Video assisted lobectomy learning curve – what is the magic number?

نویسندگان

  • A Brunswicker
  • M Berman
  • M Van Leuven
  • F Van Tornout
  • WR Bartosik
چکیده

Methods A prospective study of the first 40 consecutive VATS lobectomies performed by a single experienced thoracic surgeon over a 3-year period. All patients were divided equally into two groups with Group A being the first 20 patients. Mortality, operative time, complications, conversion rate and need for blood transfusion were recorded for all patients. All procedures were performed via anterior approach with 5-8 cm utility port and 2 additional 10 mm ports without using ribs spreaders.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Cusum analysis for learning curve of videothoracoscopic lobectomy

BACKGROUND Video assisted thoracoscopic (VATS) lobectomy has a demanding learning curve due to its technical complexity and risk of uncontrollable bleeding. We investigated the case number required for gaining technical proficiency by applying cumulative sum analysis on initial VATS lobectomy operations of a single surgeon. METHODS CALGB definition was used for the definition of VATS lobectom...

متن کامل

A method of assessing reasons for conversion during video-assisted thoracoscopic lobectomy.

Conversion rates during video-assisted thoracoscopic lobectomy are reported, but no previous publications have classified the cause of conversion. The aim of the study was to develop a quality assessment tool [vascular, anatomy, lymph node, technical (VALT) 'Open'] to evaluate reasons and nature of conversion during the development of a video-assisted thoracoscopic lobectomy program. Between 20...

متن کامل

Is the learning curve for video-assisted thoracoscopic lobectomy affected by prior experience in open lobectomy?

A best evidence topic was written according to a structured protocol. The question addressed is the learning curve for video-assisted thoracoscopic (VATS) lobectomy affected by prior experience in open lobectomy? Two hundred and two studies were identified of which seven presented the best evidence on the topic. The authors, date, journal, country of publication, study type, participating surge...

متن کامل

Learning Curve of a Young Surgeon's Video-assisted Thoracic Surgery Lobectomy during His First Year Experience in Newly Established Institution

BACKGROUND The purpose of this paper is to present a guideline for beginning video-assisted thoracic surgery (VATS) lobectomy to junior surgeons, and to review the first year experience of a new surgeon performing VATS lobectomies who had not performed a VATS lobectomy unassisted during his training period. MATERIALS AND METHODS A young surgeon opened a division of general thoracic surgery at...

متن کامل

The feasibility of a Two-incision video-assisted thoracoscopic lobectomy

BACKGROUND This study is to evaluate the feasibility and safety of video-assisted thoracoscopic (VATS) lobectomy with two incisions. METHODS A total of 73 patients (male 47, female 26; mean age 61.2 ± 12.00 years old) who underwent major pulmonary resection, through VATS, using two incisions were included in this study. The thoracoscopy port was placed at the 7th or the 8th intercostal space ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 8  شماره 

صفحات  -

تاریخ انتشار 2013