{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:13:47Z","timestamp":1786115627685,"version":"build-2736575974"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"DOI":"10.1007\/s11701-026-03785-9","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T04:27:05Z","timestamp":1785990425000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unexpected doornail hilar lymph nodes during robot-assisted pulmonary resection: intraoperative challenges and management strategies"],"prefix":"10.1007","volume":"20","author":[{"given":"Xu","family":"Hao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Linyou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"3785_CR1","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/j.xjon.2022.07.014","volume":"12","author":"Y Alwatari","year":"2022","unstructured":"Alwatari Y, Khoraki J, Wolfe LG, Ramamoorthy B, Wall N, Liu C, Julliard W, Puig CA, Shah RD (2022) Trends of utilization and perioperative outcomes of robotic and video-assisted thoracoscopic surgery in patients with lung cancer undergoing minimally invasive resection in the United States. JTCVS Open 12:385\u2013398. https:\/\/doi.org\/10.1016\/j.xjon.2022.07.014","journal-title":"JTCVS Open"},{"key":"3785_CR2","doi-asserted-by":"publisher","first-page":"5039","DOI":"10.21037\/jtd-22-635","volume":"14","author":"E Rocha J\u00fanior","year":"2022","unstructured":"Rocha J\u00fanior E, Terra RM (2022) Robotic lung resection: a narrative review of the current role on primary lung cancer treatment. J Thorac Dis 14:5039\u20135055. https:\/\/doi.org\/10.21037\/jtd-22-635","journal-title":"J Thorac Dis"},{"key":"3785_CR3","doi-asserted-by":"publisher","first-page":"520","DOI":"10.3978\/j.issn.2072-1439.2012.09.04","volume":"4","author":"J He","year":"2012","unstructured":"He J, Xu X (2012) Thoracoscopic anatomic pulmonary resection. J Thorac Dis 4:520\u2013547. https:\/\/doi.org\/10.3978\/j.issn.2072-1439.2012.09.04","journal-title":"J Thorac Dis"},{"key":"3785_CR4","doi-asserted-by":"publisher","first-page":"657","DOI":"10.21037\/jtd.2019.02.71","volume":"11","author":"Z Li","year":"2019","unstructured":"Li Z, Li Y, Wang L, Duan L, Gonzalez-Rivas D, Jiang G, Chen C (2019) Management of calcified hilar lymph nodes during thoracoscopic lobectomies: avoidance of conversions. J Thorac Dis 11:657\u2013663. https:\/\/doi.org\/10.21037\/jtd.2019.02.71","journal-title":"J Thorac Dis"},{"key":"3785_CR5","doi-asserted-by":"publisher","first-page":"1512","DOI":"10.1016\/j.jtcvs.2012.05.028","volume":"145","author":"P Samson","year":"2013","unstructured":"Samson P, Guitron J, Reed MF, Hanseman DJ, Starnes SL (2013) Predictors of conversion to thoracotomy for video-assisted thoracoscopic lobectomy: a retrospective analysis and the influence of computed tomography-based calcification assessment. J Thorac Cardiovasc Surg 145:1512\u20131518. https:\/\/doi.org\/10.1016\/j.jtcvs.2012.05.028","journal-title":"J Thorac Cardiovasc Surg"},{"key":"3785_CR6","doi-asserted-by":"publisher","first-page":"e70092","DOI":"10.1111\/1759-7714.70092","volume":"16","author":"A Fiorelli","year":"2025","unstructured":"Fiorelli A, Leonardi B, Marvulli M, Capasso F, Di Filippo V, Coppolino F, Vicidomini G (2025) Thoracoscopic massive bleeding after firing mediastinal trunk of the pulmonary artery with calcified lymph node. Thorac Cancer 16:e70092. https:\/\/doi.org\/10.1111\/1759-7714.70092","journal-title":"Thorac Cancer"},{"key":"3785_CR7","doi-asserted-by":"publisher","first-page":"26","DOI":"10.3978\/j.issn.2221-2965.2016.02.05","volume":"2","author":"C Liu","year":"2016","unstructured":"Liu C, Ma L, Pu Q, Liao H, Liu L (2016) How to deal with benign hilar or interlobar lymphadenopathy during video-assisted