Expert Consensus on Criteria for the Automated Assessment of Laparoscopic Camera Navigation
This study addresses the longstanding reliance on subjective and inefficient manual scoring in assessing laparoscopic camera navigation skills, which lacks standardized and scalable objective metrics. The authors propose a novel evaluation taxonomy comprising 14 key elements, aligning clinical importance—established through expert consensus—with technical readiness of computer vision methods via a “clinical importance–technical readiness” matrix to prioritize automation targets. Through Likert-scale surveys, expert-based skill rankings, and computer vision–derived automated measurements, validated across 23 surgeons, the study identifies high-priority metrics such as field-of-view coverage, focus quality, and instrument centering. These metrics jointly satisfy clinical relevance and technical feasibility, establishing a practical framework for AI-driven surgical training assessment.