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Methodology for Developing an Educational and Research Video Library in Minimally Invasive Surgery

Published on May 1, 2019in Journal of Surgical Education2.21
· DOI :10.1016/j.jsurg.2018.10.011
Amr I. Al Abbas1
Estimated H-index: 1
(University of Pittsburgh),
Jae P. Jung (University of Pittsburgh)+ 3 AuthorsMelissa E. Hogg1
Estimated H-index: 1
(NorthShore University HealthSystem)
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Abstract
Objective Explore the methods used and costs necessary for the creation and maintenance of a surgical video library with an emphasis on its applications in surgical education and scholarship. Design A methodology paper highlighting how to develop and utilize a surgical video library for trainee operative preparation, development of research projects, and surgeon credentialing. Setting The study was conducted at the University of Pittsburgh Medical Center, a tertiary care medical center. Participants Not applicable. Results The video library includes all recorded robotic operations performed by the Division of Surgical Oncology at the University of Pittsburgh from 2010 to 2018. It includes 929 videos of which 110 selected videos are uploaded for trainee review online to prepare for upcoming operations. These procedures are broken into steps to create intraoperative time metrics for trainee integration. Fellows operated from console in 85% of robotic cases and all 30 fellows could obtain robotic privileges based on case logs. To date 102 short scholarly videos have been created: 7 for manuscripts, 13 as video submissions, 27 in book chapters, and 55 for presentations. Three papers have been published using video review to determine clinical outcomes with four more under evaluation. The cost of the program is Conclusions Video libraries can be efficiently created utilizing intraoperative recorders for minimally invasive surgery. Breaking surgeries into distinct steps can aid in deliberate integration and answer clinical questions. Overall video libraries are cost effective tools for trainee education, research, and ultimately surgeon credentialing.
  • References (17)
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References17
Newest
Published on Nov 1, 2018in Annals of Surgical Oncology3.68
L. Mark Knab1
Estimated H-index: 1
(University of Pittsburgh),
Mazen S. Zenati27
Estimated H-index: 27
(University of Pittsburgh)
+ 6 AuthorsMelissa E. Hogg15
Estimated H-index: 15
(University of Pittsburgh)
Background Robotic surgery is increasingly being used for complex oncologic operations, although currently there is no standardized curriculum in place for surgical oncologists. We describe the evolution of a proficiency-based robotic training program implemented for surgical oncology fellows, and demonstrate the outcomes of the program.
Published on Oct 1, 2018in JAMA Surgery10.67
Jae Pil Jung1
Estimated H-index: 1
(University of Pittsburgh),
Mazen S. Zenati27
Estimated H-index: 27
(University of Pittsburgh)
+ 4 AuthorsMelissa E. Hogg15
Estimated H-index: 15
(University of Pittsburgh)
Importance Technical proficiency at robotic pancreaticoduodenectomy (RPD) and video assessment are promising tools for understanding postoperative outcomes. Delayed gastric emptying (DGE) remains a major driver of cost and morbidity after pancreaticoduodenectomy. Objective To determine if technical variables during RPD are associated with postoperative DGE. Design, Setting, and Participants A retrospective study was conducted of technical assessment performed in all available videos (n = 192) of...
Published on Jun 1, 2018in Surgical Endoscopy and Other Interventional Techniques3.21
Ryota Tanaka15
Estimated H-index: 15
(Kyorin University),
Francis J. DeAsis4
Estimated H-index: 4
(NorthShore University HealthSystem)
+ 5 AuthorsMichael B. Ujiki27
Estimated H-index: 27
(NorthShore University HealthSystem)
Background The purpose was to determine if a standardized video review program for residents improves operative performance.
Published on Feb 1, 2018
Amr I. Al Abbas1
Estimated H-index: 1
,
Melissa E. Hogg9
Estimated H-index: 9
Minimally invasive surgery has revolutionized the face of surgical practice. Use of the robot in pancreas surgery is emerging as a feasible and effective technique. Its wide-spread implementation remains hindered by the significant learning curve. We describe how the biotissue curriculum at the University of Pittsburgh can decrease the learning curve and lead to systematic implementation of the technique. The Biotissue Curriculum is the second step of the proficiency-based robotic surgery curric...
