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The evolution of training in robotic colorectal surgery
R Smyth1, N Francis2,3, S Vasudevan4
1University Hospital Southampton NHS Foundation trust, Southampton, United Kingdom. rachel.smyth@uhs.nhs.uk.
Journal of Robotic Surgery
|August 29, 2025
Summary
Robotic colorectal surgery training has evolved from mentorship to simulation and competency assessments. Future training will integrate AI and global collaboration for enhanced surgical education.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic technology has significantly impacted colorectal surgery.
- Traditional surgical training methods are insufficient for robotic procedures.
- Need for specialized training in robotic colorectal surgery.
Purpose of the Study:
- To review the evolution of training in robotic colorectal surgery.
- To identify key milestones and challenges in robotic surgical education.
- To outline future directions for robotic colorectal surgery training.
Main Methods:
- Narrative review of literature on robotic colorectal surgery training.
- Analysis of historical development and current trends.
- Identification of advancements like simulation, VR/AR, and structured curricula.
Main Results:
- Training has progressed from observation to simulation-based methods.
- Validated metrics, VR/AR, fellowships, and certification frameworks are key developments.
- Challenges include training access, standardization, and outcome evaluation.
Conclusions:
- Surgical training must adapt to evolving robotic platforms.
- Future training requires AI integration, real-time feedback, and global collaboration.
- Ensuring safe and effective robotic colorectal surgery practice through advanced education.

