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Structured training pathway for robotic colorectal surgery: Short-term outcomes from five UK centres.
Mehmet Ali Koc1,2, Maria Sofia Thomas1,3, Sofoklis Mavrantonis1,4
1Champalimaud Foundation, Champalimaud Clinical Center, Lisbon, Portugal.
Summary
Structured training for robotic colorectal surgery in the UK yielded safe and effective short-term outcomes. This approach demonstrated favorable oncological results and clinical results in five centers.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Robotic colorectal surgery offers potential benefits but requires standardized training.
- Implementing structured training pathways is crucial for safe adoption.
Purpose of the Study:
- To assess short-term outcomes of robotic colorectal surgery.
- Evaluate the effectiveness of a standardized training pathway across multiple UK centers.
Main Methods:
- Multicenter retrospective observational study of 523 patients (2015-2019).
- All centers utilized the European Academy of Robotic Colorectal Surgery training pathway.
- Data collected included demographics, operative details, outcomes, and pathology.
Main Results:
- Low conversion rate (4.2%) and no 30-day mortality.
- Median length of stay was 6 days; readmission (8.8%) and reoperation (7.3%) rates were reported.
- Favorable oncological outcomes with a 2.6% positive circumferential resection margin rate.
Conclusions:
- A structured, standardized training pathway enables safe and effective robotic colorectal surgery.
- Favorable short-term oncological and clinical outcomes were achieved.
- Further research on long-term and functional outcomes is warranted.
