Videothoracoscopic Lobectomy Training in Non-small Cell Lung Cancer

Overview

Journal Turk Gogus Kalp Damar Cerrahisi Derg

Specialty Cardiology & Vascular Diseases

Date 2020 Feb 22

PMID 32082853

Citations 4

Authors

Celal Bugra Sezen

Celalettin Ibrahim Kocaturk

Affiliations

Soon will be listed here.

Abstract

Background: This study aims to evaluate the outcomes of video-assisted thoracoscopic surgery lobectomies performed by a training consultant or an experienced consultant.

Methods: The study included 103 patients (81 males, 22 females; mean age 59.6±9.5 years; range, 32 to 84 years) who underwent video-assisted thoracoscopic surgery lobectomy due to non-small cell lung cancer. The training consultant assisted on the same side with the experienced consultant during the operations of the experienced consultant. The experienced consultant observed in the operating room and provided advice from a distance during the first five operations of the training consultant. Comorbidities, postoperative complications, and mortality were evaluated.

Results: Patients" demographic characteristics, comorbidities, and postoperative complications were similar between the two surgeons (p>0.05). Operative time, incidence of prolonged air leak, and length of hospital stay were higher in procedures performed by the training consultant (p<0.05). There were no significant differences in rates of life-threatening complications or mortality.

Conclusion: Video-assisted thoracoscopic surgery lobectomy can be performed safely by surgeons in training. Effective training programs may produce outcomes comparable to those of experienced surgeons.

Citing Articles

The effect of transcutaneous electric nerve stimulation on chronic postoperative pain and long-term quality of life.

Cansever L, Bugra Sezen C, Yaran O, Duman S, Seyrek Y, Hatipoglu M Turk Gogus Kalp Damar Cerrahisi Derg. 2022; 29(4):496-502.

PMID: 35096447 PMC: 8762903. DOI: 10.5606/tgkdc.dergisi.2021.19800.

Evaluation of Short-Term Outcomes and the Learning Curve Wherein a Thoracic Resident Doctor Performed Video-Assisted Thoracoscopic Anatomical Lung Resection for Lung Cancer.

Fujita T, Morino S, Nakamura A Ann Thorac Cardiovasc Surg. 2022; 28(4):249-254.

PMID: 35095054 PMC: 9433889. DOI: 10.5761/atcs.oa.21-00216.

Effect of intraoperative blood loss on postoperative pulmonary complications in patients undergoing video-assisted thoracoscopic surgery.

Yao L, Wang W Turk Gogus Kalp Damar Cerrahisi Derg. 2021; 29(3):347-353.

PMID: 34589253 PMC: 8462118. DOI: 10.5606/tgkdc.dergisi.2021.20657.

Comparison of short-term quality of life in patients undergoing video-assisted thoracoscopic surgery versus thoracotomy.

Cansever L, Bugra Sezen C, Yaran O, Bedirhan M Turk Gogus Kalp Damar Cerrahisi Derg. 2021; 28(4):623-628.

PMID: 33403135 PMC: 7759036. DOI: 10.5606/tgkdc.dergisi.2020.19169.

References

Whitson B, Groth S, Duval S, Swanson S, Maddaus M . Surgery for early-stage non-small cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg. 2008; 86(6):2008-16. DOI: 10.1016/j.athoracsur.2008.07.009. View

Onaitis M, Petersen R, Balderson S, Toloza E, Burfeind W, Harpole Jr D . Thoracoscopic lobectomy is a safe and versatile procedure: experience with 500 consecutive patients. Ann Surg. 2006; 244(3):420-5. PMC: 1856541. DOI: 10.1097/01.sla.0000234892.79056.63. View

Amore D, Di Natale D, Scaramuzzi R, Curcio C . Reasons for conversion during VATS lobectomy: what happens with increased experience. J Vis Surg. 2018; 4:53. PMC: 5897696. DOI: 10.21037/jovs.2018.03.02. View

Yao F, Wang J, Yao J, Hang F, Cao S, Cao Y . Video-Assisted Thoracic Surgical Lobectomy for Lung Cancer: Description of a Learning Curve. J Laparoendosc Adv Surg Tech A. 2017; 27(7):696-703. DOI: 10.1089/lap.2016.0636. View

