ArticleAnesthesiology research and practice2026
Impact on Respiratory Mechanics of Uniportal-Biportal Robotic Lung Resection Without Capnothorax Versus Multiportal Approach With Capnothorax: A Prospective Cohort Observational Study.
Article in Anesthesiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
Background: Several robotic-assisted thoracic surgery (RATS) techniques have been described. Main differences among them are the location of ports and CO Methods: Prospective, observational, and descriptive study enrolling adult patients (> 18 years/o) undergoing elective uRATS lung resection and comparison to an historical cohort of 30 mRATS patients, from July 2023 to February 2024. Protocolized recruitment maneuvers (RMs) were performed, and optimal positive end-expiratory pressure (PEEP) to best compliance was calculated during one-lung ventilation (OLV). Respiratory parameters were collected intraoperatively: during two-lung ventilation (TLV, T1), OLV before the RM (T2), OLV after the RM (T3), 20 min after the RM (T4), at the end of OLV (T5), and before extubation (T6). To test quantitative variables, a linear mixed-effects model was used. Results: A total of 30 patients undergoing uRATS were enrolled and compared to 30 patients undergoing mRATS in a previous study. At T3, patients in the uRATS group needed significantly lower PEEP (mean difference 5.3 cmH Conclusions: Uniportal and biportal robotic lung resection without capnothorax is associated with a lower impact on respiratory mechanics when compared to the multiportal robotic approach with capnothorax.
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