keyword
https://read.qxmd.com/read/37830765/differences-between-attending-and-trainee-surgeon-performance-using-objective-performance-indicators-during-robot-assisted-lobectomy
#1
JOURNAL ARTICLE
Daniel Oh, Kristen Brown, Sadia Yousaf, Jonathan Nesbitt, Richard Feins, Manu Sancheti, Jules Lin, Stephen Yang, Desmond D'Souza, Anthony Jarc
OBJECTIVE: Existing approaches for assessing surgical performance are subjective and prone to bias. In contrast, utilizing digital kinematic and system data from the surgical robot allows the calculation of objective performance indicators (OPIs) that may differentiate technical skill and competency. This study compared OPIs of trainees and attending surgeons to assess differences during robotic lobectomy (RL). METHODS: There were 50 cardiothoracic surgery residents and 7 attending surgeons who performed RL on a left upper lobectomy of an ex vivo perfused model...
October 13, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37718171/comparison-of-global-evaluative-assessment-of-robotic-surgery-with-objective-performance-indicators-for-the-assessment-of-skill-during-robotic-assisted-thoracic-surgery
#2
JOURNAL ARTICLE
Daniel S Oh, Marzieh Ershad, Jon O Wee, Manu Suraj Sancheti, Desmond M D'Souza, Luis Javier Herrera, Lana Y Schumacher, Mallory Shields, Kristen Brown, Sadia Yousaf, John F Lazar
BACKGROUND: The Global Evaluative Assessment of Robotic Skills is a popular but ultimately subjective assessment tool in robotic-assisted surgery. An alternative approach is to record system or console events or calculate instrument kinematics to derive objective performance indicators. The aim of this study was to compare these 2 approaches and correlate the Global Evaluative Assessment of Robotic Skills with different types of objective performance indicators during robotic-assisted lobectomy...
September 15, 2023: Surgery
https://read.qxmd.com/read/36526007/recovery-of-patient-reported-quality-of-life-after-esophagectomy
#3
JOURNAL ARTICLE
Alicia Bonanno, Meredith Dixon, Jose Binongo, Seth D Force, Manu S Sancheti, Allan Pickens, David A Kooby, Charles A Staley, Maria C Russell, Kenneth Cardona, Mihir M Shah, Theresa W Gillespie, Felix Fernandez, Onkar Khullar
BACKGROUND: Esophagectomy is an important, but potentially morbid, operation used to treat benign and malignant conditions that may significantly impact patient quality of life(QOL). Patient-reported outcomes(PRO) are measures of QOL that come directly from patient self-report. This study characterizes patterns of change and recovery in PRO in the first year after esophagectomy. METHODS: Longitudinal QOL scores measuring physical function, pain, and dyspnea were obtained from esophagectomy patients during all clinic visits...
December 13, 2022: Annals of Thoracic Surgery
https://read.qxmd.com/read/36372529/management-of-complications-in-robotic-thoracic-surgery
#4
REVIEW
Matthew D Stanley, Manu S Sancheti
The rapid adoption of robotic-assisted thoracic surgery has led to increased interest in the management of complications. Overall rates of complication during robotic-assisted thoracic surgery are low. Reported complications include pulmonary vascular injury; great vessel injury; thoracic duct injury; erroneous transection; tracheobronchial injury; and esophageal, diaphragmatic, and abdominal organ injury. A robotic thoracic surgeon should understand and have a management plan for any potential complication...
February 2023: Thoracic Surgery Clinics
https://read.qxmd.com/read/36306102/objective-performance-indicators-of-cardiothoracic-residents-are-associated-with-vascular-injury-during-robotic-assisted-lobectomy-on-porcine-models
#5
JOURNAL ARTICLE
John F Lazar, Kristen Brown, Sadia Yousaf, Anthony Jarc, Ariana Metchik, Hayley Henderson, Richard H Feins, Manu S Sancheti, Jules Lin, Stephen Yang, Jonathan Nesbitt, Desmond D'Souza, Daniel S Oh
Surgical training relies on subjective feedback on resident technical performance by attending surgeons. A novel data recorder connected to a robotic-assisted surgical platform captures synchronized kinematic and video data during an operation to calculate quantitative, objective performance indicators (OPIs). The aim of this study was to determine if OPIs during initial task of a resident's robotic-assisted lobectomy (RL) correlated with bleeding during the procedure. Forty-six residents from the 2019 Thoracic Surgery Directors Association Resident Boot Camp completed RL on an ex vivo perfused porcine model while continuous video and kinematic data were recorded...
