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Training and Learning Curve in Minimally Invasive Rectal Surgery

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Techniques in Minimally Invasive Rectal Surgery

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Abstract

Minimally invasive surgery has made dramatic improvement in patient outcomes. Acceptance and widespread use were slower in rectal surgery than colon surgery, due to the technical difficulties of operating in the pelvis, as well as questions of oncologic equivalence in early controlled trials. The current literature on learning and training concentrates more on colon than rectal surgery. However, available reports show learning minimally invasive rectal surgery is easier with a background in laparoscopic colon surgery. With increasing experience, there is a trend toward better short-term outcomes and more complex cases. Furthermore, there are no patient detriments along the learning curve. With new tools, training techniques, and an understanding of the learning curve, the benefits of minimally invasive rectal surgery can be realized. In this chapter, we review the tenets of a learning curve for minimally invasive surgery, distinctions between learning colon and rectal surgery, specific learning curves for several minimally invasive techniques, future direction, and training to perform minimally invasive rectal surgery efficiently and effectively.

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Authors and Affiliations

  1. Colorectal Surgical Associates, LLP, Houston, TX, USA

    Deborah S. Keller M.S., M.D.

  2. Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, 7900 Fannin Street, #2700, Houston, TX, 77054, USA

    Eric M. Haas M.D., F.A.C.S., F.A.S.C.R.S.

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  1. Deborah S. Keller M.S., M.D.
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  2. Eric M. Haas M.D., F.A.C.S., F.A.S.C.R.S.
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Correspondence to Eric M. Haas M.D., F.A.C.S., F.A.S.C.R.S. .

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Editors and Affiliations

  1. Division of Colon and Rectal Surgery, University of California, Irvine, Orange, CA, USA

    Alessio Pigazzi

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© 2018 Springer International Publishing Switzerland

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Keller, D.S., Haas, E.M. (2018). Training and Learning Curve in Minimally Invasive Rectal Surgery. In: Pigazzi, A. (eds) Techniques in Minimally Invasive Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-16381-9_1

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  • DOI: https://doi.org/10.1007/978-3-319-16381-9_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16380-2

  • Online ISBN: 978-3-319-16381-9

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