Domains of four-step technique training program for laparoscopic colorectal surgery.

Area of Science:

• Minimally invasive surgery
• Surgical education
• Colorectal surgery

Background:

• Laparoscopic colorectal surgery is increasingly adopted by surgeons.
• The Domains of Four-step technique training program (DOF) was developed for novice surgeons.
• The program aims to ensure safe and effective training for laparoscopic colorectal surgery.

Purpose of the Study:

• To evaluate the safety and efficacy of the DOF training program.
• To compare postoperative outcomes between trainees and experienced surgeons.
• To assess the impact of trainee proficiency on patient safety.

Main Methods:

• The DOF program incorporates standard procedures, a four-step technique, and a learning passport system.
• Patients undergoing minimally invasive colorectal resection were enrolled between January 2013 and April 2019.
• Trainees' performance was assessed based on postoperative outcomes and proficiency points.

Main Results:

• No significant difference in short-term postoperative outcomes was observed between training and non-training groups.
• Trainees who achieved proficiency demonstrated no increased risk of morbidity or mortality.
• Trainees performing entire surgeries after reaching proficiency showed comparable outcomes to experienced surgeons.

Conclusions:

• The DOF program provides a safe training environment for laparoscopic colorectal surgery.
• Trainee proficiency within the DOF program is associated with safe patient outcomes.
• The DOF program effectively prepares surgeons for independent laparoscopic colorectal procedures.