Single-Port Video-Assisted Thoracoscopic Lobectomy for Non-small-Cell Lung Cancer—Learning Curve Analysis

Uniportal video-assisted thoracoscopic surgery (UVATS) lobectomy has been gradually applied for the surgical treatment of resectable non-small-cell lung cancer (NSCLC). The purposes of this study were to analyze the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy for the t...

Full description

Saved in:
Bibliographic Details
Published in:Indian journal of surgery 2021-08, Vol.83 (4), p.908-914
Main Authors: Xiong, Ran, Wu, Han-ran, Wang, Gao-xiang, Sun, Xiao-hui, Liu, Chang-qing, Xu, Guang-wen, Xie, Ming-ran
Format: Article
Language:English
Subjects:
Cancer
Cardiac Surgery
Care and treatment
Lung cancer
Lung cancer, Non-small cell
Medicine
Medicine & Public Health
Neurosurgery
Oncology, Experimental
Original Article
Pediatric Surgery
Plastic Surgery
Surgery
Thoracic Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c337t-7435ce68dc2e8ccf03c456405dab153a18370449a6d4adcb99864a33193df6073
container_end_page 914
container_issue 4
container_start_page 908
container_title Indian journal of surgery
container_volume 83
creator Xiong, Ran
Wu, Han-ran
Wang, Gao-xiang
Sun, Xiao-hui
Liu, Chang-qing
Xu, Guang-wen
Xie, Ming-ran
description Uniportal video-assisted thoracoscopic surgery (UVATS) lobectomy has been gradually applied for the surgical treatment of resectable non-small-cell lung cancer (NSCLC). The purposes of this study were to analyze the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy for the treatment of resectable non-small-cell lung cancer and discuss the clinical application value. We retrospectively evaluated 160 consecutive patients with non-small-cell lung cancer who underwent intended uniportal video-assisted thoracoscopic surgery lobectomy by a single surgical team in our ward between May 2016 and April 2017. The patients were divided into four groups in chronological order. The general clinical date, perioperative data, and postoperative complications were individually compared and analyzed among the four groups. The four groups were similar in terms of incision length, chest tube duration, total number of dissected lymph nodes, and nodal stations and postoperative length of stay. The differences of operative time (185.9 SD 17.9 versus 139.9 SD 10.7 versus 128.7 SD 7.8 versus 124.0 SD 9.3 min), intraoperative blood loss (233.9SD135.8 versus 126.8SD18.1 versus 116.4 SD 22.6 versus 112.8 SD 25.3 ml), conversion rate (17.5% versus 7.5% versus 5.0% versus 5.0%), and postoperative complications rate (27.5% versus 10.0% versus 10.0% versus 7.5%) were significant among the four groups ( p  
doi_str_mv 10.1007/s12262-020-02522-2
format article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2568654856</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A674179974</galeid><sourcerecordid>A674179974</sourcerecordid><originalsourceid>FETCH-LOGICAL-c337t-7435ce68dc2e8ccf03c456405dab153a18370449a6d4adcb99864a33193df6073</originalsourceid><addsrcrecordid>eNp9kdFq2zAYhUVpoWm2F-iVYddqZUmWrMsQurZgtsHS3QpF_p0qs6VUcgq520PsCfskU5JBGJQhhH4O5_s54iB0XZKbkhB5m0pKBcWEknwrSjE9QxOiJMNKKnZ-mLNIRH2JrlJaE0K5YGyCfn53ftUD_hbiWPxwLQQ8S8mlEdpi8RyisSHZsHG2aMIS7BiGXdGFWHwJHqfB9D2eQ98XzdavirnxFuLbr98NmOjdXtnGVyhm3vS7vPMDuuhMn-Dj33eKnj7fLeYPuPl6_zifNdgyJkcsOassiLq1FGprO8IsrwQnVWuWZcVMWTNJOFdGtNy0dqlULbhhrFSs7QSRbIo-HfduYnjZQhr1OmxjDpE0rUQtKl5X4uRamR60810Y828Hl6yeCclLqVROMkU377jyaWFwNnjoXNb_AegRsDGkFKHTm-gGE3e6JHrflT52pXNX-tCVphliRyhls19BPCX-D_UHYcSWWw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2568654856</pqid></control><display><type>article</type><title>Single-Port Video-Assisted Thoracoscopic Lobectomy for Non-small-Cell Lung Cancer—Learning Curve Analysis</title><source>Springer Nature</source><creator>Xiong, Ran ; Wu, Han-ran ; Wang, Gao-xiang ; Sun, Xiao-hui ; Liu, Chang-qing ; Xu, Guang-wen ; Xie, Ming-ran</creator><creatorcontrib>Xiong, Ran ; Wu, Han-ran ; Wang, Gao-xiang ; Sun, Xiao-hui ; Liu, Chang-qing ; Xu, Guang-wen ; Xie, Ming-ran</creatorcontrib><description>Uniportal video-assisted thoracoscopic surgery (UVATS) lobectomy has been gradually applied for the surgical treatment of resectable non-small-cell lung cancer (NSCLC). The purposes of this study were to analyze the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy for the treatment of resectable non-small-cell lung cancer and discuss the clinical application value. We retrospectively evaluated 160 consecutive patients with non-small-cell lung cancer who underwent intended uniportal video-assisted thoracoscopic surgery lobectomy by a single surgical team in our ward between May 2016 and April 2017. The patients were divided into four groups in chronological order. The general clinical date, perioperative data, and postoperative complications were individually compared and analyzed among the four groups. The four groups were similar in terms of incision length, chest tube duration, total number of dissected lymph nodes, and nodal stations and postoperative length of stay. The differences of operative time (185.9 SD 17.9 versus 139.9 SD 10.7 versus 128.7 SD 7.8 versus 124.0 SD 9.3 min), intraoperative blood loss (233.9SD135.8 versus 126.8SD18.1 versus 116.4 SD 22.6 versus 112.8 SD 25.3 ml), conversion rate (17.5% versus 7.5% versus 5.0% versus 5.0%), and postoperative complications rate (27.5% versus 10.0% versus 10.0% versus 7.5%) were significant among the four groups ( p  &lt; 0.05). Compared with group A, the operative time and intraoperative blood loss were significantly decreased in groups B, C, and D, with significant differences ( p  &lt; 0.05). Uniportal video-assisted thoracoscopic surgery lobectomy can be safely and feasibly performed on resectable non-small-cell lung cancer; the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy is approximately 40 cases. The operative time, intraoperative blood loss, postoperative complications, and conversion rates can be used as the main measure indexes for surgery.</description><identifier>ISSN: 0972-2068</identifier><identifier>EISSN: 0973-9793</identifier><identifier>DOI: 10.1007/s12262-020-02522-2</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Cancer ; Cardiac Surgery ; Care and treatment ; Lung cancer ; Lung cancer, Non-small cell ; Medicine ; Medicine &amp; Public Health ; Neurosurgery ; Oncology, Experimental ; Original Article ; Pediatric Surgery ; Plastic Surgery ; Surgery ; Thoracic Surgery</subject><ispartof>Indian journal of surgery, 2021-08, Vol.83 (4), p.908-914</ispartof><rights>Association of Surgeons of India 2020</rights><rights>COPYRIGHT 2021 Springer</rights><rights>Association of Surgeons of India 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c337t-7435ce68dc2e8ccf03c456405dab153a18370449a6d4adcb99864a33193df6073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Xiong, Ran</creatorcontrib><creatorcontrib>Wu, Han-ran</creatorcontrib><creatorcontrib>Wang, Gao-xiang</creatorcontrib><creatorcontrib>Sun, Xiao-hui</creatorcontrib><creatorcontrib>Liu, Chang-qing</creatorcontrib><creatorcontrib>Xu, Guang-wen</creatorcontrib><creatorcontrib>Xie, Ming-ran</creatorcontrib><title>Single-Port Video-Assisted Thoracoscopic Lobectomy for Non-small-Cell Lung Cancer—Learning Curve Analysis</title><title>Indian journal of surgery</title><addtitle>Indian J Surg</addtitle><description>Uniportal video-assisted thoracoscopic surgery (UVATS) lobectomy has been gradually applied for the surgical treatment of resectable non-small-cell lung cancer (NSCLC). The purposes of this study were to analyze the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy for the treatment of resectable non-small-cell lung cancer and discuss the clinical application value. We retrospectively evaluated 160 consecutive patients with non-small-cell lung cancer who underwent intended uniportal video-assisted thoracoscopic