{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:54:53Z","timestamp":1791172493302,"version":"4.1.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"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\/s11701-026-04029-6","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:50:43Z","timestamp":1791172243000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Economic sustainability of a newly established robotic thoracic surgery programme in a public healthcare system: early experience from a high-volume latin American centre"],"prefix":"10.1007","volume":"20","author":[{"given":"Francina Valezka","family":"Bola\u00f1os-Morales","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Carrranza-Zarmina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgar","family":"Castro-Santamar\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen Margarita","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edtih","family":"Paramo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Casas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeyda","family":"Ju\u00e1rez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Eli","family":"Guido-Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Gomes-da Silva de Rosenzweig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alma Lilia","family":"Juarez-Armenta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justino","family":"Regalado-Pineda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Salas-Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricio","family":"Santill\u00e1n-Doherty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"issue":"1","key":"4029_CR1","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1016\/j.athoracsur.2021.06.090","volume":"114","author":"BT Heiden","year":"2022","unstructured":"Heiden BT, Mitchell JD, Rome E et al (2022) Cost-Effectiveness Analysis of Robotic-assisted Lobectomy for Non-Small Cell Lung Cancer. Ann Thorac Surg 114(1):265\u2013272. https:\/\/doi.org\/10.1016\/j.athoracsur.2021.06.090","journal-title":"Ann Thorac Surg"},{"key":"4029_CR2","doi-asserted-by":"publisher","first-page":"1123329","DOI":"10.3389\/fsurg.2023.1123329","volume":"10","author":"OJ Harrison","year":"2023","unstructured":"Harrison OJ, Maraschi A, Routledge T, Lampridis S, LeReun C, Bille A (2023) A cost analysis of robotic vs. video-assisted thoracic surgery: The impact of the learning curve and the COVID-19 pandemic. Front Surg 10:1123329. https:\/\/doi.org\/10.3389\/fsurg.2023.1123329","journal-title":"Front Surg"},{"issue":"4","key":"4029_CR3","doi-asserted-by":"publisher","first-page":"246","DOI":"10.35366\/112953","volume":"81","author":"E-M Hern\u00e1ndez-Ram\u00edrez Israel","year":"2022","unstructured":"Hern\u00e1ndez-Ram\u00edrez Israel E-M, Fernando (2022) dic Corona-Perezgrovas Miguel \u00c1ngel, Rivera-Navarrete Eric. Programa institucional de cirug\u00eda tor\u00e1cica rob\u00f3tica: una necesidad obligada. Neumol cir t\u00f3rax 81(4):246\u2013248","journal-title":"Neumol cir t\u00f3rax"},{"issue":"2","key":"4029_CR4","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205\u2013213. https:\/\/doi.org\/10.1097\/01.sla.0000133083.54934.ae","journal-title":"Ann Surg"},{"key":"4029_CR5","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1016\/j.lungcan.2020.12.033","volume":"153","author":"D Chen","year":"2021","unstructured":"Chen D, Kang P, Tao S, Li Q, Wang R, Tan Q (2021) Cost-effectiveness evaluation of robotic-assisted thoracoscopic surgery versus open thoracotomy and video-assisted thoracoscopic surgery for operable non-small cell lung cancer. Lung Cancer 153:99\u2013107. https:\/\/doi.org\/10.1016\/j.lungcan.2020.12.033","journal-title":"Lung Cancer"},{"key":"4029_CR6","doi-asserted-by":"publisher","first-page":"27","DOI":"10.21037\/vats-20-20","volume":"5","author":"KA Musgrove","year":"2020","unstructured":"Musgrove KA, Abdelsattar JM, Spear CR, Sharma N, Toker A, Abbas G (2020) Superiorities of robotic segmentectomy: a review. Video-assist Thorac Surg 5:27","journal-title":"Video-assist Thorac Surg"},{"issue":"6","key":"4029_CR7","doi-asserted-by":"publisher","first-page":"1002","DOI":"10.1097\/SLA.0000000000005820","volume":"277","author":"MS Kent","year":"2023","unstructured":"Kent MS, Hartwig MG, Valli\u00e8res E et al (2023) Pulmonary Open, Robotic, and Thoracoscopic Lobectomy (PORTaL) Study: Survival Analysis of 6646 Cases. Ann Surg 277(6):1002\u20131009. https:\/\/doi.org\/10.1097\/SLA.0000000000005820","journal-title":"Ann Surg"},{"key":"4029_CR8","doi-asserted-by":"publisher","first-page":"1271709","DOI":"10.3389\/fonc.2023.127170","volume":"13","author":"S Huang","year":"2023","unstructured":"Huang