The Present and Future of Robotic Colorectal Cancer Surgery in Japan: Passing the Surgical Baton to the Next Generation

Robotic surgery is an essential component of gastrointestinal surgical practice in Japan, representing not only a technological advancement but also a structured platform for surgical education. In current robotic environments, junior surgeons acquire reproducible skills under the supervision of experienced mentors. By segmenting procedures into defined steps, sharing the console, and emphasizing dynamic anatomical observation and verbal articulation of intent, both technical proficiency and intraoperative decision-making are enhanced. As educators, we are responsible for cultivating environments in which trainees not only learn how to operate but also understand the rationale behind each step.
Japan offers a strong foundation for robotic surgical education, supported by high surgical volume, structured training systems, and standardized operative techniques.
Looking ahead, integration of artificial intelligence into clinical surgical practice will be led by the next generation of surgeons. AI has the potential to improve intraoperative safety, support real-time decisions, and enable personalized surgical strategies. Accordingly, surgical educators must evolve to guide trainees toward critical and responsible engagement with these technologies.
In this presentation, we outline the current state of robotic colorectal cancer surgery in Japan and introduce our structured educational approach. We also propose a future vision in which young surgeons, empowered by surgical expertise and AI, lead the advancement of safe, precise, and intelligent surgery.