ReviewJournal of thoracic disease2025
Advances in vagus nerve management strategies in thoracoscopic lung resections: a narrative review.
Review in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-Analysis: Prevalence and Incidence of Gastroparesis Following Lung or Heart Transplantation.Alimentary pharmacology & therapeutics · 2026Pooled it
- The Role of the Nervous System in Lung Disease.Current neurology and neuroscience reports · 2026Review
- Bibliometric and visualization analysis of non-intubated thoracic anaesthesia [2014-2025].Journal of thoracic disease · 2026Article
- Intraoperative management and postoperative outcomes of patients with high body mass index undergoing tubeless anesthesia for non-intubated uniportal video-assisted thoracoscopic surgery: a single-center retrospective propensity score matching study.Journal of thoracic disease · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Objective: The vagus nerve (VN) is a critical component of the parasympathetic nervous system, playing a pivotal role in respiratory, cardiovascular, and digestive functions. Its management during thoracoscopic lung resections is essential to minimize postoperative complications such as cough and arrhythmias. This review aims to explore advancements in VN management strategies-including preservation, neuromonitoring, and nerve block-and their impact on surgical outcomes and long-term recovery. Methods: A literature search was conducted in PubMed, China National Knowledge Infrastructure (CNKI), and Google Scholar databases for studies published between January 2010 and March 2025. The search used Medical Subject Headings (MeSH) terms and free-text keywords such as "vagus nerve", "thoracoscopic lung resections", "intraoperative monitoring", and "postoperative complications", combined with Boolean operators. Inclusion criteria focused on original full-text articles in English or Chinese evaluating VN management in thoracoscopic lung surgery. Exclusion criteria included animal studies, case reports, and non-peer-reviewed publications. Key Content and Findings: The preservation of the pulmonary branch of the VN has been shown to significantly reduce postoperative cough and facilitate recovery. However, some studies suggest that a highly selective severance strategy might be more effective. The development of continuous intraoperative nerve monitoring has improved procedure safety and reduced complications. VN block offers advantages in non-intubated thoracoscopic surgery by suppressing cough reflexes and enhancing patient comfort. Conclusions: While the preservation of the VN branches appears beneficial, the optimal strategy for VN management during thoracoscopic lung resection remains a subject of ongoing research. Future studies should aim to clarify the mechanisms by which VN management affects postoperative outcomes and establish evidence-based guidelines for clinical practice, potentially improving surgical safety and patient recovery.
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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.