Evidence map›Paper›PMID 40422503›Full record

ReviewCurrent oncology (Toronto, Ont.)2025

Technical Innovations and Complex Cases in Robotic Surgery for Lung Cancer: A Narrative Review.

Giacomo Cusumano, Giuseppe Calabrese, Filippo Tommaso Gallina, Francesco Facciolo, Pierluigi Novellis, Giulia Veronesi, Stefano Viscardi, Filippo Lococo, Elisa Meacci, Alberto Terminella and 5 more

Abstract readReview
In one paragraph

Review in Current oncology (Toronto, Ont.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Robotic-Assisted Vascular Surgery: A Clinical Perspective.Methodist DeBakey cardiovascular journal · 2025
    Review
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

15 authors.

Giacomo CusumanoGeneral Thoracic Surgery Unit, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco", 95100 Catania, Italy.ORCID 0000-0003-3994-4837
Giuseppe CalabreseThoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.ORCID 0009-0003-5070-1315
Filippo Tommaso GallinaDepartment of Thoracic Surgery, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.ORCID 0000-0001-5579-0837
Francesco FaccioloDepartment of Thoracic Surgery, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy.
Pierluigi NovellisSchool of Medicine, Vita-Salute San Raffaele University, 20123 Milano, Italy.ORCID 0000-0001-6087-3901
Giulia VeronesiSchool of Medicine, Vita-Salute San Raffaele University, 20123 Milano, Italy.
Stefano ViscardiSchool of Medicine, Vita-Salute San Raffaele University, 20123 Milano, Italy.
Filippo LococoThoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-9383-5554
Elisa MeacciThoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Alberto TerminellaGeneral Thoracic Surgery Unit, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco", 95100 Catania, Italy.
Gaetano RomanoMinimally Invasive and Robotic Thoracic Surgery, University Hospital of Pisa, 56124 Pisa, Italy.ORCID 0000-0003-3654-4651
Cristina ZirafaMinimally Invasive and Robotic Thoracic Surgery, University Hospital of Pisa, 56124 Pisa, Italy.ORCID 0000-0003-3240-9313
Franca MelfiDepartment of Pharmacy, Health and Nutrition Sciences, University of Calabria (UniCal), 87036 Rende, Italy.ORCID 0000-0002-1773-8269
Stefano MargaritoraThoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Marco ChiappettaThoracic Surgery, Magna Graecia University, 88100 Catanzaro, Italy.ORCID 0000-0002-3807-6911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For over two decades, robotic-assisted thoracic surgery (RATS) has revolutionized thoracic oncology. With enhanced visualization, dexterity, and precision, RATS has reduced blood loss, shortened hospital stays, and sped up recovery compared to traditional surgery or video-assisted thoracoscopic surgery (VATS). The use of 3D high-definition imaging and articulated instruments allows for complex resections and advanced lymph node assessment. RATS delivers oncological outcomes similar to open surgery and VATS, with high rates of complete (R0) resections and acceptable complication rates. Its minimally invasive nature promotes quicker recovery. Advances in imaging software and augmented reality further enhance surgical accuracy and reduce intraoperative risks. However, RATS has some limitations, including high costs and a lack of tactile feedback, and certain complex procedures, such as extended resections and intrapericardial interventions, remain challenging. With growing experience and technological advances, RATS shows promise in reducing morbidity, improving quality of life, and expanding access to advanced oncologic care. This article reviews the evolution, benefits, and limitations of RATS in NSCLC treatment, highlighting its emerging role in managing complex cases.

Indexed as

Lung NeoplasmsRobotic Surgical ProceduresHumansThoracic Surgery, Video-Assistedmini-invasive surgerynon-small cell lung cancerRATSrobotic surgery

Identifiers

PMID40422503
PMCPMC12110159

What OpenQuestion holds

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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.