Department of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
International Medical Robotics Academy, North Melbourne, VIC, Australia.
J Robot Surg. 2024 Mar 30;18(1):147. doi: 10.1007/s11701-024-01907-9.
Increasing robotic surgical utilisation in colorectal surgery internationally has strengthened the need for standardised training. Deconstructed procedural descriptions identify components of an operation that can be integrated into proficiency-based progression training. This approach allows both access to skill level appropriate training opportunities and objective and comparable assessment. Robotic colorectal surgery has graded difficulty of operative procedures lending itself ideally to component training. Developing deconstructed procedural descriptions may assist in the structure and progression components in robotic colorectal surgical training. There is no currently published guide to procedural descriptions in robotic colorectal surgical or assessment of their training utility. This scoping review was conducted in June 2022 following the PRISMA-ScR guidelines to identify which robotic colorectal surgical procedures have available component-based procedural descriptions. Secondary aims were identifying the method of development of these descriptions and how they have been adapted in a training context. 20 published procedural descriptions were identified covering 8 robotic colorectal surgical procedures with anterior resection the most frequently described procedure. Five publications included descriptions of how the procedural description has been utilised for education and training. From these publications terminology relating to using deconstructed procedural descriptions in robotic colorectal surgical training is proposed. Development of deconstructed robotic colorectal procedural descriptions (DPDs) in an international context may assist in the development of a global curriculum of component operating competencies supported by objective metrics. This will allow for standardisation of robotic colorectal surgical training and supports a proficiency-based training approach.
在国际范围内，机器人手术在结直肠手术中的应用不断增加，这使得标准化培训的需求更为迫切。分解后的手术描述确定了可以整合到基于熟练程度的进展培训中的手术组成部分。这种方法既能让学员获得适合其技能水平的培训机会，又能对其进行客观、可比的评估。机器人结直肠手术的操作难度是分级的，非常适合采用组件式培训。开发分解后的手术描述可以帮助构建和推进机器人结直肠手术培训的各个环节。目前还没有关于机器人结直肠手术的手术描述或评估其培训效用的指南。本研究于 2022 年 6 月根据 PRISMA-ScR 指南进行，旨在确定哪些机器人结直肠手术具有基于组件的手术描述。次要目标是确定这些描述的开发方法以及它们在培训环境中的应用方式。共确定了 20 个已发表的手术描述，涵盖了 8 种机器人结直肠手术，其中前切除术是描述最多的手术。有 5 篇出版物介绍了如何将手术描述用于教育和培训。从这些出版物中，提出了在机器人结直肠手术培训中使用分解手术描述的相关术语。在国际背景下开发分解式机器人结直肠手术描述（DPD），可能有助于开发基于客观指标的组件操作能力的全球课程，从而实现机器人结直肠手术培训的标准化，并支持基于熟练程度的培训方法。
