Universität zu Köln

Fong, Yuman, Buell, Joseph F., Collins, Justin ORCID: 0000-0003-2228-1213, Martinie, John, Bruns, Christiane, Tsung, Allan, Clavien, Pierre-Alain, Nachmany, Ido, Edwin, Bjorn, Pratschke, Johann, Solomonov, Evgeny, Koenigsrainer, Alfred and Giulianotti, Pier Cristoforo (2020). Applying the Delphi process for development of a hepatopancreaticobiliary robotic surgery training curriculum. Surg. Endosc., 34 (10). S. 4233 - 4245. NEW YORK: SPRINGER. ISSN 1432-2218

Full text not available from this repository.

Abstract

Background Robotic hepatopancreaticobiliary (HPB) procedures are performed worldwide and establishing processes for safe adoption of this technology is essential for patient benefit. We report results of the Delphi process to define and optimize robotic training procedures for HPB surgeons. Methods In 2019, a robotic HPB surgery panel with an interest in surgical training from the Americas and Europe was created and met. An e-consensus-finding exercise using the Delphi process was applied and consensus was defined as 80% agreement on each question. Iterations of anonymous voting continued over three rounds. Results Members agreed on several points: there was need for a standardized robotic training curriculum for HPB surgery that considers experience of surgeons and based on a robotic hepatectomy includes a common approach for basic robotic skills training (e-learning module, including hardware description, patient selection, port placement, docking, troubleshooting, fundamentals of robotic surgery, team training and efficiency, and emergencies) and an advanced technical skills curriculum (e-learning, including patient selection information, cognitive skills, and recommended operative equipment lists). A modular approach to index procedures should be used with video demonstrations, port placement for index procedure, troubleshooting, and emergency scenario management information. Inexperienced surgeons should undergo training in basic robotic skills and console proficiency, transitioning to full procedure training of e-learning (video demonstration, simulation training, case observation, and final evaluation). Experienced surgeons should undergo basic training when using a new system (e-learning, dry lab, and operating room (OR) team training, virtual reality modules, and wet lab; case observations were unnecessary for basic training) and should complete the advanced index procedural robotic curriculum with assessment by wet lab, case observation, and OR team training. Conclusions Optimization and standardization of training and education of HPB surgeons in robotic procedures was agreed upon. Results are being incorporated into future curriculum for education in robotic surgery.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fong, Yuman UNSPECIFIED UNSPECIFIED UNSPECIFIED Buell, Joseph F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Collins, Justin UNSPECIFIED orcid.org/0000-0003-2228-1213 UNSPECIFIED Martinie, John UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Tsung, Allan UNSPECIFIED UNSPECIFIED UNSPECIFIED Clavien, Pierre-Alain UNSPECIFIED UNSPECIFIED UNSPECIFIED Nachmany, Ido UNSPECIFIED UNSPECIFIED UNSPECIFIED Edwin, Bjorn UNSPECIFIED UNSPECIFIED UNSPECIFIED Pratschke, Johann UNSPECIFIED UNSPECIFIED UNSPECIFIED Solomonov, Evgeny UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenigsrainer, Alfred UNSPECIFIED UNSPECIFIED UNSPECIFIED Giulianotti, Pier Cristoforo UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-323713
DOI:	10.1007/s00464-020-07836-6
Journal or Publication Title:	Surg. Endosc.
Volume:	34
Number:	10
Page Range:	S. 4233 - 4245
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2218
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GLOBAL EVALUATIVE ASSESSMENT; HIGH-VOLUME; LIVER RESECTION; ASSESSMENT-TOOL; HEPATECTOMY; CANCER; CONSENSUS; OUTCOMES; EXPERIENCE; SKILLS Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/32371