Evidence map›Paper›PMID 41809046›Full record

ArticleiScience2026

Comparative effectiveness of robotic and video assisted thoracic surgery for lung cancer across key outcomes.

Guohang Shen, Ruoyan Wang, Jingyi Xu, Jingwen Chen, Ruoyu Chen, Yiru Wang, Xianquan Zhang, Kaiyong Wang, Yupei Dai, Junfeng Li

Abstract read
In one paragraph

Article in iScience, 2026. 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.

  1. Article
  2. RoboticJournal of thoracic disease · 2026
    Article
  3. Observational
  4. 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

10 authors.

Guohang ShenDepartment of Thoracic Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan 637000, China.
Ruoyan WangDepartment of Thoracic Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan 637000, China.
Jingyi XuNorth Sichuan Medical College, No.234 Fujiang Road, Shunqing District, Nanchong, Sichuan 637000, China.
Jingwen ChenNorth Sichuan Medical College, No.234 Fujiang Road, Shunqing District, Nanchong, Sichuan 637000, China.
Ruoyu ChenNorth Sichuan Medical College, No.234 Fujiang Road, Shunqing District, Nanchong, Sichuan 637000, China.
Yiru WangNorth Sichuan Medical College, No.234 Fujiang Road, Shunqing District, Nanchong, Sichuan 637000, China.
Xianquan ZhangDepartment of Thoracic Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan 637000, China.
Kaiyong WangDepartment of Thoracic Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan 637000, China.
Yupei DaiDepartment of Thoracic Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan 637000, China.
Junfeng LiDepartment of Thoracic Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, Sichuan 637000, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted thoracic surgery (RATS) and video-assisted thoracoscopic surgery (VATS) are widely used for minimally invasive resection of pulmonary tumors, but they differ in technical capabilities and resource demands. We conducted a PRISMA-based systematic review and meta-analysis of randomized and cohort studies identified by searching PubMed, Embase, Web of Science, Scopus, and the Cochrane Library through June 2025. Across 25 studies including 41,417 patients, RATS was associated with lower conversion to thoracotomy rates and less blood loss, more extensive lymphadenectomy, higher R0 resection rates, and shorter chest tube duration, ICU stay, and hospital stay. Pneumonia and atrial fibrillation were less frequent, whereas overall complications, pneumothorax, and 30- and 90-day mortality were similar. Hospitalization costs were higher, and pooled survival data suggested a possible long-term advantage. These findings clarify platform tradeoffs and motivate large randomized trials and cost-effectiveness analyses.

Indexed as

Health sciencesMedicineOncologySurgery

Identifiers

PMID41809046
PMCPMC12969034

What OpenQuestion holds

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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.