期刊论文详细信息
World Journal of Surgical Oncology | |
Uniportal video-assisted anatomical segmentectomy: an analysis of the learning curve | |
Research | |
Zhenrong Zhang1  Hongxiang Feng1  Huanshun Wen1  Chaoyang Liang1  Fei Xiao1  Kunsong Su1  Yu Han1  Deruo Liu1  | |
[1]Department of General Thoracic Surgery, China-Japan Friendship Hospital, No. 2 Yinghua East Road, 100029, Chaoyang District, Beijing, China | |
[2]National Center for Respiratory Medicine, Beijing, People’s Republic of China | |
关键词: ; | |
DOI : 10.1186/s12957-023-03086-7 | |
received in 2023-01-12, accepted in 2023-06-28, 发布年份 2023 | |
来源: Springer | |
【 摘 要 】
BackgroundThis study aimed to demonstrate the learning curve of anatomical segmentectomy performed by uniportal video-assisted thoracoscopic surgery (U-VATS).MethodWe conducted a retrospective study of U-VATS segmentectomies performed by the same surgeon between September 2019 and August 2022. The learning curve was demonstrated using risk-adjusted cumulative sum (RA-CUSUM) analysis in terms of perioperative complications, which reflected surgical quality and technique proficiency. The surgical outcomes were also compared between different phases.ResultThe complication-based learning curve of U-VATS segmentectomy could be divided into two phases based on RA-CUSUM analysis: phase I, the initial learning phase (cases 1–50) and phase II, the proficiency phase (cases 51–141). Significantly higher complication rates (24.0 vs. 8.8%, p=0.013), longer surgical times (119.8±31.9 vs. 106.2±23.8 min, p=0.005), and more blood loss (20 [IQR, 20–30] vs. 20 [IQR, 10–20] ml, p=0.003) were observed in phase I than in phase II.ConclusionThe learning curve of U-VATS segmentectomy consists of two phases, and at least 50 cases were required to gain technique proficiency and achieve high-quality surgical outcomes.【 授权许可】
CC BY
© BioMed Central Ltd., part of Springer Nature 2023. corrected publication 2023
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