{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:52:44Z","timestamp":1787320364167,"version":"build-2736575974"},"reference-count":26,"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":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC2407406"],"award-info":[{"award-number":["2022YFC2407406"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"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>This study aims to evaluate the safety and feasibility of uniportal robot-assisted thoracic surgery for sleeve lobectomy and to analyse the impact of induction therapy on perioperative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 2022 and June 2025, 134 consecutive patients who underwent uniportal robot-assisted thoracic surgery sleeve lobectomy using the da Vinci Xi system were enrolled from a prospective database. Perioperative variables, including patient characteristics, surgical details, pathologic outcomes, and 30-day complications, were analysed. Statistical comparisons were performed between patients who received induction therapy and those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort had a median age of 62 years, with 72.3% having a smoking history. Squamous cell carcinoma was predominant (68.6%), and 55.2% of patients received induction therapy, primarily chemoimmunotherapy. The left upper lobe was the most common resection site (35.1%). R0 resection was achieved in 97.8% of cases. The median operative time was 185 min, and median hospital stay was 6 days. Patients underwent induction therapy was associated with longer operative time (202.5 vs 172.5 min, P\u2009=\u2009.005) and hospital stay (7 vs 6 days, P\u2009&amp;lt;\u2009.001) but did not significantly affect blood loss, conversion rate (9.5% vs 6.7%, P\u2009=\u2009.687), major complications (23.0% vs 26.7%, P\u2009=\u2009.622), or 30-day readmission (1.4% vs 3.3%, P\u2009=\u2009.441). There were no 30-day deaths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Uniportal robot-assisted thoracic surgery sleeve lobectomy is technically safe and feasible, with high R0 rates and acceptable morbidity. Induction therapy prolongs operative time and hospitalization but does not significantly increase perioperative risk. These findings support the adoption of uniportal robot-assisted thoracic surgery for complex sleeve lobectomy, including patients after induction treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag010","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T12:44:37Z","timestamp":1767789877000},"page":"i19-i26","source":"Crossref","is-referenced-by-count":3,"title":["Uniportal Robotic-Assisted Sleeve Resections in a High-Volume Centre: Technique and Results"],"prefix":"10.1093","volume":"68","author":[{"given":"Ziming","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Gonzalez-Rivas","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]},{"name":"Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit, Coru\u00f1a University Hospital , Coru\u00f1a, 15008,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juemin","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuming","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuefei","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Ning","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chenlu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9981-3110","authenticated-orcid":false,"given":"Chang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deping","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University , Shanghai, 200433,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"2026050816164203200_ezag010-B1","doi-asserted-by":"publisher","first-page":"775","DOI":"10.21037\/tlcr.2019.10.11","article-title":"Sleeve lobectomy compared with pneumonectomy for operable centrally located non-small cell lung cancer: a meta-analysis","volume":"8","author":"Li","year":"2019","journal-title":"Transl Lung Cancer Res"},{"key":"2026050816164203200_ezag010-B2","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1097\/SLA.0000000000002346","article-title":"Robotic versus video-assisted lobectomy\/segmentectomy for lung cancer: a meta-analysis","volume":"268","author":"Liang","year":"2018","journal-title":"Ann Surg"},{"key":"2026050816164203200_ezag010-B3","doi-asserted-by":"publisher","first-page":"102","DOI":"10.21037\/acs-2022-urats-27","article-title":"Comparison of uniportal robotic-assisted thoracic surgery pulmonary anatomic resections with multiport robotic-assisted thoracic surgery: a multicenter study of the European experience","volume":"12","author":"Manolache","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"2026050816164203200_ezag010-B4","doi-asserted-by":"publisher","first-page":"96","DOI":"10.21037\/acs-2022-urats-34","article-title":"The transition to uniportal robotic surgery in the second decade of uniportal surgery","volume":"12","author":"Ismail","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"2026050816164203200_ezag010-B5","doi-asserted-by":"publisher","first-page":"231","DOI":"10.21037\/jtd.2018.12.94","article-title":"Subxiphoid or subcostal uniportal robotic-assisted surgery: early experimental experience","volume":"11","author":"Gonzalez-Rivas","year":"2019","journal-title":"J Thorac Dis"},{"key":"2026050816164203200_ezag010-B6","doi-asserted-by":"publisher","first-page":"ezac410","DOI":"10.1093\/ejctsza410","article-title":"Uniportal robotic-assisted thoracic surgery for lung resections","volume":"62","author":"Gonzalez-Rivas","year":"2022","journal-title":"Eur J Cardio-Thorac Surg"},{"key":"2026050816164203200_ezag010-B7","doi-asserted-by":"publisher","first-page":"34","DOI":"10.21037\/acs-2022-urats-140","article-title":"Hybrid uniportal robotic-assisted thoracoscopic surgery using video-assisted thoracoscopic surgery staplers: technical aspects and results","volume":"12","author":"E","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"2026050816164203200_ezag010-B8","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1016\/0895-4356(94)90129-5","article-title":"Validation of a combined comorbidity index","volume":"47","author":"Charlson","year":"1994","journal-title":"J