{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:50:44Z","timestamp":1787500244117,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Video\u2010assisted thoracoscopic surgery (VATS) is a minimally invasive technique for early thymoma, early\u2010stage non\u2010small cell lung cancer (NSCLC), and primary spontaneous pneumothorax (PSP). The subxiphoid uniportal VATS (SU\u2010VATS) approach offers potential advantages over the intercostal uniportal VATS (IU\u2010VATS) by reducing nerve injury and postoperative pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010center retrospective study at The Fifth Hospital of Ganzhou included 756 patients who underwent SU\u2010VATS or IU\u2010VATS between January 2018 and September 2024. The propensity score matching (1:1) resulted in two cohorts of 192 patients each. Primary outcomes were inflammatory markers (Hs\u2010CRP and WBCs) on postoperative day 1 (POD1) and visual analog scale (VAS) pain scores on POD1, POD3, POD7, and POD30. Secondary outcomes included operative time, blood loss, drainage duration, hospital stay, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      SU\u2010VATS significantly reduced Hs\u2010CRP (5.35 vs. 9.65\u00a0mg\/L,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and WBCs (6.48 vs. 10.67\u00a0\u00d7\u00a010\n                      <jats:sup>9<\/jats:sup>\n                      \/L,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.004) on POD1. VAS scores were lower in SU\u2010VATS on POD1 (1.48 vs. 3.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), POD3 (1.19 vs. 2.73,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), and POD7 (1.07 vs. 1.86,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with no difference by POD30 (0.32 vs. 0.36,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.160). Operative time, blood loss, drainage duration, hospital stay, and complication rates were similar between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SU\u2010VATS reduces early postoperative inflammation and pain without compromising operative efficiency or safety compared to IU\u2010VATS. These findings support adopting the subxiphoid approach as a preferred minimally invasive technique in thoracic surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70065","type":"journal-article","created":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T02:50:47Z","timestamp":1755917447000},"page":"2662-2668","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Subxiphoid and Intercostal Uniportal Video\u2010Assisted Thoracoscopic Surgery for Early Thymoma, Lung Cancer, and Pneumothorax: A Retrospective Single\u2010Center Study"],"prefix":"10.1002","volume":"49","author":[{"given":"Guang\u2010Zhi","family":"Kuang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Fifth People's Hospital of Ganzhou  Ganzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Nanchang People's Hospital  Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0504-0594","authenticated-orcid":false,"given":"Song\u2010Mao","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Unit The First Affiliated Hospital of Gannan Medical University  Ganzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun\u2010Tao","family":"Tan","sequence":"additional","affiliation":[{"name":"Jiangxi Province Key Laboratory of Breast Diseases Nanchang People's Hospital  Nanchang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu077"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.09.055"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.04.035"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12081311"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2017.03.21"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz133"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2017.06.007"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2017.08.06"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd\u201020\u20102860"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101713878"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1759\u20107714.13392"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019\u2010017\u20100591\u20107"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd\u201020\u2010425"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11082254"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2016.05.05"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.05.074"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010010\u20101470\u20107"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2225\u2010319X.2015.11.04"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivae067"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2020.04.05"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010022\u201012059\u20101"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010019\u20100503\u2010y"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.925003"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz206"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.70065","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,23]],"date-time":"2025-11-23T15:37:03Z","timestamp":1763912223000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.70065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,22]]},"references-count":24,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/wjs.70065"],"URL":"https:\/\/doi.org\/10.1002\/wjs.70065","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,22]]}}}