Surgical training model and safe implementation of robotic pancreatoduodenectomy in Japan: a technical note

被引:31
作者
Takagi, Kosei [1 ,2 ]
Umeda, Yuzo [1 ]
Yoshida, Ryuichi [1 ]
Yagi, Takahito [1 ]
Fujiwara, Toshiyoshi [1 ]
Zureikat, Amer H. [3 ]
Hogg, Melissa E. [4 ]
Koerkamp, Bas Groot [2 ]
机构
[1] Okayama Univ, Grad Sch Med Dent & Pharmaceut Sci, Dept Gastroenterol Surg, Kita Ku, 2-5-1 Shikata Cho, Okayama 7008558, Japan
[2] Erasmus MC, Univ Med Ctr Rotterdam, Dept Surg, Rotterdam, Netherlands
[3] Univ Pittsburgh, Med Ctr, Div Surg Oncol, Pittsburgh, PA USA
[4] North Shore Hosp, Dept Surg, Chicago, IL USA
关键词
Pancreatoduodenectomy; Robotic surgery; Training; LEARNING-CURVE;
D O I
10.1186/s12957-021-02167-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background Growing evidence for the advantages of robotic pancreatoduodenectomy (RPD) has been demonstrated internationally. However, there has been no structured training program for RPD in Japan. Herein, we present the surgical training model of RPD and a standardized protocol for surgical technique. Methods The surgical training model and surgical technique were standardized in order to implement RPD safely, based on the Dutch training system collaborated with the University of Pittsburgh Medical Center. Results The surgical training model included various trainings such as basic robotic training, simulation training, biotissue training, and a surgical video review. Furthermore, a standardized protocol on the surgical technique was established to understand the tips, tricks, and pitfalls of RPD. Conclusions Safe implementation of RPD can be achieved through the completion of a structured training program and learning surgical technique. A nationwide structured training system should be developed to implement the program safely in Japan.
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页数:7
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