Objective technical skills assessment in laparoscopic cholecystectomy: a systematic review of manual, kinematic, and AI-based tools.
Elizabeth M A Mainwaring, Nadia Guidozzi, Jonnie P James et al.
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In 30 seconds
This systematic review evaluated manual, kinematic, and AI-based tools for assessing technical skills in laparoscopic cholecystectomy. It included 60 studies, revealing that while manual tools had the most validity evidence, they lacked reliability and scalability. AI systems showed potential for real-time use but required further validation.
Key findings
- Manual assessment tools had the largest body of validity evidence but variable reliability.
- Kinematic systems quantified motion but had limited validation.
- AI systems demonstrated strong internal performance, especially in critical view of safety detection.
Why it matters
Objective assessment tools are crucial for improving surgical outcomes and minimizing technical errors. Understanding the strengths and limitations of these tools can guide their implementation in clinical practice.
What to keep in mind
Heterogeneity among studies limited the ability to perform a meta-analysis and assess reporting bias.