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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.
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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...
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Learning thoracoscopic lobectomy in resident training.

Chang-Lun Huang1, Chia-Chuan Liu2, Ching-Yuan Cheng1

  • 1Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Chung Shan Medical University, Taichung, Taiwan.

The Thoracic and Cardiovascular Surgeon
|March 5, 2014
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Summary

Thoracoscopic lobectomy training is feasible for residents. Surgical skills improve significantly after 30 cases, demonstrating patient safety is maintained during this learning process.

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Area of Science:

  • Thoracic Surgery
  • Surgical Education
  • Minimally Invasive Procedures

Background:

  • Thoracoscopic lobectomy is a standard procedure, but its integration into surgical residency training remains unclear.
  • This study investigates outcomes of thoracoscopic lobectomies performed by a resident in training.

Purpose of the Study:

  • To evaluate the feasibility and safety of teaching thoracoscopic lobectomy to a surgical resident.
  • To determine the learning curve and performance plateau for thoracoscopic lobectomy in residency training.

Main Methods:

  • Prospective data collection from 87 consecutive thoracoscopic lobectomies performed by a single trainee surgeon.
  • Cases were divided into the initial 30 (group 1) and subsequent 57 (group 2) for comparative analysis.
  • Analysis included patient characteristics, operative details, complications, and pathology.

Main Results:

  • Mean operating time decreased significantly from group 1 (264.0 min) to group 2 (197.5 min) (p<0.001).
  • No mortalities were observed in either group.
  • There were no significant differences in postoperative complication rates between the two groups.

Conclusions:

  • Thoracoscopic lobectomy can be safely taught to inexperienced thoracic residents during open procedures.
  • Surgical performance in thoracoscopic lobectomy appears to reach a plateau after approximately 30 cases.
  • Residency training in thoracoscopic lobectomy can be achieved without compromising patient safety.