Evidence map›Paper›PMID 40002233›Full record

ReviewCancers2025

Surgical Techniques for Non-Small-Cell Lung Cancer After Neoadjuvant Chemo-Immunotherapy: State of Art and Review of the Literature.

Beatrice Trabalza Marinucci, Massimiliano Mancini, Alessandra Siciliani, Fabiana Messa, Giorgia Piccioni, Antonio D'Andrilli, Giulio Maurizi, Anna Maria Ciccone, Cecilia Menna, Camilla Vanni and 3 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07528066 (The Impact of Downstaging on Robotic Surgical Outcomes After Neoadjuvant Chemo-Immunotherapy in Non-Small Cell Lung Cancer), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

NCT07528066 recruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Downstaging on Robotic Surgical Outcomes After Neoadjuvant Chemo-Immunotherapy in Non-Small Cell Lung Cancer

TypeobservationalSponsorShanghai Chest HospitalRan2026 to 2027Enrolled200ConditionsNeoadjuvant Chemoimmunotherapy, Robotic Pulmonary Resection, Stage IIB-III NSCLCArmsRobotic-assisted surgery (RATS)
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Surgical audience focused on multimodality treatment for lung cancer.Interdisciplinary cardiovascular and thoracic surgery · 2025
    Article
  10. Article
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

13 authors.

Beatrice Trabalza MarinucciDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.ORCID 0000-0002-3786-5716
Massimiliano ManciniDepartment of Histopathology, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.ORCID 0000-0001-7465-2229
Alessandra SicilianiDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.ORCID 0000-0002-0376-9697
Fabiana MessaDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Giorgia PiccioniDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Antonio D'AndrilliDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Giulio MauriziDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Anna Maria CicconeDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Cecilia MennaDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Camilla VanniDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.ORCID 0000-0001-5218-6757
Matteo TiracorrendoDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Erino Angelo RendinaDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Mohsen IbrahimDepartment of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-small-cell lung cancer (NSCLC) accounts for 80-85% of all lung cancers. Approximately 20% of patients with NSCLC are diagnosed with stage IIIA-IIIB disease, for which the optimal treatment remains unclear. Meta-analyses reveal that neoadjuvant/perioperative ICI-chemotherapy significantly improves pathological complete response (pCR), overall survival (OS), major pathological response (MPR), and R0 rate compared to standard neoadjuvant chemotherapy. Resectability is achieved when R0 resection can be performed after surgery. Radiographic downstaging often does not correspond to surgical downstaging. In fact, intra-operative fibrosis due to chemo-immunotherapy (synonymous with ICI-chemotherapy) can create adhesions and consequent difficult planes for dissection. Thus, pneumonectomy cannot be avoided. Even the suspicion of N2 after neoadjuvant treatment is considered a limitation of upfront surgery because of the risk of pneumonectomy. The aim of this review is to explore the literature on the technical strategies for surgical excision of NSCLC after chemo-immunotherapy, addressing even the most challenging scenarios.

Indexed as

lung surgeryneoadjuvant immunotherapynon-small-cell lung cancerresectability

Identifiers

PMID40002233
PMCPMC11853686

What OpenQuestion holds

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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.