ArticleAnnals of translational medicine2022
Learning curve for uniportal video-assisted thoracoscopic anatomical segmentectomy.
Article in Annals of translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Perioperative Outcomes of Complex Versus Simple Segmentectomy Via Uniportal Video-Assisted Thoracoscopic Surgery for Lung Lesions: A Systematic Review and Meta-Analysis.Interdisciplinary cardiovascular and thoracic surgery · 2026Pooled it
- Review
- A nationwide survey of uniportal thoracoscopic anatomical pulmonary resections in Japan.Journal of thoracic disease · 2026Article
- Surgical Safety of Uniportal versus Multiportal VATS Segmentectomy during Institutional Adoption: Differential Impact by Lobar Location.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026Article
- The unified front: a multidisciplinary approach in the Era of uniportal thoracic surgery.Frontiers in surgery · 2026Review
- Perioperative surgical outcomes and learning curves of thoracoscopic basal segmentectomy.Journal of thoracic disease · 2025Article
- Structured training and early outcomes in major pulmonary resections by a junior thoracic surgeon: a retrospective observational study.Journal of thoracic disease · 2025Article
- Review
- Uniportal video-assisted thoracic surgery: segmentectomy versus lobectomy-early outcomes.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Article
- Article
- Clinical applications of minimally invasive uniportal video-assisted thoracic surgery.Journal of cancer research and clinical oncology · 2023Review
- Learning curve for uniportal thoracoscopic pulmonary segmentectomy: how many procedures are required to acquire expertise?Translational lung cancer research · 2023Article
- Uniportal video-assisted anatomical segmentectomy: an analysis of the learning curve.World journal of surgical oncology · 2023Article
- Uniportal video-assisted thoracic surgery segmentectomy: a promising new development for thoracic surgery.Translational lung cancer research · 2023Article
- Beyond the limits: journey to feasible and safe uniportal VATS surgery for lung cancer.Journal of thoracic disease · 2023Article
- Supervision by an experienced surgeon can reduce the learning curve of uniportal thoracoscopic lobectomy.Translational lung cancer research · 2023Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnatomical segmentectomy by uniportal video-assisted thoracoscopic surgery (U-VATS) is a delicate surgical procedure. Hitherto, only few studies have assessed the learning curves of anatomical segmentectomy by U-VATS, with varying data available. The present study aimed to investigate the learning curve and clinical advantages for U-VATS segmentectomy.
methodsThe medical records of patients who underwent U-VATS or non-U-VATS segmentectomy between August 2017 and May 2020 were retrospectively reviewed. Cumulative sum (CUSUM) analysis was employed to illustrate the learning curve of U-VATS segmentectomy. Perioperative parameters were used to determine the structural intervals of the learning curve, and to compare U-VATS and non-U-VATS segmentectomy.
resultsIn total, 122 patients receiving U-VATS segmentectomy and 98 patients receiving non-VATS segmentectomy were included. Of these, 116 patients underwent successful U-VATS segmentectomy, while the other six patients underwent conversions. The structural intervals of 20-29 cases and 58-63 cases were determined as the threshold according to the CUSUM analyses. The learning process of U-VATS segmentectomy was therefore divided into three phases. Interestingly, the perioperative parameters differed significantly between Phases 1 and 3, including operative time (Op-T), postoperative hospital stays (Po-Hst), postoperative thoracic drainage (Po-D), and operative failure (Po-F) rates (P<0.05). Moreover, U-VATS segmentectomy in Phase 3 was associated with significantly shorter Po-Hst and Op-T, less Po-D, and reduced postoperative pain compared with non-U-VATS (P<0.05).
conclusionsU-VATS segmentectomy is an ideal alternative to non-U-VATS segmentectomy. Surgeons can preliminarily complete U-VATS anatomical segmentectomy after performing 20-29 cases, and can master the surgical techniques after completing 58-63 cases.
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