{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T21:09:52Z","timestamp":1778274592611,"version":"3.51.4"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"Supplement_1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Korean Society for Thoracic and Cardiovascular Surgery"},{"name":"Asia-Pacific Innovative Thoracic Surgery Symposium 2025"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There have been many attempts to compare Uniportal Video-Assisted Thoracic Surgery (UVATS) with Multiportal VATS (MVATS) for anatomic lung resection. A review is warranted to appreciate: what has been learnt about the relative benefits of the 2 approaches; what lessons have been learned by the process of comparing approaches; and whether such comparisons should influence surgical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review and qualitative analysis of the literature pertaining to UVATS and especially to comparisons between UVATS and MVATS was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The balance of currently published evidence suggests that UVATS offers the following when compared to MVATS: equivalent safety; similar or slightly better post-operative outcomes (especially in reducing pain); equivalent treatment outcomes for lung cancer (measured by lymph node yields and medium-term survival); and broadly similar learning curves. There has been a general trend for studies comparing UVATS with MVATS in recent years to exhibit greater scientific rigor and to investigate a broader range of clinically relevant outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Over a decade\u2019s worth of comparisons between UVATS and MVATS have validated UVATS as a mainstream approach for minimally invasive pulmonary resections. The direct comparisons have generally suggested non-inferiority vis-\u00e0-vis MVATS. However, the true value of the ongoing process of comparison lies in its elevation of good clinical research practices and increasing awareness of those outcome measures most pertinent to patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf485","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T12:32:13Z","timestamp":1767702733000},"page":"i12-i18","source":"Crossref","is-referenced-by-count":0,"title":["Multiport Versus Single-Port Video-Assisted Thoracic Surgery for Pulmonary Resection"],"prefix":"10.1093","volume":"68","author":[{"given":"Alan D L","family":"Sihoe","sequence":"first","affiliation":[{"name":"CUHK Medical Centre , Hong Kong SAR,","place":["China"]},{"name":"Gleneagles Hong Kong Hospital , Hong Kong SAR,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"2026050816163901200_ezaf485-B1","first-page":"181","volume-title":"Topics in Thoracic Surgery","author":"Sihoe","year":"2011"},{"key":"2026050816163901200_ezaf485-B2","first-page":"S604","article-title":"The evolution of minimally invasive thoracic surgery: implications for the practice of uniportal thoracoscopic surgery","volume":"6","author":"Sihoe","year":"2014","journal-title":"J Thorac Dis"},{"key":"2026050816163901200_ezaf485-B3","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/resp.13920","article-title":"Video-assisted thoracoscopic surgery as the gold standard for lung cancer surgery","volume":"25","author":"Sihoe","year":"2020","journal-title":"Respirology"},{"key":"2026050816163901200_ezaf485-B4","doi-asserted-by":"crossref","first-page":"e278S","DOI":"10.1378\/chest.12-2359","article-title":"Treatment of stage I and II non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines","volume":"143","author":"Howington","year":"2013","journal-title":"Chest"},{"key":"2026050816163901200_ezaf485-B5","author":"National Comprehensive Cancer Network","year":"2025"},{"key":"2026050816163901200_ezaf485-B6","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1007\/s004640090033","article-title":"A single-trocar technique for minimally-invasive surgery of the chest","volume":"15","author":"Migliore","year":"2001","journal-title":"Surg Endosc"},{"key":"2026050816163901200_ezaf485-B7","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/S0003-4975(03)01219-0","article-title":"Uniportal VATS wedge pulmonary resections","volume":"77","author":"Rocco","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"2026050816163901200_ezaf485-B8","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1510\/icvts.2010.256222","article-title":"Single-port video-assisted thoracoscopic lobectomy","volume":"12","author":"Gonzalez","year":"2011","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2026050816163901200_ezaf485-B9","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.athoracsur.2012.10.070","article-title":"Uniportal video-assisted thoracoscopic lobectomy: two years of experience","volume":"95","author":"Gonzalez-Rivas","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"2026050816163901200_ezaf485-B10","doi-asserted-by":"crossref","first-page":"14","DOI":"10.21037\/vats.2018.04.01","article-title":"Why to change from multiportal to uniportal VATS?","volume":"3","author":"Nachira","year":"2018","journal-title":"Video-Assist Thorac Surg"},{"key":"2026050816163901200_ezaf485-B11","doi-asserted-by":"crossref","first-page":"43","DOI":"10.21037\/shc.2018.06.02","article-title":"Pros-cons debate about the role and evolution of uniportal video-assisted thoracic surgery (VATS)","volume":"2","author":"Minervini","year":"2018","journal-title":"Shanghai Chest"},{"key":"2026050816163901200_ezaf485-B12","first-page":"S333","article-title":"Reasons not to perform uniportal VATS lobectomy","volume":"8","author":"Sihoe","year":"2016","journal-title":"J Thorac Dis"},{"key":"2026050816163901200_ezaf485-B13","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1016\/j.athoracsur.2018.08.023","article-title":"Uniportal lung cancer surgery: state of the evidence","volume":"107","author":"Sihoe","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2026050816163901200_ezaf485-B14","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/978-3-030-47404-1_12","volume-title":"Difficult Decisions in Thoracic Surgery. 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