Safe Laparoscopic Colorectal Surgery Performed by Trainees

Short-term clinical outcomes of a European training programme for robotic colorectal surgery

“…Median operation time was shortest in the proctor group and about 47 min shorter than in the training cases. This finding is comparable to outcomes of previous studies for training in laparoscopic colorectal surgery [36][37][38][39]. Although EBL was statistically significantly different between the three groups (training vs. graduate vs. proctor: 50, 50, 20 ml; p < 0.001), this is probably not clinically relevant and did not translate into a higher rate of post-operative complications.…”

Systematic review and meta-analysis of trainee- versus expert surgeon-performed colorectal resection

“…Using a random-effects model, trainees and expert surgeons were found to be similar in terms of proportion 12 Chester and Britton 15 Chester and Britton 15 Chester and Britton 15 Chester and Britton 15 Dalton et al 17 Dalton et al 17 Dalton et al 17 Dalton et al 17 Dalton et al 17 Hawkins et al 21 Hawkins et al 21 Hawkins et al 21 Hilska et al 19 Hilska et al 19 Isbister 13 Isbister 13 Isbister 13 Isbister 13 Khan et al 30 Langhoff et al 23 Langhoff et al 23 Li et al 14 Li et al 14 Pastor et al 22 Renwick et al 18 Renwick et al 18 Renwick et al 18 Singh and Aitken 25 Tytherleigh et al 24 Tytherleigh et al 24 Verheijen et al 26 Values in parentheses are 95 per cent confidence intervals. *Weighted mean difference (WMD) for duration of operation and odds ratio for other outcomes.…”

“…Borowski et al 12 Chester and Britton 15 Costantino et al 29 Dalton et al 17 Hawkins et al 21 Hilska et al 19 Isbister 13 Khan et al 30 Krishna et al 16 Langhoff et al 23 Li et al 14 Pastor et al 22 Renwick et al 18 Singh and Aitken 25 Tytherleigh et al 24 Verheijen et al 26 Total Heterogeneity:…”

Intraoperative adverse events during laparoscopic colorectal resection—better laparoscopic treatment but unchanged incidence. Lessons learnt from a Swiss multi-institutional analysis of 3,928 patients

“…However, these findings were not confirmed in a recent study on 991 consecutive laparoscopic resections [28]. Likewise, Langhoff et al suggested that laparoscopic surgery for colorectal cancer can be performed safely by supervised trainees with good short-term results [29].…”