Analysis of errors in laparoscopic surgical procedures.


Journal Article

The determination of laparoscopic surgeon ability is essential to training error avoidance. The present study describes a practical method of surgical error analysis.After review of practice videotapes of the excisional phase of laparoscopic cholecystectomy, consensus on the identification of eight errors was achieved. Interrater agreement at the end of this phase was 84-96%. Fourteen study videotapes of gallbladder excision were then observed independently by expert reviewers blinded to surgical team identity. Procedures were assessed using a scoring matrix of 1-min segments with each error reported each minute.Interrater agreement was 84-100% for all error categories.The present study demonstrates that excellent interrater agreement of procedural errors can be achieved by carefully defining and training recognition of targeted events. Extension of this simple and reliable analysis tool to other procedures should be feasible to define behaviors leading to adverse clinical outcomes.

Full Text

Cited Authors

  • Seymour, NE; Gallagher, AG; Roman, SA; O'Brien, MK; Andersen, DK; Satava, RM

Published Date

  • April 2004

Published In

Volume / Issue

  • 18 / 4

Start / End Page

  • 592 - 595

PubMed ID

  • 15026914

Pubmed Central ID

  • 15026914

Electronic International Standard Serial Number (EISSN)

  • 1432-2218

International Standard Serial Number (ISSN)

  • 0930-2794

Digital Object Identifier (DOI)

  • 10.1007/s00464-002-8927-2


  • eng