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Lung Cancer Screening Using Low-Dose Computed Tomography
Published in Ayman El-Baz, Jasjit S. Suri, Lung Imaging and CADx, 2019
Alison Wenholz, Ikenna Okereke
Minimally invasive thoracic surgery is beneficial to patients because it decreases postoperative pain for the patient. Performing the surgery thoracoscopically or with robotic assistance minimizes surgical incisions and reduces trauma to tissues. This results in shorter hospital stays, reduced blood loss, decreased pain, and less scarring. Since the late 1990s, video-assisted thoracic surgery (VATS) has been utilized, particularly for early-stage lung cancers. One study analyzed the perioperative parameters in patients who underwent lobectomy by either an open approach or a VATS approach, and the consensus was that VATS major lung resection is favorable and results in shorter hospital stay and reduced overall costs [22]. According to a retrospective, multi-institutional database analyses of nearly 4,000 patients who underwent either open lobectomy or VATS lobectomy, VATS lobectomy was significantly superior to an open approach in hospital costs, length of stay, and risk of adverse events [22]. The only disadvantage of VATS procedure is a longer operating time, but recently most centers that have active minimally invasive programs have experienced similar operative times as the surgeon experience level has increased. Minimally invasive thoracic surgery is the optimal choice for patients undergoing a lobectomy if technically possible.
Development and Validation for Extended Reality-Based MIS Simulator Using Cumulative Summation
Published in International Journal of Human–Computer Interaction, 2022
Zhibao Qin, Yinjia Wang, Junzhen Du, Yonghang Tai, Junsheng Shi
Jensen et al. invited participants to carry out thoracoscopic lobectomy training on the traditional Box simulator and VR laparoscopic simulator (LapSim) in 2013. They performed a thoracoscopic lobectomy on a pig model after keeping it for a while. The effectiveness of the two simulators is verified, and the Box simulator is more effective than the VR simulator in training surgical skills (Jensen et al., 2014). Subsequently, Jensen et al. confirmed the effectiveness of the virtual VATS upper right lobectomy on the laparoscopic simulator LapSim for the first time in 2016 and determined the first step in the assessment of thoracoscopic surgery skills for medical students (Jensen et al., 2017). Katrine Jensen et al. had verified validity evidence for assessing competency on the VATS lobectomy. The system provides assessors for evaluating VATS lobectomy performance (Jensen et al., 2018).