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ヒグチ リヨウタ
Higuchi Riyouta
樋口 亮太 所属 医学部 医学科（附属八千代医療センター） 職種 講師 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読なし |
| 表題 | Assembling a library of typical surgery video clips to construct a system for assessing the surgical difficulty of laparoscopic cholecystectomy. |
| 掲載誌名 | 正式名：Journal of hepato-biliary-pancreatic sciences 略 称：J Hepatobiliary Pancreat Sci ISSNコード：18686982/18686974 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 28(3),pp.255-262 |
| 著者・共著者 | Kurata Masanao, Iwashita Yukio, Ohyama Tetsuji, Endo Itaru, Hibi Taizo, Umezawa Akiko, Suzuki Kenji, Watanabe Manabu, Asai Koji, Mori Yasuhisa, Higashida Masaharu, Kumamoto Yusuke, Shindoh Junichi, Yoshida Masahiro, Honda Goro, Misawa Takeyuki, Abe Yuta, Nagakawa Yuichi, Toyota Naoyuki, Yamada Shigetoshi, Norimizu Shinji, Matsumura Naoki, Sata Naohiro, Sunagawa Hiroki, Ito Masahiro, Takeda Yutaka, Nakamura Yoshiharu, Rikiyama Toshiki, Higuchi Ryota, Gocho Takeshi, Ueno Kimihiko, Kumagai Yuko, Kanaji Shingo, Takada Tadahiro, Yamamoto Masakazu |
| 発行年月 | 2021/03 |
| 概要 | BACKGROUND:To explore best practices for acute cholecystitis, it is necessary to construct a system to assess the difficulty of laparoscopic cholecystectomy (LC) based on intraoperative findings. In this study, multiple evaluators assessed videos of LC to assemble a library of typical video clips for 25 intraoperative findings.METHODS:We have previously identified 25 items that contribute to surgical difficulty in LC. For each item, roughly 30-second video clips were submitted from videos of LC performed at member institutions. We then selected one typical video from the collected clips based on simple tabulation of the instances of agreement. Inter-rater agreement was assessed with Fleiss's κ and Gwet's agreement coefficient (AC).RESULTS:Except in the case of two assessment items ("edematous change" and "easy bleeding"), κ or AC significantly exceeded 0.5 and the typical videos were judged to be applicable. For the two remaining items, the evaluation was repeated after clarifying the definitions of positive and negative findings. Eventually, they were recognized as typical. The completed video clip library contains 31 clips and is divided into five categories (http://www.jshbps.jp/modules/project/index.php?content_id=13).CONCLUSIONS:This clip library may be highly useful in clinical settings as a more objective standard for assessing surgical difficulty in LC. |
| DOI | 10.1002/jhbp.871 |
| PMID | 33260262 |