@article{JTD23630,
author = {Xiaochuan Liu and Xiaosang Chen and Yaxing Shen and Hao Wang and Mingxiang Feng and Lijie Tan and Thomas A. D’Amico},
title = {Learning curve for uniportal video-assisted thoracoscopic surgery lobectomy—results from 120 consecutive patients},
journal = {Journal of Thoracic Disease},
volume = {10},
number = {8},
year = {2018},
keywords = {},
abstract = {Background: Uniportal video-assisted thoracoscopic surgery (VATS) is considered a technically demanding procedure. The learning curve, which directly influences the adoption of uniportal VATS, has not been described. In this study, we aimed to describe the learning curve for uniportal VATS lobectomy from our single center’s experience.
Methods: Uniportal VATS lobectomy was started in October 2013 in Zhongshan Hospital, Fudan University. Since then, a total of 120 consecutive patients who underwent uniportal VATS lobectomy were retrospectively enrolled. Surgical videos were reviewed to determine the operation time, to which cumulative sum (CUMSUM) method was applied to evaluate the learning phases of the procedure. Accordingly, patients’ clinical features in different phases were collected and compared to determine the learning curve for uniportal VATS lobectomy.
Results: Among the 120 consecutive patients reviewed from October 2013 to September 2014, the CUMSUM curve showed its inflection at patient number 44: the first 30 patients were in the ascending phase, the second 30 patients were in the plateau phase, and the remaining patients were in the descending phase. Comparable CUMSUM results were recorded both from upper and not-upper lobectomy. Intra-operatively, more repeated stapler attempts (73% versus 13% and 5%, P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/23630}
}