The Learning Curves of Uniportal Video-Assisted Thoracoscopic Surgery Lobectomy: A Single Center Experience.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-06-01 Epub Date: 2021-10-28 DOI:10.1089/lap.2021.0469

Min Kyun Kang, Do Kyun Kang, Woon Heo, Youn-Ho Hwang

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引用次数: 0

Abstract

Backgrounds: The aim of our study is to describe the learning curve for uniportal video-assisted thoracoscopic surgery (VATS) lobectomy from our single center's experience for adopting it because uniportal VATS is generally considered a technically difficult procedure. Methods: A retrospective review of all 164 consecutive patients who underwent uniportal VATS lobectomy between June 2015 and February 2020 was done. A cumulative summation (CUSUM) method was applied to evaluate the learning curves of the operation time. Results: Among the 164 patients, the CUSUM value inflected at the 31st case. Ninety-five consecutive patients underwent uniportal VATS upper lobectomy. The other 69 consecutive patients underwent uniportal VATS lower lobectomy. The operation time CUSUM learning curve analysis revealed that the curves descended from the 21st case in upper lobectomy group and the 12th case in lower lobectomy group. Conclusion: Operators are required to experience at least 21 cases for upper lobectomy and 12 cases for lower lobectomy until the operation time is stabilized.

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单门视频胸腔镜肺叶切除术的学习曲线:单中心经验。

背景:我们研究的目的是从我们的单中心经验中描述单门电视胸腔镜手术(VATS)肺叶切除术的学习曲线，因为单门电视胸腔镜手术通常被认为是一种技术上困难的手术。方法:回顾性分析2015年6月至2020年2月期间所有164例连续接受单门VATS肺叶切除术的患者。采用累积求和法(CUSUM)评价手术时间的学习曲线。结果:164例患者中，CUSUM值在第31例发生弯曲。95例患者连续行单门静脉腹腔上肺叶切除术。另外69例患者连续行单门静脉腹腔下肺叶切除术。手术时间CUSUM学习曲线分析显示，上肺叶切除组21例，下肺叶切除组12例，学习曲线下降。结论:上叶切除至少21例，下叶切除至少12例，直至手术时间稳定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.