Developing competency in video-assisted thoracic surgery (VATS) lobectomy

Konge, Lars; Petersen, René Horsleben; Ringsted, Charlotte

doi:10.21037/jtd.2018.05.91

Cited by 9 publications

(5 citation statements)

References 23 publications

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“…The first virtual reality simulator for training VATS lobectomy (LapSim TM , Surgical Science) (Figure 2) has shown promising results regarding realism and ability to discriminate between surgeons with different experiences (28). Konge et al describe the use of a "four-step approach" to medical simulation programs starting with theoretical to hands-on training (28). A recent randomized controlled trial reporting the clinical impact of virtual reality training in laparoscopy has proved to increase the operative performance level of junior and less experienced surgeons (29).…”

Section: Pedagogical Issues How To Develop Competence In Vats?mentioning

confidence: 99%

What’s new in minimally invasive thoracic surgery? Clinical application of augmented reality and learning opportunities in surgical simulation

Onorati,

Radu,

Martinod

2023

Front. Surg.

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Lung cancer represents the most lethal cancer worldwide. Surgery is the treatment of choice for early-stage non-small cell lung cancer, with an overall survival that can reach 90% at 5 years, but its detection is difficult to achieve due to the lack of symptoms. Screening programs are crucial to identify small cancer. Minimally invasive surgery has modified the therapeutical approach of these tumors, becoming the standard of care, with an important clinical yield in terms of reduction of postoperative pain and length of hospital stay. The aim of this mini-review is to explore and describe two important and innovative aspects in the context of “growing opportunities in minimally invasive thoracic surgery”: the clinical application of augmented reality and its advantages for patient and surgeon, and the pedagogical issue through simulation-based training.

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Section: Pedagogical Issues How To Develop Competence In Vats?mentioning

confidence: 99%

What’s new in minimally invasive thoracic surgery? Clinical application of augmented reality and learning opportunities in surgical simulation

Onorati,

Radu,

Martinod

2023

Front. Surg.

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“…Konge et al recommend a four-step approach for the development of competency in video-assisted thoracic surgery (VATS) lobectomy including SBT. The approach complies the basic principles of the mastery learning concept, and as seen in Figure 4, covers the aspects of Miller's pyramid (41). The trainees will train to mastery, and the training is individualized, thus, the depended variable is not the test score but numbers of examinations performed during the training period.…”

Section: Educational Strategiesmentioning

confidence: 99%

Structured and evidence-based training of technical skills in respiratory medicine and thoracic surgery

Pietersen¹,

Laursen²,

Petersen³

et al. 2021

J Thorac Dis

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Within the last decade, the number of technical procedures in respiratory medicine and thoracic surgery has grown and created a higher demand for effective and evidence-based education. Today, trainees are often allowed to perform procedures unsupervised on patients after obtaining a course certificate from a theoretic course and having performed a fixed number of supervised procedures. However, these methods do not ensure adequate competence. Well-structured and effective educational programmes including validated tests are needed to reduce economic expenses, optimize time spend, and ensure patient safety. The aim of this article is to summarize current state of educational strategies for technical procedures within respiratory medicine and thoracic surgery. Thus, to discuss future recommendations for curriculum development and assessment of competences based on Kern's framework. The approach by Kern consists of six topics, which needs to be considered and evaluated and in order to educate physicians and surgeons most effective and evidence-based. We present a practical guide contributing to future educators' considerations on (I) problem identification and general needs assessment, (II) targeted needs assessment, (III) goals and objectives, (IV) educational strategies, (V) implementation, and finally (VI) evaluation and feedback.

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“…76,77 Utilization of animal models and video simulations were implemented for training, but there has not yet been an established formal curriculum, especially in the training of general surgeons who may practice in the community. [77][78][79][80][81][82] As an alternative to centralization of lung cancer surgery and minimally invasive techniques, a formalized training curriculum for these surgeons may help close the disparity in the adoption of thoracoscopic surgery.…”

Section: Training Utilization and Adoption Of Vats Lobectomymentioning

confidence: 99%

VATS and Minimally Invasive Resection in Early-Stage NSCLC

Salfity

Tong

2020

Semin Respir Crit Care Med

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Lung carcinoma widely affects men and women in the sixth and seventh decades of life. Thorough workup with radiographic imaging, pathologic diagnosis, and cardiopulmonary functional assessment is key to successful treatment. Accurate staging is essential for both assessing prognosis and directing therapy. Early-stage lung cancer is most often treated with anatomic lobectomy; locally advanced cancers may require induction or adjuvant therapies. Any nonnodal metastases will require definitive systemic therapy. Traditionally, surgery was performed with a posterolateral thoracotomy incision, division of the hilar vessels, removal of affected lung parenchyma, and a complete mediastinal and hilar lymph node dissection for accurate pathologic staging. In recent years, however, video-assisted thoracoscopic (VATS) or other minimally invasive approaches have emerged as the standard of care for early-stage disease. Compared with standard thoracotomy, VATS lobectomy offers improved postoperative outcomes as well as potential survival benefit. Thoracoscopic lobectomy is also cost-effective. This article focuses on the technique, outcomes, adaptation, and evolution of thoracoscopic lobectomy and other minimally invasive techniques in the treatment of lung cancer.

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Developing competency in video-assisted thoracic surgery (VATS) lobectomy

Cited by 9 publications

References 23 publications

What’s new in minimally invasive thoracic surgery? Clinical application of augmented reality and learning opportunities in surgical simulation

What’s new in minimally invasive thoracic surgery? Clinical application of augmented reality and learning opportunities in surgical simulation

Structured and evidence-based training of technical skills in respiratory medicine and thoracic surgery

VATS and Minimally Invasive Resection in Early-Stage NSCLC

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