Postoperative video debriefing reduces technical errors in laparoscopic surgery

Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
American journal of surgery (Impact Factor: 2.29). 08/2007; 194(1):110-4. DOI: 10.1016/j.amjsurg.2006.10.027
Source: PubMed


Because of the learning curve required to master laparoscopic procedures, there is a growing concern that patient safety may be compromised due to technical errors by a novice surgeon. We evaluated the effect of videotape debriefing on the performance of a complex laparoscopic procedure.
Twenty-four surgical residents performed a laparoscopic jejunojejunal anastomosis under the supervision of a single laparoscopic surgeon. All procedures were videotaped. Half of the residents underwent video debriefing. Videotapes were analyzed for knot-tying time, anastomotic time, and frequency of minor technical errors and adverse events. The performance of the debriefed group was compared with a non-debriefed group.
Knot-tying time, minor errors, and anastomotic time were similar between the debriefed and non-debriefed groups. However, adverse events from technical errors were more frequent in the non-debriefed group (chi2 = 7.647, P = .006).
Postoperative video debriefing is an effective educational tool for reducing adverse events during a complex laparoscopic procedure.

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Available from: Giselle G Hamad, Apr 21, 2015
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    • "Recognizing the potential for such knowledge dissemination, many medical schools have equipped their labs with cameras in order to record procedures, often making use of the same technology to record students' procedures for pedagogical value, in particular, assisting in subsequent debriefing sessions [4]. The structure of the video recording varies with the intended audience and the procedure being presented. "
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    ABSTRACT: We present the design of an interface for a camera array that will enable mentoring and monitoring of dissections and surgical procedures for medical instructors and students. While considerable research has investigated the recording and broadcasting of surgical procedures and dissection ses-sions for medical instruction, little work has been reported on the integration of an interface able to display multiple viewpoints within a medical context. The interface pre-sented here allows a designated individual, the instructor, to provide the best viewing point to observe and execute a procedure, and simultaneously, offers the remote viewer the freedom to change viewpoints.
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    • "On the other hand, in surgical safety support systems, which have recently been developed, the recorded videos are used for finding potential risks that may induce medical accidents (unexpected incidents) in the surgical operation. Those systems recording views solely of the surgery field are commonly found [1]. A system recently developed has not only multiple cameras but multiple views in the surgery room different angles in addition to surgery views [2]. "
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    • "Although, to date, fellowships, mentoring, and courses are the most commonly used tools to allow the transfer of surgical skills, major efforts are needed. Postoperative videotape debriefing and video mentoring have been effective educational tools for reducing adverse events during complex laparoscopic procedures [12] [13], but the same tools could be equally effective in open surgery as well. Moreover, in the era of virtual reality, surgical simulation could quickly become an easily available instrument, duplicating the experiences in the training of airplane pilots. "

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