Swedish Cancer Institute, Seattle, WA, USA.
Intuitive Surgical Inc, Sunnyvale, CA, USA.
J Robot Surg. 2024 Oct 14;18(1):365. doi: 10.1007/s11701-024-02118-y.
The Association of Program Directors for Colon and Rectal Surgery (APDCRS) has sponsored a standardized robotics course for colorectal and minimally invasive surgery fellows since 2011. The study objective was to assess the impact of the APDCRS-sponsored course on surgical approaches adopted by young colorectal surgeons before, during, and after fellowship. An internet-based survey was administered to 2014-2022 ACGME-accredited colorectal surgery program graduates. Study variables were summarized using frequencies and proportions. Survey response rate was 43.2%. Laparoscopic and robotic volumes were consistently higher than open and hand-assist laparoscopic volumes over the study period. About 70.0% of fellows performed ≥ 20 laparoscopic cases before 2017, and over 80% had experience with ≥ 20 laparoscopic cases during/after 2017. An increasing trend of performing ≥ 20 robotic colorectal cases during fellowship was observed (before 2017: 75.0%, 2018-2019: 76.9%, and 2021-2022: 84.8%). Multivariate logistic regression analysis showed that higher robotic volume (≥ 25 colorectal cases) during general surgery residency increased odds of performing ≥ 50 robotic cases during fellowship (OR: 4.38, 95% CI 0.88, 26.1). Higher robotic volumes during fellowship correlated with higher robotic volumes in the first year of post-fellowship practice. 88.6% of respondents agree (21.0%) or strongly agree (67.6%) that the APDCRS robotics training course met expectations, and 83.8% agree or strongly agree that the course prepared them for post-graduate robotics practice. The APDCRS-sponsored robotics training course met expectations and prepared colorectal surgery fellows for adopting the robotic approach after graduation, with the majority of respondents reporting that they utilize robotics in their post-graduation colorectal practice.
美国结直肠外科学院（APDCRS）自 2011 年以来一直为结直肠和微创外科研究员提供标准化的机器人课程。本研究的目的是评估 APDCRS 赞助的课程对年轻结直肠外科医生在 fellowship 前后采用的手术方法的影响。一项基于互联网的调查针对 2014 年至 2022 年接受 ACGME 认证的结直肠手术项目毕业生进行。研究变量使用频率和比例进行总结。调查的回复率为 43.2%。在研究期间，腹腔镜和机器人手术量始终高于开放和手动腹腔镜手术量。大约 70.0%的研究员在 2017 年之前完成了≥20 例腹腔镜手术，超过 80%的研究员在 2017 年期间/之后有≥20 例腹腔镜手术经验。在 fellowship 期间，完成≥20 例机器人结直肠手术的趋势呈上升趋势（2017 年之前：75.0%，2018-2019 年：76.9%，2021-2022 年：84.8%）。多变量逻辑回归分析表明，普通外科住院医师期间较高的机器人手术量（≥25 例结直肠手术）增加了 fellowship期间完成≥50 例机器人手术的可能性（OR：4.38，95%CI 0.88，26.1）。 fellowship 期间的机器人手术量越高，毕业后第一年的机器人手术量也越高。88.6%的受访者同意（21.0%）或强烈同意（67.6%）该课程满足期望，83.8%的受访者同意或强烈同意该课程为他们的研究生机器人实践做好了准备。APDCRS 赞助的机器人培训课程满足期望，并为结直肠外科研究员毕业后采用机器人方法做好了准备，大多数受访者报告说他们在毕业后的结直肠实践中使用机器人。
