Outcome: (if Morbidity, please indicate the specific morbidity if not just indicate N/A on the blank)
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PATIENT's OPERATION's DATA:
Outcome: Date
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MM
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DD
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YYYY
PATIENT's OPERATION's DATA:
Please choose one: Case Type:
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PATIENT's OPERATION's DATA:
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PATACSI INDEX CASE REQUIREMENT DATA:
Please choose one per case per patient:
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Lung Anatomic Resection Open (Segmentectomy, lobectomy, pneumonectomy; Major VATS / Robotic Anatomic Resections (at least 5 VATS and 3 Open) - PATACSI Case Requirements: 20
Lung Non-Anatomic Resection - PATACSI Case Requirements: 20
Pleura - PATACSI Case Requirements: 20
Chest Wall Chest wall resection (at least with chest wall reconstruction), pectus repair - PATACSI Case Requirements: 3
Diaphragm (Diaphragmatic Surgeries (diaphragm resection or plication, repair of Morgagni, Bochdalek, or traumatic hernia) - PATACSI Case Requirements: 3
Mediastinum (Tumor / cyst / mass resection via open, VATS, or robotic technique (at least 3 VATS) - PATACSI Case Requirements: 10
Mediastinum (Mediastinoscopy / Mediastinotomy) - PATACSI Case Requirements: 5
Tracheobronchial - Airway Surgery (Tracheal-bronchial resection (at least 1 with reconstruction) Laryngotracheal resection/reconstruction, airway anastomosis, tracheal stenting as primary or secondary operator - PATACSI Case Requirements: 3
Esophagus (Esophagectomy (Open or minimally invasive) at least 1 with reconstruction, Benign Esophagus, Repair of perforation, drain perforation, diverticulectomy, myotomy, hiatal hernia repair all as primary or secondary operator ) - PATACSI Case Requirements: 2
Pediatric Thoracic Surgery (Lung resection; Pleura; Mediastinal surgery / Chest wall / diaphragm) - PATACSI Case Requirements: 5
Cardiothoracic Trauma (including Iatrogenic) - PATACSI Case Requirements: 3