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Erschienen in: Surgical Endoscopy 10/2020

07.08.2020 | Consensus Statement

Applying the Delphi process for development of a hepatopancreaticobiliary robotic surgery training curriculum

verfasst von: Yuman Fong, Joseph F. Buell, Justin Collins, John Martinie, Christiane Bruns, Allan Tsung, Pierre-Alain Clavien, Ido Nachmany, Bjørn Edwin, Johann Pratschke, Evgeny Solomonov, Alfred Koenigsrainer, Pier Cristoforo Giulianotti

Erschienen in: Surgical Endoscopy | Ausgabe 10/2020

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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.
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Metadaten
Titel
Applying the Delphi process for development of a hepatopancreaticobiliary robotic surgery training curriculum
verfasst von
Yuman Fong
Joseph F. Buell
Justin Collins
John Martinie
Christiane Bruns
Allan Tsung
Pierre-Alain Clavien
Ido Nachmany
Bjørn Edwin
Johann Pratschke
Evgeny Solomonov
Alfred Koenigsrainer
Pier Cristoforo Giulianotti
Publikationsdatum
07.08.2020
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 10/2020
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-020-07836-6

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