Clin Epidemiol"},{"key":"2026050816164203200_ezag010-B9","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"2026050816164203200_ezag010-B10","doi-asserted-by":"publisher","first-page":"e70000","DOI":"10.1002\/rcs.70000","article-title":"Subxiphoid uniportal robotic assisted right upper lobectomy in swine: a novel technology","volume":"20","author":"Lin","year":"2024","journal-title":"Int J Med Robot Comp"},{"key":"2026050816164203200_ezag010-B11","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.jtcvs.2025.04.004","article-title":"Robotic-assisted single-port system for pulmonary lobectomy: a prospective feasibility study","volume":"170","author":"Zervos","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026050816164203200_ezag010-B12","doi-asserted-by":"publisher","first-page":"1571","DOI":"10.21037\/tlcr-21-207","article-title":"A uniportal right upper lobectomy by three-arm robotic-assisted thoracoscopic surgery using the da Vinci (Xi) surgical system in the treatment of early-stage lung cancer","volume":"10","author":"Yang","year":"2021","journal-title":"Transl Lung Cancer R"},{"key":"2026050816164203200_ezag010-B13","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11748-008-0316-x","article-title":"History and current status of bronchoplastic surgery for lung cancer","volume":"57","author":"Deslauriers","year":"2009","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2026050816164203200_ezag010-B14","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1378\/chest.121.2.635","article-title":"Video-assisted sleeve lobectomy for mucoepidermoid carcinoma of the left lower lobar bronchus: a case report","volume":"121","author":"Santambrogio","year":"2002","journal-title":"Chest"},{"key":"2026050816164203200_ezag010-B15","doi-asserted-by":"publisher","first-page":"1782","DOI":"10.1007\/s00464-005-0410-4","article-title":"Thoracoscopic robot-assisted bronchoplasty","volume":"20","author":"Ishikawa","year":"2006","journal-title":"Surg Endosc"},{"key":"2026050816164203200_ezag010-B16","doi-asserted-by":"publisher","first-page":"1961","DOI":"10.1016\/j.athoracsur.2010.08.079","article-title":"Hybrid video-assisted thoracic surgery-robotic minimally invasive right upper lobe sleeve lobectomy","volume":"91","author":"Schmid","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"2026050816164203200_ezag010-B17","doi-asserted-by":"publisher","first-page":"478","DOI":"10.5761\/atcs.cr.12.02020","article-title":"A successful case of robotic bronchoplastic lobectomy for lung cancer","volume":"19","author":"Nakamura","year":"2013","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"2026050816164203200_ezag010-B18","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.athoracsur.2019.02.028","article-title":"Robotic bronchial sleeve lobectomy for central lung tumors: technique and outcome","volume":"108","author":"Jiao","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2026050816164203200_ezag010-B19","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivac103","article-title":"Feasibility of double sleeve lobectomy after neoadjuvant chemotherapy in patients with non-small-cell lung cancer","volume":"35","author":"Bao","year":"2022","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2026050816164203200_ezag010-B20","doi-asserted-by":"publisher","first-page":"143","DOI":"10.21037\/tlcr-20-778","article-title":"Sleeve lobectomy after neoadjuvant chemoimmunotherapy\/chemotherapy for local advanced non-small cell lung cancer","volume":"10","author":"Liang","year":"2021","journal-title":"Transl Lung Cancer R"},{"key":"2026050816164203200_ezag010-B21","doi-asserted-by":"publisher","first-page":"188","DOI":"10.21037\/tlcr-22-56","article-title":"Sleeve resection after neoadjuvant chemoimmunotherapy in the treatment of locally advanced non-small cell lung cancer","volume":"11","author":"Dai","year":"2022","journal-title":"Transl Lung Cancer R"},{"key":"2026050816164203200_ezag010-B22","doi-asserted-by":"publisher","first-page":"1210","DOI":"10.21037\/jtd-22-1426","article-title":"Long-term follow up and comparison between conservative and interventional therapy in postoperative bronchopleural fistula-a cohort study","volume":"15","author":"Wang","year":"2023","journal-title":"J Thorac Dis"},{"key":"2026050816164203200_ezag010-B23","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1007\/s00432-024-05683-9","article-title":"Development of postoperative bronchopleural fistula after neoadjuvant immunochemotherapy in non-small cell lung cancer: case reports and review of the literature","volume":"150","author":"Zhao","year":"2024","journal-title":"J Cancer Res Clin"},{"key":"2026050816164203200_ezag010-B24","doi-asserted-by":"publisher","first-page":"3330","DOI":"10.21037\/jtd-22-1809","article-title":"Risk factors for bronchopleural fistula after lobectomy for lung cancer","volume":"15","author":"Ichinose","year":"2023","journal-title":"J Thorac Dis"},{"key":"2026050816164203200_ezag010-B25","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1016\/j.athoracsur.2009.04.039","article-title":"Robot-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases","volume":"88","author":"Gharagozloo","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"2026050816164203200_ezag010-B26","doi-asserted-by":"publisher","first-page":"70","DOI":"10.21037\/acs-2022-urats-17","article-title":"Uniportal three-arm robotic-assisted thoracic surgery right upper lobe and carinal sleeve resection","volume":"12","author":"Ning","year":"2023","journal-title":"Ann Cardiothorac Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/Supplement_1\/i19\/68251651\/ezag010.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/Supplement_1\/i19\/68251651\/ezag010.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T20:16:51Z","timestamp":1778271411000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/68\/Supplement_1\/i19\/8673176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":26,"journal-issue":{"issue":"Supplement_1","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezag010","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]}}}