Evidence map›Paper›PMID 40556348›Full record

ArticleThoracic cancer2025

Evolution of Uniportal Robotic-Assisted Thoracic Surgery: A Retrospective Study on the Original and Modified Techniques for Lung Anatomic Resections.

Ching Yang Wu, Ming Ju Hsieh, Yu Fu Wu, Diego Gonzalez-Rivas, Chun Ting Kuo, Ching Feng Wu

Abstract read
In one paragraph

Article in Thoracic cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

6 authors.

Ching Yang WuDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.
Ming Ju HsiehDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.
Yu Fu WuDepartment of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.
Diego Gonzalez-RivasMinimally Invasive Thoracic Surgery Unit (UCTMI), Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain.
Chun Ting KuoDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.
Ching Feng WuDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou, Taiwan.ORCID 0000-0001-9618-3937

Funding

Chang Gung Memorial Hospital CMRPG3P0141
6 · The paper itself

Abstract

backgroundUniportal robotic-assisted thoracic surgery (uRATS) has emerged as an innovative minimally invasive approach for lung anatomic resections. This study evaluates the safety, feasibility, and outcomes of uRATS, comparing the original technique with a modified approach utilizing a novel trocar configuration to minimize incision size.

methodsA retrospective analysis was conducted on 40 patients who underwent uRATS for lung cancer between August 2023 and August 2024 at a tertiary medical center. The first 20 cases employed a 4 cm incision with three 8 mm trocars, while the subsequent 20 cases utilized a modified technique incorporating two flared trocars and a central 8 mm trocar, reducing the incision to 3.5 cm. Perioperative outcomes, postoperative pain, and complications were analyzed.

resultsThe mean docking, console, and operative times showed no significant differences between the original and modified techniques. The mean postoperative pain scores and analgesic requirements were comparable. No conversions to multiport RATS, VATS, or open surgery were required. The most common complication was mild subcutaneous emphysema (5%). Learning curve analysis indicated that approximately 20 cases were needed to achieve technical proficiency.

conclusionuRATS is a safe and feasible approach for lung anatomic resections. The modified technique with flared trocars enables a smaller incision without compromising outcomes. Further studies are warranted to assess long-term oncologic efficacy and cost-effectiveness.

Indexed as

Lung NeoplasmsPneumonectomyRobotic Surgical ProceduresThoracic Surgery, Video-AssistedAgedFemaleHumansMaleMiddle AgedRetrospective Studiesda Vinci Xilung anatomic resectionuniportal RATS

Identifiers

PMID40556348
PMCPMC12187981

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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.