Author of

• 25952

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  P2.15 - Treatment in the Real World - Support, Survivorship, Systems Research (Not CME Accredited Session) (ID 964)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall

  • 27254

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    P2.15-32 - Novice Training : The Time Course for Developing Competence in Single Port Video-Assisted Thoracoscopic Lobectomy (ID 12528)

    16:45 - 18:00  |  Author(s): Diego Gonzalez-Rivas
    • Abstract

    Background
    

    The competency in video-assisted thoracoscopic (VATS) lobectomy is expected to be achieved after surgeons practiced 30 to 50 cases according to previous reports. Does single port video-assisted thoracoscopic (SPVATS) lobectomy have a steeper learning curve and being harder to perform correctly, leading to long development times and high defect rates?

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    From January,2014 to Febreary,2017, 8 individual surgeons (3 were novices, 5 were pioneers in SPVATS surgery) submitted their cases chronologically to evaluate the learning curve of SPVATS lobectomy. Propensity score match between two groups and cumulative sum(CUSUM) method were used to explore evolution of learning curve

    4c3880bb027f159e801041b1021e88e8 Result
    

    Before propensity-score matching, a total of 356 cases were included (93 in junior consultant group (group A), 263 in senior consultant group (group B). There were no differences between the groups in operative time, conversion rate, postoperative complication rate, 30 and 90 day mortality rate. After propensity- score matching, operative time was longer in group A (214.33±62.18 v.s 183.62±61.25 mins, p=0.001). 2-year overall survival rate was similar among two groups (p=0.409). Competency was reached after junior surgeon completed 30^th case of SPVATS lobectomy.

    

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    SPVATS lobectomy is safe for the novice surgeon who wants to adopt this new surgical approach under well- developed training program. The learning curves for competence in SPVATS lobectomy is similar to VATS lobectomy in our series.

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