{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:17:54Z","timestamp":1787807874038,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Minimally invasive lung resections are the standard treatment of early stage non\u2010small\u2010cell lung cancer (NSCLC) and robot\u2010assisted surgery has gained popularity. This study aims to compare the postoperative outcomes, pain scores and opioid consumption among three approaches: uniportal thoracoscopic (uVATS), multiport robot\u2010assisted (mRATS) and uniportal robot\u2010assisted (uRATS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analysed patients undergoing major lung resections for NSCLC via minimally invasive approaches by a single surgeon between 2021 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the study period, 109 uVATS, 40 mRATS and 19 uRATS surgeries were performed with similar outcomes, except for a longer operative time for uRATS procedures (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Pain scores were comparable, but the percentage of patients requiring morphine and the median total intravenous morphine equivalents were lower in the single\u2010port techniques in comparison with mRATS (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01 and\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.046).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although post\u2010operative pain was comparable across approaches, the uRATS technique seems associated with reduced opioid and morphine requirements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70212","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:40:36Z","timestamp":1785242436000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post\u2010Operative Outcomes and Different Pain Trajectories Between Uniportal Thoracoscopic, Multiport Robot\u2010Assisted and Uniportal Robot\u2010Assisted Major Lung Resection"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2722-9270","authenticated-orcid":false,"given":"Stefano","family":"Bongiolatti","sequence":"first","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lavinia","family":"Gatteschi","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2724-9474","authenticated-orcid":false,"given":"Alessandro","family":"Gonfiotti","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"},{"name":"Department of Experimental and Clinical Medicine University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8358-9038","authenticated-orcid":false,"given":"Giovanni","family":"Mugnaini","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6168-3929","authenticated-orcid":false,"given":"Simone","family":"Tombelli","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Voltolini","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit Careggi University Hospital  Florence Italy"},{"name":"Department of Experimental and Clinical Medicine University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2016.08.004"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1010\u20107940(02)00102\u20101"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2014.02.006"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezac410"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.70114"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2025.1689456"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010025\u201012083\u20108"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.1005860"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010025\u201003221\u2010z"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2580"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2017.04.011"},{"key":"e_1_2_11_13_1","unstructured":"National Comprehensive Cancer Network Non\u2010Small Cell Lung Cancer. Version 7.2024 http:\/\/www.nccn.org\/."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.01.157"},{"key":"e_1_2_11_15_1","volume-title":"Miller\u2019s Anesthesia","author":"Gropper M. A.","year":"2019"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(03)01219\u20100"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2017.06.004"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S557361"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/02184923221138502"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122\u2010022\u201000439\u20100"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108481"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11748\u2010025\u201002129\u2010y"}],"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.70212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcs.70212","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.70212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:25:44Z","timestamp":1787804744000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.70212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,28]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/rcs.70212"],"URL":"https:\/\/doi.org\/10.1002\/rcs.70212","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,28]]},"assertion":[{"value":"2025-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70212"}}