Accelerated learning curve for colorectal resection, open versus laparoscopic approach, can be attained with expert supervision

Abstract

Surgeons who have completed a basic surgical residency but have limited colorectal surgery experience can learn both open and laparoscopic colorectal surgery simultaneously in an effective manner under supervision by well-experienced surgeons.

Short-Term Efficacy of Laparoscopic Treatment for Colorectal Cancer in Patients with Schistosomiasis Japonica

“…The duration of surgery was found to be greater in the LAC group than in the OC group, which is consistent with previous findings [13–16]. However, the operative time is likely to reduce with increasing surgical experience [17, 18]. Moreover, the lymph node yield was similar in the two groups, which suggests that oncological clearance is not compromised with laparoscopic surgery.…”

Observational clinical human reliability analysis (OCHRA) for competency assessment in laparoscopic colorectal surgery at the specialist level

“…Increased rates of conversion and complications have been reported in the early proficiency gain period [1,2]. There is also evidence that supervised training significantly reduces undesirable outcomes [3,4]. This was the rationale for the setup of the National Training Program in England (NTP), which provides supervised training to consultant colorectal surgeons at the beginning of their learning curve, with proven successful outcomes [5,6].…”

The Impact of a Pelvic Pillow on Learning How to Perform Laparoscopic Low Anterior Resection for Rectal Cancer

“…7 The surgeon's learning curve is considered to be important for the outcome of laparoscopic surgery for colorectal cancer. 3,[7][8][9][10][11][12][13] Laparoscopic low anterior resection (LAR) using the double-stapling technique for the rectal cancer is considered to be technically challenging because it is difficult to perform rectal transection and anastomosis in the narrow pelvic cavity. 2,4-6 Therefore, it is important to maintain an excellent view of the pelvic surgical field during the laparoscopic LAR.…”