We Published a step–up approach for robotic training in hepato-pancreato-biliary (HPB) surgery has been previously. The approach was mostly based on personal experience and communications between experts and needed appraisal and validation by the HPB surgical community. At the Great Britain and Ireland HPB Association (GBIHPBA) robotic HPB meeting held in Coventry, UK in October 2022, the authors sought consensus from the live audience, with an open forum for answering key questions. The aim of this exercise was to appraise the step-up approach, and in turn, lay the foundation for a more substantial UK robotic HPB surgical curriculum. The study was conducted using VEVOX online polling platform at the October 2022 GBIHPBA robotic HPB meeting in Coventry, UK. The questionnaire was designed based on a literature search and was externally validated. The data were collated and analysed to assess patterns of response. A median (IQR) of 104 (96–117) responses were generated for each question. 93 consultants and 61 trainees were present Over 90% were in favour of a standardised training pathway. 93.6% were in favour of the proposed step-up approach, with a significant number (67.3%; p < 0.001) considering three levels of case complexity. The survey shows a favourable outlook on adopting step-up training in robotic HPB surgery. Ongoing monitoring of progress, clinical outcomes, and collaboration among surgeons and units will bolster this evidence, potentially leading to an official UK robotic HPB curriculum.

中文翻译：

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英国机器人 HPB 培训前景：调查分析

我们之前发布了一种用于肝胰胆 (HPB) 手术机器人训练的升级方法。该方法主要基于个人经验和专家之间的沟通，并需要 HPB 外科界的评估和验证。2022 年 10 月在英国考文垂举行的英国和爱尔兰 HPB 协会 (GBIHPBA) 机器人 HPB 会议上，作者通过开放论坛回答关键问题，寻求现场观众的共识。本次练习的目的是评估升级方法，进而为更充实的英国机器人 HPB 外科课程奠定基础。该研究是在 2022 年 10 月在英国考文垂举行的 GBIHPBA 机器人 HPB 会议上使用 VEVOX 在线投票平台进行的。该调查问卷是根据文献检索设计的，并经过外部验证。对数据进行整理和分析以评估反应模式。每个问题生成的中位数 (IQR) 为 104 (96–117) 个答案。93 名顾问和 61 名学员出席，超过 90% 的人赞成标准化培训途径。93.6% 的人赞成所提出的逐步升级方法，考虑到案例复杂性的三个级别，其中很大一部分人 (67.3%；p < 0.001) 表示赞成。调查显示，在机器人 HPB 手术中采用升级培训的前景良好。对进展、临床结果以及外科医生和单位之间的合作的持续监测将支持这一证据，并有可能导致英国官方机器人 HPB 课程的产生。