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━━ Objective. There is a wide variety of technical approaches to video-assisted thoracic surgery (VATS)lobectomy. We have reported the clinical outcome of our approach of VATS lobectomy in which only a thoracoscopic view is used. Experience and training along with exact definition of its surgical approach are indispensable for the standardization of VATS lobectomy as lung cancer operation techniques. In this paper, we investigate the feasibility and learning curve for our approach of VATS lobectomy in order to established as one of the standard methods. Methods.We reviewed 80 consecutive patients with clinical T1N0M0 non-small cell lung cancer(NSCLC)from April 2003 to November 2007. Surgery was performed in a similar manner by either of two registered respiratory surgeons with over 25-years-experience. Clinical parameters related to the procedure were compared between the first 40 cases and the last 40 subsequent cases. Results. The background of the patients of the both groups was similar. Values of clinical parameters show in average as follows. Operation time, blood loss during the operation, size of incision for access thoracotomy, duration of chest tube drainage and length of hospital stay changed from 253 to 195 minutes (p<0.0001), from 143 to 94 gram(p=0.009), from 4.0 to 3.4 cm(0.0064), from 3.7 to 2.6 days(p=0.048)and from 8.0 広島市立安佐市民病院 1呼吸器外科,2呼吸器内科,3病理. 別刷請求先:山下芳典,広島市立安佐市民病院呼吸器外科, 〒731-0293 広島市安佐北区可部南二丁目 1番 1号(e-mail: yosy.811kob@k3.dion.ne.jp). 1Department of Respiratory Surgery, 2Department of Respiratory Medicine, 3Department of Pathology, Hiroshima City Asa Hospital, Japan. Reprints: Yoshinori Yamashita, Department of Respiratory Surgery, Hiroshima City Asa Hospital, 2-1-1 Kabeminami, Asakita-ku, Hiroshima 731-0293, Japan(e-mail: yosy.811kob@k3.dion.ne.jp). Received February 18, 2008; accepted July 8, 2008. 2008 The Japan Lung Cancer Society Japanese Journal of Lung Cancer―Vol 48, No 6, Oct 20, 2008―www.haigan.gr.jp 681

Learning Curve of the Minimally Invasive VATS Lobectomy for Non-small Cell Lung Cancer