General info
A flexible 2-4 day program, adjusted for prior robotic experience. Participants must complete the Robotic Basic Surgical Skills Course before advancing to the Advanced Skill Course. Proficiency is shown by completing the chicken model exercises twice using the PBP scoring system, then demonstrating skill on the isolated bowel model. Certification in the LAR procedure requires successful completion on a human cadaver. Participants who do not meet proficiency must schedule a remediation day.
What you will learn
During the course, participants will:
- Master the robotic technique for low anterior resection.
- Gain a good understanding of port placement for this procedure.
- Get an overview of the procedure-related robotic instruments.
- Improve dissection skills for mobilization and vascular ligation (IMA, IMV, etc.).
- Optimize the anastomosis technique (comparing hand-sewn vs. stapled) in a robotic context.
Prerequisites
E-learning (up to proficiency level):
- Introduction of the course
- PBP methodology
- Robotic basic surgical skills(task and metrics)
- Robotic LAR
Faculty
Program
Focus on Basic skills training
Hands-on training
- BDT Basic device training on da Vinci Xi platform
- Docking and undocking/emergency undocking
- Suturing and knot tying S&KT task, dissection task, vessel isolation and coagulation task
Lunch break
Hands-on training
- S&KT task, dissection task, dissection and coagulation task
- Proficiency demonstration will be done on ongoing bases
End of day 1
Focus on Basic skills training
Morning lecture
- Presentation on the bowel model
Hands-on training on isolated bowel model for anastomosis
- Anastomosis task for side by side anastomosis - hand-swen
- Anastomosis task for side by side anastomosis - stapling (coordination CS-FA)
Lunch break
Hands-on training on isolated bowel model
- Anastomosis task for side by side anastomosis - hand-swen
- Anastomosis task for side by side anastomosis - stapling (coordination CS-FA)
End of day 2
Focus on right hemicolectomy
Arrival at Orsi Academy
Welcome - Program overview and objectives of the day
Participants’ experience with da Vinci
Morning lecture
Tips for Getting Through the Learning Curve
- Patient Selection Criteria
- Recommended Procedures for Initial Cases
- Setting Goals & Tracking Metrics
Didactic lecture on standardised steps of robotic right hemicolectomy
- OR setup Xi system
- Port Placement & Patient Positioning
- Adequate Instrument Selection & Energy Use
- Step-by-Step Surgical Approach
- Vessels first approach - mobilization first approach
- Use of third arm for retraction
- Vascular control
- Intracorporeal anastomosis – side-to-side isoperistaltic
- Video case discussion
- Tips and tricks – troubleshooting – managing complications
Change into scrubs
Hands-on training on human cadaver model - 2 surgeons per station/cadaver
- Patient positioning
- Port placement, bowel positioning and docking
- Start of mobilization/vascular dissection
Lunch
Hands-on training on human cadaver model - 2 surgeons per station/cadaver
- Continuing colonic mobilization
- Omento-colic division
- Intra-operative adjustments (table motion – dual docking – port hopping)
- Division of mesentery and bowel transection
- Intracorporeal anastomosis
Undocking and closure of incisions
Debriefing and feedback
End of day 3
Focus on low anterior resection
Morning lecture
- Case discussion
- Tips and tricks in more complex cases
- Vascular Control
- Management of Complications
- Steps of the procedure
- IMA ligation
- Medial to lateral mobilization
- IMV ligation
- Splenic flexure mobilization- tips & tricks
- Pelvic dissection – posterior, anterior, and lateral
- Division of mesentery
- Stapling and anastomosis
Hands-on training on human cadaver model
Lunch at the Orsi restaurant
Hands-on training on human cadaver model
Debriefing & feedback
End of the course
Prices
Basic to Procedural Skills program (4 days)
Expand your training with the full 4-day program, advancing from core skills to complete procedures, including right hemicolectomy and low anterior resection on cadaver models. Choose the full course to progress to procedural proficiency.
Incl. of VAT
Basic Skills program (Day 1 & Day 2)
Develop essential robotic skills, including suturing, dissection, and anastomosis through focused hands-on training. Join the 2-day course to sharpen your core techniques.
Incl. of VAT
Advanced Skills program (Day 3 & Day 4)
Develop advanced robotic colorectal skills through cadaver-based training and PBP assessment. Focus on right hemicolectomy and low anterior resection, including port placement, vascular control, mobilization, anastomosis, and procedural proficiency.
Resources
Flyer Robotic Colorectal Course - From Basic to Procedural Skills
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