Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

Autor: de'Angelis, Nicola, Marchegiani, Francesco, Schena, Carlo Alberto, Khan, Jim, Agnoletti, Vanni, Ansaloni, Luca, Barría Rodríguez, Ana Gabriela, Bianchi, Paolo Pietro, Biffl, Walter, Bravi, Francesca, Ceccarelli, Graziano, Ceresoli, Marco, Chiara, Osvaldo, Chirica, Mircea, Cobianchi, Lorenzo, Coccolini, Federico, Coimbra, Raul, Cotsoglou, Christian, D'Hondt, Mathieu, Damaskos, Dimitris, De Simone, Belinda, Di Saverio, Salomone, Diana, Michele, Espin-Basany, Eloy, Fichtner-Feigl, Stefan, Fugazzola, Paola, Gavriilidis, Paschalis, Gronnier, Caroline, Kashuk, Jeffry, Kirkpatrick, Andrew W., Ammendola, Michele, Kouwenhoven, Ewout A., Laurent, Alexis, Leppaniemi, Ari, Lesurtel, Mickaël, Memeo, Riccardo, Milone, Marco, Moore, Ernest, Pararas, Nikolaos, Peitzmann, Andrew, Pessaux, Patrick, Picetti, Edoardo, Pikoulis, Manos, Pisano, Michele, Ris, Frederic, Robison, Tyler, Sartelli, Massimo, Shelat, Vishal G., Spinoglio, Giuseppe, Sugrue, Michael, Tan, Edward, Van Eetvelde, Ellen, Kluger, Yoram, Weber, Dieter, Catena, Fausto, Universitat Autònoma de Barcelona
Přispěvatelé: Institut Català de la Salut, [de'Angelis N] Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, Paris, France. Faculty of Medicine, University of Paris Est, UPEC, Créteil, France. [Marchegiani F, Schena CA] Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, Paris, France. [Khan J] Department of Colorectal Surgery, Queen Alexandra Hospital, University of Portsmouth, Southwick Hill Road, Cosham, Portsmouth, UK. [Agnoletti V] Intensive Care Unit, Bufalini Hospital, Cesena, Italy. [Ansaloni L] Intensive Care Unit, Bufalini Hospital, Cesena, Italy. [Espin-Basany E] Servei de Cirurgia General i Digestiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain, Vall d'Hebron Barcelona Hospital Campus, De'Angelis, N, Marchegiani, F, Schena, C, Khan, J, Agnoletti, V, Ansaloni, L, Barria Rodriguez, A, Bianchi, P, Biffl, W, Bravi, F, Ceccarelli, G, Ceresoli, M, Chiara, O, Chirica, M, Cobianchi, L, Coccolini, F, Coimbra, R, Cotsoglou, C, D'Hondt, M, Damaskos, D, De Simone, B, Di Saverio, S, Diana, M, Espin-Basany, E, Fichtner-Feigl, S, Fugazzola, P, Gavriilidis, P, Gronnier, C, Kashuk, J, Kirkpatrick, A, Ammendola, M, Kouwenhoven, E, Laurent, A, Leppaniemi, A, Lesurtel, M, Memeo, R, Milone, M, Moore, E, Pararas, N, Peitzmann, A, Pessaux, P, Picetti, E, Pikoulis, M, Pisano, M, Ris, F, Robison, T, Sartelli, M, Shelat, V, Spinoglio, G, Sugrue, M, Tan, E, Van Eetvelde, E, Kluger, Y, Weber, D, Catena, F
Rok vydání: 2023
Předmět:
educación::programa de estudios [ANTROPOLOGÍA
EDUCACIÓN
SOCIOLOGÍA Y FENÓMENOS SOCIALES]
Surgical Procedures
Operative::Digestive System Surgical Procedures [ANALYTICAL
DIAGNOSTIC AND THERAPEUTIC TECHNIQUES
AND EQUIPMENT]
Robotic surgery
intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo [TÉCNICAS Y EQUIPOS ANALÍTICOS
DIAGNÓSTICOS Y TERAPÉUTICOS]
Robòtica en medicina
Sciences du Vivant [q-bio]/Médecine humaine et pathologie
Training curriculum in surgery
intervenciones quirúrgicas::cirugía asistida por ordenador::procedimientos quirúrgicos robotizados [TÉCNICAS Y EQUIPOS ANALÍTICOS
DIAGNÓSTICOS Y TERAPÉUTICOS]
Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10]
Aparell digestiu - Malalties - Cirurgia
All institutes and research themes of the Radboud University Medical Center
Formació
Education::Curriculum [ANTHROPOLOGY
EDUCATION
SOCIOLOGY
AND SOCIAL PHENOMENA]
Minimally invasive surgery
Emergency Medicine
Emergency surgery
Surgery
Laparoscopy
Surgical Procedures
Operative::Surgery
Computer-Assisted::Robotic Surgical Procedures [ANALYTICAL
DIAGNOSTIC AND THERAPEUTIC TECHNIQUES
AND EQUIPMENT]
Zdroj: World Journal of Emergency Surgery, 18, 1
World Journal of Emergency Surgery, 18
Scientia
ISSN: 1749-7922
Popis: Minimally invasive surgery (MIS), including laparoscopic and robotic approaches, is widely adopted in elective digestive surgery, but selectively used for surgical emergencies. The present position paper summarizes the available evidence concerning the learning curve to achieve proficiency in emergency MIS and provides five expert opinion statements, which may form the basis for developing standardized curricula and training programs in emergency MIS. Background Minimally invasive surgery (MIS), including laparoscopic and robotic approaches, is widely adopted in elective digestive surgery, but selectively used for surgical emergencies. The present position paper summarizes the available evidence concerning the learning curve to achieve proficiency in emergency MIS and provides five expert opinion statements, which may form the basis for developing standardized curricula and training programs in emergency MIS. Methods This position paper was conducted according to the World Society of Emergency Surgery methodology. A steering committee and an international expert panel were involved in the critical appraisal of the literature and the development of the consensus statements. Results Thirteen studies regarding the learning curve in emergency MIS were selected. All but one study considered laparoscopic appendectomy. Only one study reported on emergency robotic surgery. In most of the studies, proficiency was achieved after an average of 30 procedures (range: 20–107) depending on the initial surgeon’s experience. High heterogeneity was noted in the way the learning curve was assessed. The experts claim that further studies investigating learning curve processes in emergency MIS are needed. The emergency surgeon curriculum should include a progressive and adequate training based on simulation, supervised clinical practice (proctoring), and surgical fellowships. The results should be evaluated by adopting a credentialing system to ensure quality standards. Surgical proficiency should be maintained with a minimum caseload and constantly evaluated. Moreover, the training process should involve the entire surgical team to facilitate the surgeon’s proficiency. Conclusions Limited evidence exists concerning the learning process in laparoscopic and robotic emergency surgery. The proposed statements should be seen as a preliminary guide for the surgical community while stressing the need for further research. journal article review 2023 Jan 27 2023 01 27 imported
Databáze: OpenAIRE
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