thoracoscopic surgery lobectomy-firing the bronchus and pulmonary artery together. J Vis Surg 2:26. https:\/\/doi.org\/10.3978\/j.issn.2221-2965.2016.02.05","journal-title":"J Vis Surg"},{"key":"3785_CR8","doi-asserted-by":"publisher","first-page":"1489","DOI":"10.1111\/1759-7714.13949","volume":"12","author":"A Fiorelli","year":"2021","unstructured":"Fiorelli A, Forte S, Natale G, Santini M, Fang W (2021) Handling benign interlobar lymphadenopathy during thoracoscopic lobectomy. Thorac Cancer 12:1489\u20131492. https:\/\/doi.org\/10.1111\/1759-7714.13949","journal-title":"Thorac Cancer"},{"key":"3785_CR9","doi-asserted-by":"publisher","first-page":"e70019","DOI":"10.1002\/rcs.70019","volume":"20","author":"J Colan","year":"2024","unstructured":"Colan J, Davila A, Hasegawa Y (2024) Tactile feedback in robot-assisted minimally invasive surgery: a systematic review. Int J Med Robot 20:e70019. https:\/\/doi.org\/10.1002\/rcs.70019","journal-title":"Int J Med Robot"},{"key":"3785_CR10","doi-asserted-by":"publisher","first-page":"16","DOI":"10.21037\/shc-24-6","volume":"8","author":"Y Ueda","year":"2024","unstructured":"Ueda Y, Miyahara S, Tokuishi K, Nakajima H, Waseda R, Shiraishi T, Sato T (2024) First clinical application of a surgical robot with haptic force feedback function for thoracic surgery: a case report. Shanghai Chest 8:16. https:\/\/doi.org\/10.21037\/shc-24-6","journal-title":"Shanghai Chest"},{"key":"3785_CR11","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.athoracsur.2016.02.004","volume":"102","author":"RJ Cerfolio","year":"2016","unstructured":"Cerfolio RJ, Bess KM, Wei B, Minnich DJ (2016) Incidence, results, and our current intraoperative technique to control major vascular injuries during minimally invasive robotic thoracic surgery. Ann Thorac Surg 102:394\u2013399. https:\/\/doi.org\/10.1016\/j.athoracsur.2016.02.004","journal-title":"Ann Thorac Surg"},{"key":"3785_CR12","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1002\/(sici)1097-0258(19980430)17:8<857::aid-sim777>3.0.co;2-e","volume":"17","author":"RG Newcombe","year":"1998","unstructured":"Newcombe RG (1998) Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med 17:857\u2013872. https:\/\/doi.org\/10.1002\/(sici)1097-0258(19980430)17:8%3C857::aid-sim777%3E3.0.co;2-e","journal-title":"Stat Med"},{"key":"3785_CR13","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1016\/j.jclinepi.2014.03.012","volume":"67","author":"ME Glickman","year":"2014","unstructured":"Glickman ME, Rao SR, Schultz MR (2014) False discovery rate control is a recommended alternative to Bonferroni-type adjustments in health studies. J Clin Epidemiol 67:850\u2013857. https:\/\/doi.org\/10.1016\/j.jclinepi.2014.03.012","journal-title":"J Clin Epidemiol"},{"key":"3785_CR14","doi-asserted-by":"publisher","first-page":"2302","DOI":"10.1002\/sim.7273","volume":"36","author":"R Puhr","year":"2017","unstructured":"Puhr R, Heinze G, Nold M, Lusa L, Geroldinger A (2017) Firth\u2019s logistic regression with rare events: accurate effect estimates and predictions? Stat Med 36:2302\u20132317. https:\/\/doi.org\/10.1002\/sim.7273","journal-title":"Stat Med"},{"key":"3785_CR15","doi-asserted-by":"publisher","first-page":"2409","DOI":"10.1002\/sim.1047","volume":"21","author":"G Heinze","year":"2002","unstructured":"Heinze G, Schemper M (2002) A solution to the problem of separation in logistic regression. Stat Med 21:2409\u20132419. https:\/\/doi.org\/10.1002\/sim.1047","journal-title":"Stat Med"},{"key":"3785_CR16","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1016\/s0895-4356(96)00236-3","volume":"49","author":"P Peduzzi","year":"1996","unstructured":"Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR (1996) A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol 49:1373\u20131379. https:\/\/doi.org\/10.1016\/s0895-4356(96)00236-3","journal-title":"J Clin Epidemiol"},{"key":"3785_CR17","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1093\/ije\/dyaa260","volume":"50","author":"MA Mansournia","year":"2021","unstructured":"Mansournia MA, Nazemipour M, Naimi AI, Collins GS, Campbell MJ (2021) Reflection on modern methods: demystifying robust standard errors for epidemiologists. Int J Epidemiol 50:346\u2013351. https:\/\/doi.org\/10.1093\/ije\/dyaa260","journal-title":"Int J Epidemiol"},{"key":"3785_CR18","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1093\/aje\/kwu178","volume":"180","author":"A Beyerlein","year":"2014","unstructured":"Beyerlein A (2014) Quantile regression-opportunities and challenges from a user\u2019s perspective. Am J Epidemiol 180:330\u2013331. https:\/\/doi.org\/10.1093\/aje\/kwu178","journal-title":"Am J Epidemiol"},{"key":"3785_CR19","doi-asserted-by":"publisher","first-page":"2085","DOI":"10.1111\/1759-7714.14525","volume":"13","author":"A Fiorelli","year":"2022","unstructured":"Fiorelli A, Forte S, Santini M, Petersen RH, Fang W (2022) Did conversion to thoracotomy during thoracoscopic lobectomy increase post-operative complications and prejudice survival? Results of best evidence topic analysis. Thorac Cancer 13:2085\u20132099. https:\/\/doi.org\/10.1111\/1759-7714.14525","journal-title":"Thorac Cancer"},{"key":"3785_CR20","doi-asserted-by":"publisher","first-page":"815","DOI":"10.21037\/tlcr-20-1024","volume":"10","author":"Z Zhu","year":"2021","unstructured":"Zhu Z, Song Z, Jiao W, Mei W, Xu C, Huang Q, An C, Shi J, Wang W, Yu G, Sun P, Zhang Y, Shen J, Song Y, Qian J, Yao W, Yang H (2021) A large real-world cohort study of examined lymph node standards for adequate nodal staging in early non-small cell lung cancer. Transl Lung Cancer Res 10:815\u2013825. https:\/\/doi.org\/10.21037\/tlcr-20-1024","journal-title":"Transl Lung Cancer Res"},{"key":"3785_CR21","doi-asserted-by":"publisher","first-page":"305","DOI":"10.2147\/MDER.S67338","volume":"7","author":"E Chekan","year":"2014","unstructured":"Chekan E, Whelan RL (2014) Surgical stapling device-tissue interactions: what surgeons need to know to improve patient outcomes. Med Devices (Auckl) 7:305\u2013318. https:\/\/doi.org\/10.2147\/MDER.S67338","journal-title":"Med Devices (Auckl)"},{"key":"3785_CR22","doi-asserted-by":"publisher","first-page":"5888","DOI":"10.3390\/jcm10245888","volume":"10","author":"P Caraux-Paz","year":"2021","unstructured":"Caraux-Paz P, Diamantis S, de Wazi\u00e8res B, Gallien S (2021) Tuberculosis in the elderly. J Clin Med 10:5888. https:\/\/doi.org\/10.3390\/jcm10245888","journal-title":"J Clin Med"},{"key":"3785_CR23","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.1186\/s12889-022-13541-x","volume":"22","author":"J Li","year":"2022","unstructured":"Li J, Yin P, Wang H, Wang L, You J, Liu J, Liu Y, Wang W, Zhang X, Niu P, Zhou M (2022) The burden of pneumoconiosis in China: an analysis from the Global Burden of Disease Study 2019. BMC Public Health 22:1114. https:\/\/doi.org\/10.1186\/s12889-022-13541-x","journal-title":"BMC Public Health"},{"key":"3785_CR24","doi-asserted-by":"publisher","first-page":"afaf268","DOI":"10.1093\/ageing\/afaf268","volume":"54","author":"Y Ling","year":"2025","unstructured":"Ling Y, Wang M, Chen S, Wu Q, Zhang Y, Liu K, Yang K, Wang L, Wang W, Chen B, Jiang J (2025) Prevalence of latent tuberculosis infection in older adults: a systematic review and meta-analysis. Age Ageing 54:afaf268. https:\/\/doi.org\/10.1093\/ageing\/afaf268","journal-title":"Age Ageing"},{"key":"3785_CR25","doi-asserted-by":"publisher","first-page":"3880","DOI":"10.1007\/s00464-019-07035-y","volume":"33","author":"AD