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学科主题临床医学
Video-Assisted Thoracoscopic Surgery Lobectomy for Lung Cancer: The Learning Curve
Zhao, Hui; Bu, Liang; Yang, Fan; Li, Jianfeng; Li, Yun; Wang, Jun
刊名WORLD JOURNAL OF SURGERY
2010-10-01
DOI10.1007/s00268-010-0661-7
34期:10页:2368-2372
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Surgery
研究领域[WOS]Surgery
关键词[WOS]STAGE-I ; THORACIC-SURGERY ; NODE DISSECTION ; THORACOTOMY ; EXPERIENCE ; RESECTION ; VATS
英文摘要

Background Video-assisted thoracoscopic surgery (VATS) lobectomy is an acceptable alternative to open lobectomy for treating early-stage lung cancer. As with any video-assisted surgical procedure, there is a learning curve to overcome before becoming proficient. In this study, the outcomes of 90 consecutive VATS lobectomies for lung cancer were evaluated to determine the learning curve for this procedure.

Methods A single group of surgeons performed VATS lobectomy with systematic lymph node dissection in 90 patients with lung cancer between September 2006 and January 2009. The patients were divided equally and chronologically into three groups: group A, group B, and group C; group A was the earliest group of patients treated. Clinical data were collected. The operative time, blood loss, number of dissected mediastinal lymph nodes and nodal stations, conversion rate to thoracotomy, postoperative complications, duration of chest drainage, and hospital stay duration were compared between the three groups.

Results There were no differences between the three groups with respect to age, gender, size of tumor, pathological stage, and operative procedure. The operative time and blood loss were significantly lower in groups B and C than in group A (P < 0.01); however, there were no differences between groups B and C. There were no differences among the groups in the number lymph nodes harvested, conversion rate, postoperative complications, duration of chest drainage, or hospital stay duration.

Conclusions A learning curve for VATS lobectomy existed in this series. The surgeon became more proficient after 30-60 cases and was able to perform the procedure with decreased blood loss and operative time.

语种英语
WOS记录号WOS:000282144300017
引用统计
被引频次:35[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50105
专题北京大学第二临床医学院_胸外科
作者单位Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China
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GB/T 7714
Zhao, Hui,Bu, Liang,Yang, Fan,et al. Video-Assisted Thoracoscopic Surgery Lobectomy for Lung Cancer: The Learning Curve[J]. WORLD JOURNAL OF SURGERY,2010,34(10):2368-2372.
APA Zhao, Hui,Bu, Liang,Yang, Fan,Li, Jianfeng,Li, Yun,&Wang, Jun.(2010).Video-Assisted Thoracoscopic Surgery Lobectomy for Lung Cancer: The Learning Curve.WORLD JOURNAL OF SURGERY,34(10),2368-2372.
MLA Zhao, Hui,et al."Video-Assisted Thoracoscopic Surgery Lobectomy for Lung Cancer: The Learning Curve".WORLD JOURNAL OF SURGERY 34.10(2010):2368-2372.
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