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dc.contributor.authorWu, Ching Feng
dc.contributor.authorParadela de la Morena, Marina 
dc.contributor.authorWu, Ching Yang
dc.contributor.authorde la Torre Bravos, Mercedes 
dc.contributor.authorFernández Prado, Ricardo 
dc.contributor.authorDelgado Roel, María 
dc.contributor.authorFieira Costa, Eva María 
dc.contributor.authorHsieh, Ming Ju
dc.contributor.authorChao, Yin Kai
dc.contributor.authorYang, Lan Yan
dc.contributor.authorPan, Yu Bin
dc.contributor.authorGonzález Rivas, Diego 
dc.date.accessioned2022-03-16T08:37:56Z
dc.date.available2022-03-16T08:37:56Z
dc.date.issued2020
dc.identifier.issn0025-7974
dc.identifier.otherhttps://www.ncbi.nlm.nih.gov/pubmed/32195942es
dc.identifier.urihttp://hdl.handle.net/20.500.11940/16263
dc.description.abstractThe competency in video-assisted thoracoscopic (VATS) lobectomy is expected to be achieved after surgeons practiced 30 to 50 cases according to previous reports. Does single port video-assisted thoracoscopic (SPVATS) lobectomy have a steeper learning curve and being harder to perform correctly, leading to long development times and high defect rates?From January, 2014 to February, 2017, 8 individual surgeons (3 were novices, 5 were pioneers in SPVATS surgery) submitted their cases chronologically to evaluate the learning curve of SPVATS lobectomy. Operating time (OT) was set as a surrogate marker for surgical competency. Postoperative outcomes and OT between the 2 groups were compared using propensity score matching (1:1 nearest neighbor). The learning curve for OT was evaluated using the cumulative sum (CUSUM) method.In the entire study cohort, a total of 356 cases were included (93 in junior consultant group [group A], 263 in senior consultant group [group B]). There were no significant differences between the 2 groups in operative time, conversion rate, postoperative complication rate, 30 and 90 days mortality rate. After propensity-score matching (86 pairs), operative time was longer in group A (214.33 +/- 62.18 vs 183.62 +/- 61.25 minutes, P = .001). Two-year overall survival rate was similar among 2 groups (P = .409). Competency was reached after junior surgeon completed 30th case of SPVATS lobectomy.SPVATS lobectomy is safe for the novice surgeon who wants to adopt this new surgical approach under well-developed training program. The learning curves for competence in SPVATS lobectomy are similar to VATS lobectomy in our series.en
dc.rightsAtribución-NoComercial 4.0 Internacional
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subject.meshThoracic Surgery*
dc.subject.meshLung Neoplasms*
dc.subject.meshMiddle Aged*
dc.subject.meshHumans*
dc.subject.meshLearning Curve*
dc.subject.meshPneumonectomy*
dc.subject.meshOperative Time*
dc.subject.meshAged*
dc.subject.meshPostoperative Complications*
dc.titleNovice training: The time course for developing competence in single port video-assisted thoracoscopic lobectomyen
dc.typeJournal Articlees
dc.authorsophosWu, Ching Feng;Paradela, Marina;Wu, Ching Yang;Mercedes, de la Torre;Fernandez, Ricardo;Delgado, Maria;Fieira, Eva;Hsieh, Ming Ju;Chao, Yin Kai;Yang, Lan Yan;Pan, Yu Bin;Gonzalez-Rivas, Diego
dc.identifier.doi10.1097/MD.0000000000019459
dc.identifier.pmid32195942
dc.identifier.sophos36119
dc.issue.number12es
dc.journal.titleMEDICINEes
dc.organizationServizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de A Coruña - Complexo Hospitalario Universitario de A Coruña::Cirurxía Torácicaes
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220107/pdf/medi-99-e19459.pdfes
dc.rights.accessRightsopenAccess
dc.subject.decscomplicaciones postoperatorias*
dc.subject.decscirugía torácica*
dc.subject.decsneumonectomía*
dc.subject.decsanciano*
dc.subject.decstiempo quirúrgico*
dc.subject.decscurva de aprendizaje*
dc.subject.decsmediana edad*
dc.subject.decshumanos*
dc.subject.decsneoplasias pulmonares*
dc.subject.keywordCHUACes
dc.typefidesArtículo Originales
dc.typesophosArtículo Originales
dc.volume.number99es


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Atribución-NoComercial 4.0 Internacional
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