International Journal of Colorectal Disease

, Volume 26, Issue 7, pp 941–947 | Cite as

Effect of proctoring on implementation and results of elective laparoscopic colon surgery

  • Robbert BoskerEmail author
  • Henk Groen
  • Christiaan Hoff
  • Eric Totte
  • Rutger Ploeg
  • Jean Pierre Pierie
Original Article



A steep learning curve exists for surgeons to become skilled in laparoscopic colon resection. Our institute offers a proctored training programme. The purpose of this descriptive study was to evaluate whether the course resulted in adoption of laparoscopic colorectal surgery into clinical practice, explore post-course practice patterns and analyse the outcome of surgical performance.


Between 2003 and 2008, 26 surgeons were trained by our institute. The course consisted of 24 elective laparoscopic resections under direct supervision. A questionnaire and a prospective post-course web-based registration were used to analyse the effect of the training and the outcome of surgical performance.


The response rate of the questionnaire was 85%. The majority had not performed any laparoscopic colon resections before attending the course. All 24 respondents successfully implemented laparoscopy into daily practice. After the course, 70% of all sigmoid resections were performed laparoscopically in contrast with 0% of all transverse colon resections. The results of the trainees after following the course are equal to results of other studies.


A proctored training programme, consisting of 24 supervised cases, is safe and feasible. For adequate monitoring, participating in a post-course registry should be obligatory.


Laparoscopy Colon Training Proctoring 

Supplementary material


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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Robbert Bosker
    • 1
    • 3
    • 4
    Email author
  • Henk Groen
    • 2
  • Christiaan Hoff
    • 3
    • 4
  • Eric Totte
    • 3
    • 4
  • Rutger Ploeg
    • 5
  • Jean Pierre Pierie
    • 3
    • 4
  1. 1.Department of SurgeryDeventer HospitalDeventerThe Netherlands
  2. 2.Department of EpidemiologyUniversity Medical CenterGroningenThe Netherlands
  3. 3.Department of SurgeryMedical Center LeeuwardenLeeuwardenThe Netherlands
  4. 4.Leeuwarden Institute for Minimally Invasive Surgery (LIMIS)LeeuwardenThe Netherlands
  5. 5.Department of SurgeryUniversity Medical Center GroningenGroningenThe Netherlands

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