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Training4all project - from an advanced minimally invasive surgery course to a national training program
Mário Rui Gonçalves1, Salvador Morales-Conde2, Ricardo Marinho3
1Faculty of Health Sciences, CACB - Academic Clinical Center of Beiras, University of Beira Interior, Covilhã, Portugal. marioruig@gmail.com.
Journal of Robotic Surgery
|March 4, 2026
Summary
General surgery residents highly value hands-on training in advanced minimally invasive surgery (MIS) and robotic surgery. Simulation-based courses significantly improve skills, highlighting the need for comprehensive, structured residency programs.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Increasing demand for minimally invasive surgery (MIS) training among general surgery residents.
- Challenges in current surgical residency programs necessitate innovative training solutions.
- Simulation-based curricula offer a structured approach to address training gaps.
Purpose of the Study:
- To evaluate the effectiveness of a hands-on surgical course in advanced laparoscopic and robotic surgery.
- To assess the impact of the course on residents' minimally invasive surgery (MIS) and robotic surgery skills.
- To identify gaps in current resident surgical training.
Main Methods:
- Analysis of data from questionnaires administered to participants of two course editions.
- Inclusion of 16 surgical residents with no prior robotic surgery experience.
- Focus on advanced laparoscopic and robotic surgery techniques.
Main Results:
- High participant valuation of the course for acquiring advanced MIS and basic robotic surgery skills.
- Significant improvements in autonomy for laparoscopic suture, anastomosis, fundoplication, right colectomy, and rectum resection (p < .001).
- The course identified critical gaps in existing resident surgical training.
Conclusions:
- Hands-on MIS courses are highly valued by residents for skills acquisition.
- Preliminary findings support the development of a comprehensive, residency-long training program in laparoscopic and robotic surgery.
- A nationwide, simulation-based program is proposed to meet the need for structured, progressive, and accessible surgical training.
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