Vanella S, Bottazzi EC, Farese G, Murano R, Noviello A, Palma T, Godas M, Crafa F. Minimally invasive colorectal surgery learning curve. World J Gastrointest Endosc 2022; 14(11): 731-736 [PMID: 36438877 DOI: 10.4253/wjge.v14.i11.731]
Corresponding Author of This Article
Serafino Vanella, MD, PhD, Surgical Oncologist, Department of General and Oncology Surgery, A.O.R.N. San Giuseppe Moscati, Avellino 83100, Italy. nekroma@yahoo.it
Research Domain of This Article
Surgery
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Nov 16, 2022; 14(11): 731-736 Published online Nov 16, 2022. doi: 10.4253/wjge.v14.i11.731
Minimally invasive colorectal surgery learning curve
Serafino Vanella, Enrico Coppola Bottazzi, Giancarlo Farese, Rosa Murano, Adele Noviello, Tommaso Palma, Maria Godas, Francesco Crafa
Serafino Vanella, Enrico Coppola Bottazzi, Giancarlo Farese, Rosa Murano, Adele Noviello, Tommaso Palma, Maria Godas, Francesco Crafa, Department of General and Oncology Surgery, A.O.R.N. San Giuseppe Moscati, Avellino 83100, Italy
Author contributions: Vanella S wrote and edited the manuscript; Crafa F reviewed the discussion in the manuscript; Bottazzi EC, Farese G, Murano R, Noviello A, Palma T and Godas M revised the manuscript and provided recommendations for the manuscript.
Conflict-of-interest statement: There are no conflicts of interest associated with any of the authors.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Serafino Vanella, MD, PhD, Surgical Oncologist, Department of General and Oncology Surgery, A.O.R.N. San Giuseppe Moscati, Avellino 83100, Italy. nekroma@yahoo.it
Received: August 1, 2022 Peer-review started: August 1, 2022 First decision: September 26, 2022 Revised: October 1, 2022 Accepted: October 31, 2022 Article in press: October 31, 2022 Published online: November 16, 2022 Processing time: 104 Days and 11.2 Hours
Abstract
The learning curve in minimally invasive colorectal surgery is a constant subject of discussion in the literature. Discordant data likely reflects the varying degrees of each surgeon’s experience in colorectal, laparoscopic or robotic surgery. Several factors are necessary for a successful minimally invasive colorectal surgery training program, including: Compliance with oncological outcomes; dissection along the embryological planes; constant presence of an expert tutor; periodic discussion of the morbidity and mortality rate; and creation of a dedicated, expert team.
Core Tip: Minimally invasive techniques, such as laparoscopy and robotic surgery, are increasingly used in the treatment of colorectal cancer. The learning curve for minimally invasive surgery is not well-defined and subject to several influences. A successful operation depends on the preparation of the surgical team to imagine and contemplate the specific details for each step. The principal objective of treating the pathologic condition through the appropriate extent of resection must be clearly defined.
