Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Some Strings Attached: The Suspension Retraction Technique in Thoracoscopic Right Upper Lobectomy.

ANZ journal of surgery·2026
Same author

Negative-Pressure Lung Re-expansion After One-Lung Ventilation for Pulmonary Resection: A Retrospective Study.

Journal of cardiothoracic and vascular anesthesia·2026
Same author

To the Editor: Severe Necrotizing Lung Infections: Definitions and Therapeutic Indications.

Journal of intensive care medicine·2026
Same author

Unusual Locations of Extra-Glossal Ectomesenchymal Chondromyxoid Tumors with RREB1-MRTFB Gene Fusions: A Report of Two Cases.

Head and neck pathology·2025
Same author

Post-oesophagectomy hiatal hernia.

Multimedia manual of cardiothoracic surgery : MMCTS·2025
Same author

Pulmonary sequestration 2: left lower lobe.

Multimedia manual of cardiothoracic surgery : MMCTS·2025

Related Experiment Video

Updated: Oct 26, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

416

Learning curve for completely thoracoscopic anatomic sublobar resection.

George Rakovich1, Ghizlane Belahmira2, William H Woodall3

  • 1Unit of Thoracic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, QC, Canada - George.rakovich@umontreal.ca.

Minerva Surgery
|August 2, 2021
PubMed
Summary
This summary is machine-generated.

A surgeon proficient in VATS lobectomy can achieve competency in thoracoscopic anatomic sublobar resection after 32 cases. This learning curve did not compromise perioperative outcomes, making it a viable alternative to lobectomy.

More Related Videos

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique
06:11

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

Published on: May 2, 2025

281
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

4.1K

Related Experiment Videos

Last Updated: Oct 26, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

416
Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique
06:11

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

Published on: May 2, 2025

281
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

4.1K

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Education

Background:

  • Minimally invasive anatomic sublobar resection is an alternative to lobectomy but technically challenging.
  • Limited studies exist on the learning curves for this procedure.
  • Evaluating the learning curve for a single surgeon is crucial for adoption.

Purpose of the Study:

  • To assess the learning curve for a single surgeon performing completely thoracoscopic anatomic sublobar resections.
  • To determine the number of cases required to achieve competency.
  • To evaluate the impact of the learning curve on perioperative outcomes.

Main Methods:

  • Retrospective review of 67 thoracoscopic anatomic sublobar resections by one surgeon (Jan 2015-Jan 2020).
  • Surgeon was proficient in video-assisted thoracoscopic surgery (VATS) lobectomy prior to the study.
  • Primary outcome: operative time; Secondary outcomes: complications, chest tube duration, length of stay.

Main Results:

  • Competency, indicated by a drop in operative time, was achieved after 32 cases.
  • Post-32 cases, operative times decreased significantly (128.6 vs. 153.6 min, P=0.013).
  • No significant changes in complications, chest tube duration, or length of stay were observed across the learning curve.

Conclusions:

  • A surgeon proficient in VATS lobectomy can achieve competency in thoracoscopic anatomic sublobar resection after approximately 32 cases.
  • The learning curve for this procedure does not negatively impact perioperative outcomes.
  • This suggests thoracoscopic anatomic sublobar resection is a safe and achievable alternative to lobectomy.