Evidence map›Paper›PMID 36793991›Full record

ArticleAnnals of cardiothoracic surgery2023

Uniportal fully robotic-assisted major pulmonary resections.

Diego Gonzalez-Rivas, Mugurel Bosinceanu, Veronica Manolache, Javier Gallego-Poveda, Alejandro Garcia, Marina Paradela, Joel Dunning, Manjunath Bale, Natalia Motas

Open access · diamondAbstract readEditorial
In one paragraph

Article in Annals of cardiothoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 33 citations in OpenAlex.

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  16. Initial outcomes with uniportal video-assisted lung resection.Interdisciplinary cardiovascular and thoracic surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 5 countries.

Diego Gonzalez-RivasDepartment of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Mugurel BosinceanuDepartment of Thoracic Surgery, Memorial Hospital, Bucharest, Romania.
Veronica ManolacheDepartment of Thoracic Surgery, Memorial Hospital, Bucharest, Romania.
Javier Gallego-PovedaDepartment of Cardio-Thoracic Surgery, Lusiadas Hospital, Lisbon, Portugal.
Alejandro GarciaDepartment of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Marina ParadelaDepartment of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Joel DunningDepartment of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK.
Manjunath BaleDepartment of Thoracic Surgery, Yashoda Hospital, Hyderabad, India.
Natalia MotasUniversity of Medicine and Pharmacy "Carol Davila", Bucharest, Romania.
Universidade da Coruña · ESInstitutul Oncologic Bucuresti · ROCarol Davila University of Medicine and Pharmacy · ROClinical Emergency Hospital Bucharest · ROJames Cook University Hospital · GBLusíada University of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted thoracoscopic surgery (RATS) has proven advantages over that of conventional thoracic surgery, primarily by offering a three-dimensional view and excellent maneuverability, and by providing great ergonomic comfort to the surgeon. The instrumentation specifically offers seven degrees of freedom, allowing for safe, yet complex dissections and radical lymphadenectomies. However, the robotic platform was initially designed with four robotic arms in mind, and therefore four to five incisions were needed for most thoracic approaches. The uniportal video-assisted thoracoscopic surgery (UVATS) approach, the philosophical predecessor to the uniportal robotic-assisted thoracoscopic surgery (URATS) approach, evolved very quickly with the help of the latest technologies during the last decade. Since the first cases of UVATS in 2010, we have improved upon the technique, such that we are now able to do increasingly more complex cases. This is due to the acquired experience, specifically designed instruments, better high-definition cameras and more angulated staplers. In our efforts to improve and adapt robotic surgery to the uniportal approach, we utilized the initial available platforms (Davinci Si and X) to test the feasibility of this approach, in terms of safety and possibilities. The latest platform, the Da Vinci Xi, due to the configuration of its arms, did indeed allow for us to reduce the number of incisions to two initially and finally to one. We hence decided to fully adapt the Da Vinci Xi

Indexed as

robotic lobectomysingle port RATSUniportal RATSURATSURATS lobectomy

Identifiers

PMID36793991
PMCPMC9922773
OpenAlexW4320012292

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.