Related Experiment Video
Updated: Jun 15, 2025
12:45
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
5.6K
Learning Curve of Robotic-Assisted Low Anterior Resection for Low and Mid Rectal Cancer
Nir Horesh1,2,3, Roi Anteby1,2, Mai Shiber1,2
1Department of Surgery and Transplantations, Sheba Medical Center, Ramat Gan, Israel.
Summary
A novice colorectal surgeon
Area of Science:
- Colorectal Surgery
- Robotic Surgery
- Surgical Education
Background:
- Robotic-assisted surgery is increasingly adopted for rectal cancer.
- Learning curves for robotic procedures can be influenced by platform access and surgeon experience.
Purpose of the Study:
- To assess the learning curve for robotic-assisted low anterior resection with diverting loop ileostomy (LARDLI) in rectal cancer.
- To evaluate the impact of limited robotic platform access on surgical learning.
Main Methods:
- Retrospective analysis of 107 LARDLI procedures for low/mid rectal cancer.
- Data collected included demographics, clinical, and pathological information.
- Cumulative sum (CUSUM) analysis was used to determine the learning curve for operative time.
Main Results:
- The learning curve for a novice surgeon with limited robotic access was 49 cases.
- Median operative time was 295.5 minutes, with a 3.7% conversion rate.
- Postoperative complication rate was 32.7%, with 6.5% major complications.
Conclusions:
- A novice colorectal surgeon requires approximately 49 cases to master robotic-assisted LARDLI for rectal cancer.
- Surgeon dedication, team support, and hospital resources can optimize the learning curve.
