| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2006;29:806-809
© 2006 Elsevier Science NL
Royal Infirmary of Edinburgh, United Kingdom
Received 29 September 2005; received in revised form 2 February 2006; accepted 7 February 2006.
* Corresponding author. Address: 24 Beaulands Close, Cambridge CB4 1JA, United Kingdom. Tel.: +44 1223350952; fax: +44 1223350952. (Email: Drjiferguson{at}aol.com).
Objective: Although VATS lobectomy has been demonstrated to be safe and effective, the technique is not widely practiced. This may, in part, reflect difficulty in acquiring appropriate skills. We have evaluated the effect of experience and training on surgical outcomes during the development and establishment of a VATS lobectomy programme. Methods: Data were collected prospectively on 276 consecutive VATS lobectomies under the care of a single consultant as either the primary surgeon or supervising four trainees. The series was divided into cohorts of 46 patients. These comprised one trainee cohort and five sequential consultant cohorts. Statistical analysis utilised standard tests of significance. Results: Increasing experience with the VATS lobectomy programme was associated with a significant reduction in operating time but intraoperative blood loss and postoperative stay were not influenced by increasing consultant surgical experience. Training was associated with a mean increase of 22 min operative time (p = 0.0005) but no increase in intraoperative blood loss, morbidity, mortality or postoperative stay. The 46 trainee operative times were similar to the first 46 consultant cases. Conclusions: VATS lobectomy can be safely taught to trainee thoracic surgeons. However, in view of the limited number of centres undertaking VATS lobectomy, training should be coordinated at a national level to concentrate experience and improve uptake of this technique.
Key Words: VATS • Training • Lobectomy • Lung
This article has been cited by other articles:
|
|
 |
|
  R. K. Sahai, C. E. Nwogu, S. Yendamuri, W. Tan, G. E. Wilding, and T. L. Demmy Is thoracoscopic pneumonectomy safe? Ann. Thorac. Surg., October 1, 2009; 88(4): 1086 - 1092. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. W. Seder, K. Hanna, V. Lucia, J. Boura, S. W. Kim, R. J. Welsh, and G. W. Chmielewski The safe transition from open to thoracoscopic lobectomy: a 5-year experience. Ann. Thorac. Surg., July 1, 2009; 88(1): 216 - 226. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Loscertales, R. Jimenez-Merchan, M. Congregado, F. J. Ayarra, G. Gallardo, and A. Trivino Video-Assisted Surgery for Lung Cancer. State of the Art and Personal Experience Asian Cardiovasc Thorac Ann, June 1, 2009; 17(3): 313 - 326. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Casali and W. S. Walker Video-assisted thoracic surgery lobectomy: can we afford it? Eur. J. Cardiothorac. Surg., March 1, 2009; 35(3): 423 - 428. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. F. Reed, M. W. Lucia, S. L. Starnes, W. H. Merrill, and J. A. Howington Thoracoscopic lobectomy: introduction of a new technique into a thoracic surgery training program. J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 376 - 381. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Dexter, E. U. Dexter, D. Masursky, and N. A. Nussmeier Systematic Review of General Thoracic Surgery Articles to Identify Predictors of Operating Room Case Durations Anesth. Analg., April 1, 2008; 106(4): 1232 - 1241. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. Y.P. Wan, K. H. Thung, M. K.Y. Hsin, M. J. Underwood, and A. P.C. Yim Video-Assisted Thoracic Surgery Major Lung Resection Can Be Safely Taught to Trainees Ann. Thorac. Surg., February 1, 2008; 85(2): 416 - 419. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
