Evidence map›Paper›PMID 40950888›Full record

ArticleJournal of thoracic disease2025

Robotic versus video-assisted thoracoscopic surgery for pathological stage II-IIIB non-small cell lung cancer: evaluation of perioperative and survival outcomes.

Ryuji Nakamura, Katsuhiro Okuda, Shin Hosokawa, Shogo Yobita, Kensuke Chiba, Risa Oda, Tsutomu Tatematsu, Keisuke Yokota

Abstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Current state of evidence for RATS lobectomy for NSCLC.Journal of cardiothoracic surgery · 2026
    Review
  2. Article
  3. Review
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

8 authors.

Ryuji NakamuraDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.ORCID https://orcid.org/0009-0009-1927-3969
Katsuhiro OkudaDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.
Shin HosokawaDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.
Shogo YobitaDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.
Kensuke ChibaDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.
Risa OdaDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.
Tsutomu TatematsuDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.
Keisuke YokotaDepartment of Thoracic and Pediatric Surgery, Graduate School of Medical Sciences and Medical School, Nagoya City University, Nagoya, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Minimally invasive surgery, including video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracoscopic surgery (RATS), has been widely performed for non-small cell lung cancer (NSCLC). Several studies have reported the clinical benefits of RATS for early-stage NSCLC. However, the application of RATS in the more advanced stage NSCLC remains controversial. This retrospective study aimed to compare the perioperative and survival outcomes of patients with pathological stage II-IIIB NSCLC who underwent lobectomy by VATS or RATS. Methods: This retrospective study identified patients with pathological stage II-IIIB NSCLC who underwent lobectomy via VATS or RATS at Nagoya City University Hospital between 2017 and 2023. Perioperative outcomes, disease-free survival (DFS) and overall survival (OS) were assessed. Results: In total, 145 patients (VATS, n=109; RATS, n=36) were included. After propensity score matching (PSM), there were 62 patients in the VATS group and 31 patients in the RATS group. In the PSM cohort analysis, blood loss was lower [109 mL, interquartile range (IQR), 67-168 Conclusions: Even in cases of pathological stage II-IIIB NSCLC, RATS is feasible and is associated with comparable survival and perioperative outcomes to VATS. Additional multicenter studies are needed to ensure the representativeness of this study.

Indexed as

non-small cell lung cancer (NSCLC)robotic-assisted thoracoscopic surgery (RATS)survival outcomesVideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID40950888
PMCPMC12433134

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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.