Learning curve of single utility port of complete video-assisted thoracoscopic lobectomy
Wang Guangyu
Chu Xiangyang
Li Guo
Xue Zhiqiang
Zhang Lianbin
Hou Xiaobin
Abstract：Objective To evaluate the surgical outcomes and to explore the learning curve of single utility port of complete video-assisted thoracoscopic lobectomy.Methods We retrospectively analyzed the clinical data of 200 consecutive patients with early-stage lung cancer who underwent single utility port of complete video-assistedthoracic surgery(VATS) lobectomy from January 2009 to May 2013 in Chinese PLA General Hospital.The patients were divided into 5 groups from group A to E,according to the surgery date.The clinical outcomes included operation time,intraoperative blood loss,number resected lymph nodes,postoperative complications,hospitalization time and chest drainage duration.Results There were no statistical differences in the intraoperative blood loss,postoperative complications,number of lymph nodes cleaning and chest drainage duration.Operation time showed group A(210 ± 11) min,group B (169 ± 11) min,group C (163 ± 8) min,group D (174 ± 8) min and group E (159 ± 6) min.Hospitalization time showed group A (12.5 ± 0.6) d,group B (9.5 ± 0.4) d,group C (10.1 ± 0.4) d,group D(10.4 ±0.4) d and group E(9.6 ±0.4) d.There were statistical differences in the operation time and hospitalization time.The difference of intraoperative blood loss,number of lymph node cleaning,postoperative complications and extubation time among five groups had no statistical significances (P ＞ 0.05).Conclusion The learning curve of single utility port complete VATS lobectomy is approximately 40 cases.
Keywords：Lung neoplasmsSingle utility portLearning curve
Publication Date：2014-05-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 642-644 )