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Surgical Techniques Development, Volume 14, Issue 4

2025 December - 11 articles

Cover Story: This study analyses the transition from triportal to uniportal video–thoracoscopic lobectomy performed by a single surgeon, assessing the learning curve through CUSUM analysis and perioperative outcomes. Among 107 consecutive procedures, the inflection point was identified at the 67th case, after which operative time, conversions, and complications significantly decreased. These findings confirm that switching to uniportal VATS requires a distinct learning process despite prior multiportal experience, supporting current recommendations that approximately 50 cases are needed to achieve proficiency. View this paper

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11 Pages

From Triportal to Uniportal Video-Thoracoscopic Lobectomy: The Single Surgeon Learning Curve by CUSUM Chart and Perioperative Outcomes

Giorgia Cerretani,
Elisa Nardecchia,
Elena Asteggiano,
Alberto Colombo,
Davide Di Natale,
Luca Filipponi and
Nicola Rotolo

Surg. Tech. Dev.2025, 14(4), 34;https://doi.org/10.3390/std14040034

1 October 2025

Background: Uniportal video-thoracoscopic lobectomy has improved postoperative outcomes in lung cancer patients. Thus, thoracic surgeons are increasingly required to learn this new approach. Methods: We evaluate the path of a single surgeon switching...

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Surg. Tech. Dev. - ISSN 2038-9582

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