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The current status of robotic colorectal surgery training programmes.
Deena Harji1,2, Fergus Houston3, Joshua Burke4,5
1Department of Colorectal Surgery, Manchester University NHS Foundation Trust, Manchester, UK. deena.harji@mft.nhs.uk.
Journal of Robotic Surgery
|June 3, 2022
Summary
Structured robotic training for colorectal surgery is increasing. This review found common training elements but limited objective assessment, highlighting a need for standardized metrics to ensure surgeon competence.
Area of Science:
- Surgical Education
- Robotics in Medicine
- Colorectal Surgery
Background:
- Robotic-assisted colorectal surgery (RACS) is experiencing significant growth.
- Standardized training is crucial for maintaining high clinical outcomes in RACS.
- This review assesses current RACS training programs' structure and assessment methods.
Approach:
- A systematic review was conducted following PRISMA guidelines.
- Searches covered Ovid Medline, Embase, and Web of Science databases (2000-2021).
- Included studies reported on training curricula and assessment metrics for RACS.
Key Points:
- All 13 identified programs utilized the da Vinci platform.
- Common training components included theoretical knowledge, observation, simulation, and proctored training.
- Robotic skills assessment primarily occurred during simulation and proctoring phases.
Conclusions:
- While core multimodal training components are consistent, objective assessment methods are limited and variable.
- There is a need for standardized, validated assessment metrics to ensure reproducible progression criteria.
- Standardization is essential for robustly evaluating surgeon competence in RACS.