Power","year":"2019","unstructured":"Power AD, D\u2019Souza DM, Moffatt-Bruce SD, Merritt RE, Kneuertz PJ (2019) Defining the learning curve of robotic thoracic surgery: what does it take? Surg Endosc 33:3880\u20133888. https:\/\/doi.org\/10.1007\/s00464-019-07035-y","journal-title":"Surg Endosc"},{"key":"3785_CR26","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","volume":"370","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, G\u00f8tzsche PC, Vandenbroucke JP, STROBE Initiative (2007) The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370:1453\u20131457. https:\/\/doi.org\/10.1016\/S0140-6736(07)61602-X","journal-title":"Lancet"},{"key":"3785_CR27","doi-asserted-by":"publisher","first-page":"b2393","DOI":"10.1136\/bmj.b2393","volume":"338","author":"JA Sterne","year":"2009","unstructured":"Sterne JA, White IR, Carlin JB, Spratt M, Royston P, Kenward MG, Wood AM, Carpenter JR (2009) Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ 338:b2393. https:\/\/doi.org\/10.1136\/bmj.b2393","journal-title":"BMJ"},{"key":"3785_CR28","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.xjtc.2024.04.011","volume":"26","author":"AH Sadeghi","year":"2024","unstructured":"Sadeghi AH, Mank Q, Tuzcu AS, Hofman J, Siregar S, Maat A, Mottrie A, Kluin J, De Backer P (2024) Artificial intelligence-assisted augmented reality robotic lung surgery: navigating the future of thoracic surgery. JTCVS Tech 26:121\u2013125. https:\/\/doi.org\/10.1016\/j.xjtc.2024.04.011","journal-title":"JTCVS Tech"},{"key":"3785_CR29","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1007\/s11701-025-02634-5","volume":"19","author":"MS Shafeea","year":"2025","unstructured":"Shafeea MS, Najm G, Al Ansari M (2025) Telesurgery unleashed: redefining surgical presence in the age of intelligent robotics. J Robot Surg 19:455. https:\/\/doi.org\/10.1007\/s11701-025-02634-5","journal-title":"J Robot Surg"},{"key":"3785_CR30","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1007\/s11701-025-02675-w","volume":"19","author":"MS Shafeea","year":"2025","unstructured":"Shafeea MS (2025) AI-augmented remote robotic plastic surgery: a rigorous appraisal of potential and proof needs. J Robotic Surg 19:495. https:\/\/doi.org\/10.1007\/s11701-025-02675-w","journal-title":"J Robotic Surg"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03785-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-03785-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03785-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T04:27:07Z","timestamp":1785990427000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-026-03785-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":30,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3785"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-03785-9","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]},"assertion":[{"value":"26 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Second Affiliated Hospital of Harbin Medical University (approval No. KY2025-103).","order":2,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval and a waiver of informed consent were granted by the Ethics Committee of the Second Affiliated Hospital of Harbin Medical University in view of the retrospective nature of the study and because all procedures performed were part of routine care.","order":3,"name":"Ethics","label":"Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors affirm that the patients depicted in Fig.\u00a02 provided informed consent for publication of their clinical photographs.","order":4,"name":"Ethics","label":"Consent to Publish","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"803"}}