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Trainees Can Safely Learn Video-Assisted Thoracic Surgery Lobectomy despite Limited Experience in Open Lobectomy

Authors
 Woo Sik Yu  ;  Chang Young Lee  ;  Seokkee Lee  ;  Do Jung Kim  ;  Kyung Young Chung 
Citation
 Korean Journal of Thoracic and Cardiovascular Surgery, Vol.48(2) : 105-111, 2015 
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
ISSN
 2233-601X 
Issue Date
2015
Keywords
Education ; Lobectomy ; Lung neoplasms ; Minimal invasive surgery ; Thoracic surgery, video-assisted
Abstract
BACKGROUND: The aim of this study was to establish whether pulmonary lobectomy using video-assisted thoracic surgery (VATS) can be safely performed by trainees with limited experience with open lobectomy. METHODS: Data were retrospectively collected from 251 patients who underwent VATS lobectomy at a single institution between October 2007 and April 2011. The surgical outcomes of the procedures that were performed by three trainee surgeons were compared to the outcomes of procedures performed by a surgeon who had performed more than 150 VATS lobectomies. The cumulative failure graph of each trainee was used for quality assessment and learning curve analysis. RESULTS: The surgery time, estimated blood loss, final pathologic stage, thoracotomy conversion rate, chest tube duration, duration of hospital stay, complication rate, and mortality rate were comparable between the expert surgeon and each trainee. Cumulative failure graphs showed that the performance of each trainee was acceptable and that all trainees reached proficiency in performing VATS lobectomy after 40 cases. CONCLUSION: This study shows that trainees with limited experience with open lobectomy can safely learn to perform VATS lobectomy for the treatment of lung cancer under expert supervision without compromising outcomes.
Files in This Item:
T201501074.pdf Download
DOI
10.5090/kjtcs.2015.48.2.105
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Chang Young(이창영)
Chung, Kyung Young(정경영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139917
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