surgery lobectomy by a single surgical team in our ward between May 2016 and April 2017. The patients were divided into four groups in chronological order. The general clinical date, perioperative data, and postoperative complications were individually compared and analyzed among the four groups. The four groups were similar in terms of incision length, chest tube duration, total number of dissected lymph nodes, and nodal stations and postoperative length of stay. The differences of operative time (185.9 SD 17.9 versus 139.9 SD 10.7 versus 128.7 SD 7.8 versus 124.0 SD 9.3 min), intraoperative blood loss (233.9SD135.8 versus 126.8SD18.1 versus 116.4 SD 22.6 versus 112.8 SD 25.3 ml), conversion rate (17.5% versus 7.5% versus 5.0% versus 5.0%), and postoperative complications rate (27.5% versus 10.0% versus 10.0% versus 7.5%) were significant among the four groups ( p  &lt; 0.05). Compared with group A, the operative time and intraoperative blood loss were significantly decreased in groups B, C, and D, with significant differences ( p  &lt; 0.05). Uniportal video-assisted thoracoscopic surgery lobectomy can be safely and feasibly performed on resectable non-small-cell lung cancer; the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy is approximately 40 cases. The operative time, intraoperative blood loss, postoperative complications, and conversion rates can be used as the main measure indexes for surgery.</description><subject>Cancer</subject><subject>Cardiac Surgery</subject><subject>Care and treatment</subject><subject>Lung cancer</subject><subject>Lung cancer, Non-small cell</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neurosurgery</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Plastic Surgery</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><issn>0972-2068</issn><issn>0973-9793</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kdFq2zAYhUVpoWm2F-iVYddqZUmWrMsQurZgtsHS3QpF_p0qs6VUcgq520PsCfskU5JBGJQhhH4O5_s54iB0XZKbkhB5m0pKBcWEknwrSjE9QxOiJMNKKnZ-mLNIRH2JrlJaE0K5YGyCfn53ftUD_hbiWPxwLQQ8S8mlEdpi8RyisSHZsHG2aMIS7BiGXdGFWHwJHqfB9D2eQ98XzdavirnxFuLbr98NmOjdXtnGVyhm3vS7vPMDuuhMn-Dj33eKnj7fLeYPuPl6_zifNdgyJkcsOassiLq1FGprO8IsrwQnVWuWZcVMWTNJOFdGtNy0dqlULbhhrFSs7QSRbIo-HfduYnjZQhr1OmxjDpE0rUQtKl5X4uRamR60810Y828Hl6yeCclLqVROMkU377jyaWFwNnjoXNb_AegRsDGkFKHTm-gGE3e6JHrflT52pXNX-tCVphliRyhls19BPCX-D_UHYcSWWw</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Xiong, Ran</creator><creator>Wu, Han-ran</creator><creator>Wang, Gao-xiang</creator><creator>Sun, Xiao-hui</creator><creator>Liu, Chang-qing</creator><creator>Xu, Guang-wen</creator><creator>Xie, Ming-ran</creator><general>Springer India</general><general>Springer</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>20210801</creationdate><title>Single-Port Video-Assisted Thoracoscopic Lobectomy for Non-small-Cell Lung Cancer—Learning Curve Analysis</title><author>Xiong, Ran ; Wu, Han-ran ; Wang, Gao-xiang ; Sun, Xiao-hui ; Liu, Chang-qing ; Xu, Guang-wen ; Xie, Ming-ran</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-7435ce68dc2e8ccf03c456405dab153a18370449a6d4adcb99864a33193df6073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cancer</topic><topic>Cardiac Surgery</topic><topic>Care and treatment</topic><topic>Lung cancer</topic><topic>Lung cancer, Non-small cell</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neurosurgery</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Plastic Surgery</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xiong, Ran</creatorcontrib><creatorcontrib>Wu, Han-ran</creatorcontrib><creatorcontrib>Wang, Gao-xiang</creatorcontrib><creatorcontrib>Sun, Xiao-hui</creatorcontrib><creatorcontrib>Liu, Chang-qing</creatorcontrib><creatorcontrib>Xu, Guang-wen</creatorcontrib><creatorcontrib>Xie, Ming-ran</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Indian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xiong, Ran</au><au>Wu, Han-ran</au><au>Wang, Gao-xiang</au><au>Sun, Xiao-hui</au><au>Liu, Chang-qing</au><au>Xu, Guang-wen</au><au>Xie, Ming-ran</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Single-Port