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机器人结直肠手术培训的发展历程。

The evolution of training in robotic colorectal surgery.

作者信息

Smyth R, Francis N, Vasudevan S

机构信息

University Hospital Southampton NHS Foundation trust, Southampton, United Kingdom.

Yeovil District hospital NHS Foundation trust, Yeovil, United Kingdom.

出版信息

J Robot Surg. 2025 Aug 29;19(1):530. doi: 10.1007/s11701-025-02670-1.

Abstract

The integration of robotic technology into colorectal surgery has transformed surgical practice, demanding advancements in training methods. This narrative review explores the evolution of training in robotic colorectal surgery, from early observational learning and manual mentorship to the incorporation of simulation-based training, structured curricula, and competency-based assessments. Key milestones include the development of validated metrics, the adoption of virtual reality and augmented reality platforms, and the establishment of dedicated robotic fellowships and certification frameworks. The review also highlights ongoing challenges such as access to training, standardization across institutions, and the need for evidence-based evaluation of training outcomes. As robotic platforms continue to evolve, so too must the educational strategies that prepare surgeons for safe and effective practice. Future directions point toward greater integration of artificial intelligence, real-time performance feedback, and global collaboration in curriculum design.

摘要

将机器人技术整合到结直肠手术中已经改变了手术实践,这就要求培训方法有所进步。这篇叙述性综述探讨了机器人结直肠手术培训的演变,从早期的观察性学习和人工指导到纳入基于模拟的培训、结构化课程和基于能力的评估。关键里程碑包括开发经过验证的指标、采用虚拟现实和增强现实平台,以及建立专门的机器人进修项目和认证框架。该综述还强调了持续存在的挑战,如培训机会、各机构之间的标准化,以及对培训结果进行循证评估的必要性。随着机器人平台不断发展,为外科医生进行安全有效的实践做好准备的教育策略也必须不断发展。未来的方向是在课程设计中更大程度地整合人工智能、实时性能反馈和全球合作。

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