Evidence map›Paper›PMID 42771066›Full record

ArticleJournal of robotic surgery2026

Clinical performance of da Vinci 5 versus Xi for robotic anatomic lung resection: a propensity-weighted analysis.

Nikolaos Pachos, Costas Bizekis, Amie J Kent, Ioannis Karikis, Stephanie H Chang, Michael Zervos, Robert J Cerfolio

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 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

7 authors.

Nikolaos PachosDepartment of Cardiothoracic Surgery, Division of Thoracic Surgery, NYU Langone Health, New York, NY, USA. nikolaos.pachos@nyulangone.org.
Costas BizekisDepartment of Cardiothoracic Surgery, Division of Thoracic Surgery, NYU Langone Health, New York, NY, USA.
Amie J KentDepartment of Cardiothoracic Surgery, Division of Thoracic Surgery, NYU Langone Health, New York, NY, USA.
Ioannis KarikisDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Stephanie H ChangDepartment of Cardiothoracic Surgery, Division of Thoracic Surgery, NYU Langone Health, New York, NY, USA.
Michael ZervosDepartment of Cardiothoracic Surgery, Division of Thoracic Surgery, NYU Langone Health, New York, NY, USA.
Robert J CerfolioDepartment of Cardiothoracic Surgery, Division of Thoracic Surgery, NYU Langone Health, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The da Vinci 5 (DV5) system has purported advantages over existing platforms, including forced feedback. We compare perioperative safety, operative efficiency and early oncologic quality between DV5 and Xi robotic platforms for anatomic lung resection. A total of 419 robotic lung resections were performed between January 2025 and August 2026. Propensity-score overlap weighting balanced and matched 294 patients (47 DV5, 247 Xi) for age, sex, ASA class, BMI, forced expiratory volume in 1 s, tumor size, clinical T and N category, resection type and laterality. Effects were reported with robust and bootstrap 95% confidence intervals. Sensitivity analyses included 1:1 and 1:3 propensity matching comparisons and E-value assessment. From January 2025 to August 2026, 294 patients (47 DV5, 247 Xi) had balanced baseline characteristics (SMD < 0.01). Operative time was shorter with DV5 (96.4 vs. 118.7 min; 95% CI, - 36.2 to - 8.5). Lymph node yield was comparable (DV5 29.9 vs. Xi 31.6; [- 7.2 to + 3.7]). Blood loss (p < 0.01), length of stay (1.05 vs. 1.28 days; [- 0.53, + 0.06]) and stapler loads (8.5 vs. 9.6; [- 2.81 to + 0.55]) were numerically lower with DV5. Major complications were numerically lower with DV5 (1/47 [2.0%] vs. 20/247 [8.2%]; -16.0 to + 3.6). Both had 100% R0 resections and no conversion. There was no 30- or 90-day mortality. In this first clinical comparison of da Vinci 5 and Xi for robotic anatomic lung resection, DV5 preserved the safety and oncologic quality of Xi while being associated with shorter operative times. Prospective multi-institutional studies are required to confirm these findings.

Indexed as

Lung NeoplasmsPneumonectomyRobotic Surgical ProceduresAgedBlood Loss, SurgicalFemaleHumansLength of StayMaleMiddle AgedOperative TimePropensity ScoreAnatomic lung resectionda Vinci 5Non-small cell lung cancerPropensity scoreRobotic-assisted thoracic surgeryXi

Identifiers

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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.