S, Huang X, Huang Z, Luo R, Liang W (2023) Comparison of robot-assisted thoracic surgery versus video-assisted thoracic surgery in the treatment of lung cancer: a systematic review and meta-analysis of prospective studies. Front Oncol 13:1271709. https:\/\/doi.org\/10.3389\/fonc.2023.127170","journal-title":"Front Oncol"},{"issue":"6","key":"4029_CR9","doi-asserted-by":"publisher","first-page":"1441","DOI":"10.1007\/s11701-022-01377-x","volume":"16","author":"B Shanahan","year":"2022","unstructured":"Shanahan B, Kreaden US, Sorensen J, Stamenkovic S, Redmond KC (2022) Is robotic lobectomy cheaper? A micro-cost analysis. J Robot Surg 16(6):1441\u20131450. https:\/\/doi.org\/10.1007\/s11701-022-01377-x","journal-title":"J Robot Surg"},{"key":"4029_CR10","doi-asserted-by":"publisher","unstructured":"Paglialunga PL, Molins L, Guzm\u00e1n R et al (2024) Robotic Lobectomy Learning Curve Has Better Clinical Outcomes than Videothoracoscopic Lobectomy. J Clin Med.;13(6):1653. Published 2024 Mar 14. https:\/\/doi.org\/10.3390\/jcm13061653","DOI":"10.3390\/jcm13061653"},{"issue":"4","key":"4029_CR11","doi-asserted-by":"publisher","first-page":"2174","DOI":"10.21037\/jtd-24-1810","volume":"17","author":"S Hu","year":"2025","unstructured":"Hu S, Zeng X, Wan S et al (2025) Comparison of robot-assisted and video-assisted thoracic sleeve lobectomy in non-small cell lung cancer: insights from a high-volume center. J Thorac Dis 17(4):2174\u20132185. https:\/\/doi.org\/10.21037\/jtd-24-1810","journal-title":"J Thorac Dis"},{"issue":"8","key":"4029_CR12","doi-asserted-by":"publisher","first-page":"3170","DOI":"10.21037\/tlcr-2025-498","volume":"14","author":"D Gonzalez-Rivas","year":"2025","unstructured":"Gonzalez-Rivas D, Gomes-da Silva de Rosenzweig P, Arana Bola\u00f1os LF et al (2025) Complex uniportal robotic-assisted sleeve resections under spontaneous ventilation and with double lumen intubation: a case series and a narrative review of the literature. Transl Lung Cancer Res 14(8):3170\u20133182. https:\/\/doi.org\/10.21037\/tlcr-2025-498","journal-title":"Transl Lung Cancer Res"},{"issue":"1","key":"4029_CR13","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1186\/s12893-024-02661-3","volume":"24","author":"LF Zhu","year":"2024","unstructured":"Zhu LF, Zhang LM, Zuo CJ, Jiang B, Cheng N (2024) Long-term outcomes of robot versus video-assisted thymectomy for thymic epithelial tumors: a propensity matched analysis. BMC Surg 24(1):365 Published 2024 Nov 20. https:\/\/doi.org\/10.1186\/s12893-024-02661-3","journal-title":"BMC Surg"},{"issue":"5","key":"4029_CR14","doi-asserted-by":"publisher","first-page":"2018","DOI":"10.1016\/j.jtcvs.2018.12.101","volume":"157","author":"PJ Kneuertz","year":"2019","unstructured":"Kneuertz PJ, Singer E, D\u2019Souza DM, Abdel-Rasoul M, Moffatt-Bruce SD, Merritt RE (2019) Hospital cost and clinical effectiveness of robotic-assisted versus video-assisted thoracoscopic and open lobectomy: A propensity score-weighted comparison. J Thorac Cardiovasc Surg 157(5):2018\u20132026e2. https:\/\/doi.org\/10.1016\/j.jtcvs.2018.12.101","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"9","key":"4029_CR15","doi-asserted-by":"publisher","first-page":"e71748","DOI":"10.1002\/brb3.71748","volume":"16","author":"WA Florez-Perdomo","year":"2026","unstructured":"Florez-Perdomo WA, Bello JSR, Moscote-Salazar LR et al (2026) Cost-Effectiveness of Decompressive Craniectomy in Severe Traumatic Brain Injury Patients: A Systematic Review of Economic Studies. Brain Behav 16(9):e71748. https:\/\/doi.org\/10.1002\/brb3.71748","journal-title":"Brain Behav"},{"issue":"2","key":"4029_CR16","doi-asserted-by":"publisher","first-page":"e7460","DOI":"10.1097\/GOX.0000000000007460","volume":"14","author":"JM Benavides Zamarripa","year":"2026","unstructured":"Benavides Zamarripa JM, Zepeda Torres JM, Su\u00e1rez Carre\u00f3n LO et al (2026) Posterior Flap Hernioplasty: A Cost-effective Alternative to Transversus Abdominis Release in Complex Ventral Hernias. Plast Reconstr Surg Glob Open 14(2):e7460 Published 2026 Feb 3. https:\/\/doi.org\/10.1097\/GOX.0000000000007460","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"7","key":"4029_CR17","doi-asserted-by":"publisher","first-page":"3840","DOI":"10.21037\/jtd-23-377","volume":"15","author":"T Ochi","year":"2023","unstructured":"Ochi T, Suzuki H, Hirai Y et al (2023) Robot-assisted thoracic surgery versus video-assisted thoracic surgery for mediastinal lesions. J Thorac Dis 15(7):3840\u20133848. https:\/\/doi.org\/10.21037\/jtd-23-377","journal-title":"J Thorac Dis"},{"issue":"2","key":"4029_CR18","doi-asserted-by":"publisher","first-page":"194","DOI":"10.21037\/acs.2018.05.18","volume":"8","author":"E