Rocco G, Internullo E, Cassivi S, Van Raemdonck D, Ferguson M . The variability of practice in minimally invasive thoracic surgery for pulmonary resections. Thorac Surg Clin. 2008; 18(3):235-47. DOI: 10.1016/j.thorsurg.2008.06.002. View

McKenna Jr R . Complications and learning curves for video-assisted thoracic surgery lobectomy. Thorac Surg Clin. 2008; 18(3):275-80. DOI: 10.1016/j.thorsurg.2008.04.004. View

Petersen R, Gjeraa K, Jensen K, Moller L, Hansen H, Konge L . Assessment of competence in video-assisted thoracoscopic surgery lobectomy: A Danish nationwide study. J Thorac Cardiovasc Surg. 2018; 156(4):1717-1722. DOI: 10.1016/j.jtcvs.2018.04.046. View

Goldstraw P, Chansky K, Crowley J, Rami-Porta R, Asamura H, Eberhardt W . The IASLC Lung Cancer Staging Project: Proposals for Revision of the TNM Stage Groupings in the Forthcoming (Eighth) Edition of the TNM Classification for Lung Cancer. J Thorac Oncol. 2016; 11(1):39-51. DOI: 10.1016/j.jtho.2015.09.009. View

Ferguson J, Walker W . Developing a VATS lobectomy programme--can VATS lobectomy be taught?. Eur J Cardiothorac Surg. 2006; 29(5):806-9. DOI: 10.1016/j.ejcts.2006.02.012. View

10.

McKenna Jr R, Houck W, Fuller C . Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg. 2006; 81(2):421-5. DOI: 10.1016/j.athoracsur.2005.07.078. View

11.

Petersen R, Hansen H . Learning thoracoscopic lobectomy. Eur J Cardiothorac Surg. 2009; 37(3):516-20. DOI: 10.1016/j.ejcts.2009.09.012. View

12.

Gezer S, Avci A, Turktan M . Cusum analysis for learning curve of videothoracoscopic lobectomy. Open Med (Wars). 2017; 11(1):574-577. PMC: 5329880. DOI: 10.1515/med-2016-0093. View

13.

Divisi D, Barone M, Zaccagna G, De Palma A, Gabriele F, Crisci R . Video-assisted thoracoscopic surgery lobectomy learning curve: what program should be offered in a residency course?. J Vis Surg. 2018; 3:143. PMC: 5676207. DOI: 10.21037/jovs.2017.08.04. View

14.

Larsen C, Soerensen J, Grantcharov T, Dalsgaard T, Schouenborg L, Ottosen C . Effect of virtual reality training on laparoscopic surgery: randomised controlled trial. BMJ. 2009; 338:b1802. PMC: 3273782. DOI: 10.1136/bmj.b1802. View

15.

Roviaro G, Rebuffat C, Varoli F, Vergani C, Mariani C, Maciocco M . Videoendoscopic pulmonary lobectomy for cancer. Surg Laparosc Endosc. 1992; 2(3):244-7. View

16.

Carrott Jr P, Jones D . Teaching video-assisted thoracic surgery (VATS) lobectomy. J Thorac Dis. 2013; 5 Suppl 3:S207-11. PMC: 3771628. DOI: 10.3978/j.issn.2072-1439.2013.07.31. View

17.

Wan I, Thung K, Hsin M, Underwood M, Yim A . Video-assisted thoracic surgery major lung resection can be safely taught to trainees. Ann Thorac Surg. 2008; 85(2):416-9. DOI: 10.1016/j.athoracsur.2007.10.009. View

18.

Mazzella A, Olland A, Falcoz P, Renaud S, Santelmo N, Massard G . Video-assisted thoracoscopic lobectomy: which is the learning curve of an experienced consultant?. J Thorac Dis. 2016; 8(9):2444-2453. PMC: 5059302. DOI: 10.21037/jtd.2016.08.23. View

19.

Reed M, Lucia M, Starnes S, Merrill W, Howington J . Thoracoscopic lobectomy: introduction of a new technique into a thoracic surgery training program. J Thorac Cardiovasc Surg. 2008; 136(2):376-81. DOI: 10.1016/j.jtcvs.2008.05.005. View