ArticleThe Journal of thoracic and cardiovascular surgery2018
The long-term survival of robotic lobectomy for non-small cell lung cancer: A multi-institutional study.
Article in The Journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.
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Who cites it
71 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.
- Comparative Effectiveness of Surgical Approaches for Lung Cancer.The Journal of surgical research · 2021Pooled it
- Beware of the plateau trap: a multidimensional analysis redefining the learning curve of robotic lobectomy in non-small cell lung cancer.Journal of robotic surgery · 2026Article
- Long-Term Patient-Reported Outcomes after Multiport Robot-Assisted Surgery versus Video-Assisted Surgery for Lung Cancer: An Observational Cohort Study.Annals of surgical oncology · 2026Observational
- Safe implementation of robot-assisted thoracic surgery in the UK: a single-centre experience and early outcomes.Journal of cardiothoracic surgery · 2026Article
- Long-Term Oncological Outcomes of Minimally Invasive Surgery in Non-Small Cell Lung Cancer: An Updated Review.Cancers · 2026Review
- Curative-Intent Multimodality Treatment for NSCLC: Will Global Healthcare Systems Rise to the Challenge? A Perspective From the United Kingdom.JTO clinical and research reports · 2026Article
- Robotic Thoracic Surgery: Current Landscape and Future Directions.Interdisciplinary cardiovascular and thoracic surgery · 2026Review
- Carina™ modular robotic-assisted left lower lobectomy after neoadjuvant chemoimmunotherapy for stage IIIA squamous cell lung cancer: a case report.AME case reports · 2026Article
- Exploring and analyzing learning curves in robotic-assisted thoracoscopic anatomical lung resections: A systematic review and meta-analysis.JTCVS open · 2025Article
- Contralateral Robotic-Assisted Anatomical Resection for Synchronous or Metachronous Lung Cancer: A Retrospective Case Series.Journal of clinical medicine · 2025Article
- Robotic-assisted mediastinal lymphadenectomy in lung cancer: a narrative review.Journal of robotic surgery · 2025Review
- Institutional proficiency and learning curves in robotic-assisted thoracoscopic surgery: a single-center retrospective analysis using the cumulative sum method.Journal of robotic surgery · 2025Article
- Uniportal robotic thoracic surgery - an early Indian experience.Indian journal of thoracic and cardiovascular surgery · 2025Article
- Improving quality outcomes via process improvements and innovation: the largest single-surgeon series of 1,701 consecutive robotic lobectomy and segmentectomy cases.Frontiers in surgery · 2025Article
- [Robot-assisted thoracic surgery. Our first experiences].Magyar onkologia · 2024Article
- Review
- Robotic-assisted versus video-assisted lobectomy for resectable non-small-cell lung cancer: the RVlob randomized controlled trial.EClinicalMedicine · 2024Article
- Modified open-thoracotomy-view approach in robotic-assisted thoracoscopic lung resection.Journal of thoracic disease · 2024Article
- Outcomes of robotic lobectomy for non-small cell lung cancer in a National Cancer Institute-Comprehensive Cancer CenterJournal of thoracic disease · 2023Article
- Uniportal pure robotic-assisted thoracic surgery-technical aspects, tips and tricks.Annals of translational medicine · 2023Review
11 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveOur objective is to report the world's largest series with the longest follow-up of robotic lobectomy for non-small cell lung cancer (NSCLC).
methodsThis was a multi-institutional retrospective review of a consecutive series of patients from 4 institutions' prospective robotic databases.
resultsThere were 1339 patients (men 55%, median age 68 years). The median operative time was 136 minutes, median number of lymph nodes was 13 (5 N2 stations and 1 N1), median blood loss was 50 cc, and 4 (0.005%) patients received intraoperative transfusions. Conversions occurred in 116 patients (9%) and for bleeding in 24 (2%). Median length of stay was 3 days. Major morbidity occurred in 8%. The 30-day and 90-day operative mortality was 0.2% and 0.5%, respectively. Follow-up was complete in 99% of patients with a median follow-up of 30 months (range 1-154 months). The 5-year stage-specific survival was: 83% for the 672 patients with stage IA NSCLC, 77% for the 281 patients with stage IB, 68% for the 118 patients with stage IIA, 70% for 99 patients with IIB, 62% for 143 patients with stage IIIA (122 had N2 disease, 73%), and 31% for 8 patients with stage IIIB (none had N3 disease). The cumulative incidence of metastatic NSCLC was 15% (128 patients, 95% confidence interval, 13%-18%). The cumulative incidence of local recurrence in the ipsilateral operated chest was 3% only (26 patients, 95% confidence interval, 2%-5%).
conclusionsThe oncologic results of robotic lobectomy for NSCLC are promising, especially for patients with pathologic N2 disease. However, further follow-up and studies are needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.