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Related Experiment Video

Updated: Jun 19, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Published on: February 27, 2026

Learning thoracoscopic lobectomy.

René Horsleben Petersen1, Henrik Jessen Hansen

  • 1Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen, Denmark. rene.petersen@rh.regionh.dk

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|October 13, 2009
PubMed
Summary
This summary is machine-generated.

Video-assisted thoracoscopic surgery (VATS) lobectomy training is safe for early-stage lung cancer. Trainee surgeons achieved acceptable outcomes, though with longer operation times, demonstrating the feasibility of VATS lobectomy education.

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Published on: April 19, 2024

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Video-assisted thoracoscopic surgery (VATS) lobectomy is a safe and effective treatment for early-stage lung cancer.
  • Widespread adoption of VATS lobectomy is limited, potentially due to its learning curve.
  • This study evaluates surgical outcomes within a VATS lobectomy training program.

Purpose of the Study:

  • To assess the safety and efficacy of a VATS lobectomy training program.
  • To compare surgical outcomes between a consultant in training and an experienced consultant performing VATS lobectomies.
  • To evaluate the learning curve and feasibility of teaching VATS lobectomy.

Main Methods:

  • Data from 262 consecutive VATS lobectomies were analyzed from a prospectively registered database.
  • The first 50 procedures of an experienced consultant were excluded as his learning curve.
  • Surgical outcomes of 47 VATS lobectomies by a trainee consultant were compared to 150 by an experienced consultant.

Main Results:

  • The training consultant demonstrated significantly better outcomes in prolonged air leak, chest tube duration, and length of hospital stay.
  • Operation time was significantly longer for the consultant in training (p<0.0001).
  • Patient selection likely influenced the favorable outcomes for the trainee.

Conclusions:

  • VATS lobectomy can be safely taught in experienced institutions with careful patient selection.
  • Surgical outcomes for the trainee consultant were acceptable compared to the experienced consultant.
  • Longer operating times for trainees should be considered in future VATS lobectomy training program planning.