2024 年 40 巻 1 号 p. 15-21
Purpose: In 2002, the Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy established a system for qualified gynecologists of endoscopy (laparoscopy). This year, this qualification system is celebrating its 20th anniversary. From the year 2021's application, the evaluation method was divided for each surgical procedure for the first time. By analyzing the results of last year's total laparoscopic hysterectomy video review, this study aimed to clarify the precautions for applicants.
Methods: The score rate was examined for each item based on the screening results of 255 cases that underwent video screening using The Technical Certification Video Screening Score in 2021. In addition, we evaluated the screening criteria based on the correlation between the surgical time, the resected object's weight, and the results of a questionnaire in the Technical Certification Consensus Meeting.
Results: The final acceptance rate for qualified gynecologists of endoscopy (laparoscopy) in 2021 was 52.7%. In the minor items, the passing group obtained a high score rate of ≥ 65% in all items. In contrast, in the failing group, 40% of the minor items had a low score rate of ≤ 50%. The median weight of the uterus in the submitted videos was 220.5 g (range: 35-900 g), and the median surgical time was 136 min (range: 70-242 min). In the passing rate, a significant difference was not observed at the cut-off of 280 g.
Conclusion: To become a qualified gynecologist of endoscopy (laparoscopy), it is important to perform surgery with care for basic techniques and safety.