Video-Assisted Thoracoscopic Lobectomy for Non-small-Cell Lung Cancer—Learning Curve Analysis</atitle><jtitle>Indian journal of surgery</jtitle><stitle>Indian J Surg</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>83</volume><issue>4</issue><spage>908</spage><epage>914</epage><pages>908-914</pages><issn>0972-2068</issn><eissn>0973-9793</eissn><abstract>Uniportal video-assisted thoracoscopic surgery (UVATS) lobectomy has been gradually applied for the surgical treatment of resectable non-small-cell lung cancer (NSCLC). The purposes of this study were to analyze the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy for the treatment of resectable non-small-cell lung cancer and discuss the clinical application value. We retrospectively evaluated 160 consecutive patients with non-small-cell lung cancer who underwent intended uniportal video-assisted thoracoscopic surgery lobectomy by a single surgical team in our ward between May 2016 and April 2017. The patients were divided into four groups in chronological order. The general clinical date, perioperative data, and postoperative complications were individually compared and analyzed among the four groups. The four groups were similar in terms of incision length, chest tube duration, total number of dissected lymph nodes, and nodal stations and postoperative length of stay. The differences of operative time (185.9 SD 17.9 versus 139.9 SD 10.7 versus 128.7 SD 7.8 versus 124.0 SD 9.3 min), intraoperative blood loss (233.9SD135.8 versus 126.8SD18.1 versus 116.4 SD 22.6 versus 112.8 SD 25.3 ml), conversion rate (17.5% versus 7.5% versus 5.0% versus 5.0%), and postoperative complications rate (27.5% versus 10.0% versus 10.0% versus 7.5%) were significant among the four groups ( p  &lt; 0.05). Compared with group A, the operative time and intraoperative blood loss were significantly decreased in groups B, C, and D, with significant differences ( p  &lt; 0.05). Uniportal video-assisted thoracoscopic surgery lobectomy can be safely and feasibly performed on resectable non-small-cell lung cancer; the learning curve of uniportal video-assisted thoracoscopic surgery lobectomy is approximately 40 cases. The operative time, intraoperative blood loss, postoperative complications, and conversion rates can be used as the main measure indexes for surgery.</abstract><cop>New Delhi</cop><pub>Springer India</pub><doi>10.1007/s12262-020-02522-2</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0972-2068
ispartof Indian journal of surgery, 2021-08, Vol.83 (4), p.908-914
issn 0972-2068
0973-9793
language eng
recordid cdi_proquest_journals_2568654856
source Springer Nature
subjects Cancer
Cardiac Surgery
Care and treatment
Lung cancer
Lung cancer, Non-small cell
Medicine
Medicine & Public Health
Neurosurgery
Oncology, Experimental
Original Article
Pediatric Surgery
Plastic Surgery
Surgery
Thoracic Surgery
title Single-Port Video-Assisted Thoracoscopic Lobectomy for Non-small-Cell Lung Cancer—Learning Curve Analysis
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-02T14%3A38%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Single-Port%20Video-Assisted%20Thoracoscopic%20Lobectomy%20for%20Non-small-Cell%20Lung%20Cancer%E2%80%94Learning%20Curve%20Analysis&rft.jtitle=Indian%20journal%20of%20surgery&rft.au=Xiong,%20Ran&rft.date=2021-08-01&rft.volume=83&rft.issue=4&rft.spage=908&rft.epage=914&rft.pages=908-914&rft.issn=0972-2068&rft.eissn=0973-9793&rft_id=info:doi/10.1007/s12262-020-02522-2&rft_dat=%3Cgale_proqu%3EA674179974%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c337t-7435ce68dc2e8ccf03c456405dab153a18370449a6d4adcb99864a33193df6073%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2568654856&rft_id=info:pmid/&rft_galeid=A674179974&rfr_iscdi=true