Excellence, West China Hospital, Sichuan University (ZYGD18021
and ZYJC18009) (to Dr. Lunxu Liu), and the Applied Basic Program
of Department of Science and Technology of Sichuan Province, China
(2018JY0593) (to Dr. Hu Liao).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类|2 区医学
小类|2 区外科
最新[2023]版：
大类|2 区医学
小类|2 区外科
第一作者：
第一作者机构：[1]Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan 610041, China[2]West China School of Medicine, Sichuan University, Chengdu 610041, China[3]Chest Oncology Institute, West China Hospital, Sichuan University, Chengdu 610041, China[4]Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
共同第一作者：
通讯作者：
通讯机构：[1]Department of Thoracic Surgery, West China Hospital, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan 610041, China[2]West China School of Medicine, Sichuan University, Chengdu 610041, China[3]Chest Oncology Institute, West China Hospital, Sichuan University, Chengdu 610041, China[4]Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
推荐引用方式(GB/T 7714)：
Zhou Jian,Liao Hu,Lin Zhangyu,et al.A new basic thoracoscopic surgical skill training and assessment system using automatic scoring techniques.[J].Surgical endoscopy.2021,doi:10.1007/s00464-021-08606-8.
APA：
Zhou Jian,Liao Hu,Lin Zhangyu,Lyu Mengyuan,Chong Weelic...&Liu Lunxu.(2021).A new basic thoracoscopic surgical skill training and assessment system using automatic scoring techniques..Surgical endoscopy,,
MLA：
Zhou Jian,et al."A new basic thoracoscopic surgical skill training and assessment system using automatic scoring techniques.".Surgical endoscopy .(2021)
医学