Evidence map›Paper›PMID 42724500›Full record

ReviewJournal of thoracic disease2026

Impact of modern minimally invasive approaches on pulmonary resection outcomes: a narrative review.

China Stegall, John F Lazar

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

China StegallDepartment of Surgery, University of Tennessee College of Medicine-Nashville, Ascension Saint Thomas Hospital, Nashville, TN, USA.ORCID https://orcid.org/0009-0001-1403-9665
John F LazarDepartment of Thoracic Surgery, University of Tennessee College of Medicine-Nashville, Ascension Saint Thomas Hospital, Nashville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Anatomic pulmonary resection remains the gold standard for resectable non-small cell lung cancer (NSCLC). This review evaluates the evolution, intraoperative outcomes, clinical efficiency, oncological adequacy, and cost-effectiveness of minimally invasive thoracic surgery (MITS) relative to traditional open thoracotomy. Methods: A systematic literature search was conducted in PubMed, Cochrane Library, and Wiley Library for studies published through early 2026, prioritizing randomized controlled trials (RCTs) and large-scale registry analyses comparing video-assisted thoracoscopic surgery (VATS), robotic-assisted thoracic surgery (RVATS), and open thoracotomy. Key Content and Findings: MITS (comprising VATS and RVATS) is associated with significantly lower perioperative mortality, reduced postoperative pain, shorter hospital stays, and fewer complications compared to open thoracotomy. While intraoperative conversion remains a risk, robotic platforms exhibit lower conversion rates than VATS in several large series. Oncologically, all three modalities provide equivalent nodal upstaging and disease-free survival (DFS), provided oncological principles are rigorously maintained. While robotic surgery incurs higher procedural costs, these are partially mitigated by reduced postoperative resource utilization. Conclusions: MITS has become the standard of care for early-stage NSCLC. Recent data suggest that robotic platforms may offer advantages in technical precision and lower conversion rates, although VATS remains a highly cost-effective and efficacious approach. Future innovations in single-port robotics continue to advance the reduction of surgical trauma.

Indexed as

minimally invasive surgeryPulmonary resectionrobotic-assisted thoracic surgery (RVATS)surgical outcomesvideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID42724500
PMCPMC13559327

What OpenQuestion holds

Textmetadata
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.