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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Updated: May 12, 2026

Systematic Bronchoscopy: the Four Landmarks Approach
04:47

Systematic Bronchoscopy: the Four Landmarks Approach

Published on: June 23, 2023

Simulation-based training for thoracoscopy.

Johanna Margareta Bjurström1, Lars Konge, Per Lehnert

  • 1From the Centre for Clinical Education (J.M.B., L.K., C.L.K., C.R.), Department of Cardiothoracic Surgery (P.L., H.J.H., R.H.P.), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark, and Department of Anesthesia, The Wilson Centre (C.R.),University of Toronto and The University Health Network, Toronto, Canada.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|April 20, 2013
PubMed
Summary
This summary is machine-generated.

Simulation-based training for thoracoscopy significantly improves novice surgeon skills. Educator-guided training for three hours allowed novices to perform acceptably, comparable to experienced surgeons.

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Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Medical Simulation

Background:

  • Video-assisted thoracic surgery (VATS) requires specialized surgeon skills.
  • Simulation-based training is proposed to shorten the learning curve for VATS.
  • This study compares self-guided versus educator-guided simulation training.

Purpose of the Study:

  • To evaluate the effectiveness of simulation-based training for thoracoscopy.
  • To compare novice performance after self-guided versus educator-guided simulation training.
  • To assess if simulation training can bridge the skill gap between novices and experienced surgeons.

Main Methods:

  • Novice surgeons were randomized into control, self-guided, and educator-guided training groups (n=10 each).
  • Training involved 3 hours on simulated thoracoscopy scenarios of increasing difficulty.
  • Performance was assessed via a standardized wedge resection on a porcine lung model by blinded experts.

Main Results:

  • Educator-guided training group performance was not significantly different from experienced surgeons.
  • Both control and self-guided training groups performed significantly worse than experienced surgeons.
  • Interrater reliability for assessment was acceptable (Spearman ρ = 0.73).

Conclusions:

  • Three hours of educator-guided simulation training enables novices to perform acceptable thoracoscopic wedge resections.
  • Educator guidance during simulation training appears beneficial, though not statistically significant in this study.
  • Further transfer studies are needed to confirm the long-term benefits of simulation training.