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Learning curve of totally thoracoscopic pulmonary segmentectomy
Weibing Wu, Jing Xu, Wei Wen, Yue Yu, Xinfeng Xu, Quan Zhu, Liang Chen
《医学前沿(英文)》 2018年 第12卷 第5期 页码 586-592 doi: 10.1007/s11684-017-0566-z
Totally thoracoscopic pulmonary segmentectomy (TTPS) is a feasible and safe technique that requires advanced thoracoscopic skills and knowledge of pulmonary anatomy. However, data describing the learning curve of TTPS have yet to be obtained. In this study, 128 patients who underwent TTPS between September 2010 and December 2013 were retrospectively analyzed to evaluate the learning curve and were divided chronologically into three phases, namely, ascending phase (A), plateau phase (B), and descending phase (C), through cumulative summation (CUSUM) for operative time (OT). Phases A, B, and C comprised 39, 33, and 56 cases, respectively. OT and blood loss decreased significantly from phases A to C (P <0.01), and the frequency of intraoperative bronchoscopy for target bronchus identification decreased gradually (A, 8/39; B, 4/33; C, 3/56; P = 0.06). No significant differences were observed in demographic factors, conversion, complications, hospital stay, and retrieved lymph nodes among the three phases. Surgical outcomes and techniques improved with experience and volume. CUSUMOT indicated that the learning curve of TTPS should be more than 72 cases.
一种基于辅助信息的新型位置监测累积和中值控制图 Regular Papers
Shahid HUSSAIN, Li-xin SONG, Shabbir AHMAD, Muhammad RIAZ
《信息与电子工程前沿(英文)》 2019年 第20卷 第4期 页码 554-570 doi: 10.1631/FITEE.1700428
标题 作者 时间 类型 操作
Learning curve of totally thoracoscopic pulmonary segmentectomy
Weibing Wu, Jing Xu, Wei Wen, Yue Yu, Xinfeng Xu, Quan Zhu, Liang Chen
期刊论文