{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:31:55Z","timestamp":1793475115371,"version":"4.5.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Nagoya University","id":[{"id":"https:\/\/ror.org\/04chrp450","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Esophagus"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Esophagectomy for patients with esophageal cancer is a highly invasive procedure that can lead to substantial postoperative pulmonary impairment. Minimally invasive approaches, such as video-assisted thoracoscopic surgery (VATS) and robot-assisted minimally invasive esophagectomy (RAMIE), have been introduced to improve postoperative outcomes. This study aimed to assess the impact of surgical approach on postoperative pulmonary function recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on patients who underwent esophagectomy between 2006 and 2023. Patients were categorized into three groups: open esophagectomy (OE), VATS, and RAMIE. Pulmonary function was assessed using vital capacity (VC) and forced expiratory volume in one second (FEV1.0) at one, three, six, and 12 months postoperatively. Multivariate logistic regression was performed to identify independent factors influencing respiratory function decline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In all approaches, the VC and FEV1.0 decreased at one month postoperatively, followed by gradual recovery. Compared with OE, RAMIE showed a significantly better VC than OE at one month postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04), whereas VATS showed a significantly better FEV1.0 at one month (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). By 12 months, respiratory function recovery was comparable among all groups. Postoperative pulmonary complications (PPCs) were identified as a significant risk factor for long-term pulmonary function decline (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Minimally invasive approaches, particularly RAMIE and VATS, contribute to preserving postoperative respiratory function at one month. However, respiratory function recovery is similar across all surgical techniques at one year. Preventing PPCs is crucial for improving respiratory function outcomes. Further prospective studies are needed to validate these findings and refine surgical strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10388-026-01241-z","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T23:35:45Z","timestamp":1789860945000},"page":"905-912","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Respiratory function recovery after esophagectomy: a retrospective analysis of surgical approaches"],"prefix":"10.1007","volume":"23","author":[{"given":"Naohito","family":"Sai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0315-9637","authenticated-orcid":false,"given":"Kazushi","family":"Miyata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Imaizumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasukazu","family":"Kanie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Murata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shizuki","family":"Sugita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Ogura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Ebata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"1241_CR1","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1097\/SLA.0000000000000644","volume":"260","author":"H Takeuchi","year":"2014","unstructured":"Takeuchi H, Miyata H, Gotoh M, et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese nationwide web-based database. Ann Surg. 2014;260:259\u201366.","journal-title":"Ann Surg"},{"key":"1241_CR2","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1002\/bjs.1800661119","volume":"66","author":"DG Bishop","year":"1979","unstructured":"Bishop DG, McKeown KC. Postoperative hypoxaemia: oesophagectomy with gastric replacement. Br J Surg. 1979;66:810\u20132.","journal-title":"Br J Surg"},{"key":"1241_CR3","doi-asserted-by":"publisher","first-page":"1445","DOI":"10.1007\/s00464-002-9232-9","volume":"17","author":"S Taguchi","year":"2003","unstructured":"Taguchi S, Osugi H, Higashino M, et al. Comparison of three field esophagectomy for esophageal cancer incorporating open or thoracoscopic thoracotomy. 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Long-term trends in respiratory function after esophagectomy for esophageal cancer. J Surg Res. 2020;245:168\u201378.","journal-title":"J Surg Res"},{"key":"1241_CR9","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/SLA.0000000000003031","volume":"269","author":"PC van der Sluis","year":"2019","unstructured":"van der Sluis PC, van der Horst S, May AM, et al. Robot-assisted Minimally Invasive Thoracolaparoscopic Esophagectomy Versus Open Transthoracic Esophagectomy for Resectable Esophageal Cancer: A Randomized Controlled Trial. Ann Surg. 2019;269:621\u201330.","journal-title":"Ann Surg"},{"key":"1241_CR10","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1097\/SLA.0000000000005023","volume":"275","author":"Y Yang","year":"2022","unstructured":"Yang Y, Li B, Yi J, et al. 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All procedures performed in this study involving human participants were in accordance with the ethical standards ofthe institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The requirement for informed consent was waived owing to the retrospective nature ofthe study.","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declaration"}}]}}