Published on Nov 1, 2017in Journal of Surgical Education2.21
Vernissia Tam5
Estimated H-index: 5
(University of Pittsburgh),
Mazen S. Zenati27
Estimated H-index: 27
(University of Pittsburgh)
+ 4 AuthorsMelissa E. Hogg15
Estimated H-index: 15
(University of Pittsburgh)
Objective Obtaining the proficiency on the robotic platform necessary to safely perform a robotic pancreatoduodenectomy is particularly challenging. We hypothesize that by instituting a proficiency-based robotic training curriculum we can enhance novice surgeons’ skills outside of the operating room, leading to a shorter learning curve. Design A biotissue curriculum was designed consisting of sewing artificial organs to simulate a hepaticojejunostomy (HJ), gastrojejunostomy (GJ), and pancreatico...
A VarbanOliver1
Estimated H-index: 1
,
NiemannAdam1
Estimated H-index: 1
(UM: University of Michigan)
+ 4 AuthorsB DimickJustin1
Estimated H-index: 1
Abstract Background: Video assessment is an emerging tool for understanding variation in surgical technique. Methods: Representative videos of laparoscopic sleeve gastrectomy (LSG) were voluntarily submitted by 20 surgeons who participated in a statewide quality improvement collaborative. The amount of time required to complete the salient steps of the operation was measured and variations in the tasks performed during each step were captured. Results: Twenty-two videos of LSG were submitted and...
Published on May 1, 2017in Journal of Surgical Education2.21
Melissa E. Hogg15
Estimated H-index: 15
(University of Pittsburgh),
Vernissia Tam5
Estimated H-index: 5
(University of Pittsburgh)
+ 4 AuthorsHerbert J. Zeh60
Estimated H-index: 60
(University of Pittsburgh)
Objective Hepatobiliary surgery is a highly complex, low-volume specialty with long learning curves necessary to achieve optimal outcomes. This creates significant challenges in both training and measuring surgical proficiency. We hypothesize that a virtual reality curriculum with mastery-based simulation is a valid tool to train fellows toward operative proficiency. This study evaluates the content and predictive validity of robotic simulation curriculum as a first step toward developing a comp...
Published on Apr 1, 2017in Surgery for Obesity and Related Diseases3.76
Oliver A. Varban10
Estimated H-index: 10
(UM: University of Michigan),
Kyle H. Sheetz16
Estimated H-index: 16
(UM: University of Michigan)
+ 4 AuthorsJonathan F. Finks18
Estimated H-index: 18
(UM: University of Michigan)
Abstract Objective To assess the effect of operative technique on staple line leaks after laparoscopic sleeve gastrectomy (LSG). Background Staple-line leaks after LSG are a major source of morbidity and mortality. Variations in operative technique exist; however, their effect on leaks is poorly understood. Methods We analyzed data from the Michigan Bariatric Surgery Collaborative (MBSC) to perform a case-control study comparing patients who had a clinically significant leak after undergoing a p...
Published on Apr 1, 2017in Hpb3.05
Deepa Magge8
Estimated H-index: 8
(University of Pittsburgh),
Mazen S. Zenati27
Estimated H-index: 27
(University of Pittsburgh)
+ 4 AuthorsMelissa E. Hogg15
Estimated H-index: 15
(University of Pittsburgh)
Abstract Background Postpancreatectomy hemorrhage (PPH) is a serious and life threatening complication following pancreaticoduodenectomy. The objective was to determine whether PPH incidence is elevated in a series of robotic pancreatoduodenectomy (RPD) from a high-volume institution and if video review can identify technical factors associated with PPH. Methods A retrospective review of RPDs from October 2008 to March 2016 was performed. PPH was classified by established international criteria....
Published on Sep 1, 2016in Annals of Surgery9.48
Melissa E. Hogg15
Estimated H-index: 15
,
Mazen S. Zenati27
Estimated H-index: 27
+ 7 AuthorsHerbert J. Zeh60
Estimated H-index: 60
Objective: To evaluate and quantify surgical skill by grading surgical performance of the pancreaticojejunostomy from robotic pancreaticoduodenectomies (RPDs). We hypothesized that video grading of surgical performance would contribute to estimating risk of postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy. Background: POPF majorly contributes to pancreaticoduodenectomy morbidity. Risk scores [Fistula Risk Score (FRS) and Braga] derived from patient variables are validated fo...
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