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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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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...
953

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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Consensus for Thoracoscopic Left Upper Lobectomy-Essential Components and Targets for Simulation.

Darren S Bryan1, Mark K Ferguson2, Mara B Antonoff3

  • 1Department of Surgery, University of Chicago, Chicago, Illinois.

The Annals of Thoracic Surgery
|October 31, 2020
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Summary
This summary is machine-generated.

This study used a Delphi process to identify key steps for video-assisted thoracoscopic surgery (VATS) left upper lobectomy simulation. Consensus was reached on 19 steps, highlighting dissection and division as priorities for training.

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Area of Science:

  • Thoracic Surgery
  • Surgical Education
  • Medical Simulation

Background:

  • Simulation-based training is crucial for cardiothoracic surgical education.
  • Developing effective curricula requires consensus on procedural steps and learning objectives.
  • Video-assisted thoracoscopic surgery (VATS) left upper lobectomy is a key procedure.

Purpose of the Study:

  • To establish consensus on the procedural steps of VATS left upper lobectomy.
  • To identify specific learning objectives and targets for simulation-based training.
  • To inform the development of targeted simulation curricula for VATS lobectomy.

Main Methods:

  • A Delphi process was employed with experienced thoracic surgeons.
  • Surgeons voted on the necessity of individual VATS left upper lobectomy steps.
  • Complexity and suitability for simulation were assessed for each step.

Main Results:

  • Thirty thoracic surgeons participated in the consensus process.
  • Consensus was achieved on 19 out of 20 operative steps.
  • Steps involving dissection and division of bronchus, artery, and vein were identified as most complex and suitable for simulation.

Conclusions:

  • The Delphi process effectively achieved surgeon consensus on VATS left upper lobectomy steps.
  • Agreement was reached on steps most appropriate for simulation-based training.
  • Findings facilitate the development of targeted simulation for VATS lobectomy training.