Summary Background Structured training protocols can safely improve skills prior initiating complex surgical procedures such as robotic-assisted minimally invasive esophagectomy (RAMIE). As no consensus on a training curriculum for RAMIE has been established so far it is our aim to define a protocol for RAMIE with the Delphi consensus methodology. Methods Fourteen worldwide RAMIE experts were defined and were enrolled in this Delphi consensus project. An expert panel was created and three Delphi rounds were performed starting December 2019. Items required for RAMIE included, but were not limited to, virtual reality simulation, wet-lab training, proctoring, and continued monitoring and education. After rating performed by the experts, consensus was defined when a Cronbach alpha of ≥0.80 was reached. If ≥80% of the committee reached a consensus an item was seen as fundamental. Results All Delphi rounds were completed by 12–14 (86–100%) participants. After three rounds analyzing our 49-item questionnaire, 40 items reached consensus for a training curriculum of RAMIE. Conclusion The core principles for RAMIE training were defined. This curriculum may lead to a wider adoption of RAMIE and a reduction in time to reach proficiency.

中文翻译：

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用于食管癌培训课程的机器人辅助微创食管切除术（RAMIE）——德尔福全球共识研究

摘要背景结构化培训协议可以在开始复杂的外科手术之前安全地提高技能，例如机器人辅助微创食管切除术 (RAMIE)。由于迄今为止尚未就 RAMIE 的培训课程达成共识，我们的目标是使用 Delphi 共识方法为 RAMIE 定义一个协议。方法 定义了 14 位全球 RAMIE 专家，并被纳入本德尔福共识项目。创建了一个专家小组，并从 2019 年 12 月开始进行了三轮 Delphi 轮次。RAMIE 所需的项目包括但不限于虚拟现实模拟、湿实验室培训、监考以及持续监测和教育。在专家进行评级后，当达到 ≥0.80 的 Cronbach α 时，就定义了共识。如果 ≥80% 的委员会达成共识，则该项目被视为基本项目。结果 所有 Delphi 轮次均由 12-14 (86-100%) 名参与者完成。在对我们的 49 项问卷进行三轮分析后，有 40 项就 RAMIE 培训课程达成共识。结论 RAMIE 培训的核心原则已经确定。该课程可能会导致 RAMIE 的更广泛采用并缩短达到熟练程度的时间。