October 28, 2022: Journal of Robotic Surgery
https://read.qxmd.com/read/35561801/routine-implementation-of-patient-reported-outcomes-assessment-into-thoracic-surgery-practice
#6
JOURNAL ARTICLE
Onkar V Khullar, Aubriana Perez, Meredith Dixon, Jose N Binongo, Manu S Sancheti, Allan Pickens, Theresa Gillespie, Seth D Force, Felix G Fernandez
BACKGROUND: Patient-reported outcomes (PROs) assessment is a necessary component of surgical outcome assessment and patient care. This study examined the success of routine PROs assessment in an academic-based thoracic surgery practice. METHODS: PROs, measuring pain intensity, physical function, and dyspnea, were routinely obtained using the National Institutes of Health-sponsored Patient-Reported Outcomes Measurement Information System (PROMIS) on all thoracic surgery patients beginning in April 2018 through January 2021...
February 2023: Annals of Thoracic Surgery
https://read.qxmd.com/read/34785235/surgical-outcomes-for-early-stage-non-small-cell-lung-cancer-at-facilities-with-stereotactic-body-radiation-therapy-programs
#7
JOURNAL ARTICLE
Yusef A Syed, William Stokes, Manali Rupji, Yuan Liu, Onkar Khullar, Nikhil Sebastian, Kristin Higgins, Jeffrey D Bradley, Walter J Curran, Suresh Ramalingam, James Taylor, Manu Sancheti, Felix Fernandez, Drew Moghanaki
BACKGROUND: Patients undergoing surgery for early-stage non-small cell lung cancer (NSCLC) may be at high risk for post-operative mortality. Access to stereotactic body radiation therapy (SBRT) may facilitate more appropriate patient selection for surgery. RESEARCH QUESTION: Is post-operative mortality for early-stage NSCLC lower at facilities with higher utilization of SBRT? STUDY DESIGN AND METHODS: Patients with early-stage NSCLC reported to the National Cancer Database between 2004-2015 were included...
November 13, 2021: Chest
https://read.qxmd.com/read/33245249/safety-and-feasibility-of-thoracoscopic-lung-resection-for-non-small-cell-lung-cancer-in-octogenarians
#8
JOURNAL ARTICLE
Xiaoying Lou, Andrew Sanders, Kaustubh Wagh, Jose N Binongo, Manu Sancheti, Jeffrey Javidfar, Allan Pickens, Felix Fernandez, Seth Force, Onkar Khullar
OBJECTIVE: Octogenarians comprise an increasing proportion of patients presenting with non-small-cell lung cancer (NSCLC). This study examines postoperative morbidity and mortality, and long-term survival in octogenarians undergoing thoracoscopic anatomic lung resection for NSCLC, compared with younger cohorts. METHODS: We conducted a retrospective review of our institutional Society of Thoracic Surgeons General Thoracic Surgery Database of all patients ≥60 years old undergoing elective lobectomy or segmentectomy for pathologic stage I, II, and IIIA NSCLC between 2009 and 2018...
November 27, 2020: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/33189672/community-size-and-lung-cancer-resection-outcomes-studying-the-society-of-thoracic-surgeons-database
#9
JOURNAL ARTICLE
John Nicholas Melvan, Onkar Khullar, Sreekanth Vemulapalli, Andrzej S Kosinski, Allan Pickens, Seth D Force, Shuaiqi Zhang, Manu S Sancheti
BACKGROUND: Socioeconomic factors play key roles in surgical outcomes. Socioeconomic data within The Society of Thoracic Surgeons (STS) General Thoracic Surgery Database (GTSD) are limited. Therefore, we utilized community size as a surrogate to understand socioeconomic differences in lung cancer resection outcomes. METHODS: We retrospectively reviewed all lung cancer resections from January 2012 to January 2017 in the STS GTSD. This captured 68,722 patients from 286 centers nationwide...
November 13, 2020: Annals of Thoracic Surgery
https://read.qxmd.com/read/33186736/association-between-patient-physical-function-and-length-of-stay-after-thoracoscopic-lung-cancer-surgery
#10
JOURNAL ARTICLE
Nakul Valsangkar, Jane W Wei, Jose N Binongo, Allan Pickens, Manu S Sancheti, Seth D Force, Theresa W Gillespie, Felix G Fernandez, Onkar V Khullar
Patient-reported outcomes (PRO) are an ideal method for measuring patient functional status. We sought to evaluate whether preoperative PRO were associated with resource utilization. We hypothesize that higher preoperative physical function PRO scores, measured via the NIH-sponsored Patient Reported Outcome Measurement Information System (PROMIS), are associated with shorter length of stay (LOS). Preoperative physical function scores were obtained using NIH PROMIS in a prospective observational study of patients undergoing minimally invasive surgery for lung cancer...
