Learning thoracoscopic lobectomy☆☆☆

摘要: Objective: Thoracoscopic (video-assisted thoracoscopic surgery (VATS)) lobectomy is a safe and effective method for treating early-stage lung cancer. Despite this, it still not widely practised, which could be due to shallow learning curve. We have evaluated the surgical outcome in training programme at an institution with established VATS programme. present data of first 50 intended lobectomies performed by consultant as primary surgeon. Methods: Data were obtained from prospectively registered database consisting 262 consecutively lobectomies. A single 212 His excluded, they considered his curve, leaving 162 lobectomies, 12 converted open lobectomy, January 2005 April 2008. Fifty tobectomies three 2007 The was experienced thoracic had more than 200 minor procedures prior between 47 compared 150 using statistical analysis. Results: There significantly better results regarding prolonged air leak, chest tube duration length stay, probably reflects careful selection patients favouring consultant. operation time significant longer (p < 0.0001). Conclusions: With patients, can taught safely Using analysis, acceptable comparison did spend operating theatre 0.0001) we recommend taking that into account when planning future programmes lobectomy.