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Page 6 of 12                                                       Erodotou et al. Mini-invasive Surg 2023;7:35  https://dx.doi.org/10.20517/2574-1225.2023.95

                                                                                                                                 the surgeon with pre-existing
                                                                                                                                 < 5 VATE experience (surgeon
                                                                                                                                 B)
                                                                                                                                 24 cases for less
                                                                                                                                 postoperative pneumonia for
                                                                                                                                 surgeon A
                                                                                                                                 21 cases for les postoperative
                                                                                                                                 pneumonia for surgeon B
                                                                                                                                 31-40 cases for decreased
                                                                                                                                 vocal cord palsy and increased
                                                                                                                                 thoracic lymph node yield for
                                                                                                                                 surgeon A
                                                                                                                                 15-49 cases for decreased
                                                                                                                                 vocal cord palsy for surgeon B
                Kingma   2020 Netherlands Prospective  70  Da Vinci  MIE and ten benign   Ivor Lewis; Robotic  1  NR  CUSUM      22 cases for decreased
                  [21]                                 Xi     robotic cases   thoracic phase
                et al.                                                                                                           thoracic operating time and
                                                              UGIRA pathway                                                      intraoperative blood loss
                     [27]
                Park et al.  2017 South Korea Retrospective 140  NR  NR       McKeown; Robotic  NR    NR          CUSUM          28 cases for increased lymph
                                                                              thoracic and                                       node yield
                                                                              abdominal phase
                                                                                                                                 60 cases for decreased vocal
                                                                                                                                 cord palsy rates
                                                                                                                                 80 cases for decreased total
                                                                                                                                 operation time
                     [20]
                Park et al.  2017 South Korea Retrospective 33  Da Vinci  No prior thoracoscopic   McKeown; Robotic  25  25  CUSUM  20 cases for decreased vocal
                                                       Si     experience      thoracic phase                                     cord palsy rates
                Rebecchi     2022 Italy  Retrospective 40  Da Vinci  MIE      Ivor Lewis; Robotic  NR  NR         CUSUM/RA-CUSUM 22 cases for decreased
                etal. [29]                             Xi                     thoracic phase                                     operating time
                                                                                                                                 19 cases for proficiency
                van der Sluis  2018 Netherlands Retrospective 315  Da Vinci MIE   McKeown; Robotic  5  20         CUSUM          24 cases for decreased
                et al. [23]                                   Proctoring program  thoracic phase                                 thoracic and total operating
                                                                                                                                 time
                Sarkaria   2016 USA  NR        100     NR     MIE and single robotic   Ivor Lewis; Robotic  NR  50   Comparison of   30-45 cases for decreased
               et al. [22]                                    cadaveric operation  thoracic and       Surgeons    consecutive 15 patient  median operating time
                                                                              abdominal phase         alternated   cohorts
                                                                                                      between console
                                                                                                      and assisting
                                                                                                      roles
                     [18]
                Sun et al.  2022 China  Retrospective 45  Da Vinci VAME       McKeown; Robotic  NR    NR          CUSUM          17 cases for increased left
                                                                              thoracic and                                       recurrent laryngeal nerve
                                                                              abdominal phase                                    lymph nodes
                Yang et al. [28]  2021 China  Retrospective 400  Da Vinci  MIE  McKeown; Robotic  NR  NR          CUSUM          40 cases for decreased
                                                       Si/Xi                  thoracic and                                       operating time, estimated
                                                                              abdominal phase                                    blood loss, conversion rates
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