{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T07:49:23Z","timestamp":1777276163076,"version":"3.51.4"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We performed a comparative analysis of the performance of video-assisted thoracic surgery (VATS) lobectomy simulation using three-dimensional-printed Biotexture lung models by surgeons classified according to their level of expertise. The aim of this study was to investigate the association between surgeons\u2019 experience and time to complete the VATS lobectomy simulation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Participants were divided into 3 groups: group A included those who had no experience of actual VATS lobectomy (n\u2009=\u200911), group B included those who had performed 5\u201310 VATS lobectomies (n\u2009=\u200912) and group C included those who had performed &amp;gt;100 VATS lobectomies (n\u2009=\u20096). Their performances were assessed based on total procedure time, duration to the exposure of the vessels, ligation of the arteries and stapling of the fissures. After the simulation, a questionnaire survey was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The median total procedure time was significantly shorter in the group of surgeons with more experience (A vs B, P\u2009&amp;lt;\u20090.001; B vs C, P\u2009=\u20090.034; A vs C, P\u2009&amp;lt;\u20090.001). Regarding \u2018the exposure of all the vessels to be resected\u2019 and \u2018ligation of the arteries\u2019, group B completed these steps in less time than group A (P\u2009=\u20090.024 and P\u2009=\u20090.012, respectively). In the questionnaire, all groups answered that this simulation was useful for novices to improve their skills.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Although time to complete the VATS lobectomy simulation is only a part of evaluation points for real skills, this model can facilitate basic skill acquisitions for novices.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaa240","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T07:40:24Z","timestamp":1601538024000},"page":"284-290","source":"Crossref","is-referenced-by-count":8,"title":["Comparative analysis of the results of video-assisted thoracic surgery lobectomy simulation using the three-dimensional-printed Biotexture wet-lung model and surgeons\u2019 experience"],"prefix":"10.1093","volume":"32","author":[{"given":"Takahiko","family":"Tanaka","sequence":"first","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihisa","family":"Shimada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Furumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yojiro","family":"Makino","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3187-9970","authenticated-orcid":false,"given":"Yujin","family":"Kudo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachio","family":"Maehara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Kakihana","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naohiro","family":"Kajiwara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuo","family":"Ohira","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiko","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tokyo Medical University , Tokyo,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,11,19]]},"reference":[{"key":"2025070910390642300_ivaa240-B1","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.jtcvs.2009.08.026","article-title":"Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy: a propensity-matched analysis from the STS database","volume":"139","author":"Paul","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025070910390642300_ivaa240-B2","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1016\/j.athoracsur.2011.06.007","article-title":"Video-assisted thoracoscopic lobectomy is less costly and morbid than open lobectomy: a retrospective multiinstitutional database analysis","volume":"93","author":"Swanson","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2025070910390642300_ivaa240-B3","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/j.athoracsur.2014.09.018","article-title":"VATS lobectomy has better perioperative outcomes than open lobectomy: CALGB 31001, an ancillary analysis of CALGB 140202 (Alliance)","volume":"99","author":"Nwogu","year":"2015","journal-title":"Ann Thorac 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