Evidence map›Paper›PMID 42232277›Full record

ArticleJournal of visualized surgery2025

Training in minimally invasive thoracic surgery on 3D-model: back to the future of education.

Giacomo Rabazzi, Andrea Castaldi, Vittorio Aprile, Maria Giovanna Mastromarino, Stylianos Korasidis, Sara Condino, Marina Carbone, Francesco Simi, Marcello Carlo Ambrogi, Emanuele Cigna and 1 more

Abstract read
In one paragraph

Article in Journal of visualized surgery, 2025. 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

11 authors.

Giacomo RabazziDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Andrea CastaldiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Vittorio AprileDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0001-8538-1719
Maria Giovanna MastromarinoDivision of Thoracic Surgery, Cardiac, Thoracic, and Vascular Department, University Hospital of Pisa, Pisa, Italy.
Stylianos KorasidisDivision of Thoracic Surgery, Cardiac, Thoracic, and Vascular Department, University Hospital of Pisa, Pisa, Italy.
Sara CondinoEndoCAS Interdipartimental Center, University of Pisa, Pisa, Italy.
Marina CarboneEndoCAS Interdipartimental Center, University of Pisa, Pisa, Italy.
Francesco SimiEndoCAS Interdipartimental Center, University of Pisa, Pisa, Italy.
Marcello Carlo AmbrogiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Emanuele CignaEndoCAS Interdipartimental Center, University of Pisa, Pisa, Italy.
Marco LucchiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive surgery (MIS) is the standard approach for early-stage lung cancer, offering benefits such as reduced recovery time, shorter hospital stays, and minimized postoperative pain. However, these techniques require advanced motor skills and a deep understanding of thoracic anatomy. Recent technological advancements, specialized surgical instruments, and energy devices, have further improved MIS capabilities. Despite these advancements, the steep learning curve of video-assisted thoracic surgery (VATS) and robotic-assisted thoracic surgery (RATS) highlights the need for structured simulation-based education to ensure patient safety and optimize skill acquisition. Simulation training provides a risk-free environment for developing technical proficiency before operating on real patients. Virtual simulators, such as LapSim and V-Trainer, are widely used to familiarize trainees with endoscopic instruments and procedural techniques. However, real analog models remain essential for refining motor skills, depth perception, and tactile feedback, which are crucial for complex thoracic procedures. Traditional training methods using wet labs or cadaveric models pose limitations in cost, availability, and ethical concerns. The integration of high-realistic physical anatomical models, including 3D printed anatomical components, represents a promising alternative, offering high-fidelity surgical simulations that mimic real-life operative conditions. At the University of Pisa's EndoCAS Interdipartimental Center for Computer Assisted Surgery, a structured training program incorporating lung phantoms in a 3D-printed thoracic cage, virtual simulation, and stepwise lobectomy simulations have been developed to enhance thoracic surgery education. This study presents our experience with a hybrid simulation approach, based on the combination of virtual and physical simulation, in lobectomy training, emphasizing its role in bridging theoretical learning with hands-on surgical practice, ultimately improving technical skills and clinical confidence among thoracic surgery residents.

Indexed as

3D-printed chest modelminimally invasive surgery (MIS)surgical educationthoracic surgeryVideo-assisted thoracic surgery simulation (VATS simulation)

Identifiers

PMID42232277
PMCPMC13225046

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.