Clin Colon Rectal Surg. 2021 May;34(3):172-180. doi: 10.1055/s-0040-1718685.Epub 2021 Mar 29.

Paulo Gustavo Kotze ¹, Stefan D Holubar ², Jeremy M Lipman ², Antonino Spinelli ³

Author information

• ¹Colorectal Surgery Unit, IBD Outpatient Clinics, Catholic University of Paraná, Curitiba, Brazil.
• ²Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio.
• ³Division of Colon and Rectal Surgery, Humanitas Clinical and Research Center, Rozzano, Italy.

Abstract

Surgery for inflammatory bowel diseases (IBD) management has passed through an important evolution over the last decades, with innovative strategies and new technologies, especially in minimally invasive surgery (MIS) approaches. MIS procedures for IBD include multiport laparoscopy, single-port surgery, robotics, and the use of transanal platforms. These approaches can be used in the surgical management of both Crohn's disease (CD) and ulcerative colitis (UC). There are significant peculiarities in the surgical field in CD and UC, and their perfect understanding are directly related to better outcomes in IBD patients, as a consequence of improvement in knowledge by IBD surgeons. Different strategies to train colorectal surgeons were developed worldwide, for better application of MIS, usually for malignant or non-IBD benign diseases. There is a significant lack of evidence in specific training strategies for MIS in the IBD field. In this review, the authors outline the importance of adequate surgical training in IBD MIS, by discussing the current evidence on different approaches and emphasizing the need for better training protocols included in multidisciplinary teams in IBD centers throughout the globe.