Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”

Melissa E. Hogg, Marc G. Besselink, Pierre Alain Clavien, Abe Fingerhut, D. Rohan Jeyarajah, David A. Kooby, A. James Moser, Henry A. Pitt, Oliver A. Varban, Charles M. Vollmer, Herbert J. Zeh, Paul Hansen, Horacio J. Asbun, Jeffrey Barkun, Michael L. Kendrick, David A. Kooby, Paul D. Hansen, Charles M. Vollmer, Herbert Zeh, André L. MontagniniMarc G.H. Besselink, Ugo Boggi, Kevin C.P. Conlon, Bård Ingvald Røsok, Ho Seong Han, C. Palanivelu, Shailesh V. Shrikhande, Go Wakabayashi, the Minimally Invasive Pancreatic Resection Organizing Committee

Research output: Contribution to journalArticle

29 Scopus citations


Background Increased incorporation of minimally invasive pancreatic resections (MIPR) has emerged into hepato-pancreato-biliary practice, however, no standardization exists for its safe adoption. Novel strategies are presented for dissemination of safe MIPR. Methods An international State-of-the-Art conference evaluating multiple aspects of MIPR was conducted by a panel of pancreas experts in Sao Paulo, Brazil on April 20, 2016. Training and education issues were discussed regarding the introduction of novel strategies for safe dissemination of MIPR. Results The low volume of pancreatic resections per institution poses a challenge for surgeons to overcome their MIPR learning curve without deliberate training. A mastery-based simulation and biotissue curriculum can improve technical proficiency and allow for training of surgeons before the operating room. Video-based platforms allow for performance reporting and feedback necessary for coaching and surgical quality improvement. Centers of excellence with training involving a standardized approach and proctorship are important concepts that can be utilized in various formats internationally. Discussion Surgical volume is not sufficient to ensure quality and patient safety in MIPR. Safe adoption of these complex procedures should consider innovative mastery-based training outside of the operating room, novel video based coaching techniques and prospective reporting of patient data and outcomes using standardized definitions.

Original languageEnglish (US)
Pages (from-to)234-245
Number of pages12
Issue number3
StatePublished - Mar 1 2017


ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Hogg, M. E., Besselink, M. G., Clavien, P. A., Fingerhut, A., Jeyarajah, D. R., Kooby, D. A., Moser, A. J., Pitt, H. A., Varban, O. A., Vollmer, C. M., Zeh, H. J., Hansen, P., Asbun, H. J., Barkun, J., Kendrick, M. L., Kooby, D. A., Hansen, P. D., Vollmer, C. M., Zeh, H., ... the Minimally Invasive Pancreatic Resection Organizing Committee (2017). Training in Minimally Invasive Pancreatic Resections: a paradigm shift away from “See one, Do one, Teach one”. HPB, 19(3), 234-245.