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Related Experiment Video

Updated: May 15, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Published on: March 24, 2023

Safe laparoscopic colorectal surgery performed by trainees.

Peter Koch Langhoff¹, Martin Schultz, Thomas Harvald

¹Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev, Denmark.

Journal of Surgical Education

|January 23, 2013

Summary

Supervised trainees can safely perform laparoscopic surgery for colorectal cancer, achieving good short-term outcomes comparable to experienced surgeons. This supports integrating laparoscopic techniques into surgical training programs.

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Area of Science:

Colorectal Surgery
Surgical Education
Minimally Invasive Surgery

Background:

Laparoscopic colorectal cancer surgery is safe but its widespread adoption is hindered by training limitations.
Supervised trainees have had limited opportunities to perform these procedures, impacting technique dissemination.
This study evaluates outcomes of laparoscopic colorectal cancer surgery performed by trainees versus experienced surgeons.

Purpose of the Study:

To compare the short-term outcomes of laparoscopic colorectal cancer surgery performed by surgical trainees with those performed by experienced surgeons.
To assess the safety and efficacy of trainee-performed laparoscopic colorectal cancer surgery.
To evaluate the feasibility of maintaining a high surgical volume for training purposes.

Main Methods:

A retrospective analysis of 131 patients undergoing elective colorectal cancer surgery in 2009.
Comparison of outcomes between surgeries performed by laparoscopic inexperienced (trainees) and experienced surgeons.
Outcomes were also compared with national data.

Main Results:

Trainees performed 60% of all laparoscopic colorectal cancer surgeries, including 70% of colonic and 43% of rectal procedures.
No significant differences were found in length of stay, conversion rates, bleeding, complications, or 30-day mortality.
A statistically significant increase in operative time was noted for trainee-performed colonic resections (198 vs. 140 min, p=0.005).

Conclusions:

Supervised trainees can safely perform laparoscopic surgery for colorectal cancer with favorable short-term results.
Integrating laparoscopic surgery as a standard technique in university departments facilitates high-volume training.
The findings support the expansion of laparoscopic colorectal cancer surgery training programs.