Evidence map›Paper›PMID 42866126›Full record

ArticleJournal of thoracic disease2026

Non-intubated uniportal video-assisted minor and major pulmonary resections: a single-center European experience in 163 selected patients.

Hayan Merhej, Alaa Selman, Daniel Benjamin Jaeger, Jan Karsten, Alina Meininger, Dietmar Boethig, Akylbek Saipbaev, Mihail Magdei, Tomoyuki Nakagiri, Norman Zinne and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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

15 authors.

Hayan MerhejDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Alaa SelmanDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Daniel Benjamin JaegerDepartment of Anaesthesiology, Hannover Medical School, Hannover, Germany.
Jan KarstenDepartment of Anaesthesiology, Hannover Medical School, Hannover, Germany.
Alina MeiningerDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Dietmar BoethigDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Akylbek SaipbaevDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Mihail MagdeiDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Tomoyuki NakagiriDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Norman ZinneDepartment of Thoracic Surgery, Sana Klinikum Elmshorn, Elmshorn, Germany.
Arjang RuhparwarDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Ruoyu ZhangDepartment of Cardiothoracic Surgery, Städtisches Klinikum Braunschweig, Braunschweig, Germany.
Felix LennartzDepartment of Pneumology and Infectiology, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Heiko GolponDepartment of Pneumology and Infectiology, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.
Patrick ZardoDepartment of Cardiothoracic, Transplant and Vascular Surgery, Biomedical Research in End-Stage and Obstructive Lung Disease (BREATH), Hannover Medical School (MHH), German Center for Lung Research (DZL), Hannover, Germany.ORCID https://orcid.org/0000-0003-4003-4945

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-intubated video-assisted thoracoscopic surgery (niVATS) avoids endotracheal intubation and one-lung mechanical ventilation. Whether this translates into clinically meaningful benefits compared with intubated video-assisted thoracoscopic surgery (VATS) requires comparative studies. Evidence from European centers, particularly for major pulmonary resections, remains limited. We evaluated technical feasibility and perioperative outcomes in a selected European niVATS cohort. Methods: This retrospective single-center observational study included consecutive patients selected to undergo niVATS between May 2018 and February 2025. The primary endpoint was intraoperative conversion to intubated anesthesia. Secondary endpoints included postoperative complications, chest tube duration, length of stay, reoperation, and 30-day mortality. Results: A total of 163 patients were included. Median age was 67 years and median body mass index (BMI) was 24 kg/m Conclusions: niVATS is feasible in selected patients across a broad spectrum of thoracic procedures in a high-volume European center. Lobectomy and increasing BMI are associated with a higher likelihood of conversion and should be considered during patient selection and perioperative planning. These descriptive findings do not establish comparative safety or clinical benefit versus intubated VATS; prospective comparative studies are required.

Indexed as

Lobectomynon-intubated video-assisted thoracoscopic surgery (niVATS)segmentectomy

Identifiers

PMID42866126
PMCPMC13655830

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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.