Robotic colorectal surgery training: Portsmouth perspective

Area of Science:

• Surgical Education
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Robotic surgery is increasingly adopted in colorectal procedures.
• Standardized training is crucial for safe and effective implementation.
• Existing training pathways require comprehensive review.

Purpose of the Study:

• To delineate the core principles and essential components of robotic colorectal surgery training.
• To present a detailed stepwise training pathway implemented at Portsmouth Hospitals University NHS Trust.
• To highlight the importance of structured training for surgical proficiency.

Main Methods:

• A narrative review of existing literature on robotic surgical training principles.
• Description of a multi-stage training model including theoretical, simulation, and practical components.
• Analysis of the training pathway at Portsmouth Colorectal.

Main Results:

• Robotic surgical training necessitates a progressive approach: theoretical knowledge, observation, simulation, dry/wet labs, tutored programs, proctoring, and procedure-specific training.
• Portsmouth Colorectal utilizes an established, safe, stepwise robotic training model.
• The program has demonstrated positive perioperative and oncological outcomes since 2015.

Conclusions:

• A comprehensive, stepwise robotic surgery training program is vital for developing safe and effective surgical skills.
• Structured training enhances trainee performance and minimizes errors in robotic colorectal surgery.
• Continuous promotion and augmentation of safe robotic training are essential for maintaining high standards of care.