Training in Robotic Colorectal Surgery

In the light of the current dissemination of robotic surgery, there will likely be fundamental robotic skills requirements to complete general surgery residency, and the need for a structured robotic training curriculum has been supported by several associations and program directors. Training a robotic colorectal surgeon has two different aspects to consider: learning how to use the platform, and learning procedural skills strictly related to colorectal surgery. Broad consensus exists on the fact that a structured robotic colorectal training program should have a modular approach including theoretical knowledge, case observation, simulation, and proctored training. Additionally, the ideal robotic colorectal training program should provide an objective assessment of acquired skills with well-established requirements to proceed from one step to the next, and non-operative robotic skills should also be implemented and evaluated. Another relevant feature of robotic colorectal training is the component-based approach, which consists in deconstructing the procedure in defined and measurable components that can be evaluated more objectively. Finally, we are not only training console surgeons, but also bedside assistants since correct trocar positioning and reliable feedback from the operating table are essential to the effective and safe completion of a robotic colorectal procedure.