Learning Curve of Single Pore Video-assisted Thoracoscopic Surgery for the Treatment of Pulmonary Bullae_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WUZheng-guo ¹ , NONGWen-gui ¹ ,  TAOHong-fa ¹ , ZHANGChao ¹ , CAOQing-dong ²

1. Department of Thoracic and Cardiovascular Surgery, Songgang People's Hospital, Shenzhen 518105, Guangdong, P. R. China;
2. Department of Thoracic and Cardiovascular Surgery, Baoan People's Hospital, Shenzhen 518100, Guangdong, P. R. China;

Corresponding?author：

TAOHong-fa, Email: gmzgjl@163.com

Keywords：

Single pore video-assisted thoracoscopic surgery; Pulmonary bulla; Learning curve

DOI：

10.7507/1007-4848.20140144

Video：

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Objective To explore the learning curve of single pore video-assisted thoracoscopic surgery (VATS) for the treatment of pulmonary bullae. Methods From July 2010 to October 2011, sixty consecutive patients with pulmo-nary bulla undergoing single pore VATS by the same group of surgeons in the Department of Thoracic and Cardiovascular Surgery, Songgang People's Hospital. According to the sequence of the operations, all the patients were divided into group A, B, and C with 20 patients in each group. Operation time, intraoperative blood loss, postoperative hospital stay and thoracic drainage duration were compared between the 3 groups to evaluate surgical outcomes in different stages. Operation time and postoperative hospital stay were the main indexes of the learning curve. Results There was no statistical difference in age, gender or incidence of pneumothorax between the 3 groups (P > 0.05). Operation time of group A (42.7±9.4 minutes) was significantly longer than those of group B (21.3±6.7 minutes) and group C (20.8±7.5 minutes) (P < 0.01). Postoperative hospital stay of group A (10.6±2.2 days) was significantly longer than those of group B (7.6±1.2 days) and group C (7.4±1.2 days) (P < 0.05). There was no statistical difference in other indexes among the 3 groups (P > 0.05). Conclusion The learning curve of single pore VATS for the treatment of pulmonary bullae is approximately 20 cases.

Citation： WUZheng-guo, NONGWen-gui, TAOHong-fa, ZHANGChao, CAOQing-dong. Learning Curve of Single Pore Video-assisted Thoracoscopic Surgery for the Treatment of Pulmonary Bullae. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(4): 511-514. doi: 10.7507/1007-4848.20140144 Copy

1.	Vodicka J. Are there any news in the management of spontaneous pneumothorax? Rozhl Chir, 2011, 90 (11):625-630.
2.	Salati M, Brunelli A, Xiumè F, et al. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax:clinical and economic analysis in comparison to the traditional approach. Interac Cardiovasc Thorac Surg, 2008, 7 (1):63-66.
3.	Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax:comparison of post operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28 (1):43-46.
4.	Gigirey Castro O, Berlanga González L, Sánchez Gómez E. Single port thorascopic surgery using the SILS tool as a novel method in the surgical treatment of pneumothorax. Arch Bronconeumol, 2010, 46(8):439-441.
5.	Chen PR, Chen CK, Lin YS, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6:58.
6.	Ng CS, Wan S, Yim AP. Paradigm shift in surgical approaches to spontaneous pneu-mothorax:VATS.Thorax, 2004, 59 (4):357.
7.	朱曉楓, 范軍, 馬東春, 等.電視胸腔鏡手術治療自發性氣胸.中國微創外科雜志, 2008, 8 (7):611-612.
8.	Nguyen NT, FoUete DM, Wolfe BM, et al. Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy. Arch Surg, 2000, 135 (8):920-925.
9.	Palanivelu C, Prakash A, Senthilkumar R, et al. Minimally invasive esophagectomy:thoracoscopie mobilization of the esophagus and mediastinal lymphadenectomy in prone position experience of 130 patients. J Am Coll Surg, 2006, 203 (1):7-16.
10.	Berlanga LA, Gigirey O. Uniportal video-assisted thoracic surgery forprimary spontaneous pneumothorax using a single-incision laparoscopic surgeryport:a feasible and safe procedure. Surg Endosc, 2011, 25 (6):2044-2047.
11.	曹慶東, 高雪峰, 李曉劍, 等.單孔胸腔鏡手術的臨床應用.中華胸心血管外科雜志, 2011, 9 (27):546-548.
12.	車國衛, 梅龍勇, 梅建東, 等.單操作孔電視胸腔鏡手術治療肺部疾病158例臨床分析.中國胸心血管外科臨床雜志, 2012, 19 (2):116-119.
13.	車國衛, 劉倫旭.單孔電視胸腔鏡手術臨床應用的現狀與進展.中國胸心血管外科臨床雜志, 2012, 19 (2):181-184.
14.	初向陽, 薛志強, 劉毅, 等.單操作孔電視胸腔鏡肺葉切除術治療早期肺癌的臨床研究.中國胸心血管外科臨床雜志, 2012, 19 (2):113-115.
15.	許建功, 蔡瑞君, 王禹冰, 等.胸腔鏡聯合腹腔鏡食管癌根治術學習曲線研究.中國全科醫學雜志, 2012, 15 (6):631-634.
16.	吳偉彬, 黃邵洪, 張健, 等.胸腔鏡下交感神經切除術治療手汗癥的學習曲線.新醫學, 2012, 43 (7):473-475.
17.	劉晟, 仇明, 汪道振, 等.微創手術學習曲線的新概念與臨床意義中國微創外科雜志, 2008, 8 (1):5-6.
18.	Zhao H, Bu L, Yang F, et al. Video-assisted thoracoscopic surgery lobectomy for lung cancer:the learning curve. World J Surg, 2010, 34 (10):2368-2372.
19.	Melfi FM, Mussi A. Robotically assisted lobectomy:learning curve and complications. Thorae Surg Clin, 2008, 18 (3):289-295.
20.	趙輝, 王俊, 劉軍, 等.胸腔鏡肺葉切除術治療早期肺癌的學習曲線.中華胸心血管外科雜志, 2009, 25 (1):23-25.
21.	Osugi H, Takemura M, Higashino M, et al. Learning curve of video-assisted thoracoseopie esophagectomy and extensive lymphadenectomy for squamous cell cancer of the thoracic esophagus and results. Surg Endosc, 2003, 17 (3):515-519.

