Piozzi Guglielmo Niccolò, Subramaniam Sentilnathan, Di Giuseppe Diana Ronconi, Duhoky Rauand, Khan Jim S
Department of Colorectal Surgery, Portsmouth Hospitals University NHS Trust, Portsmouth, UK.
Colorectal Surgery Unit, Department of General Surgery, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Ann Coloproctol. 2024 Aug;40(4):350-362. doi: 10.3393/ac.2024.00444.0063. Epub 2024 Aug 30.
This study aims to discuss the principles and pillars of robotic colorectal surgery training and share the training pathway at Portsmouth Hospitals University NHS Trust. A narrative review is presented to discuss all the relevant and critical steps in robotic surgical training. Robotic training requires a stepwise approach, including theoretical knowledge, case observation, simulation, dry lab, wet lab, tutored programs, proctoring (in person or telementoring), procedure-specific training, and follow-up. Portsmouth Colorectal has an established robotic training model with a safe stepwise approach that has been demonstrated through perioperative and oncological results. Robotic surgery training should enable a trainee to use the robotic platform safely and effectively, minimize errors, and enhance performance with improved outcomes. Portsmouth Colorectal has provided such a stepwise training program since 2015 and continues to promote and augment safe robotic training in its field. Safe and efficient training programs are essential to upholding the optimal standard of care.
本研究旨在探讨机器人结直肠手术培训的原则和支柱，并分享朴茨茅斯医院大学国民保健服务信托基金的培训途径。本文进行了一项叙述性综述，以讨论机器人手术培训中的所有相关关键步骤。机器人培训需要循序渐进的方法，包括理论知识、病例观察、模拟、模拟实验室练习、实体实验室练习、辅导计划、监考（现场或远程指导）、特定手术培训以及随访。朴茨茅斯结直肠外科拥有一个既定的机器人培训模式，采用安全的循序渐进方法，这已通过围手术期和肿瘤学结果得到证明。机器人手术培训应使学员能够安全有效地使用机器人平台，最大限度地减少错误，并通过改善结果提高手术表现。自2015年以来，朴茨茅斯结直肠外科提供了这样一个循序渐进的培训计划，并继续在其领域推广和加强安全的机器人培训。安全高效的培训计划对于维持最佳护理标准至关重要。
