ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2020
European expert consensus on a structured approach to training robotic-assisted low anterior resection using performance metrics.
Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 6 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- European Society of Coloproctology guideline on training in robotic colorectal surgery (2024).Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Guideline
- Training and assessment for colorectal surgery and appendicectomy- a systematic review.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Pooled it
- Measures of performance and proficiency in robotic assisted surgery: a systematic review.Journal of robotic surgery · 2024Pooled it
- Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.The British journal of surgery · 2024Pooled it
- A systematic review of robotic surgery curricula using a contemporary educational framework.Surgical endoscopy · 2023Pooled it
- What are clinically relevant performance metrics in robotic surgery? A systematic review of the literature.Journal of robotic surgery · 2023Pooled it
- Robotic surgery for rectal cancer in 2026: a hierarchical appraisal of the evidence.Journal of robotic surgery · 2026Review
- International expert consensus on metric-based characterization of robot-assisted total laparoscopic hysterectomy (RATLH).Surgical endoscopy · 2026Article
- Development of a procedure specific and skill based robotic-assisted surgical training program for residents: Delphi study identifying key steps and required skill levels for teaching the low-anterior resection.Surgical endoscopy · 2026Article
- ColoRobotica: Structured training in robotic colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- International expert consensus on a structured approach to robotic multiport right hemicolectomy with complete mesocolic excision and intracorporeal anastomosis.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- ACPGBI position statement on robotic-assisted colorectal surgical training.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- A mixed-method survey study evaluating two robotic surgical training courses in Germany.Journal of robotic surgery · 2025Article
- Scaling robotic surgery: the role, responsibilities and challenges of robotic proctorship in colorectal surgery.Journal of robotic surgery · 2025Article
- Concurrent robotic colorectal surgical oncology training within a structured mentored international fellowship program.Journal of robotic surgery · 2025Article
- European expert consensus on a structured approach to circular stapling anastomosis in minimally invasive left-sided colorectal resection.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- Objective Performance Indicators During Robotic Right Colectomy Differ According to Surgeon Skill.The Journal of surgical research · 2024Article
- The deconstructed procedural description in robotic colorectal surgery.Journal of robotic surgery · 2024Review
- Article
- Use of a High-Fidelity Training Simulator for Minimally Invasive Lumbar Decompression Increases Working Knowledge and Technical Skills Among Orthopedic and Neurosurgical Trainees.Global spine journal · 2023Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe aim was to develop and operationally define 'performance metrics' that characterize a reference approach to robotic-assisted low anterior resection (RA-LAR) and to obtain face and content validity through a consensus meeting.
methodThree senior colorectal surgeons with robotic experience and a senior behavioural scientist formed the Metrics Group. We used published guidelines, training materials, manufacturers' instructions and unedited videos of RA-LAR to deconstruct the operation into defined, measurable components - performance metrics (i.e. procedure phases, steps, errors and critical errors). The performance metrics were then subjected to detailed critique by 18 expert colorectal surgeons in a modified Delphi process.
resultsPerformance metrics for RA-LAR had 15 procedure phases, 128 steps, 89 errors and 117 critical errors in women, 88 errors and 118 critical errors in men. After the modified Delphi process the final performance metrics consisted of 14 procedure phases, 129 steps, 88 errors and 115 critical errors in women, 87 errors and 116 critical errors in men. After discussion by the Delphi panel, all procedure phases received unanimous consensus apart from phase I (patient positioning and preparation, 83%) and phase IV (docking, 94%).
conclusionA robotic rectal operation can be broken down into procedure phases, steps, with errors and critical errors, known as performance metrics. The face and content of these metrics have been validated by a large group of expert robotic colorectal surgeons from Europe. We consider the metrics essential for the development of a structured training curriculum and standardized procedural assessment for RA-LAR.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.