Evidence map›Paper›PMID 42064243›Full record

ArticleFrontiers in surgery2026

Comparative analysis of safety and outcomes of Non-intubated versus intubated uniportal video-assisted thoracic surgery using propensity score matching: a single-center experience expanding indications beyond traditional restrictions.

Fahim Kanani, Ingrid Grebneva, Diego González Rivas, Khaled Aotman, Anas Salhab, Rijini Nugzar, Mordechai Shimonov, Firas Abu Akar

Abstract read
In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Fahim KananiDepartment of Surgery, The Edith Wolfson Medical Center, Tel Aviv University, Holon, Israel.
Ingrid GrebnevaDepartment of Anaesthesia, the Edith Wolfson Medical Center, Tel Aviv University, Holon, Israel.
Diego González RivasDepartment of Thoracic Surgery, Quirónsalud A Coruña Hospital, A Coruña, Spain.
Khaled AotmanDepartment of Anaesthesia, the Edith Wolfson Medical Center, Tel Aviv University, Holon, Israel.
Anas SalhabDepartment of Anaesthesia, the Edith Wolfson Medical Center, Tel Aviv University, Holon, Israel.
Rijini NugzarDepartment of Anaesthesia, the Edith Wolfson Medical Center, Tel Aviv University, Holon, Israel.
Mordechai ShimonovDepartment of Surgery, The Edith Wolfson Medical Center, Tel Aviv University, Holon, Israel.
Firas Abu AkarGray Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-intubated uniportal video-assisted thoracoscopic surgery (NI-UVATS) has emerged as an alternative to conventional intubated approaches, yet its applicability across diverse patient populations and procedure types remains undefined. We evaluated perioperative outcomes of NI-UVATS vs. intubated UVATS (I-UVATS) in an unrestricted cohort. Methods: This retrospective cohort study analyzed 289 consecutive VATS procedures (January 2017-June 2025) at a single center. Patients underwent either I-UVATS ( Results: After propensity score matching, 98 patients in each group were analyzed. Despite matching, significant procedural heterogeneity persisted: anatomical resections comprised 36.7% of I-UVATS vs. 5.1% of NI-UVATS procedures ( Conclusions: NI-UVATS demonstrated safety and feasibility for low-to-medium complexity thoracic procedures within current real-world selection patterns. The marked procedural imbalance (36.7% vs. 5.1% anatomical resections) reflects contemporary practice where surgeons reserve NI-UVATS for lower-complexity interventions. These findings support NI-UVATS implementation for appropriately selected patients undergoing diagnostic and pleural procedures, while anatomical resections remain predominantly performed under intubation. Procedure-specific randomized trials are needed to define the role of NI-UVATS in complex resections.

Indexed as

awake uniportal VATS spontaneous ventilationnon-intubated thoracic surgerypleural effusionpostoperative complicationspropensity score matchinguniportal video-assisted thoracoscopic surgery

Identifiers

PMID42064243
PMCPMC13126453

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.