5 4 3 2 1 Excellent Very Good Good Fair Poor NA Safe, efficient and Functional but Poor choice of optimal somewhat port position; positioning of awkward port unsafe ports for positioning; technique in procedure and safe technique; insertion or anatomy some difficulty removal inserting ports Exposure 5 4 3 2 1 Excellent Very Good Good Fair Poor NA Optimizes exposure Adequate Poor/inadequate of establishment and pneumoperitoneum, Calot’s triangle, efficiently directs maintenance of camera angle and gallbladder pneumoperitoneum, retraction with retraction and camera angle and frequent loss of camera to maintain retraction but with exposure of key exposure and occasional loss of structures pneumoperitoneum exposure of key structures Cystic Duct Dissection 5 4 3 2 1 Excellent Very Good Good Fair Poor NA Expedient Adequate but Dissection of duct dissection, safe inefficient inadequate to clip placement and dissection, place clips and duct division clips secure but divide safely spacing not ideal Cystic Artery Dissection 5 4 3 2 1 Excellent Very Good Good Fair Poor NA Expedient Adequate but Artery dissection dissection, safe inefficient inadequate to clip placement and dissection, place clips and artery division clips secure but divide; excessive spacing not ideal hemorrhage; used more than 8 clips Gallbladder Dissection
5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Safe, efficient and optimal positioning of ports for procedure and anatomy Functional but somewhat awkward port positioning; safe technique; some difficulty inserting ports Poor choice of port position; unsafe technique in insertion or removal Exposure 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Optimizes exposure of Calot’s triangle, efficiently directs gallbladder retraction and camera to maintain exposure and pneumoperitoneum Adequate establishment and maintenance of pneumoperitoneum, camera angle and retraction but with occasional loss of exposure of key structures Poor/inadequate pneumoperitoneum, camera angle and retraction with frequent loss of exposure of key structures Cystic Duct Dissection 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Expedient dissection, safe clip placement and duct division Adequate but inefficient dissection, clips secure but spacing not ideal Dissection of duct inadequate to place clips and divide safely Cystic Artery Dissection 5 Excellent 4 Very Good 3 Good 2 Fair 1 Poor NA Expedient dissection, safe clip placement and artery division Adequate but inefficient dissection, clips secure but spacing not ideal Artery dissection inadequate to place clips and divide; excessive hemorrhage; used more than 8 clips Gallbladder Dissection