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New standardized five-zone lobectomy with structured assessment in robotic surgery: the French lobectomy

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dc.contributor.authorMordojovich, Gerardo
dc.contributor.authorHugen, Niek
dc.contributor.authorBottet, Benjamin
dc.contributor.authorMontagne, François
dc.contributor.authorBouabdallah, Ilies
dc.contributor.authorPagès, Pierre-Benoît
dc.contributor.authorSarsam, Mathieu
dc.contributor.authorThomas, Pascal
dc.contributor.authorBaste, Jean-Marc
dc.date.accessioned2026-09-14T20:17:55Z
dc.date.available2026-09-14T20:17:55Z
dc.date.issued2025
dc.description.abstractThe use of the robotic approach is rapidly increasing in thoracic surgery worldwide. Mastering this new technique is challenging and teaching robotic surgery is difficult. Nevertheless, to date, no academic certified training program including a standardized approach is available for robotic lobectomy and no objective assessment scale has been proposed. Here we describe new objective criteria for robotic lobectomy including a standardised surgical technique and an objective structured assessment scale to improve educational support for thoracic surgeons. The technique, referred to as the French lobectomy, is a standardized technique, and is based on five exposure and dissection zones. Each zone contains a number of dissection steps, which all together form a complete lobectomy. The technique can be applied to all lobectomies (and segmentectomies) for both the left and right side. In parallel, an objective structured assessment scale is designed to evaluate the performance of trainee surgeons who use the technique. This scale is based on five items with a minimum score of 5 points and a maximum score of 25 points. A conduct to follow based on the score obtained is proposed. This systematic and standardized robotic approach to lobectomies and its assessment scale, may allow surgeons and trainees to improve their technical skills and efficiency.
dc.description.versionVersión Publicada
dc.identifier.citationMordojovich, G., Hugen, N., Bottet, B., Montagne, F., Bouabdallah, I., Pagès, P. B., Sarsam, M., Thomas, P. A., & Baste, J. M. (2025). New standardized five-zone lobectomy with structured assessment in robotic surgery: the French lobectomy. Journal of thoracic disease, 17(4), 2718–2729. https://doi.org/10.21037/jtd-24-1755
dc.identifier.doihttps://doi.org/10.21037/jtd-24-1755
dc.identifier.urihttps://hdl.handle.net/11447/11129
dc.language.isoen
dc.subjectRobotic surgical procedure
dc.subjectLearning curve
dc.subjectMedical education
dc.subjectMinimally invasive surgical procedures
dc.subjectThoracic surgery
dc.titleNew standardized five-zone lobectomy with structured assessment in robotic surgery: the French lobectomy
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceJournal of thoracic disease
dspace.entity.typePublication

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