The development process and new requirements of structured training on transanal total mesorectal resection
10.3760/cma.j.cn112139-20200910-00695
- VernacularTitle:国内外经肛全直肠系膜切除术结构化培训的开展历程和新要求
- Author:
Jiale GAO
1
;
Yongbo AN
;
Hongwei YAO
;
Zhongtao ZHANG
Author Information
1. 首都医科大学附属北京友谊医院普通外科 国家消化系统疾病临床医学研究中心 肿瘤侵袭和转移机制研究北京市重点实验室 首都医科大学结直肠肿瘤临床诊疗与研究中心 100050
- Keywords:
Rectal neoplasms;
Proctocolectomy, restorative;
Transanal total mesorectal excision;
Structured training;
Guideline;
Learning curve
- From:
Chinese Journal of Surgery
2021;59(5):328-331
- CountryChina
- Language:Chinese
-
Abstract:
Due to the technical difficulty and long learning curve, the benefits of Transanal total mesorectal excision may be obscured by surgical complications that arise from rapid, large-scale development, therefore the surgeons need to receive sufficient training before performing this surgery. At present, a mature structured training system has been formed, but the development of structured training has not met the needs of existing surgical development. In order to standardize the development of transanal total mesorectal excision, the European Society of Colorectal Diseases and 14 international surgical societies recently launched the "International Expert Consensus Guidelines for the Indication, Implementation and Quality Evaluation of Transanal Total Mesorectum Resection". The consensus involves the requirements for trainees, the content and process of training, as well as the evaluation and registration of training results. Training in cadaver is the core of structured training. Beginners should receive repeated training and conduct the surgery under the guidance of instructors.
