Video-assisted Thoracoscopic Surgery Lobectomy Learning Curve: What Program Should Be Offered in a Residency Course?

Overview

Journal J Vis Surg

Publisher AME Publishing Company

Specialty General Surgery

Date 2018 Jan 6

PMID 29302419

Citations 8

Authors

Duilio Divisi

Mirko Barone

Gino Zaccagna

Angela De Palma

Francesca Gabriele

Roberto Crisci

Affiliations

Soon will be listed here.

Abstract

Video-assisted thoracoscopic (VAT) procedures are emerging for treatment of both benign and malignant thoracic diseases and substituting classical approaches, such as thoracotomies, thanks to several advantages concerning postoperative morbidity rates and overall patients' outcome (i.e., postoperative pain, chronic pain and quality of life). However, a VAT approach needs an established learning curve making procedures as safe as in open surgery. With regard of trainee surgeons, notwithstanding an increasing number of learning tools and strategies, such as simulation programs (i.e., black-boxes, wet labs, cadaver or animal labs, 3D virtual reality simulators) and direct observation both of live surgery and videos with a supportive evidence base from benchtop studies, there remains inconsistent adoption in surgical educations.

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