Published online Jun 16, 2022. doi: 10.4253/wjge.v14.i6.387
Peer-review started: January 24, 2022
First decision: April 17, 2022
Revised: April 23, 2022
Accepted: May 17, 2022
Article in press: May 17, 2022
Published online: June 16, 2022
Processing time: 139 Days and 10.8 Hours
The introduction of structured training programs results in an enhanced learning process in laparoscopic colorectal surgery.
National training programs are not widely available, thus constraining the efficient adaptation of minimal invasive techniques in colorectal surgery.
To analyze the learning curve patterns in laparoscopic colorectal operations under a non-structured training setting.
A retrospective analysis of a prospectively collected database was performed. Cumulative sum analysis and change point analysis were introduced for the evaluation of learning curve patterns.
In terms of operation duration, three learning curve phases were identified. A learning curve pattern was also confirmed in pathology endpoints, but not in the open conversion and complications outcomes.
Laparoscopic colorectal operations under a non-structured training setting result in similar learning patterns with the respective structured training curves.
The introduction of formal training programs in laparoscopic colorectal surgery is necessary for the safer and wider adoption of these techniques.