Evidence map›Paper›PMID 41506888›Full record

ReviewInterdisciplinary cardiovascular and thoracic surgery2026

Robotic Thoracic Surgery: Current Landscape and Future Directions.

Akshay J Patel, Kazuhiro Yasufuku, Andrea Bille

Abstract readReview
In one paragraph

Review in Interdisciplinary cardiovascular and thoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. RoboticJournal of thoracic disease · 2026
    Article
  4. Review
  5. Review
  6. Article
  7. 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

3 authors.

Akshay J PatelDivision of Thoracic Surgery, Toronto General Hospital, Toronto, ON M5G 2C4, Canada.ORCID 0000-0001-9170-8618
Kazuhiro YasufukuDivision of Thoracic Surgery, Toronto General Hospital, Toronto, ON M5G 2C4, Canada.
Andrea BilleDepartment of Thoracic Surgery, Guy's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London SE1 9RT, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRobotic-assisted thoracic surgery (RATS) has transitioned from an emerging adjunct to an established component of minimally invasive thoracic practice. Advances in multi-platform systems, single-port (SP) technology, and artificial intelligence (AI)-driven analytics are shaping the next phase of surgical precision, ergonomics, and patient-specific approaches.

methodsWe synthesized evidence from randomized controlled trials (RCTs), observational series, national training initiatives, and recent technological innovations to assess the current status, potential benefits, limitations, and future trajectory of RATS. Data sources included RVlob, ROMAN, and RAVAL-4 RCTs; the SORTS UK national training survey; our own thymic resection comparative series; and SP platform feasibility studies.

resultsRCT data demonstrate oncological equivalence between RATS and video-assisted thoracoscopic surgery (VATS), with some evidence for improved lymph node yield. National survey findings underscore the need for structured training pathways to meet evolving technical demands. Early SP platform experiences indicate feasibility and safety in high-volume centres, but widespread adoption is constrained by limited availability, instrumentation, and independent validation. AI-enhanced surgical planning and intraoperative navigation are promising adjuncts, though their clinical impact remains to be defined. Cost, access inequities, and reproducibility outside expert centres continue to pose challenges.

conclusionsThe trajectory of RATS is towards the integration of precision oncology, less invasive access strategies, and data-driven surgical intelligence. Realizing this vision will require rigorous comparative studies, equitable access, and incorporation into structured training to ensure safe, reproducible, and patient-centred adoption worldwide.

Indexed as

Robotic Surgical ProceduresThoracic Surgery, Video-AssistedThoracic Surgical ProceduresHumansrobotic-assisted thoracic surgery (RATS)single-port robotic platforms (SP)surgical training and education

Identifiers

PMID41506888
PMCPMC12812207

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.