Robot-assisted thoracic surgery (RATS): learning curve and outcomes for 200 consecutive pulmonary lobectomies in a Norwegian hospital
This retrospective learning‑curve analysis evaluated the transition from VATS to robotic lobectomy for early‑stage lung cancer. Surgical proficiency improved over time, with decreasing operative duration and complications after approximately 90–120 cases. Conversion and reoperation rates were low, and overall complication rates were acceptable throughout implementation. These findings suggest that adoption of robotic lobectomy can be safely achieved without increased perioperative risk, supporting consistent postoperative management strategies, including chest drain and air leak protocols, during program rollout.
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