ArticleJournal of thoracic disease2023
Dual-portal robotic-assisted thoracic surgery (DRATS) as a reduced port RATS: early experiences in three institutions in Japan.
Article in Journal of thoracic disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 8 citations in OpenAlex.
- A modified Cerfolio technique for robotic pulmonary resection: a retrospective comparison with the conventional approach.General thoracic and cardiovascular surgery · 2026Article
- Impact of modern minimally invasive approaches on pulmonary resection outcomes: a narrative review.Journal of thoracic disease · 2026Review
- The evolution of robotic-assisted thoracic surgery: current platforms, emerging technologies, and future perspectives - a narrative review.Journal of robotic surgery · 2026Review
- Non-assistant help operation in dual-portal RATS (neoDRATS): a surgical technique.Journal of visualized surgery · 2026Article
- Dual-portal robotic-assisted thoracic surgery for anatomical segmentectomy: standardized setup and a step-by-step procedure.Journal of visualized surgery · 2026Article
- Uniportal robotic-assisted thoracoscopic lung resection with the da Vinci Xi surgical system: technical modifications and practical guidance.Journal of visualized surgery · 2026Article
- Surgical technical aspects of uniportal hybrid RATS and biportal pure RATS using a subcostal port.Journal of visualized surgery · 2026Article
- Fully uniportal robotic-assisted lobectomy using da Vinci Xi system: surgical technique for a fifth intercostal approach with the cross-arm technique.Journal of visualized surgery · 2026Article
- Refining Surgical Standards: The Role of Robotic-Assisted Segmentectomy in Early-Stage Non-Small-Cell Lung Cancer.Cancers · 2025Review
- Biportal-RATS vs. Uniportal-VATS for Lung Resections: A Propensity Score-Matched Analysis from Early Experience.Journal of clinical medicine · 2025Article
- Comparison of the short-term outcomes and the incidence of post-thoracotomy pain syndrome between dual-portal and multi-portal robotic-assisted thoracic surgery.General thoracic and cardiovascular surgery · 2025Article
- Comparison of short-term outcomes between multi-arm uniportal and multiport robotic-assisted thoracoscopic surgery based on propensity score matching.World journal of surgical oncology · 2025Article
- Biportal robotic-assisted surgery for lung segmentectomies: a surgical technique overview.Journal of visualized surgery · 2025Article
- Developing novel non-assistant help operation in dual-portal robotic-assisted thoracic surgery (neoDRATS).JTCVS techniques · 2024Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Robotic-assisted thoracic surgery (RATS) has gained increasing interest in recent years, with most procedures performed using the conventional multiportal approach. Uniportal RATS (URATS) approaches have recently been reported in the pursuit of minimally invasive procedures. However, URATS requires specific skills. Herein, we introduce dual-portal RATS (DRATS) performed with two incisions. Methods: Data of DRATS procedures performed from December 2022 to May 2023 were retrospectively reviewed. Twenty patients with lung cancer underwent anatomical lung resections via DRATS performed by our group at three institutes. Results: Among 20 cases of planned DRATS for anatomical pulmonary resections, there were no conversions to thoracotomy and no need for extra ports. The mean surgery time was 121±60 minutes and mean console time was 91±47 minutes. The mean intraoperative blood loss volume was 9.6±12.1 g. The mean duration of chest tube drainage and hospital stay were 2±1 and 5±2 days, respectively. The mean numerical rating scale for pain was 2±1 on the first postoperative day, 1±1 on the third day, and 1±1 at discharge. There were no postoperative complications or mortalities. Conclusions: Our primary experience shows that DRATS is safe and feasible for anatomical lung resection. We consider DRATS to be a very good preliminary step in the future transition to URATS.
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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.