Singer","year":"2019","unstructured":"Singer E, Kneuertz PJ, D\u2019Souza DM, Moffatt-Bruce SD, Merritt RE (2019) Understanding the financial cost of robotic lobectomy: calculating the value of innovation? Ann Cardiothorac Surg 8(2):194\u2013201. https:\/\/doi.org\/10.21037\/acs.2018.05.18","journal-title":"Ann Cardiothorac Surg"},{"issue":"1","key":"4029_CR19","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1007\/s11701-026-03940-2","volume":"20","author":"M Satea","year":"2026","unstructured":"Satea M, Carre\u00f3n LOS, Torres JMZ et al (2026) Hybrid robotic transversus abdominis release (hrTAR) for complex ventral hernias: a systematic review and preliminary synthesis. J Robot Surg 20(1):957 Published 2026 Sep 7. https:\/\/doi.org\/10.1007\/s11701-026-03940-2","journal-title":"J Robot Surg"},{"key":"4029_CR20","doi-asserted-by":"publisher","unstructured":"Simoff MJ, Pritchett MA, Reisenauer JS et al (2021) Shape-sensing robotic-assisted bronchoscopy for pulmonary nodules: initial multicenter experience using the Ion\u2122 Endoluminal System. BMC Pulm Med.;21(1):322. Published 2021 Oct 16. https:\/\/doi.org\/10.1186\/s12890-021-01693-2","DOI":"10.1186\/s12890-021-01693-2"},{"issue":"10","key":"4029_CR21","doi-asserted-by":"publisher","first-page":"6123","DOI":"10.21037\/jtd-19-3271","volume":"13","author":"RM Terra","year":"2021","unstructured":"Terra RM, Leite PHC, Dela Vega AJM (2021) Global status of the robotic thoracic surgery. J Thorac Dis 13(10):6123\u20136128. https:\/\/doi.org\/10.21037\/jtd-19-3271","journal-title":"J Thorac Dis"},{"key":"4029_CR22","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/j.lungcan.2016.09.004","volume":"101","author":"G Veronesi","year":"2016","unstructured":"Veronesi G, Novellis P, Voulaz E, Alloisio M (2016) Robot-assisted surgery for lung cancer: State of the art and perspectives. Lung Cancer 101:28\u201334. https:\/\/doi.org\/10.1016\/j.lungcan.2016.09.004","journal-title":"Lung Cancer"},{"issue":"12","key":"4029_CR23","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(12):3880\u20133888. https:\/\/doi.org\/10.1007\/s00464-019-07035-y","journal-title":"Surg Endosc"},{"issue":"1","key":"4029_CR24","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1007\/s11701-024-01879-w","volume":"18","author":"L Betser","year":"2024","unstructured":"Betser L, Le Bras A, Etienne H et al (2024) Outcomes and costs with the introduction of robotic-assisted thoracic surgery in public hospitals. J Robot Surg 18(1):124. https:\/\/doi.org\/10.1007\/s11701-024-01879-w. Published 2024 Mar 16","journal-title":"J Robot Surg"},{"issue":"1","key":"4029_CR25","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 Robot Surg 19(1):495 Published 2025 Aug 19. https:\/\/doi.org\/10.1007\/s11701-025-02675-w","journal-title":"J Robot Surg"},{"issue":"1","key":"4029_CR26","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1007\/s11701-025-02674-x","volume":"19","author":"MS Shafeea","year":"2025","unstructured":"Shafeea MS (2025) AI-Augmented autonomous telesurgery: defining the next frontier in intelligent remote surgery. J Robot Surg 19(1):494 Published 2025 Aug 19. https:\/\/doi.org\/10.1007\/s11701-025-02674-x","journal-title":"J Robot Surg"},{"issue":"1","key":"4029_CR27","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(1):455 Published 2025 Aug 6. https:\/\/doi.org\/10.1007\/s11701-025-02634-5","journal-title":"J Robot Surg"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-04029-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-04029-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-04029-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T03:50:44Z","timestamp":1791172244000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-026-04029-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,5]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4029"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-04029-6","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,5]]},"assertion":[{"value":"5 August 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"FVBM serves as a proctor for Da Vinci Robotic Surgical Systems.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The study was conducted in accordance with the Declaration of Helsinki (as revised in 2013). Our study was conducted following the Code of Ethics of the World Medical Association (Declaration of Helsinki), and its subsequent amendments, and was approved by the hospital\u00b4s Institutional Review Board with the following number: C81-24.","order":2,"name":"Ethics","label":"<b>Ethical statement<\/b>","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1063"}}