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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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The deconstructed procedural description in robotic colorectal surgery.

Kirsten Larkins1,2,3, Ned Quirke4, Hwa Ian Ong5,6

  • 1Department of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.

Journal of Robotic Surgery
|March 30, 2024
PubMed
Summary

Standardized robotic colorectal surgery training requires deconstructed procedural descriptions (DPDs). This review identified 20 DPDs for 8 procedures, aiding proficiency-based training and a global curriculum.

Keywords:
Colorectal surgeryCurriculum designRobotic surgeryRobotic surgical trainingSurgical education

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Education
  • Colorectal Surgery

Background:

  • Robotic colorectal surgery is increasing globally, necessitating standardized training methods.
  • Current training lacks objective, component-based procedural descriptions.
  • Proficiency-based progression requires structured training and assessment.

Purpose of the Study:

  • To identify existing component-based procedural descriptions for robotic colorectal surgery.
  • To determine how these descriptions were developed and used in training.
  • To propose terminology for deconstructed procedural descriptions in surgical training.

Main Methods:

  • A scoping review was conducted in June 2022, adhering to PRISMA-ScR guidelines.
  • Searched for published component-based procedural descriptions in robotic colorectal surgery.
  • Analyzed descriptions for development methods and training utility.

Main Results:

  • 20 published procedural descriptions were identified, covering 8 robotic colorectal procedures.
  • Anterior resection was the most frequently described procedure.
  • Five publications detailed the use of descriptions in education and training.

Conclusions:

  • Deconstructed procedural descriptions (DPDs) can standardize robotic colorectal surgical training.
  • DPDs support a proficiency-based approach with objective metrics.
  • Developing international DPDs can facilitate a global curriculum for surgical competencies.