A method of assessing reasons for conversion during video-assisted thoracoscopic lobectomy
| Autor: | Azim Valji, Kenneth Stewart, EricL.R. Bédard, Sayf Gazala, Ian Hunt |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Lung Neoplasms Time Factors Treatment outcome Risk Assessment Alberta Young Adult Risk Factors medicine Humans Video assisted Aged Quality Indicators Health Care Retrospective Studies Aged 80 and over Quality assessment business.industry Thoracic Surgery Video-Assisted General surgery Retrospective cohort study Length of Stay Middle Aged Surgery Treatment Outcome Thoracotomy Cardiothoracic surgery Female Clinical Competence Pulmonary artery injury Clinical competence Cardiology and Cardiovascular Medicine business Learning Curve Program Evaluation |
| Zdroj: | Interactive cardiovascular and thoracic surgery. 12(6) |
| ISSN: | 1569-9285 |
| Popis: | Conversion rates during video-assisted thoracoscopic lobectomy are reported, but no previous publications have classified the cause of conversion. The aim of the study was to develop a quality assessment tool [vascular, anatomy, lymph node, technical (VALT) 'Open'] to evaluate reasons and nature of conversion during the development of a video-assisted thoracoscopic lobectomy program. Between 2006 and 2008, 237 patients with a median age of 65 years underwent video-assisted thoracoscopic lobectomy primarily for lung. The number of video-assisted thoracoscopic lobectomy cases over open cases has increased over the period. Conversion rate has dropped from 15% (2006) to 11% (2008). A total of 32 cases required conversion. The VALT 'Open' classification for reason to convert and nature of conversion was used. The average length of stay was shorter for non-converted cases. No uncontrolled conversions where the patient was unstable were required, and in the 14 cases converted following some difficulty, such as pulmonary artery injury. A pattern to the learning curve became predictable. The quality assessment tool used (VALT 'Open') will allow cause of conversion and nature of conversion to be tracked and audited during the development of a video-assisted thoracoscopic surgery lobectomy program. |
| Databáze: | OpenAIRE |
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