1. Vodicka J. Are there any news in the management of spontaneous pneumothorax? Rozhl Chir, 2011, 90 (11):625-630.
2. Salati M, Brunelli A, Xiumè F, et al. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax:clinical and economic analysis in comparison to the traditional approach. Interac Cardiovasc Thorac Surg, 2008, 7 (1):63-66.
3. Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax:comparison of post operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28 (1):43-46.
4. Gigirey Castro O, Berlanga González L, Sánchez Gómez E. Single port thorascopic surgery using the SILS tool as a novel method in the surgical treatment of pneumothorax. Arch Bronconeumol, 2010, 46(8):439-441.
5. Chen PR, Chen CK, Lin YS, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6:58.
6. Ng CS, Wan S, Yim AP. Paradigm shift in surgical approaches to spontaneous pneu-mothorax:VATS.Thorax, 2004, 59 (4):357.
7. 朱曉楓, 范軍, 馬東春, 等.電視胸腔鏡手術治療自發性氣胸.中國微創外科雜志, 2008, 8 (7):611-612.
8. Nguyen NT, FoUete DM, Wolfe BM, et al. Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy. Arch Surg, 2000, 135 (8):920-925.
9. Palanivelu C, Prakash A, Senthilkumar R, et al. Minimally invasive esophagectomy:thoracoscopie mobilization of the esophagus and mediastinal lymphadenectomy in prone position experience of 130 patients. J Am Coll Surg, 2006, 203 (1):7-16.
10. Berlanga LA, Gigirey O. Uniportal video-assisted thoracic surgery forprimary spontaneous pneumothorax using a single-incision laparoscopic surgeryport:a feasible and safe procedure. Surg Endosc, 2011, 25 (6):2044-2047.
11. 曹慶東, 高雪峰, 李曉劍, 等.單孔胸腔鏡手術的臨床應用.中華胸心血管外科雜志, 2011, 9 (27):546-548.
12. 車國衛, 梅龍勇, 梅建東, 等.單操作孔電視胸腔鏡手術治療肺部疾病158例臨床分析.中國胸心血管外科臨床雜志, 2012, 19 (2):116-119.
13. 車國衛, 劉倫旭.單孔電視胸腔鏡手術臨床應用的現狀與進展.中國胸心血管外科臨床雜志, 2012, 19 (2):181-184.
14. 初向陽, 薛志強, 劉毅, 等.單操作孔電視胸腔鏡肺葉切除術治療早期肺癌的臨床研究.中國胸心血管外科臨床雜志, 2012, 19 (2):113-115.
15. 許建功, 蔡瑞君, 王禹冰, 等.胸腔鏡聯合腹腔鏡食管癌根治術學習曲線研究.中國全科醫學雜志, 2012, 15 (6):631-634.
16. 吳偉彬, 黃邵洪, 張健, 等.胸腔鏡下交感神經切除術治療手汗癥的學習曲線.新醫學, 2012, 43 (7):473-475.
17. 劉晟, 仇明, 汪道振, 等.微創手術學習曲線的新概念與臨床意義中國微創外科雜志, 2008, 8 (1):5-6.
18. Zhao H, Bu L, Yang F, et al. Video-assisted thoracoscopic surgery lobectomy for lung cancer:the learning curve. World J Surg, 2010, 34 (10):2368-2372.
19. Melfi FM, Mussi A. Robotically assisted lobectomy:learning curve and complications. Thorae Surg Clin, 2008, 18 (3):289-295.
20. 趙輝, 王俊, 劉軍, 等.胸腔鏡肺葉切除術治療早期肺癌的學習曲線.中華胸心血管外科雜志, 2009, 25 (1):23-25.
21. Osugi H, Takemura M, Higashino M, et al. Learning curve of video-assisted thoracoseopie esophagectomy and extensive lymphadenectomy for squamous cell cancer of the thoracic esophagus and results. Surg Endosc, 2003, 17 (3):515-519.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Learning Curve of Single Pore Video-assisted Thoracoscopic Surgery for the Treatment of Pulmonary Bullae

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