ArticleJournal of thoracic disease2025
Robot-assisted thoracic surgery (RATS): learning curve and outcomes for 200 consecutive pulmonary lobectomies in a Norwegian hospital.
Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Prevention and management of pulmonary vascular complications in anatomic lung resections: a narrative review.Journal of thoracic disease · 2026Review
- Implementation of a robot-assisted thoracic surgery program at a German center: analysis of the first 100 consecutive cases.Journal of thoracic disease · 2026Article
- Impact of modern minimally invasive approaches on pulmonary resection outcomes: a narrative review.Journal of thoracic disease · 2026Review
- Radicality of mediastinal lymphadenectomy in anatomic lung resection for lung cancer: a comparative analysis of uniportal video-assisted thoracoscopic and robotic-assisted thoracoscopic approaches.Surgical endoscopy · 2026Article
- Comparison of short-term efficacy between robot-assisted and uniportal video-assisted thoracoscopic surgery for right upper lobectomy in non-small cell lung cancer.Frontiers in surgery · 2026Article
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Authors and funding
7 authors.
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Abstract
Background: When starting with new surgical procedures, a gradual improvement in skills and results is expected. Pulmonary resection for early-stage non-small cell lung cancer (NSCLC) has advanced with technology, making robot-assisted thoracic surgery (RATS) an increasingly preferred method. At Akershus University Hospital (Ahus), exploring the learning curve associated with RATS offered valuable insights for optimizing surgical efficiency and improving patient outcomes. This study analyzes key operational variables and outcomes to highlight the skill acquisition process at a leading Norwegian healthcare center, aiming to describe the learning curve involved in transitioning from video-assisted thoracic surgery (VATS) to RATS for lung cancer lobectomies. Methods: This study was a retrospective analysis of the first 200 consecutive pulmonary lobectomies and bi-lobectomies with RATS in Norwegian University Hospital. We used cumulative sum (CUSUM) and risk-adjusted CUSUM (RA-CUSUM) analyses to evaluate operative times and perioperative complications. Results: The 200 patients had a median age of 70 (25 Conclusions: The findings suggest that the transition from VATS to RATS as a standard surgical approach for pulmonary lobectomies was associated with an acceptable development of proficiency, procedure duration, and complication rates over time. Hence, implementation of the new RATS program was feasible and effective.
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