November 10, 2020: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/33130117/preoperative-lung-function-is-associated-with-patient-reported-outcomes-after-lung-cancer-surgery
#11
JOURNAL ARTICLE
Onkar Khullar, Jane Wei, Kaustabh Wagh, Jose Binongo, Allan Pickens, Manu Sancheti, Seth Force, Theresa Gillespie, Felix Fernandez
BACKGROUND: Patient quality of life (QOL) is a critical outcomes measure in lung cancer surgery. Patient reported outcomes (PRO) provide valuable insight into the patient experience and allow measurement of pre- and post-operative QOL. Our objective was to determine which clinical factors predict differences in QOL, as measured by patient-reported physical function and pain intensity among patients undergoing minimally-invasive lung cancer surgery. METHODS: PRO surveys assessing physical function and pain intensity were conducted using instruments from the NIH Patient Reported Outcome Measurement Information System (PROMIS)...
October 29, 2020: Annals of Thoracic Surgery
https://read.qxmd.com/read/32169178/robotic-thoracic-surgery
#12
REVIEW
Gary Schwartz, Manu Sancheti, Justin Blasberg
Minimally invasive surgery for diseases of the chest offsets the morbidity of painful thoracic incisions while allowing for meticulous dissection of major anatomic structures. This benefit translates to improved outcomes and recovery following the surgical management of benign and malignant esophageal pathologic condition, mediastinal tumors, and lung resections. This anatomic region is particularly amenable to a robotic approach given the fixed space and need for complex intracorporeal dissection. As robotic platforms continue to evolve, more complex thoracic surgical interventions will be facilitated, translating to improved outcomes for our patients...
April 2020: Surgical Clinics of North America
https://read.qxmd.com/read/31408641/robotic-assisted-surgical-treatment-of-catamenial-pneumothorax
#13
JOURNAL ARTICLE
John M Fallon, Manu S Sancheti
Two young female patients presented with clinical findings of catamenial pneumothorax and thoracic endometriosis syndrome. Despite attempts at conservative management, thoracoscopic pleurodesis, and hormonal therapy, both women experienced recurrent pneumothoraces coincident with menses. Each patient subsequently underwent robotic-assisted mechanical pleurectomy and diaphragm reconstruction with durable results.
March 2020: Annals of Thoracic Surgery
https://read.qxmd.com/read/29944881/excess-cost-and-predictive-factors-of-esophagectomy-complications-in-the-seer-medicare-database
#14
JOURNAL ARTICLE
Renjian Jiang, Yuan Liu, Kevin C Ward, Seth D Force, Allan Pickens, Manu S Sancheti, Jeffrey Javidfar, Felix G Fernandez, Onkar V Khullar
BACKGROUND: Postoperative complications result in significantly increased health care expenditures. The objective of this study was to examine 90-day excess costs associated with inpatient complications after esophagectomy and their predictive factors, by using the Surveillance, Epidemiology, and End Results (SEER)-Medicare database. METHODS: The study examined patients older than 65 years of age with a diagnosis from 2002 to 2009 and who were undergoing esophagectomy for cancer in the SEER-Medicare database...
November 2018: Annals of Thoracic Surgery
https://read.qxmd.com/read/29203261/preoperative-computed-tomography-guided-pulmonary-lesion-marking-in-preparation-for-fluoroscopic-wedge-resection-rates-of-success-complications-and-pathology-outcomes
#15
JOURNAL ARTICLE
Babatunde Olaiya, Charles A Gilliland, Seth D Force, Felix G Fernandez, Manu S Sancheti, William C Small
PURPOSE: In this study, we describe our experience of lesion marking with fiducial markers (FM) and microcoils (MC) facilitating same-day surgical wedge resection, including success rates, pathology outcomes, and complications. We also explored patient/nodular characteristics associated with developing complications. MATERIALS AND METHODS: An IRB-approved single-institutional retrospective study of 136 patients who had 148 pulmonary nodules was conducted. All patients had CT-guided pulmonary nodule labeling with either FM (121) or MC (15) patients with plan for same-day fluoroscopic-guided wedge resection...
