ArticleNagoya journal of medical science2021
＜Editors' Choice＞ Learning curve of robotic lobectomy for lung malignancies by certified thoracic surgeons.
Article in Nagoya journal of medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 8 citations in OpenAlex.
- Implementation of a robot-assisted thoracic surgery program at a German center: analysis of the first 100 consecutive cases.Journal of thoracic disease · 2026Article
- Initial surgical results of subcostal uniportal robotic lung resection: a study of the perioperative outcomes and a CUSUM analysis of the learning curve.Surgery today · 2026Article
- Learning curve analysis of robotic-assisted thoracoscopic lung resection performed by a novice thoracic surgeon.JTCVS open · 2026Article
- Exploring and analyzing learning curves in robotic-assisted thoracoscopic anatomical lung resections: A systematic review and meta-analysis.JTCVS open · 2025Article
- Robot-assisted thoracic surgery (RATS): learning curve and outcomes for 200 consecutive pulmonary lobectomies in a Norwegian hospital.Journal of thoracic disease · 2025Article
- Institutional proficiency and learning curves in robotic-assisted thoracoscopic surgery: a single-center retrospective analysis using the cumulative sum method.Journal of robotic surgery · 2025Article
- Video-Assisted vs. Robotic-Assisted Thoracoscopic Surgery in Lung Cancer: A Comprehensive Review of Techniques and Outcomes.Journal of clinical medicine · 2025Review
- Incidence of air leaks in patients undergoing robotic thoracic surgery and video-assisted thoracic surgery.Nagoya journal of medical science · 2024Article
- A comparison of three-port and four-port Da Vinci robot-assisted thoracoscopic surgery for lung cancer: a retrospective study.Journal of cardiothoracic surgery · 2024Article
- Learning curve of robotic surgery for lung cancer: analysis for two surgeons during the COVID-19 pandemic.General thoracic and cardiovascular surgery · 2024Article
- A successful shift from thoracotomy to video-assisted thoracoscopic lobectomy for non-small cell lung cancer in a low-volume center.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Setting a quality indicator for actual surgery time relative to scheduled surgery time in the context of increasing robotic-assisted thoracic surgery cases.General thoracic and cardiovascular surgery · 2023Article
- The learning curve of the robotic-assisted lobectomy-a systematic review and meta-analysis.Annals of cardiothoracic surgery · 2023Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Video-assisted thoracic surgery (VATS) has become widespread in the last 20 years, followed by robot-assisted thoracic surgery (RATS). Few studies compared the learning curve between RATS lobectomy and conventional VATS. This study included 79 RATS lobectomy cases performed in our hospital from November 2015 to October 2019. To estimate the required number for learning, the cumulative sum method, which is to plot a value obtained by sequentially accumulating a difference from a mean value was applied. As a result, the median total operative time and the median console time for all cases were 167 minutes and 138 minutes, respectively. Firstly, for our team, 28 cases were estimated to be required for learning curve for RATS lobectomy. For individual, each surgeon might be learned in only 5 to 6 cases. By contrast, the number of cases for learning VATS lobectomy which was underwent by a 'single' surgeon from 2009 was estimated to be 35 cases. The time to dock from start operation (median 14 minutes) reached plateau in 18 cases, but the time after rollout was median of 18 minutes and there was no significant change from the beginning. In conclusion, RATS lobectomy might be a technique that could be learned in a small number of cases compared to VATS. The results of this study might be helpful for certified surgeons who tried to get started with RATS and for establishing a learning program.
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