{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T08:18:58Z","timestamp":1771489138015,"version":"3.50.1"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"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":[[2026,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate if the use of robotic technique (RATS) was able to achieve a better lymph node staging when compared with video-assisted (VATS) and open techniques for lung resections for treatment of non-small cell lung cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from the Brazilian Lung Cancer Registry to retrospectively analyse 1376 patients submitted to lung resections for non-small cell lung cancer with curative intention. A propensity score matching analysis was performed to create groups with comparable baseline characteristics in a pairwise fashion (open vs RATS and VATS vs RATS). The primary endpoint was nodal upstaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After propensity score matching, 165 patients in the open group were compared with 165 in the RATS group. The rate of overall upstaging was higher in the open but not statistically significant when compared with RATS (open 22.4% vs RATS 15.2%; P\u2009=\u2009.09). Total lymph node count was similar for both groups (open 10; interquartile range [IQR] 5-17 vs RATS 11; IQR 8-17), P\u2009=\u2009.054). In the other comparison, 279 patients in the VATS group were compared with 279 patients in the RATS group. The rate of overall upstaging was the same in both groups (VATS 11.1% vs RATS 11.1%; P\u2009=\u20091). RATS had a higher number of lymph nodes harvested (VATS 9; IQR 6-13 vs RATS 10; IQR 7-15, P\u2009&amp;lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RATS had a similar upstaging rate when compared with both VATS and open techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezag051","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:59:20Z","timestamp":1769086760000},"source":"Crossref","is-referenced-by-count":0,"title":["Lymph Node Upstaging in Robotic, Video-Assisted Thoracic Surgery, and Open Lung Resections: A Matched Analysis From the Brazilian Lung Cancer Registry"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3359-8278","authenticated-orcid":false,"given":"Alberto Jorge Monteiro","family":"Dela Vega","sequence":"first","affiliation":[{"name":"Cancer Institute, Hospital das Cl\u00ednicas (HCFMUSP), Medical School, Universidade de S\u00e3o Paulo (USP) , S\u00e3o Paulo 01246-000, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8577-8708","authenticated-orcid":false,"given":"Ricardo Mingarini","family":"Terra","sequence":"additional","affiliation":[{"name":"Cancer Institute, Hospital das Cl\u00ednicas (HCFMUSP), Medical School, Universidade de S\u00e3o Paulo (USP) , S\u00e3o Paulo 01246-000, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8378-7704","authenticated-orcid":false,"given":"Leticia Leone","family":"Lauricella","sequence":"additional","affiliation":[{"name":"Cancer Institute, Hospital das Cl\u00ednicas (HCFMUSP), Medical School, Universidade de S\u00e3o Paulo (USP) , S\u00e3o Paulo 01246-000, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5992-8119","authenticated-orcid":false,"suffix":"Junior","given":"Eserval","family":"Rocha","sequence":"additional","affiliation":[{"name":"Cancer Institute, Hospital das Cl\u00ednicas (HCFMUSP), Medical School, Universidade de S\u00e3o Paulo (USP) , S\u00e3o Paulo 01246-000, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5124-2235","authenticated-orcid":false,"given":"Jefferson Luiz","family":"Gross","sequence":"additional","affiliation":[{"name":"Reference Center for Thoracic Oncology, AC Camargo Cancer Center , S\u00e3o Paulo 01508-010, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6356-2516","authenticated-orcid":false,"given":"Federico Enrique Garcia","family":"Cipriano","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery and Anatomy, Medical School of Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo (FMRP-USP) , Ribeir\u00e3o Preto 14049-900, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0049-3287","authenticated-orcid":false,"given":"Henrique","family":"Nietmann","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Service, Funda\u00e7\u00e3o Faculdade Regional de Medicina (FUNFARME) de S\u00e3o Jos\u00e9 do Rio Preto, Medical School of S\u00e3o Jos\u00e9 do Rio Preto (FAMERP) , S\u00e3o Jos\u00e9 do Rio Preto 15090-000, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8496-0900","authenticated-orcid":false,"given":"F\u00e1bio May","family":"da Silva","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universidade Federal de Santa Catarina (UFSC), Rua Professora Maria Flora Pausewang, Trindade , Florian\u00f3polis 88036-800, SC,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7243-5343","authenticated-orcid":false,"given":"Paulo Manuel","family":"P\u00eago-Fernandes","sequence":"additional","affiliation":[{"name":"Heart Institute, HCFMUSP, Medical School, USP, Avenida Dr En\u00e9as Carvalho de Aguiar, 44, Cerqueira C\u00e9sar , S\u00e3o Paulo 05403-900, SP,","place":["Brazil"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,1,25]]},"reference":[{"key":"2026021902161932200_ezag051-B1","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.athoracsur.2013.07.117","article-title":"Open, video-assisted thoracic surgery, and robotic lobectomy: review of a national 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