{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T04:49:04Z","timestamp":1782449344036,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Comparative data on postoperative outcomes between da Vinci robotic surgery and video\u2010assisted thoracoscopic surgery (VATS) remain limited. This study compared pain, recovery, quality of life, and cost\u2010effectiveness between these approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This propensity score\u2010matched retrospective study included 60 patients (30 per group) undergoing thoracic surgery (January 2022\u2013December 2024). Outcomes included VAS pain scores, morphine equivalents, SF\u201036 quality of life, 3\u2010month chronic pain assessment, and cost\u2010utility analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The da Vinci group had lower VAS scores at 4\u00a0h, 12\u00a0h, 24\u00a0h and 48\u00a0h (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with 33.6% less morphine consumption. Chest tube duration (4.55\u00a0\u00b1\u00a02.06 vs. 6.23\u00a0\u00b1\u00a02.41\u00a0days,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.005) and hospital stay (5.69\u00a0\u00b1\u00a02.46 vs. 7.87\u00a0\u00b1\u00a02.83\u00a0days,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002) were shorter. SF\u201036 physical scores favoured robotic surgery at discharge (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.006). Chronic pain at 3\u00a0months trended lower (10.7% vs. 25.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.168). The incremental cost\u2010effectiveness ratio was 570,000 CNY\/QALY.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Da Vinci robotic surgery is associated with reduced postoperative pain and faster recovery compared with VATS, though cost\u2010effectiveness and long\u2010term benefits require further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70185","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T14:10:21Z","timestamp":1778940621000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Study of Postoperative Recovery and Pain Between Da Vinci Robotic Surgery and Video\u2010Assisted Thoracoscopic Surgery"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3826-6057","authenticated-orcid":false,"given":"Zi\u2010Shan","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Tao","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen\u2010Wei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ze","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian\u2010Guang","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010Min","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery First Affiliated Hospital of Ningbo University  Ningbo Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canlet.2024.217281"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canlet.2024.217241"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.12.132"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15092630"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010021\u201008241\u20105"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1010\u20107940(02)00102\u20101"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.03.157"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.07.022"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2006.05.006"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1547\u20104127(04)00022\u20102"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010023\u201001664\u20108"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.02.008"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010020\u201005877\u20105"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa435"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2023.07.051"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezab385"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy301"},{"issue":"2","key":"e_1_2_14_19_1","first-page":"129","article-title":"Pain Assessment: Global Use of the Brief Pain Inventory","volume":"23","author":"Cleeland C. 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