20.500.12556/DiRROS-31184 Safe implementation of robotic colorectal surgery balancing surgical training and patient safety with the dual-console system Background: Robotic platforms expand minimally invasive options in colorectal surgery but raise concerns about training and patient safety. Dual-console systems may enable realtime coaching while preserving outcomes. Methods: We implemented a structured framework for safe implementation of robotic colorectal surgery that balances trainee autonomy with patient safety using a dual-console model. Early cases emphasized low-complexity pathology with escalation by predefined benchmarks. We prospectively gathered data and evaluated early program outcomes with primary endpoints including intraoperative adverse events, conversion to open surgery, 30-day morbidity, anastomotic integrity, and oncologic quality metrics. Secondary endpoints included operative time. Results: We included the analysis of 17 patients operated by one surgeon under supervision and compared the results to other senior colorectal surgeons. Out of the 17 patients, there were no conversions or anastomotic leaks. Overall complications were comparable to baseline robotic cases. Resection margins and lymph node yields met oncologic standards. Operative times were longer during early adoption but approached baseline with progression. Operative times were significantly reduced after eight cases and approached the times of senior surgeons after 13 cases. Conclusions: A dual-console strategy enables safe, scalable training in robotic colorectal surgery without compromising short-term patient outcomes or oncologic quality. Key elements include rigorous case selection, proficiency-based progression, real-time coaching, standardized protocols, and continuous data surveillance. This framework can guide institutions seeking to expand robotic colorectal programs while safeguarding patients and accelerating the learning curve. robotic colorectal surgery learning curve safe implementation complications true false true Angleški jezik Ni določen Neznano 2026-07-20 10:49:03 2026-07-20 10:49:04 2026-07-21 03:57:08 0000-00-00 00:00:00 2026 0 0 Nasl. z nasl. zaslona; Opis vira z dne 20. 7. 2026; str. 1-7 iss. 14, [article no.] 5669 Vol. 15 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 617 2077-0383 10.3390/jcm15145669 285399299 RAZ_Kosir_Jurij_Ales_2026.pdf RAZ_Kosir_Jurij_Ales_2026.pdf 1 51CA5B1457279490DFA65FB2793E0FF5 6b7968e9606be24d12220729bd10678798f4dc28245d512a1ed8e52805c38444 efb80829-8417-11f1-82f3-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=48106 https://www.mdpi.com/2077-0383/15/14/5669 1 dd25e0ea-8417-11f1-82f3-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=48105 Univerzitetni klinični center Ljubljana 0 0 0