Evidence map›Paper›PMID 40854991›Full record

ArticleSurgical endoscopy2025

Pain and recovery after robotic vs. uniportal lobectomy for lung cancer: a comparative analysis.

Lubomír Tulinský, Nikol Jarošová, Dávid Adamica, Petr Bujok, Marcel Mitták, Adéla Kondé, Lubomír Martínek

Abstract readComparative Study
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

7 authors.

Lubomír TulinskýDepartment of Surgery, University Hospital Ostrava, 17.Listopadu 1790, Ostrava, Czech Republic. lubomir.tulinsky@fno.cz.ORCID http://orcid.org/0000-0003-3100-5990
Nikol JarošováCentral Operating Theatres, University Hospital Ostrava, 17.Listopadu 1790, Ostrava, Czech Republic.
Dávid AdamicaDepartment of Surgery, University Hospital Ostrava, 17.Listopadu 1790, Ostrava, Czech Republic.
Petr BujokDepartment of Informatics and Computers, Faculty of Science, University of Ostrava, 30. Dubna 22, 701 03, Ostrava, Czech Republic.
Marcel MittákDepartment of Surgery, University Hospital Ostrava, 17.Listopadu 1790, Ostrava, Czech Republic.
Adéla KondéDepartment of Deputy Director for Science, Research and Education, University Hospital Ostrava, 17. Listopadu 1790, 70852, Ostrava, Czech Republic.
Lubomír MartínekDepartment of Surgery, University Hospital Ostrava, 17.Listopadu 1790, Ostrava, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive thoracic surgery techniques, such as robotic-assisted thoracic surgery (RATS) and uniportal video-assisted thoracoscopic surgery (UVATS), have revolutionized lung cancer treatment. However, comparative data on postoperative pain and functional recovery remain limited. This cohort study evaluates differences in pain intensity and pain-related activity limitations following radical lobectomy for lung cancer.

methodsA total of 140 patients undergoing lobectomy (70 RATS, 70 UVATS) were prospectively assessed. Pain intensity was measured using the Visual Analog Scale (VAS), and functional impact was evaluated with the Daily Activity Pain Interference Questionnaire (DAPIQ) on postoperative days 3 and 14. Demographic factors, including sex and body mass index (BMI), were analyzed as potential modifiers.

resultsPatients in the RATS group reported significantly higher VAS scores compared to the UVATS group on postoperative day 3 (5.8 ± 2.0 vs. 3.8 ± 1.6; p < 0.001) and day 14 (2.7 ± 1.1 vs. 2.2 ± 1.1; p = 0.001). Only 17.1% of RATS patients were pain-free by day 14, compared to 34.3% in the UVATS group (p = 0.016). The likelihood of pain-related activity interference was 3.8 times higher in the RATS group. Female sex and lower BMI were associated with worse pain outcomes. VAS scores strongly correlated with DAPIQ results (β = 0.43).

conclusionsThis study demonstrates that RATS is associated with significantly greater postoperative pain and functional limitations than UVATS following lobectomy for lung cancer. These findings underscore the importance of tailored pain management strategies in robotic thoracic surgery, particularly for higher-risk subgroups. Integration of the DAPIQ questionnaire into routine postoperative care may enhance functional recovery monitoring.

Indexed as

Lung NeoplasmsPneumonectomyPostoperative PainRobotic Surgical ProceduresThoracic Surgery, Video-AssistedAgedFemaleHumansMaleMiddle AgedPain MeasurementProspective StudiesRecovery of FunctionFunctional recoveryLobectomyPostoperative painQuality of lifeRobotic-assisted thoracic surgeryUniportal VATS

Identifiers

PMID40854991
PMCPMC12618369

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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.