Learning Curve for Uniportal VATS Anatomical Pulmonary Resections: the Activity Monitor Operating Characteristic Method

We aimed to analyze the learning process of the uniportal video-assisted thoracoscopic surgery (uVATS), the most up-to-date approach in VATS, to determine the learning curve cut-off value and to share the technical details in our application. Fifty patients who underwent anatomical pulmonary resection with the uVATS technique in our institute between May 2020 and June 2021 were retrospectively analyzed. The cut-off point in the learning curve (patient 26) was determined with the activity monitor operating characteristic (AMOC) method, which was developed for monitoring the most sensitive changes in the timeline. Patients were divided into two groups based on this cut-off value (group 1: first 25 patients vs. group 2: established phase, 25 patients) and compared. Comparison of groups (group 1 vs. 2) revealed a median resection time of 200 vs. 110 min ( p