Masterclass Training – Accelerating Minimally Invasive Colorectal Surgery in Canada


Although rates of elective laparoscopic colectomy increased significantly in Canada in the last decade following the publication of randomized trials, there is still room for improvement. Substantial variation in use of laparoscopic colectomy exists across the country. In the past prior initiatives to improve education in laparoscopic colon resection have had limited impact. CAGS is working to develop innovative strategies to enhance continuing surgical education and ensure equal access to the benefits of laparoscopic colectomy for all Canadians.

Train the Trainer Program (Lapco)
Barriers to the adoption of MIS include health economics, patient advocacy and physician training. To address physician training, CAGS is developing a broad, multi-faceted strategy to enhance MIS colorectal surgery by training Canadian surgeons for better patient outcomes. The Lapco model uses a curriculum of training and mentorship developed by the National laparoscopic colorectal surgery using certified proctors. The Lapco model aims to shorten the learning curve whilst minimizing patient morbidity & mortality.

The Lapco model uses a set-dialogue-closure framework which will convey learner-focused educational strategies and techniques for procedure skill transfer.

In February of 2019 our first cohort of Surgeons were trained, now certified to conduct a continuum educational training program (e.g. preceptorship, proctorship).

Training Pathway Continuum

Trainees are selected based on the following suggested criteria (Note this criteria is not rigid, and other factors will be considered such as access to the trainer, previous experience and willingness to learn new skills):

  • Can perform basic laparoscopic surgery or laparoscopic-assisted surgery.
  • ?24 lap colon procedures per year (at least 2 colectomies/month)
  • Able to perform a lap chole and any other lap procedures
  • Relevant instrumentation availability
  • Trainee should be willing to enter into a Trainee/Mentor relationship.
  • Trainee should be motivated to learn and implement new skills



CAGS is looking for interested surgeons who would like to be trained in advanced MIS techniques.

Plans are underway to run a Masterclass training course Sunday, September 8, 2019 in Montreal. The 1-day course focuses on right and left hemi-colectomy in a skills lab using cadavers.
We have spaces open for 2 trainees from the GTA, 1 in the greater Vancouver area, and 1 in Montreal. Possible spaces exist for trainees from the Halifax area.

If you can participate please contact us as soon as possible at