{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:05:38Z","timestamp":1777921538411,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2022,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Uniportal video-assisted thoracic surgery (U-VATS) is an implemented technique in adult surgery that may aid to extend offer the benefits of thoracoscopy to a wide number of pediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Consecutive cases treated between July 2019 and July 2021 were retrospectively analyzed. Simultaneously, a MEDLINE systematic search was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twelve patients (median age 13 years, median weight 44.5\u2009kg) underwent 4 major procedures (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092 lobectomy,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092 segmentectomy) and 11 minor procedures (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091 bronchogenic cyst resection,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094 apical wedge resections and pleurodesis for pneumothorax,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094 wedge resections for lung nodules, and\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092 debridement for empyema). The median observed operative time was 77 minutes. We recorded one conversion to biportal VATS. No intraoperative complications or 30-day morbidity\u2013mortality was reported. A rate of 40% adverse postoperative events was observed (Clavien\u2013Dindo grade I-IVa). Visual analog scale for postoperative pain recorded a median value of 0 on days 1, 2, and 3. The systematic review provided 15 full-text articles reporting 76 pediatric interventions (4 major and 72 minor procedures); among them, 1 biportal conversion, 3 mild postoperative complications, and 1 redo surgery are presented.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>As emerged from the literature review, U-VATS remains scarcely adopted by pediatric surgeons. Its feasibility is supported by the four reported major lung resections plus the four cases added on by our series. Thanks to a more rapid learning curve over conventional VATS, the uniportal technique could be accessible to a wider number of centers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2021.0180","type":"journal-article","created":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T12:08:16Z","timestamp":1641470896000},"page":"713-720","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Uniportal Video-Assisted Thoracic Surgery in a Pediatric Hospital: Early Results and Review of the Literature"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7150-6082","authenticated-orcid":false,"given":"Sara","family":"Ugolini","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Meyer Children's Hospital Academic Centre, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3878-1415","authenticated-orcid":false,"given":"Riccardo","family":"Coletta","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Meyer Children's Hospital Academic Centre, Florence, Italy."},{"name":"School of Environment and Life Science, University of Salford, Salford, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Lo Piccolo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Meyer Children's Hospital Academic Centre, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Dell'Otto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Meyer Children's Hospital Academic Centre, Florence, Italy."},{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Voltolini","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Careggi, Florence, Italy."},{"name":"Department of Experimental and Clinical Medicine (DMSC), University of Florence, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Gonfiotti","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, University Hospital Careggi, Florence, Italy."},{"name":"Department of Experimental and Clinical Medicine (DMSC), University of Florence, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Morabito","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Meyer Children's Hospital Academic Centre, Florence, Italy."},{"name":"Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2016.03.07"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivz153"},{"key":"e_1_3_5_4_2","first-page":"560","article-title":"Uniportal thoracoscopic decortication for pleural empyema and the role of ultrasonographic preoperative staging","volume":"24","author":"Bongiolatti S","year":"2017","unstructured":"Bongiolatti S, , Voltolini L, , Borgianni S, et al. 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