Evidence map›Paper›PMID 38889287›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

Robotic-assisted thoracic surgery training in France: a nation-wide survey from young surgeons.

Hugo Clermidy, Guillaume Fadel, Benjamin Bottet, Yaniss Belaroussi, Maroua Eid, Elsa Armand, Jean-Marc Baste, Pierre-Benoit Pages, Alex Fourdrain, Charles Al Zreibi and 3 more

Abstract read
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Hugo ClermidyDepartment of Thoracic Surgery, Lung and Heart-Lung Transplantation, Louis Pradel Hospital, Hospices Civils de Lyon, Lyon, France.ORCID 0000-0003-3302-7755
Guillaume FadelAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0009-0009-4986-7258
Benjamin BottetAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0001-7749-1707
Yaniss BelaroussiAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0001-5796-8264
Maroua EidAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0001-5433-2607
Elsa ArmandAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0002-9234-4702
Jean-Marc BasteDepartment of General and Thoracic Surgery, CHU Rouen, Rouen, France.ORCID 0000-0002-1739-4523
Pierre-Benoit PagesCardiovascular and Thoracic Surgery Department, Dijon University Hospital, Dijon, France.ORCID 0000-0001-5540-6911
Alex FourdrainDepartment of Thoracic Surgery, Lung Transplantation and Esophageal Diseases, North Hospital, Marseille, France.ORCID 0000-0001-6431-3899
Charles Al ZreibiAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0002-1259-7831
Leslie MadelaineAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0002-7132-0445
Gabriel SaiydounAssociation of Thoracic and Cardiovascular Surgeon in Training, Association des Jeunes Chirurgiens Thoracique et Cardio-Vasculaire, Paris, France.ORCID 0000-0003-0630-8332
AJCTCV

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvaluate theoretical and practical training of thoracic surgeons-in-training in robotic-assisted thoracic surgery (RATS) in France.

methodsA survey was distributed to thoracic surgeons-in-training in France from November 2022 to February 2023.

resultsWe recruited 101 thoracic surgeons-in-training (77% response rate). Over half had access to a surgical robotics system at their current institution. Most (74%) considered robotic surgery training essential, 90% had attended a robotic procedure. Only 18% had performed a complete thoracic robotic procedure as the main operator. A complete RATS procedure was performed by 42% of fellows and 6% of residents. Of the remaining surgeons, 23% had performed part of a robotic procedure. Theoretical courses and simulation are well developed; 72% of residents and 91% of fellows had undergone simulation training in the operating room, at training facilities, or during congress amounting to <10 h (for 73% of the fellows and residents), 10-20 h (17%), 20-30 h (8%) or >30 h (3%). Access to RATS was ≥1 day/week in 71% of thoracic departments with robotic access. Fellows spent a median of 2 (IQR 1-3) semesters in departments performing robotic surgery. Compared with low-volume centres, trainees at high-volume centres performed significantly more complete robotic procedures (47% vs 13%; P = 0.001), as did fellows compared with residents.

conclusionsFew young surgeons perform complete thoracic robotic procedures during practical training, and access remains centre dependent. Opportunities increase with seniority and exposure; however, increasing availability of robotic devices, theoretical formation, and simulation courses will increase opportunities.

Indexed as

RATSResident trainingRobotic-assisted thoracic surgerySimulation

Identifiers

PMID38889287
PMCPMC11219244

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.