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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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Related Experiment Video

Updated: Feb 20, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

759

Crossing the bridge to VATS lobectomy.

P Tcherveniakov1, C Bogdan1, N Chaudhuri1

  • 1Leeds Teaching Hospitals NHS Trust , UK.

Annals of the Royal College of Surgeons of England
|October 20, 2017
PubMed
Summary
This summary is machine-generated.

A new training model for video-assisted thoracoscopic surgery (VATS) lobectomy accelerates learning and improves safety. This team-based approach, involving two surgical registrars and a supervisor, enhances the VATS lobectomy learning curve.

Keywords:
LobectomyLung cancerTrainingVideo assisted thoracoscopic surgery

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Area of Science:

  • Thoracic Surgery
  • Surgical Education
  • Minimally Invasive Procedures

Background:

  • Video-assisted thoracoscopic surgery (VATS) lobectomy has been available for 20 years.
  • Global adoption of VATS lobectomy has been slower than anticipated.
  • Lack of consensus on VATS lobectomy training hinders widespread implementation.

Purpose of the Study:

  • To present initial experience with a novel training model for VATS lobectomy.
  • To address the divide between open and VATS lobectomy surgical techniques.
  • To improve the integration of VATS lobectomy into surgical training programs.

Main Methods:

  • A standardized three-port anterior approach was used for all VATS lobectomies.
  • Two surgical registrars alternated roles as first surgeon and assistant under consultant supervision.
  • Systematic lymph node dissection was performed in all cases.

Main Results:

  • 22 VATS lobectomies were performed over 6 months, with 13 upper lobectomies.
  • No emergency conversions to open surgery were required.
  • No perioperative mortality was observed; common complications included atrial fibrillation and air leak.

Conclusions:

  • VATS lobectomy is a team-based procedure, with significant roles for both surgeon and assistant.
  • The proposed training model, utilizing two trainees and a supervisor, enhances intuitive learning and teaching.
  • This accelerated training approach is expected to reduce the learning curve and improve safety in VATS lobectomy.