{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:53:56Z","timestamp":1787313236104,"version":"build-2736575974"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Uniportal thoracoscopic right middle lobectomy (RML) poses greater technical challenges than other lobectomies. Although two-port thoracoscopy offers convenience, it results in heightened surgical trauma and scarring. The periareolar incision is rarely used in lobectomy while known for its cosmetic advantages. This study presents the periareolar access (combining a periareolar port and a 1-cm port) for video-assisted thoracoscopic surgery (VATS) in RML, comparing it with the traditional uniportal technique in both male and female patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eighty patients who underwent RML were randomly divided into two groups: the periareolar VATS (PV) approach (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940) and the uniportal VATS (UV) approach (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940) from August 2020 to February 2023. All patients were followed up for 1\u00a0year and clinical data were collected and analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant differences in complications, blood loss, duration of chest tube placement, and length of postoperative hospital stay were observed between two methods. However, the PV group exhibited significantly shorter operative time, reduced postoperative visible scarring and lower visual analogue scores (VAS) for postoperative pain (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). Additionally, the PV group demonstrated significantly higher cosmetic and satisfaction scores at the 6-month postoperative assessment (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). Notably, breast ultrasound follow-up revealed two cases injuries of the mammary glands in female patients, and sensory function of most nipple and areola remained intact except two cases in all PV group patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Periareolar VATS emerges as a promising alternative approach for RML, providing clear benefits in pain management and cosmetic outcomes, while maintaining safety and convenience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-024-11121-1","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T12:47:26Z","timestamp":1722862046000},"page":"5457-5463","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Periareolar approach in video-assisted thoracoscopic surgery for right middle lobectomy: a novel technique"],"prefix":"10.1007","volume":"38","author":[{"given":"Zhangfan","family":"Mao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6238-4076","authenticated-orcid":false,"given":"Qing","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaowen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"issue":"11","key":"11121_CR1","doi-asserted-by":"publisher","first-page":"1805","DOI":"10.1007\/s00595-021-02290-w","volume":"51","author":"G Liu","year":"2021","unstructured":"Liu G, Dong P, Hu H, Zhang S, Mao Z (2021) Modified 2-cm super single port vs. the traditional 3-cm single port for video-assisted thoracoscopic surgery lobectomy. Surg Today 51(11):1805\u20131812","journal-title":"Surg Today"},{"issue":"1","key":"11121_CR2","doi-asserted-by":"publisher","first-page":"ivac133","DOI":"10.1093\/icvts\/ivac133","volume":"35","author":"Z Chen","year":"2022","unstructured":"Chen Z, Jiang L, Zheng H, Zhang W, Lv X, Abdellateef A (2022) Early postoperative pain after subxiphoid uniportal thoracoscopic major lung resection: a prospective, single-blinded, randomized controlled trial. Interact Cardiovasc Thorac Surg 35(1):ivac133","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"1","key":"11121_CR3","first-page":"7","volume":"37","author":"KAS Oliveira","year":"2022","unstructured":"Oliveira KAS, Lousa ACDS, Souza ML, Neto LTC, Oliveira JB, Sousa LHP, Filho GAR, Souza RORR (2022) In-hospital outcomes of right minithoracotomy vs. periareolar access for minimally invasive video-assisted mitral valve repair. Braz J Cardiovasc Surg 37(1):7\u201312","journal-title":"Braz J Cardiovasc Surg"},{"issue":"1","key":"11121_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/wjo2.65","volume":"9","author":"A Kasouli","year":"2022","unstructured":"Kasouli A, Spartalis E, Giannakodimos A, Tsourouflis G, Dimitroulis D, Nikiteas NI (2022) Comparison of cosmetic outcomes between remote-access and conventional thyroidectomy: a review of the current literature. World J Otorhinolaryngol Head Neck Surg 9(1):1\u20138","journal-title":"World J Otorhinolaryngol Head Neck Surg"},{"issue":"4","key":"11121_CR5","doi-asserted-by":"publisher","first-page":"1541","DOI":"10.1007\/s13304-020-00945-w","volume":"73","author":"J Lin","year":"2021","unstructured":"Lin J, Yin Y, Zhuo Y, Li X, Lai F (2021) Transareolar uniportal video-assisted thoracoscopic surgery for the treatment of male patients with peripheral pulmonary nodules: a novel technique in thoracic surgery. 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