{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:59:03Z","timestamp":1777291143233,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CIRPG3M0021"],"award-info":[{"award-number":["CIRPG3M0021"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CIRPG3M0031"],"award-info":[{"award-number":["CIRPG3M0031"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare postoperative pain and chronic neuralgia between single\u2010port (SP) and multiport (MP) trans\u2010subxiphoid robotic approaches in patients with anterior mediastinum disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prespecified secondary analysis of a prospective trial, we compared pain outcomes of patients undergoing SP trans\u2010subxiphoid robotic surgery for anterior mediastinal disease with those of a historical MP cohort. Acute pain intensity was assessed using the Numeric Rating Scale (NRS) on postoperative days 0, 1 and 2, and at discharge. Chronic neuralgia at 6\u00a0months was evaluated with the PainDetect Questionnaire (PDQ).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Chronic neuralgia occurred in 6.7% (1\/15) of the SP group versus 38.9% (7\/18) of the MP group (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.081). Most neuralgia cases in the MP group (6\/7) involved multiple domains, whereas the single SP patient experienced only one symptom.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SP trans\u2010subxiphoid robotic surgery demonstrated comparable perioperative pain with significantly lower risk of chronic neuralgia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>This study represents a prespecified secondary analysis of a prospective clinical trial (ClinicalTrials.gov identifier: NCT05455840)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70158","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T07:15:36Z","timestamp":1775114136000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Neuralgia After Single\u2010Port Versus Multiport Trans\u2010Subxiphoid Robotic Mediastinal Surgery: A Prospective Single\u2010Arm Pilot Study With Historical Controls"],"prefix":"10.1002","volume":"22","author":[{"given":"Chuan","family":"Cheng","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery New Taipei Municipal Tu\u2010Cheng Hospital  New Taipei City Taiwan"},{"name":"Department of Artificial Intelligence Graduate Institute of Clinical Medical Sciences Chang Gung University  Taoyuan Taiwan"},{"name":"Division of Thoracic Surgery Chang Gung Memorial Hospital\u2010Linkou Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Wen","family":"Wen","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Chang Gung Memorial Hospital\u2010Linkou Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Biomedical Sciences College of Medicine Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010Shan","family":"Chien","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Chang Gung Memorial Hospital\u2010Linkou Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin\u2010Kai","family":"Chao","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Chang Gung Memorial Hospital\u2010Linkou Chang Gung University  Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399\u20106576.2001.450803.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010011\u20101879\u20107"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701\u2010020\u201001109\u2010z"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.03.084"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjtc.2020.08.046"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957\u2010023\u201002966\u20102"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.973954"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010024\u201011832\u20107"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0036"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.925003"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019\u2010020\u201001135\u2010w"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezac288"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2023.10.040"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13030460"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/15569845241248641"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1185\/030079906x132488"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.07.38"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.37349\/en.2024.00046"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.02.008"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm\u20102020\u2010101292"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122\u2010022\u201000439\u20100"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010022\u201001522\u20101"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2023.09.042"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain\u20102023\u20100016"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.09.07"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd\u201024\u2010158"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers16162856"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000004749"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.70158","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcs.70158","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.70158","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:23:25Z","timestamp":1777289005000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.70158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/rcs.70158"],"URL":"https:\/\/doi.org\/10.1002\/rcs.70158","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-12-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70158"}}