ArticleJournal of visualized surgery2024
Uniportal & biportal robotic anatomic lung resection (without CO
Article in Journal of visualized surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perioperative outcomes and safety of Uniportal Robotic-Assisted Thoracic Surgery (U-RATS) for anatomic lung resection: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Surgical technical aspects of uniportal hybrid RATS and biportal pure RATS using a subcostal port.Journal of visualized surgery · 2026Article
- Uniportal versus multiportal robotic-assisted thoracic surgery pulmonary resections: a propensity score-matched analysis.BMC surgery · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: While first applied in thoracic surgery two decades ago, different studies over the past 10 years confirmed the safety and feasibility of robotic-assisted thoracic surgery (RATS). While initially performed with a multiportal approach (mRATS), the technological advancement now allows a uniportal technique for anatomic lung resections without the use of carbon dioxide (CO Methods: We retrospectively analyzed data of the first 13 patients who underwent uniportal RATS (uRATS) or biportal RATS (bRATS) for anatomic lung resection at the Department of Thoracic Surgery St. Claraspital Basel and Hirslanden Clinic Beau-Site & Lindenhof Bern in 2023 using the da Vinci Xi platform. Analyzed data included approach, resected segment or lobe, duration of surgery, blood loss, conversion, number of lymph nodes resected, histology, tumor stage, postoperative complications, chest tube duration, length of hospital stay (LOS) and costs. Results: In total, 13 patients underwent robotic-assisted anatomic lung resection. For five patients (38.46%) a uniportal approach was used and for eight patients (61.54%) a bRATS approach was used (with robotic stapling). We report no intraoperative complications with zero conversions to video-assisted thoracic surgery (VATS) or thoracotomy. uRATS and bRATS showed no significant difference in perioperative blood loss (uRATS mean: 46.40±45.11 mL, bRATS mean: 16.25±12.75 mL) (P=0.09), duration of operation (uRATS mean: 142.40±49.50 min, bRATS mean: 132.63±38.27 min) (P=0.69) and number of lymph nodes resected (uRATS mean: 11.00±5.57, bRATS mean: 18.14±15.02) (P=0.45). Patients who underwent surgery with a uniportal approach showed similar postoperative chest tube duration (uRATS mean: 3.40±1.52 days) compared to a bRATS approach (bRATS mean: 3.88±3.60 days) (P=0.78). Additionally, LOS was comparable between the groups (uRATS mean discharge after 4.00±1.22 days and bRATS mean discharge after 5.00±2.33 days) (P=0.33). One patient developed a prolonged postoperative air leak, managed conservatively in an outpatient setting. When comparing the cost of uRATS and bRATS to conventional uniportal VATS anatomic lung resections, robotic surgery was costlier resulting in lesser earnings with a mean difference in earnings before interest, taxes, depreciation and amortization of 1,097.6 CHF (Swiss francs). Conclusions: uRATS and bRATS anatomic lung resections without the use of CO
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