Standardization and qua lity assessment in surgery
This thesis focuses on two key them es in surgery: the standardization of colorectal surgery and the deve lopment and use of video-based tools for surgical quality assessment. The first part examines the standardization of procedures such as mi nimally invasive right hemicolectomy (MIHR) for right-sided colon can cer. The most optimal technique for MIHR has been developed, in which performing an intracorporeal anastomosis and extracting the specimen via a Pfannenstiel incision combined with low intra-abdominal pressu re and the application of complete mesocolic excision, is associated with the best clinical outcomes. The Right study, a Dutch multicenter study, aims to develop and implement this standardized MIHR techniqu e to reduce variability between hospitals and improve surgical outcom es. Another aspect of this thesis is the development and use of video -based tools in surgery. Through a systematic review, various tools u sed in minimally invasive surgery were identified. The findings show that validated tools enable reliable assessments of surgical quality, which is important for training and quality improvement. In addition , a video-based tool for MIHR was developed, based in part on previou sly established consensus regarding the critical steps of the procedu re. Both trained medical students and surgeons were able to reliably assess these videos. A separate study showed that surgical trainees a re capable of reliably assessing the critical view of safety in lapar oscopic cholecystectomy videos using an existing tool. These findings highlight the value of video-based quality assessments in both surgi cal education and practice, contributing to improved training and ult imately better patient outcomes. In summary, this thesis emphasizes t he importance of standardized techniques and objective, video-based q uality assessments in surgery, which help reduce variability, improve outcomes and strengthen the training of future surgeons.
More information on the
DESCRIPTION: This thesis focuses on two key themes in surgery: the sta ndardization of colorectal surgery and the development and use of vid eo-based tools for surgical quality assessment. The first part examin es the standardization of procedures such as minimally invasive right hemicolectomy (MIHR) for right-sided colon cancer. The most optimal technique for MIHR has been developed, in which performing an intraco rporeal anastomosis and extracting the specimen via a Pfannenstiel in cision combined with low intra-abdominal pressure and the application of complete mesocolic excision, is associated with the best clinical outcomes. The Right study, a Dutch multicenter study, aims to develo p and implement this standardized MIHR technique to reduce variabilit y between hospitals and improve surgical outcomes. Another aspect of this thesis is the development and use of video-based tools in surger y. Through a systematic review, various tools used in minimally invas ive surgery were identified. The findings show that validated tools e nable reliable assessments of surgical quality, which is important fo r training and quality improvement. In addition, a video-based tool f or MIHR was developed, based in part on previously established consen sus regarding the critical steps of the procedure. Both trained medic al students and surgeons were able to reliably assess these videos. A separate study showed that surgical trainees are capable of reliably assessing the critical view of safety in laparoscopic cholecystectom y videos using an existing tool. These findings highlight the value o f video-based quality assessments in both surgical education and prac tice, contributing to improved training and ultimately better patient outcomes. In summary, this thesis emphasizes the importance of stand ardized techniques and objective, video-based quality assessments in surgery, which help reduce variability, improve outcomes and strength en the training of future surgeons. More information on the thesi s Standardization and quality assessment in surgery END:VEVENT END:VCALENDAR