ArticleJTCVS techniques2021
The learning curve of video-assisted thoracoscopic sleeve lobectomy in a high-volume pulmonary center.
Article in JTCVS techniques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06687408 (Sleeve Lobectomy for Lung Cancer in Minimally Invasive Surgical Techniques), which is not on this map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Sleeve Lobectomy for Lung Cancer in Minimally Invasive Surgical Techniques: a Multicenter Cohort Study
Who cites it
4 citing papers in PubMed.
- Complex Thoracic Resections in the Minimally Invasive Era: Is Open Surgery Becoming a Lost Skill?Journal of clinical medicine · 2026Review
- Hybrid video-assisted thoracoscopic sleeve lobectomy: an elegant minimally invasive technique for locally advanced non-small cell lung cancer.Journal of thoracic disease · 2023Article
- Commentary: Exquisite surgical techniques and comprehensive oncologic theory are two fundamental requirements of learning lung cancer surgery.JTCVS techniques · 2021Article
- Commentary: This paper makes me want to golf more.JTCVS techniques · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the time course and caseload required to achieve proficiency by plotting the learning curve of video-assisted thoracoscopic sleeve lobectomy.
methodsWe reviewed 127 cases of video-assisted thoracoscopic sleeve lobectomy by a single surgeon at Shanghai Pulmonary Hospital to evaluate its learning curve using the cumulative sum (CUSUM) analysis. The changes of perioperative outcomes were assessed.
resultsThe inflection points of the CUSUM curve were around case 30 and 90, according to which 3 phases were identified: Phase I, Phase II, and Phase III. Significant downtrends were observed regarding operative time (Phase I, 194 [173-233 minutes] vs Phase II, 172 [142-215 minutes] vs Phase III, 138 [117-164 minutes],
conclusionsThirty cases should be accumulated to lay the technical foundation, and 90 cases were required to achieve proficiency. The focus should now shift to providing sufficient training opportunities for centers wanting to implement this technique.
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Registered trials
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