January 2019: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/29174780/hospitalization-costs-after-surgery-in-high-risk-patients-with-early-stage-lung-cancer
#16
COMPARATIVE STUDY
Manu S Sancheti, Ray K Chihara, Sebastian D Perez, Onkar V Khullar, Felix G Fernandez, Allan Pickens, Seth D Force
BACKGROUND: We previously reported that early stage lung cancer patients who are considered high risk for surgery can undergo resection with favorable perioperative results and long-term mortality. To further elucidate the role of surgical resection in this patient cohort, this study evaluated the length of stay and total hospitalization cost among patients classified as standard or high risk with early stage lung cancer who underwent pulmonary resection. METHODS: A total of 490 patients from our institutional Society of Thoracic Surgeons data from 2009 to 2013 underwent resection for clinical stage I lung cancer...
January 2018: Annals of Thoracic Surgery
https://read.qxmd.com/read/28483154/pilot-study-to-integrate-patient-reported-outcomes-after-lung-cancer-operations-into-the-society-of-thoracic-surgeons-database
#17
MULTICENTER STUDY
Onkar V Khullar, Mohammed H Rajaei, Seth D Force, Jose N Binongo, Yi Lasanajak, Scott Robertson, Allan Pickens, Manu S Sancheti, Joseph Lipscomb, Theresa W Gillespie, Felix G Fernandez
BACKGROUND: A critical gap in The Society of Thoracic Surgeons (STS) Database is the absence of patient-reported outcomes (PRO), which are of increasing importance in outcomes and performance measurement. Our aim was to demonstrate the feasibility of integrating PRO into the STS Database for patients undergoing lung cancer operations. METHODS: The National Institutes of Health Patient Reported Outcome Measurement Information System (PROMIS) includes reliable, precise measures of PRO...
July 2017: Annals of Thoracic Surgery
https://read.qxmd.com/read/27476821/socioeconomic-factors-are-associated-with-readmission-after-lobectomy-for-early-stage-lung-cancer
#18
JOURNAL ARTICLE
Rachel L Medbery, Theresa W Gillespie, Yuan Liu, Dana C Nickleach, Joseph Lipscomb, Manu S Sancheti, Allan Pickens, Seth D Force, Felix G Fernandez
BACKGROUND: Data regarding risk factors for readmissions after surgical resection for lung cancer are limited and largely focus on postoperative outcomes, including complications and hospital length of stay. The current study aims to identify preoperative risk factors for postoperative readmission in early stage lung cancer patients. METHODS: The National Cancer Data Base was queried for all early stage lung cancer patients with clinical stage T2N0M0 or less who underwent lobectomy in 2010 and 2011...
November 2016: Annals of Thoracic Surgery
https://read.qxmd.com/read/27209617/time-is-money-hospital-costs-associated-with-video-assisted-thoracoscopic-surgery-lobectomies
#19
JOURNAL ARTICLE
Onkar V Khullar, Felix G Fernandez, Sebastian Perez, William Knechtle, Allan Pickens, Manu S Sancheti, Seth D Force
BACKGROUND: Proposed changes in health care will place an increasing burden on surgeons to care for patients more efficiently to minimize cost. We reviewed costs surrounding video-assisted thoracoscopic surgery (VATS) lobectomies to see where changes could be made to ensure maximum value. METHODS: We queried The Society of Thoracic Surgeons database for all VATS lobectomies performed for lung cancer from January 2011 to December 2013. Clinical data were linked with hospital financial data to determine hospital expenditures for each patient...
September 2016: Annals of Thoracic Surgery
https://read.qxmd.com/read/26792589/nodal-upstaging-is-more-common-with-thoracotomy-than-with-vats-during-lobectomy-for-early-stage-lung-cancer-an-analysis-from-the-national-cancer-data-base
#20
JOURNAL ARTICLE
Rachel L Medbery, Theresa W Gillespie, Yuan Liu, Dana C Nickleach, Joseph Lipscomb, Manu S Sancheti, Allan Pickens, Seth D Force, Felix G Fernandez
INTRODUCTION: Questions remain regarding differences in nodal evaluation and upstaging between thoracotomy (open) and video-assisted thoracic surgery (VATS) approaches to lobectomy for early-stage lung cancer. Potential differences in nodal staging based on operative approach remain the final significant barrier to widespread adoption of VATS lobectomy. The current study examines differences in nodal staging between open and VATS lobectomy. METHODS: The National Cancer Data Base was queried for patients with clinical stage T2N0M0 or lower lung cancer who underwent lobectomy in 2010-2011...
February 2016: Journal of Thoracic Oncology
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