Skip to main content

Research Repository

Advanced Search

Robotic colorectal surgery: previous laparoscopic colorectal experience is not essential

Sian, Tanvir Singh; Tierney, G. M.; Park, H.; Lund, J. N.; Speake, W. J.; Hurst, N. G.; Al Chalabi, H.; Smith, K. J.; Tou, S.


Tanvir Singh Sian

G. M. Tierney

H. Park

Clinical Associate Professor

W. J. Speake

N. G. Hurst

H. Al Chalabi

K. J. Smith

S. Tou


A background in minimally invasive colorectal surgery (MICS) has been thought to be essential prior to robotic-assisted colorectal surgery (RACS). Our aim was to determine whether MICS is essential prior to starting RACS training based on results from our initial experience with RACS. Two surgeons from our centre received robotic training through the European Academy of Robotic Colorectal Surgery (EARCS). One surgeon had no prior formal MICS training. We reviewed the first 30 consecutive robotic colorectal procedures from a prospectively maintained database between November 2014 and January 2016 at our institution. Fourteen patients were male. Median age was 64.5 years (range 36–82) and BMI was 27.5 (range 20–32.5). Twelve procedures (40%) were performed by the non-MICS-trained surgeon: ten high anterior resections (one conversion), one low anterior resection and one abdomino-perineal resection of rectum (APER). The MICS-trained surgeon performed nine high and four low anterior resections, one APER and in addition three right hemicolectomies and one abdominal suture rectopexy. There were no intra-operative complications and two patients required re-operation. Median post-operative stay was five days (range 1–26). There were two 30-day re-admissions. All oncological resections had clear margins and median node harvest was 18 (range 9–39). Our case series demonstrates that a background in MICS is not essential prior to starting RACS training. Not having prior MICS training should not discourage surgeons from considering applying for a robotic training programme. Safe and successful robotic colorectal services can be established after completing a formal structured robotic training programme.


Sian, T. S., Tierney, G. M., Park, H., Lund, J. N., Speake, W. J., Hurst, N. G., …Tou, S. (2018). Robotic colorectal surgery: previous laparoscopic colorectal experience is not essential. Journal of Robotic Surgery, 12(2), 271-275.

Journal Article Type Article
Acceptance Date Jul 4, 2017
Online Publication Date Jul 18, 2017
Publication Date 2018-06
Deposit Date Jun 10, 2019
Journal Journal of Robotic Surgery
Print ISSN 1863-2483
Electronic ISSN 1863-2491
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 12
Issue 2
Pages 271-275
Keywords Robotic surgery Colorectal cancer; Robotic training; Minimally invasive; Laparoscopic training
Public URL
Publisher URL