Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis

Abstract Background Video-assisted thoracoscopic sympathectomy (VATS) is a common procedure unusually practiced by neurosurgeons due to lack of training. Objective To evaluate the learning curve for VATS in a young neurosurgeon with no previous experience in open sympathectomy techniques or extracra...

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Autores principales:	Hazem M. Alkosha, Yasser M. Elkiran
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Learning curve Sympathectomy Cumulative sum Thoracoscopy Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/313d8ada574a45deacb3b5f54197022b
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spelling	oai:doaj.org-article:313d8ada574a45deacb3b5f54197022b2021-11-08T11:01:48ZAssessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis10.1186/s41984-021-00122-02520-8225https://doaj.org/article/313d8ada574a45deacb3b5f54197022b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s41984-021-00122-0https://doaj.org/toc/2520-8225Abstract Background Video-assisted thoracoscopic sympathectomy (VATS) is a common procedure unusually practiced by neurosurgeons due to lack of training. Objective To evaluate the learning curve for VATS in a young neurosurgeon with no previous experience in open sympathectomy techniques or extracranial endoscopic procedures. Methods This is a retrospective review and analysis of prospectively collected data in 50 consecutive cases admitted to our facility with the diagnosis of essential palmar and axillary hyperhidrosis operated by a neurosurgical trainee under strict supervision of 2 experienced mentors. After an initial training phase, cumulative sum mation (CUSUM) analysis was used to evaluate the surgical performance of the trainee in terms of operating time, blood loss, hospital stay and failures. Results Improvement in operating time was noticed after the first 20 cases with significant affection by changes in OR team. The blood loss was significantly improved after the first 10 cases with less sensitivity to changes in OR team. Hospital stay and failures were steady and within expected values throughout the study. Conclusion An average of 20 cases may be enough for a neurosurgeon with basal knowledge to attain technical competence in VATS sympathectomy. Mentored surgical training on VATS sympathectomy is a safe and effective training method with failures within expected limits. The experience of the OR team plays an important role in the rapid improvement and consistency of performance.Hazem M. AlkoshaYasser M. ElkiranSpringerOpenarticleLearning curveSympathectomyCumulative sumThoracoscopySurgeryRD1-811Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENEgyptian Journal of Neurosurgery, Vol 36, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Learning curve Sympathectomy Cumulative sum Thoracoscopy Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Learning curve Sympathectomy Cumulative sum Thoracoscopy Surgery RD1-811 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Hazem M. Alkosha Yasser M. Elkiran Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
description	Abstract Background Video-assisted thoracoscopic sympathectomy (VATS) is a common procedure unusually practiced by neurosurgeons due to lack of training. Objective To evaluate the learning curve for VATS in a young neurosurgeon with no previous experience in open sympathectomy techniques or extracranial endoscopic procedures. Methods This is a retrospective review and analysis of prospectively collected data in 50 consecutive cases admitted to our facility with the diagnosis of essential palmar and axillary hyperhidrosis operated by a neurosurgical trainee under strict supervision of 2 experienced mentors. After an initial training phase, cumulative sum mation (CUSUM) analysis was used to evaluate the surgical performance of the trainee in terms of operating time, blood loss, hospital stay and failures. Results Improvement in operating time was noticed after the first 20 cases with significant affection by changes in OR team. The blood loss was significantly improved after the first 10 cases with less sensitivity to changes in OR team. Hospital stay and failures were steady and within expected values throughout the study. Conclusion An average of 20 cases may be enough for a neurosurgeon with basal knowledge to attain technical competence in VATS sympathectomy. Mentored surgical training on VATS sympathectomy is a safe and effective training method with failures within expected limits. The experience of the OR team plays an important role in the rapid improvement and consistency of performance.
format	article
author	Hazem M. Alkosha Yasser M. Elkiran
author_facet	Hazem M. Alkosha Yasser M. Elkiran
author_sort	Hazem M. Alkosha
title	Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
title_short	Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
title_full	Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
title_fullStr	Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
title_full_unstemmed	Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
title_sort	assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/313d8ada574a45deacb3b5f54197022b
work_keys_str_mv	AT hazemmalkosha assessmentofthelearningcurveofvideoassistedthoracoscopicsympathectomyinasingleneurosurgicaltraineeacumulativesummationanalysis AT yassermelkiran assessmentofthelearningcurveofvideoassistedthoracoscopicsympathectomyinasingleneurosurgicaltraineeacumulativesummationanalysis
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Assessment of the learning curve of video-assisted thoracoscopic sympathectomy in a single neurosurgical trainee: a cumulative summation analysis

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