Celal Buğra SEZEN, Celalettin İbrahim KOCATÜRK

Küçük hücreli dışı akciğer kanserinde videotorakoskopik lobektomi eğitimi

Amaç: Bu çalışmada eğitilen bir uzman veya deneyimli bir uzman tarafından uygulanan video yardımlı torakoskopik cerrahi lobektomilerin sonuçları değerlendirildi. Çalışma planı: Çalışmaya küçük hücreli dışı akciğer kanseri nedeniyle video yardımlı torakoskopik cerrahi lobektomi geçiren 103 hasta (81 erkek, 22 kadın; ort. yaş 59.6±9.5 yıl; dağılım, 32-84 yıl) dahil edildi. Eğitilen uzman, deneyimli uzmanın ameliyatları sırasında deneyimli uzman ile aynı tarafta yardımcı oldu. Deneyimli uzman, eğitilen uzmanın ilk beş ameliyatı sırasında ameliyathanede gözlem yaptı ve bir mesafeden tavsiyede bulundu. Komorbiditeler, ameliyat sonrası komplikasyonlar ve mortalite değerlendirildi. Bulgular: Hastaların demografik özellikleri, komorbiteleri ve ameliyat sonrası komplikasyonları iki cerrah arasında benzer idi (p>0.05). Ameliyat süresi, uzamış hava kaçağı insidansı ve hastanede yatış süresi eğitilen uzmanın uyguladığı işlemlerde daha yüksek idi (p

Videothoracoscopic lobectomy training in non-small cell lung cancer

Background: This study aims to evaluate the outcomes ofvideo-assisted thoracoscopic surgery lobectomies performed bya training consultant or an experienced consultant.Methods: The study included 103 patients (81 males, 22 females;mean age 59.6±9.5 years; range, 32 to 84 years) who underwentvideo-assisted thoracoscopic surgery lobectomy due to non-smallcell lung cancer. The training consultant assisted on the sameside with the experienced consultant during the operations of theexperienced consultant. The experienced consultant observed inthe operating room and provided advice from a distance duringthe first five operations of the training consultant. Comorbidities,postoperative complications, and mortality were evaluated.Results: Patients’ demographic characteristics, comorbidities,and postoperative complications were similar between the twosurgeons (p>0.05). Operative time, incidence of prolonged airleak, and length of hospital stay were higher in proceduresperformed by the training consultant (p

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