ArticleInnovations (Philadelphia, Pa.)
Outside the Cage Subcostal RATS Lobectomy: Technical Aspects and Results of the First Series of a Novel Approach to Pulmonary Lobectomy.
Article in Innovations (Philadelphia, Pa.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Article
- Initial Surgical Results of Subcostal Single-Port Robotic Lung Resection: A Comparative Analysis With the Multi-Port Robot.World journal of surgery · 2026Article
- What is the learning curve of the "outside the cage" robotic approach?-a prospective single-center study.Journal of thoracic disease · 2026Article
- Initial single-center experience with robot-assisted single-port major pulmonary resection: a retrospective study.Journal of thoracic disease · 2026Article
- Early outcomes of subcostal four-arm robotic pulmonary resection and mediastinal lymph node dissection for non-small cell lung cancer.Journal of robotic surgery · 2026Article
- Feasibility and safety of outside the cage subcostal robotic anatomical lung resections: results of a phase I clinical trial.Journal of thoracic disease · 2025Article
- Outside the Cage (OTC) Non-Intercostal Robotic-Assisted Esophagectomy.Annals of thoracic surgery short reports · 2025Article
- Risk factors for chronic postsurgical pain following minimally invasive thoracic surgery.Frontiers in surgery · 2025Article
- Pain outcomes of outside-the-cage robotic thoracic surgery: a prospective matched-cohort study.Journal of robotic surgery · 2024Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe goal of minimally invasive surgery is to reduce trauma to patients and improve their postoperative outcomes. In this context, the utilization of robot-assisted thoracic surgery (RATS) in the treatment of lung cancer has increased worldwide. The feasibility of single-incision major pulmonary resections by RATS was recently reported, with the objective of minimizing the surgical trauma of the traditional multiportal RATS approach. However, both techniques require intercostal incisions, potentially causing immediate and chronic pain resulting from intercostal nerve injury. To reduce postoperative pain resulting from intercostal approaches, we developed a nonintercostal, outside the thoracic cage (OTC) approach for RATS lobectomy, avoiding intercostal instrumentation. This report aims to describe the results of the first reported series of OTC subcostal RATS lobectomies.
methodsRetrospective analysis of a series of the first consecutive patients operated on using the novel OTC subcostal RATS lobectomy technique.
resultsBetween August and December 2022, a total of 10 consecutive cases were analyzed. The median age was 63 (55 to 84) years, the mean body mass index was 29 (24 to 45) kg/m
conclusionsThis series demonstrates that OTC RATS lobectomy is feasible and safe. A phase I clinical trial is currently underway to prospectively assess the safety of the technique as well as its clinical relevance.
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