Learning Curve and Early Outcomes of Thoracoscopic Anatomical Lesion Resection for Congenital Pulmonary Airway Malformation in Children: A Single-surgeon Experience

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Key takeaways

• Thoracoscopic CPAM resection shows low complication rate (1.9%) and residual lesion rate (2.6%) in pediatric patients over 5-year period.
• Surgeon proficiency achieved after 39 cases, with significant reductions in operative time, blood loss, and postoperative ventilation duration.
• Learning curve analysis using CUSUM method demonstrates clear transition point between learning and proficiency phases for thoracoscopic resection.
• Single-surgeon experience validates thoracoscopic approach as safe and effective for anatomic pulmonary lesion resection in children with CPAM.
• Standardized thoracoscopic technique enables predictable skill acquisition with measurable improvements in perioperative outcomes after proficiency.

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