Education in robotic colorectal surgery

Czech version

Authors: M. Škrovina ^1,2; Ch. Holna ³; M. Dosoudil ¹; F. Tóth ³
Authors‘ workplace: Chirurgické oddělení, Nemocnice AGEL Nový Jičín a. s. ¹; Chirurgická klinika LF UP a FN Olomouc ²; SYNEKTIK Czech Republic, s. r. o. ³
Published in: Rozhl. Chir., 2026, roč. 105, č. 2, s. 94-98.
Category: Commercially supported article

Overview

Robot-assisted surgery is a rapidly evolving surgical approach that relies on advanced and sophisticated technology. A well-defined and structured educational process is essential for mastering this type of procedure. A structured surgical pathway allows trainees to shorten the learning curve and achieve outcomes comparable to those of their mentors, after completing the full educational program. The training itself starts with getting familiar with the robotic system da Vinci® under the supervision from a professional coach. Subsequently, the trainee simulate basic movements in a simulator. Realistic practice of basic operating techniques can be achieved thanks to cadavers or special models. This paper presents the structure of the standardized training program in robotic colorectal surgery that is being used nowadays.

Keywords:

Education – colorectal surgery – robotic assisted surgery

Sources

1. Stefanidis D, Scerbo MW, Montero PN et al. Simulator training to automaticity leads to improved skill transfer compared with traditional proficiency-based training: a randomized controlled trial. Ann Surg 2012; 255(1): 30–37. doi: 10.1097/SLA.0b013e318220ef31.

2. Gallagher AG, Ritte E, Champion H et al. Virtual reality simulation for the operating room –⁠ proficiency-based training as a paradigm shift in surgical skills training. Ann Surg 2005; 241(2): 364–372. doi: 10.1097/01.sla.0000151982.85062.80.

3. Martling AL, Holm T, Rutqvist LE at al. Effect of a surgical training programme on outcome of rectal cancer in the County of Stockholm. Stockholm colorectal cancer study group, basingstone bowel cancer research project. Lancet 2000; 356(9224): 93–96. doi: 10.1016/s0140-67363(00)02469-7.

4. Martling A, Holm T, Rutqvist LE et al. Impact of a surgical training programme on rectal cancer outcomes in Stockholm. Br J Surg 2005; 92(2): 225–229. doi: 10.1002/bjs.4834.

5. Tou S, Ruiz MG, Gallagher AG et al. European expert consensus on a structured approach to training robotic-assisted low anterior resection using performance metrics. Colorectal Dis 2020; 22(12): 2232–2242. doi: 10.1111/codi.15269. 6 da Vinci SimNow simulator. 2025 [online]. Dostupný z: https://www.intuitive.com/en-us/products-and-services/da-vinci/learning/simnow.

6. da Vinci and Ion Training Passport. 2025 [online]. Dostupný z: https://www.intuitive.com/en-us/-/media/ISI/Intuitive/Pdf/da%20Vinci-and-Ion-Training-Passport-Customer-Training.pdf.

7. Fundamentals of Robotic Surgery. 2017 [online]. Dostupný z: http://frsurgery.org/.

8. Fundamental Skills of Robot-Assisted Surgery. 2018 [online]. Dostupný z: https://www.roswellpar k.org/education/atlas-program/testingtraining/fundamental-skills-robot -assistedsurgery-fsrs.

9. Robotics Training Network. 2018 [online]. Dostupný z: https ://robotictraining.org/.