Evidence map›Paper›PMID 36707879›Full record

ReviewWorld journal of emergency surgery : WJES2023

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

Nicola de'Angelis, Francesco Marchegiani, Carlo Alberto Schena, Jim Khan, Vanni Agnoletti, Luca Ansaloni, Ana Gabriela Barría Rodríguez, Paolo Pietro Bianchi, Walter Biffl, Francesca Bravi and 45 more

Abstract readReviewConsensus Statement
In one paragraph

Review in World journal of emergency surgery : WJES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Minimally invasive surgery for colorectal cancer emergencies.World journal of clinical oncology · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Observational
  13. European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

55 authors.

Nicola de'AngelisUnit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, Paris, France. nic.deangelis@yahoo.it.
Francesco MarchegianiUnit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, Paris, France.
Carlo Alberto SchenaUnit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, Paris, France.
Jim KhanDepartment of Colorectal Surgery, Queen Alexandra Hospital, University of Portsmouth, Southwick Hill Road, Cosham, Portsmouth, UK.
Vanni AgnolettiIntensive Care Unit, Bufalini Hospital, Cesena, Italy.
Luca AnsaloniDepartment of General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Ana Gabriela Barría RodríguezDepartment of Surgery, General and Pediatric Surgery, Panama City, Panama.
Paolo Pietro BianchiDivision of General and Robotic Surgery, Department of Health Sciences, San Paolo Hospital, University of Milan, Milan, Italy.
Walter BifflDivision of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Francesca BraviHealthcare Administration, Santa Maria Delle Croci Hospital, Ravenna, Italy.
Graziano CeccarelliGeneral Surgery, San Giovanni Battista Hospital, USL Umbria 2, Foligno, Italy.
Marco CeresoliGeneral and Emergency Surgery, School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy.
Osvaldo ChiaraGeneral Surgery and Trauma Team, ASST Niguarda Milano, University of Milano, Milan, Italy.
Mircea ChiricaDepartment of Digestive Surgery and Liver Transplantation, Michallon Hospital, Grenoble University, Grenoble, France.
Lorenzo CobianchiDepartment of General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Federico CoccoliniGeneral, Emergency and Trauma Department, Pisa University Hospital, Pisa, Italy.
Raul CoimbraRiverside University Health System Medical Center, Riverside, CA, USA.
Christian CotsoglouGeneral Surgery Department, ASST-Vimercate, Vimercate, Italy.
Mathieu D'HondtDepartment of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, Kortrijk, Belgium.
Dimitris DamaskosDepartment of Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Belinda De SimoneDepartment of General and Metabolic Surgery, Poissy and Saint-Germain-en-Laye Hospitals, Poissy, France.
Salomone Di SaverioUnit of General Surgery, San Benedetto del Tronto Hospital, av5 Asur Marche, San Benedetto del Tronto, Italy.
Michele DianaDigestive and Endocrine Surgery, Nouvel Hôpital Civil, University of Strasbourg, Strasbourg, France.
Eloy Espin-BasanyDepartment of General Surgery, Hospital Valle de Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain.
Stefan Fichtner-FeiglDepartment of General and Visceral Surgery, Medical Center University of Freiburg, Freiburg, Germany.
Paola FugazzolaDepartment of General Surgery, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Paschalis GavriilidisDepartment of HBP Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Caroline GronnierEso-Gastric Surgery Unit, Department of Digestive Surgery, Magellan Center, Bordeaux University Hospital, Pessac, France.
Jeffry KashukDepartment of Surgery, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Andrew W KirkpatrickDepartment of General, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB, Canada.
Michele AmmendolaDigestive Surgery Unit, Health of Science Department, "Magna Graecia" University Medical School, "Mater Domini" Hospital, Catanzaro, Italy.
Ewout A KouwenhovenDepartment of Surgery, Hospital Group Twente ZGT, Almelo, Netherlands.
Alexis LaurentFaculty of Medicine, University of Paris Est, UPEC, Créteil, France.
Ari LeppaniemiDepartment of Gastrointestinal Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Mickaël LesurtelDepartment of HPB Surgery and Liver Transplantation, AP-HP Beaujon Hospital, University of Paris Cité, Clichy, France.
Riccardo MemeoUnit of Hepato-Pancreato-Biliary Surgery, General Regional Hospital "F. Miulli", Acquaviva delle Fonti, Bari, Italy.
Marco MiloneDepartment of Clinical Medicine and Surgery, Federico II" University of Naples, Naples, Italy.
Ernest MooreErnest E Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA.
Nikolaos Pararas3Rd Department of Surgery, Attikon General Hospital, National and Kapodistrian University of Athens (NKUA), Athens, Greece.
Andrew PeitzmannUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Patrick PessauxVisceral and Digestive Surgery, Nouvel Hôpital Civil, University of Strasbourg, Strasbourg, France.
Edoardo PicettiDepartment of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Parma, Parma, Italy.
Manos Pikoulis3Rd Department of Surgery, Attikon General Hospital, National and Kapodistrian University of Athens (NKUA), Athens, Greece.
Michele Pisano1St General Surgery Unit, Department of Emergency, ASST Papa Giovanni Hospital Bergamo, Bergamo, Italy.
Frederic RisDivision of Digestive Surgery, University Hospitals of Geneva and Medical School, Geneva, Switzerland.
Tyler RobisonMinimally Invasive Surgery Fellow, Division of Gastrointestinal and General Surgery, Department of Surgery, Oregon Health and Science University, Portland, OR, USA.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Vishal G ShelatDepartment of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Giuseppe SpinoglioIRCAD Faculty Member Robotic and Colorectal Surgery- IRCAD, Strasbourg, France.
Michael SugrueDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Edward TanDepartment of Surgery, Trauma Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
Ellen Van EetveldeDepartment of Digestive Surgery, UZ, Brussels, Belgium.
Yoram KlugerDepartment of General Surgery, Rambam Healthcare Campus, Haifa, Israel.
Dieter WeberDepartment of Trauma Surgery, Royal Perth Hospital, Perth, Australia.
Fausto CatenaDepartment of General and Emergency Surgery, Bufalini Hospital-Level 1 Trauma Center, Cesena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally 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.

methodsThis 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.

resultsThirteen 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.

conclusionsLimited 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.

Indexed as

LaparoscopyRobotic Surgical ProceduresSurgeonsCurriculumHumansMinimally Invasive Surgical ProceduresEmergency surgeryLaparoscopyMinimally invasive surgeryRobotic surgeryTraining curriculum in surgery

Identifiers

PMID36707879
PMCPMC9883976

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Registered trials

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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.