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Novice training: The time course for developing competence in single port video-assisted thoracoscopic lobectomy
dc.contributor.author | Wu, Ching Feng | |
dc.contributor.author | Paradela de la Morena, Marina | |
dc.contributor.author | Wu, Ching Yang | |
dc.contributor.author | de la Torre Bravos, Mercedes | |
dc.contributor.author | Fernández Prado, Ricardo | |
dc.contributor.author | Delgado Roel, María | |
dc.contributor.author | Fieira Costa, Eva María | |
dc.contributor.author | Hsieh, Ming Ju | |
dc.contributor.author | Chao, Yin Kai | |
dc.contributor.author | Yang, Lan Yan | |
dc.contributor.author | Pan, Yu Bin | |
dc.contributor.author | González Rivas, Diego | |
dc.date.accessioned | 2022-03-16T08:37:56Z | |
dc.date.available | 2022-03-16T08:37:56Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 0025-7974 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pubmed/32195942 | es |
dc.identifier.uri | http://hdl.handle.net/20.500.11940/16263 | |
dc.description.abstract | The 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.rights | Atribución-NoComercial 4.0 Internacional | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
dc.subject.mesh | Thoracic Surgery | * |
dc.subject.mesh | Lung Neoplasms | * |
dc.subject.mesh | Middle Aged | * |
dc.subject.mesh | Humans | * |
dc.subject.mesh | Learning Curve | * |
dc.subject.mesh | Pneumonectomy | * |
dc.subject.mesh | Operative Time | * |
dc.subject.mesh | Aged | * |
dc.subject.mesh | Postoperative Complications | * |
dc.title | Novice training: The time course for developing competence in single port video-assisted thoracoscopic lobectomy | en |
dc.type | Journal Article | es |
dc.authorsophos | Wu, 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.doi | 10.1097/MD.0000000000019459 | |
dc.identifier.pmid | 32195942 | |
dc.identifier.sophos | 36119 | |
dc.issue.number | 12 | es |
dc.journal.title | MEDICINE | es |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de A Coruña - Complexo Hospitalario Universitario de A Coruña::Cirurxía Torácica | es |
dc.relation.publisherversion | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220107/pdf/medi-99-e19459.pdf | es |
dc.rights.accessRights | openAccess | |
dc.subject.decs | complicaciones postoperatorias | * |
dc.subject.decs | cirugía torácica | * |
dc.subject.decs | neumonectomía | * |
dc.subject.decs | anciano | * |
dc.subject.decs | tiempo quirúrgico | * |
dc.subject.decs | curva de aprendizaje | * |
dc.subject.decs | mediana edad | * |
dc.subject.decs | humanos | * |
dc.subject.decs | neoplasias pulmonares | * |
dc.subject.keyword | CHUAC | es |
dc.typefides | Artículo Original | es |
dc.typesophos | Artículo Original | es |
dc.volume.number | 99 | es |