Strukturierte Implementierung und modulares inhouse Training als
                    zentrale Erfolgsfaktoren in der robotisch assistierten Chirurgie – Evaluation am
                    Beispiel der kolorektalen Chirurgie

Rückbeil, Oskar; Sebestyen, Uwe; Schlick, Tilman; Krüger, Colin M.

doi:10.1055/a-1552-4236

Cited by 5 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twenty articles were considered relevant to this research question [37–56]: three were comparative studies [37–39], 11 were case series [40–50] and six were consensus statements, review articles and an Editorial [51–56].…”

Section: Resultsmentioning

confidence: 99%

“…Twenty articles were considered relevant to this research question [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56]: three were comparative studies [37][38][39], 11 were case series [40][41][42][43][44][45][46][47][48][49][50] and six were consensus statements, review articles and an Editorial [51][52][53][54][55][56].…”

Section: Rationale For Recommendationmentioning

confidence: 99%

See 1 more Smart Citation

European Society of Coloproctology guideline on training in robotic colorectal surgery (2024)

Tou,

Au,

Clancy

et al. 2024

Colorectal Disease

View full text Add to dashboard Cite

Recommendations 777 Knowledge required for performing robotic colorectal surgery: recommendations 777 Technical skills required for performing robotic colorectal surgery: recommendations 778 Nontechnical skills required for performing robotic colorectal surgery: recommendation 778 Assessment of competency/proficiency during training in robotic colorectal surgery: recommendation 778 Credentialing in robotic colorectal surgery: recommendation 778 Clinical outcome data registry in robotic colorectal surgery: recommendation 778 BACKGROUND 778 Target audience 778 METHOD 779 Formation of the guideline working group 779 Process of guideline construction 779 Scope of this guideline 779 Knowledge required for performing robotic colorectal surgery 779 Technical skills required for performing robotic colorectal surgery 780 Nontechnical skills required for performing robotic colorectal surgery 780 Assessment of competency/proficiency during training in robotic colorectal surgery Credentialing in robotic colorectal surgery Clinical outcome data registry in robotic colorectal surgery Outcomes measured Critical for decision-making Important, but not critical for decision-making Of low importance Literature searches Resources Handling of citations Study eligibility assessment and selection Reviewing research evidence Method used to make recommendations Drafting of statements and supporting text RESULTS Knowledge required for performing robotic colorectal surgery Recommendation Rationale for recommendation Future research priorities Recommendation Rationale for recommendation Future research priorities This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Rationale For Recommendationmentioning

confidence: 99%

European Society of Coloproctology guideline on training in robotic colorectal surgery (2024)

Tou,

Au,

Clancy

et al. 2024

Colorectal Disease

View full text Add to dashboard Cite

show abstract

“…The literature search of curricular programs for robotic visceral surgery provided a total of 74 results after removal of duplicates. Of these, 17 studies were identified which included description of curricular teaching structures for robotic visceral surgery [2,4,12,14,16,[31][32][33][34][35][36][37][38][39][40][41][42][43] (Table 3). The relevant studies were screened regarding authors, journal and year of publication, personnel participation, simulator training, bedside assistance, console training, referring operations or organ systems, curricular phases or time periods, connection to residents' post-graduate year or any other connection to surgical experience and evaluation methods (Table 3).…”

Section: Resultsmentioning

confidence: 99%

RoCS: Robotic Curriculum for young Surgeons

et al. 2022

View full text Add to dashboard Cite

Robotic-assisted procedures gain increasing acceptance for daily surgical routine. However, structured training programs are designed for surgeons with high expertise. Hence, a comprehensive training curriculum was established to ensure a basic competence in robotic abdominal surgery for young surgeons during their residency. The aim of the current work is to propose a feasible and effective training concept. The development process of this training curriculum is based on a comprehensive literature review which led to the concept of “robotic curriculum for young surgeons” (RoCS). It was implemented in the daily routine of a German university hospital starting in 2020. The robotic assessment questionnaire (RAQ) was used for electronic data collection. After the initial phase adjustments, it led to an improvement of the initial version of the curriculum. RoCS is a multimodal training program containing basic training through assistance at the operation table during robotic-assisted operations and basic console training. Key elements are the robotic team time-out (rTTO), perioperative process standardization including feasible personnel scheduling and useful procedure clustering into organ systems, procedural steps and procedural step complexity. Evaluation of standardized communication, performance assessment, patient factors and individual overall workload using NASA Task Load Index is realizable. Flexibility and adaptability to internal organization processes of surgical departments are the main advantages of the concept. RoCS is a strong training tool to meet the specific needs of young surgeons and evaluate their learning success of robotic procedural training. Furthermore, comparison within the different robotic systems should be considered. Further studies are needed to validate a multicenter concept design.

show abstract

The training pathway for residents: ‘Robotic Curriculum for young Surgeons’ (RoCS) does not impair patient outcome during implementation into clinical routine

Stockheim,

Andriof,

Andric

et al. 2024

J Robotic Surg

View full text Add to dashboard Cite

The “Robotic Curriculum for young Surgeons” (RoCS) was launched 03/2020 to address the increasing importance of robotics in surgical training. It aims to provide residents with foundational robotic skills by involving them early in their training. This study evaluated the impact of RoCS’ integration into clinical routine on patient outcomes. Two cohorts were compared regarding the implementation of RoCS: Cohort 1 (before RoCS) included all robot-assisted procedures between 2017 and 03/2020 (n = 174 adults) retrospectively; Cohort 2 (after RoCS) included all adults (n = 177) who underwent robotic procedures between 03/2020 and 2021 prospectively. Statistical analysis covered demographics, perioperative parameters, and follow-up data, including mortality and morbidity. Subgroup analysis for both cohorts was organ-related (upper gastrointestinal tract (UGI), colorectal (CR), hepatopancreaticobiliary system (HPB)). Sixteen procedures were excluded due to heterogeneity. In-hospital, 30-, 90-day morbidity and mortality showed no significant differences between both cohorts, including organ-related subgroups. For UGI, no significant intraoperative parameter changes were observed. Surgery duration decreased significantly in CR and HPB procedures (p = 0.018 and p < 0.001). Estimated blood loss significantly decreased for CR operations (p = 0.001). The conversion rate decreased for HPB operations (p = 0.005). Length of hospitalization decreased for CR (p = 0.015) and HPB (p = 0.006) procedures. Oncologic quality, measured by histopathologic R0-resections, showed no significant changes. RoCS can be safely integrated into clinical practice without compromising patient safety or oncologic quality. It serves as an effective training pathway to guide robotic novices through their first steps in robotic surgery, offering promising potential for skill acquisition and career advancement.

show abstract

Strukturierte Implementierung und modulares inhouse Training als zentrale Erfolgsfaktoren in der robotisch assistierten Chirurgie – Evaluation am Beispiel der kolorektalen Chirurgie

Cited by 5 publications

References 22 publications

European Society of Coloproctology guideline on training in robotic colorectal surgery (2024)

European Society of Coloproctology guideline on training in robotic colorectal surgery (2024)

RoCS: Robotic Curriculum for young Surgeons

The training pathway for residents: ‘Robotic Curriculum for young Surgeons’ (RoCS) does not impair patient outcome during implementation into clinical routine

Contact Info

Product

Resources

About