Evidence map›Paper›PMID 40464809›Full record

ReviewJournal of robotic surgery2025

Robotic-assisted mediastinal lymphadenectomy in lung cancer: a narrative review.

Dávid Adamica, Lubomír Tulinský, Markéta Kepičová, Paula Dzurňáková, Peter Ihnát, Marcel Mitták, Adam Varga, Čestmír Neoral, Lubomír Martínek

Abstract readReview
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In one paragraph

Review in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

9 authors.

Dávid Adamica *Department of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.
Lubomír Tulinský *Department of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic. tulinsky@email.cz.
Markéta KepičováDepartment of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.
Paula DzurňákováDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.
Peter IhnátDepartment of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.
Marcel MittákDepartment of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.
Adam VargaDepartment of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.
Čestmír NeoralDepartment of Surgical Studies, Faculty of Medicine, University of Ostrava, Syllabova 19, Ostrava, 703 00, Czech Republic.
Lubomír MartínekDepartment of Surgery, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech Republic.ORCID http://orcid.org/0000-0003-3100-5990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study is to undertake a narrative review of the oncological adequacy of mediastinal lymphadenectomy performed via robot-assisted thoracic surgery (RATS) in comparison with video-assisted thoracic surgery (VATS) and thoracotomy for non-small cell lung cancer (NSCLC). The focus of the review is on lymph node yield, nodal station dissection, and nodal upstaging rates. A narrative review of literature published in the last decade was conducted using PubMed, Cochrane, and Web of Science databases. Studies examining mediastinal lymphadenectomy outcomes for RATS, VATS, or thoracotomy were included in the discussion. The analysis of 19 studies from diverse geographical regions showed that in six out of nine comparative studies, RATS demonstrated superior lymph node retrieval compared to VATS, with statistically significant differences. RATS achieved comparable or superior nodal station dissection rates and showed particular advantages in upstaging from clinical N0 to pathological N2 status. Additionally, RATS demonstrated favourable perioperative outcomes with reduced morbidity and mortality rates compared to conventional approaches. RATS represents a reliable and oncologically sound approach to mediastinal lymphadenectomy, with potential advantages over conventional techniques. Its enhanced visualization and precision make it an increasingly utilised option for NSCLC treatment in centres with robotic capabilities.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsLymph Node ExcisionRobotic Surgical ProceduresHumansMediastinumThoracic Surgery, Video-AssistedThoracotomyTreatment OutcomeLung cancerMediastinal lymphadenectomyRobotic-assisted surgerySummaryThoracic surgery

Identifiers

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.