Surgeons have knowledge gaps in the safe use of energy devices: a multicenter cross-sectional study

Yusuke Watanabe, Yo Kurashima, Amin Madani, Liane S. Feldman, Minoru Ishida, Akihiko Oshita, Takeshi Naitoh, Kazuhiro Noma, Keigo Yasumasa, Hiroshi Nagata, Fumitaka Nakamura, Koichi Ono, Yoshinori Suzuki, Nobuhisa Matsuhashi, Toshiaki Shichinohe, Satoshi Hirano

Research output: Contribution to journalArticle

14 Citations (Scopus)


Background: Despite the widespread use of surgical energy devices and the potential for rare but serious complications, pilot data from North America suggest that surgeons and surgical trainees have knowledge gaps in their safe use. The purpose of this study was to determine baseline knowledge of general surgeons and surgical trainees regarding the safe use of electrosurgery (ES) across varying levels of experience in Japan. Methods: Participants completed a 35-item multiple-choice question examination, testing critical knowledge of ES. The examination was developed according to the objectives and blueprints of SAGES’ Fundamental Use of Surgical Energy™ curriculum. Sections of the examination included: “principles of ES,” “ES-related adverse events,” “monopolar and bipolar devices,” and “pediatric considerations and interference with implantable devices.” Scores were compared between PGY > 5 and PGY 1–5 participants. Results: A total of 145 general surgeons and surgical trainees of all years after medical school (PGY 1–5: 57, PGY > 5: 88) from ten academic and five community hospitals completed the assessment (mean age 35; 91 % male). The mean score in the entire cohort was 58 ± 12 % (range 23–83 %), with significantly higher scores in the PGY > 5 group compared to the PGY 1–5 group (60 ± 11 vs. 53 ± 12 %, p 

Original languageEnglish
Pages (from-to)588-592
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number2
Publication statusPublished - Feb 1 2016



  • Electrosurgery
  • Energy device
  • FUSE
  • Operating room fire
  • Operating room safety
  • Surgical education

ASJC Scopus subject areas

  • Surgery

Cite this

Watanabe, Y., Kurashima, Y., Madani, A., Feldman, L. S., Ishida, M., Oshita, A., Naitoh, T., Noma, K., Yasumasa, K., Nagata, H., Nakamura, F., Ono, K., Suzuki, Y., Matsuhashi, N., Shichinohe, T., & Hirano, S. (2016). Surgeons have knowledge gaps in the safe use of energy devices: a multicenter cross-sectional study. Surgical Endoscopy and Other Interventional Techniques, 30(2), 588-592.