Introduction
Hysterectomy remains one of the most commonly performed gynecologic surgeries worldwide, with evolving techniques enhancing patient recovery and outcomes. Minimally invasive approaches—namely laparoscopic and robotic-assisted hysterectomy—have increasingly supplanted open surgery over recent decades, offering benefits such as reduced blood loss, shorter hospital stays, and faster convalescence. However, surgical proficiency is crucial, as technical performance directly influences perioperative morbidity and overall outcomes. Despite this, standardized, objective methods to assess surgeon skill in minimally invasive gynecologic surgery are limited, hampering quality assurance and training.
