Evidence map›Paper›PMID 41068747›Full record

ArticleBMC surgery2025

Uniportal versus multiportal robotic-assisted thoracic surgery pulmonary resections: a propensity score-matched analysis.

Ting-Fang Kuo, Shuenn-Wen Kuo, Mong-Wei Lin, Ke-Cheng Chen, Pei-Ming Huang, Jang-Ming Lee

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. 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.

Ting-Fang KuoDivision of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Zhongshan S. Rd., Zhongzheng Dist., 100225, Taipei, Taiwan.
Shuenn-Wen KuoDivision of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Zhongshan S. Rd., Zhongzheng Dist., 100225, Taipei, Taiwan.
Mong-Wei LinDivision of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Zhongshan S. Rd., Zhongzheng Dist., 100225, Taipei, Taiwan.
Ke-Cheng ChenDivision of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Zhongshan S. Rd., Zhongzheng Dist., 100225, Taipei, Taiwan.
Pei-Ming HuangDivision of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Zhongshan S. Rd., Zhongzheng Dist., 100225, Taipei, Taiwan.
Jang-Ming LeeDivision of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Zhongshan S. Rd., Zhongzheng Dist., 100225, Taipei, Taiwan. jangminglee@gmail.com.

Funding

Ministry of Health and Welfare MOHW111-TDU-B-221-114006Ministry of Science and Technology MOST110-2314-B-002 -270 -MY3
6 · The paper itself

Abstract

backgroundUniportal robotic-assisted thoracic surgery (URATS) has been increasingly adopted in some centers; however, its global acceptance and clinical impact remain uncertain. This study compared the perioperative outcomes of URATS and multiportal robotic-assisted thoracic surgery (MRATS) pulmonary resections.

methodsEighteen patients who underwent URATS pulmonary resection between February 2023 and April 2024 were compared with 54 patients who underwent MRATS pulmonary resection between February 2016 and February 2023. Propensity score matching, incorporating age, sex, frailty index, clinical tumor size, nodal stage, operative side, prior treatment, and surgical procedure, was performed to reduce confounding. Perioperative outcomes were analyzed in 18 matched patient pairs.

resultsThe URATS group had significantly lower analgesic requirements intraoperatively (12.5 [10.5-13.1] vs. 19 [12.3-21.5] mg; P = 0.02) and on the operative day (1.0 [0-3.1] vs. 4.2 [2.0-6.3] mg; P = 0.005). They also had shorter intensive care unit stay (0 [0-0] vs. 1 [0-2] day; P = 0.03) and postoperative hospital stay (4 [2-7] vs. 7 [5-11] days; P = 0.003). However, the docking time was longer in the URATS group than in the MRATS group (11 [8-15] vs. 7 [5-8] min, P = 0.006).

conclusionURATS appears to be a feasible approach. Lower analgesic requirements in the immediate postoperative period and shorter hospital stays may indicate improved postoperative recovery compared with MRATS.

Indexed as

Lung NeoplasmsPneumonectomyRobotic Surgical ProceduresThoracic Surgery, Video-AssistedAgedFemaleHumansLength of StayMaleMiddle AgedPropensity ScoreRetrospective StudiesTreatment OutcomeAnalgesic requirementsLung resection surgeryMinimally invasive surgeryPainPerioperative outcomesRobotic-assisted surgery

Identifiers

PMID41068747
PMCPMC12512549

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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.