Robotic colorectal surgery: previous laparoscopic colorectal experience is not essential

Area of Science:

• Surgical Innovation
• Robotic Surgery
• Colorectal Surgery

Background:

• Minimally invasive colorectal surgery (MICS) has been traditionally considered a prerequisite for robotic-assisted colorectal surgery (RACS).
• This study investigates the necessity of prior MICS training for surgeons embarking on RACS training.

Purpose of the Study:

• To evaluate if a background in MICS is essential before commencing RACS training.
• To assess the feasibility and outcomes of RACS for surgeons without prior MICS experience.

Main Methods:

• Review of the first 30 consecutive RACS procedures performed by two surgeons.
• One surgeon had no formal MICS training; the other did.
• Data collected prospectively from November 2014 to January 2016.

Main Results:

• The non-MICS-trained surgeon performed 12 procedures (40%) including anterior resections and abdominoperineal resection (APER).
• No intra-operative complications were reported; two patients required re-operation.
• All oncological resections achieved clear margins with a median node harvest of 18.

Conclusions:

• A background in MICS is not essential for initiating RACS training.
• Surgeons without prior MICS experience can be successfully trained in RACS.
• Structured robotic training enables the establishment of safe and effective robotic colorectal services.