{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:04:31Z","timestamp":1792793071862,"version":"4.5.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Robotic-assisted thoracoscopic surgery (RATS) facilitates complex pulmonary segmentectomy which offers one-stage diagnostic and therapeutic management of small pulmonary nodules. We aimed to explore the potential advantages of a faster, simplified pathway and earlier diagnosis against the disadvantages of unnecessary morbidity in benign cases.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>In an observational study, patients with small, solitary pulmonary nodules deemed suspicious of malignancy by a multidisciplinary team were offered surgery without a pre or intraoperative biopsy. We report our initial experience with RATS complex segmentectomy (using &amp;gt;1 parenchymal staple line) to preserve as much functioning lung tissue as possible.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Over a 4-year period, 245 RATS complex segmentectomies were performed; 140 right: 105 left. A median of 2 (1\u20134) segments was removed. There was no in-hospital mortality and no requirement for postoperative ventilation. Complications were reported in 63 (25.7%) cases, of which 36 (57.1%) were hospital-acquired pneumonia. A malignant diagnosis was found in 198 (81%) patients and a benign diagnosis in 47 (19%). The malignant diagnoses included: adenocarcinoma in 136, squamous carcinoma in 31 and carcinoid tumour in 15. The most frequent benign diagnosis was granulomatous inflammation in 18 cases.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>RATS complex segmentectomy offers a precise, safe and effective one-stop therapeutic biopsy in incidental and screen-detected pulmonary nodules.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae139","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T20:18:33Z","timestamp":1712348313000},"source":"Crossref","is-referenced-by-count":3,"title":["The use of diagnostic complex robotic-assisted segmentectomy in the management of incidental and screen-detected pulmonary nodules"],"prefix":"10.1093","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7058-6647","authenticated-orcid":false,"given":"Michelle","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Barts 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UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Al-Rehan","family":"Dhanji","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Barts Thorax Centre, St Bartholomew\u2019s Hospital , London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrietta","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Barts Thorax Centre, St Bartholomew\u2019s Hospital , London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Stamenkovic","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Barts Thorax Centre, St Bartholomew\u2019s Hospital , London, 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