The effect of the surgeon’s experience on perioperative complications during videothoracoscopic lobectomies in patients with stage I—II lung cancer

Matveev I.A.; Popov I.B.; Borodin N.A.; Dmitriev A.V.; Kobelev M.V.; Avdeev D.E.; Bosiev K.M.; Matreninskikh A.O.

doi:https://doi.org/10.17116/endoskop20253103127

Matveev I.A.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0000-0003-1312-1971

Popov I.B.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0004-8804-2279

Borodin N.A.

Tyumen State Medical University

ORCID: 0000-0002-2760-0351

Dmitriev A.V.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0007-5979-4895

Kobelev M.V.

Regional Clinical Hospital No. 1

ORCID: 0009-0001-6298-3298

Avdeev D.E.

Regional Clinical Hospital No. 1

ORCID: 0009-0002-1685-752X

Bosiev K.M.

Regional Clinical Hospital No. 1

ORCID: 0009-0005-5215-1139

Matreninskikh A.O.

Tyumen State Medical University

ORCID: 0009-0008-9956-0599

The effect of the surgeon’s experience on perioperative complications during videothoracoscopic lobectomies in patients with stage I—II lung cancer

Authors:

Matveev I.A., Popov I.B., Borodin N.A., Dmitriev A.V., Kobelev M.V., Avdeev D.E., Bosiev K.M., Matreninskikh A.O.

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Journal: Endoscopic Surgery. 2025;31(3): 27‑35

DOI: 10.17116/endoskop20253103127

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To cite this article:

Matveev IA, Popov IB, Borodin NA, et al. . The effect of the surgeon’s experience on perioperative complications during videothoracoscopic lobectomies in patients with stage I—II lung cancer. Endoscopic Surgery. 2025;31(3):27‑35. (In Russ.)
https://doi.org/10.17116/endoskop20253103127

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)

Использование инфографики авторами научных работ

BACKGROUND

In the initial stages of lung cancer, videothoracoscopic lobectomy (VTL) has proven itself to be an effective, low-traumatic and safe intervention.

OBJECTIVE

To study the experience of performing VTL using the method of constructing learning curves and determine the minimum volume of lobectomies with an acceptable level of complications.

MATERIAL AND METHODS

The study included 58 cases of anatomical lobectomies for stage I-II non-small cell lung cancer performed by one surgeon. The average age of the patients was 65.5 [57.2; 70.0] years. Cumulative sum (CUSUM) and regression models were used to analyze the learning curve. Intra- and postoperative complications were selected as signs of the experience. Regression was applied to study the minimum volume of lobectomies performed, the reference points of its construction were the number of lobectomies performed by the surgeon in 6 months.

RESULTS

Intraoperative complications were recorded in 6 (10.3%) patients, including 5 bleeding from the branches of the pulmonary artery with an average blood loss of 540 ml. The duration of the surgeon’s training on this basis was 29 operations with 2 complications. Postoperative complications occurred in 4 people: hemothorax, pneumothorax, prolonged leakage of air from the pleural cavity and hydropneumothorax. The treatment consisted in repeated drainage of the pleural cavity in 2 people and in 2 videothoracoscopic intervention: hemostasis and pleurodesis in the 2nd. During the training period, which amounted to 31 interventions, postoperative complications occurred in 3 people. The minimum number of VTL lobectomies with a complication rate of 10%, there were 24 operations per year.

CONCLUSION

The most common intraoperative complications in VTL are bleeding from branches of the pulmonary artery, from postoperative complications — pneumothorax and air drainage. The training period for signs of complications was 29 and 31 interventions, the doctor must perform at least 24 operations per year in order to maintain technical skills and an acceptable level of complications

Keywords:

videothoracoscopic lobectomy

perioperative complications

learning curve

minimum number of operations

Authors:

Matveev I.A.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0000-0003-1312-1971

Popov I.B.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0004-8804-2279

Borodin N.A.

Tyumen State Medical University

ORCID: 0000-0002-2760-0351

Dmitriev A.V.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0007-5979-4895

Kobelev M.V.

Regional Clinical Hospital No. 1

ORCID: 0009-0001-6298-3298

Avdeev D.E.

Regional Clinical Hospital No. 1

ORCID: 0009-0002-1685-752X

Bosiev K.M.

Regional Clinical Hospital No. 1

ORCID: 0009-0005-5215-1139

Matreninskikh A.O.

Tyumen State Medical University

ORCID: 0009-0008-9956-0599

Received:

06.05.2024

Accepted:

20.06.2024

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