ArticleJournal of visualized surgery2025
Biportal robotic-assisted surgery for lung segmentectomies: a surgical technique overview.
Article in Journal of visualized surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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.
Who cites it
4 citing papers in PubMed.
- The evolution of robotic-assisted thoracic surgery: current platforms, emerging technologies, and future perspectives - a narrative review.Journal of robotic surgery · 2026Review
- Surgical technical aspects of uniportal hybrid RATS and biportal pure RATS using a subcostal port.Journal of visualized surgery · 2026Article
- Impact on Respiratory Mechanics of Uniportal-Biportal Robotic Lung Resection Without Capnothorax Versus Multiportal Approach With Capnothorax: A Prospective Cohort Observational Study.Anesthesiology research and practice · 2026Article
- Biportal-RATS vs. Uniportal-VATS for Lung Resections: A Propensity Score-Matched Analysis from Early Experience.Journal of clinical medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Minimally invasive thoracic surgery has evolved significantly over the past two decades, with robotic-assisted thoracic surgery (RATS) emerging as a leading approach due to its enhanced visualization, wristed instrumentation, and improved ergonomics. Traditional multiport RATS relies on three or four incisions, while uniportal RATS (U-RATS) offers a less invasive approach but presents technical challenges, including instrument crowding and limited stapler manoeuvrability. The development of biportal RATS (Bi-RATS) represents a balance between these techniques, offering improved ergonomics while reducing access-related trauma. This approach has been employed for diverse pulmonary resections-ranging from wedge resections in peripheral nodules to complex anatomic segmentectomies and lobectomies. This manuscript provides a comprehensive overview of Bi-RATS for lung segmentectomies, detailing patient positioning, port placement, intraoperative technique, and the role of advanced imaging adjuncts such as near-infrared fluorescence [indocyanine green (ICG)] and three-dimensional computed tomography (3D CT) reconstruction. By leveraging these advancements, thoracic surgeons can achieve improved outcomes and enhanced decision-making during complex resections. Compared to multiport RATS, U-RATS, and video-assisted thoracoscopic surgery (VATS), Bi-RATS offers improved instrument manoeuvrability, a more ergonomic stapler trajectory, and utilizes anterior port placement in such a way as to reducing intercostal nerve compression, which may lead to lower postoperative pain. It allows for a fully robotic stapling process, minimizing the need for manual staplers and excessive lung manipulation. The integration of ICG fluorescence further refines segmental plane identification, ensuring precise and safe parenchymal division. Postoperative management includes adherence to enhanced recovery after surgery (ERAS) protocols, early chest tube removal, and effective pain control, which contribute to shorter hospital stays and faster patient recovery. Despite a steep learning curve, Bi-RATS optimizes robotic thoracic surgery by enhancing surgical efficiency while minimizing access trauma. Future research should focus on long-term oncological outcomes, cost-effectiveness, and training standardization to establish Bi-RATS as a widely adopted technique in modern thoracic surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.