Procedure-Specific Criteria Please assess performance and indicate the degree of prompting for each item. The assessment score for each item from the prompting score for that item. may differ Incision / Port Placement Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Poor choice of port Functional but Safe, efficient position; unsafe somewhat and optimal technique in awkward port positioning of insertion or positioning; ports for removal safe technique; procedure, some difficulty and anatomy inserting ports Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Exposure Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Poor/inadequate Adequate Optimizes pneumoperitoneum, establishment and exposure, efficiently camera angle and maintenance of directs retraction retraction with pneumoperitoneum, and camera to frequent loss of camera angle and maintain exposure exposure retraction but with and occasional loss of pneumoperitoneum exposure Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Appendix Dissection Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Dissection of Adequate but Expedient and appendix inefficient efficient location inadequate for dissection; some of appendix and safe staple bleeding during creation of placement creation of mesoappendix mesoappendix window close to window cecum
Procedure-Specific Criteria Please assess performance and indicate the degree of prompting for each item. The assessment score for each item may differ from the prompting score for that item. Incision / Port Placement Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor choice of port position; unsafe technique in insertion or removal Functional but somewhat awkward port positioning; safe technique; some difficulty inserting ports Safe, efficient and optimal positioning of ports for procedure, and anatomy Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Exposure Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Poor/inadequate pneumoperitoneum, camera angle and retraction with frequent loss of exposure Adequate establishment and maintenance of pneumoperitoneum, camera angle and retraction but with occasional loss of exposure Optimizes exposure, efficiently directs retraction and camera to maintain exposure and pneumoperitoneum Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Appendix Dissection Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Dissection of appendix inadequate for safe staple placement Adequate but inefficient dissection; some bleeding during creation of mesoappendix window Expedient and efficient location of appendix and creation of mesoappendix window close to cecum