Evidence map›Paper›PMID 40533227›Full record

ReviewAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2025

Stapler-Less Uniportal Video-Assisted Thoracoscopic Surgery: A Case Series and Review of the Literature.

Rawan F Ayyad, Alaa Ayyad, Raghad Sweity, Mayar Idkedek, Firas Abu Akar

Abstract readReview
In one paragraph

Review in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Rawan F AyyadMedical Research Club, Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine.
Alaa AyyadMedical Research Club, Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine.
Raghad SweityMedical Research Club, Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine.
Mayar IdkedekMedical Research Club, Faculty of Medicine, Al-Quds University, East Jerusalem, Palestine.
Firas Abu AkarDepartment of Cardiothoracic Surgery, Makassed Charitable Society Hospital, East Jerusalem, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVideo-assisted thoracoscopic surgery (VATS) is a minimally invasive approach widely used for lung resections. However, reliance on staplers increases costs, limiting its adoption in resource-constrained settings. This study evaluates the feasibility, safety, and cost-effectiveness of uniportal stapler-less VATS lobectomies and segmentectomies.

methodsA retrospective analysis of 7 stapler-less uniportal VATS surgeries performed between March 2021 and February 2022 was conducted. Data on operative time, blood loss, postoperative outcomes, and complications were collected from patient records.

resultsSeven procedures were completed with an average operative time of 80 min (range: 48-118 min). Estimated blood loss was minimal (10-100 mL) in 6 cases. One patient required conversion to open thoracotomy due to vessel injury. Postoperatively, all patients were stable with no major complications.

conclusionStapler-less VATS is a viable, cost-effective alternative to conventional techniques, offering comparable safety and outcomes. This approach supports broader adoption of minimally invasive surgery, particularly in low-income settings, where reducing procedural costs is critical.

Indexed as

PneumonectomyThoracic Surgery, Video-AssistedAdultAgedBlood Loss, SurgicalCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesSurgical StaplersSurgical Staplingminimally invasive thoracic surgerystapler-less VATSuniportal VATSvideo-assisted thoracic surgery (VATS)

Identifiers

PMID40533227
PMCPMC12173480

What OpenQuestion holds

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Registered trials

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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.