{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T23:33:57Z","timestamp":1793316837830,"version":"4.5.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Minimally invasive surgery is the gold standard for performing pulmonary lobectomy for early-stage non-small cell lung cancer. Recently, non-intubated video-assisted thoracoscopic surgery (NI-VATS), based on spontaneous ventilation under sedation and regional anaesthesia, has emerged as a less invasive alternative to conventional anaesthesia, reporting several benefits, but its application in major pulmonary resection remains controversial. We present the first report of robotic-assisted surgery (RATS) to perform a right lower lobectomy with radical lymph node dissection in a non-intubated patient presenting with pulmonary adenocarcinoma. In our experience, this approach is feasible, combining the ergonomic and precision advantages of robotic technology with the potential physiological benefits of spontaneous ventilation, furtherreducing the invasiveness of both surgery and anaesthesia. This innovative combination may be defined as non-intubated robotic-assisted thoracic surgery: NI-RATS.<\/jats:p>","DOI":"10.1093\/icvts\/ivag181","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T16:49:12Z","timestamp":1782751752000},"source":"Crossref","is-referenced-by-count":1,"title":["Robotic-Assisted Lobectomy in Non-Intubated Patient for Early Stage Non-Small-Cell Lung Cancer Treatment"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0483-5828","authenticated-orcid":false,"given":"Alessio","family":"Mariolo","sequence":"first","affiliation":[{"name":"Thoracic Surgery Department, Institut Montsouris, Curie-Montsouris Thoracic Institute , 750014 Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Molina-Barragan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Institut Montsouris , 75014 Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxime","family":"Giwerc","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Institut Montsouris , 75014 Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Kovacs","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Department, Institut Montsouris, Curie-Montsouris Thoracic Institute , 750014 Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"2026071512411154600_ivag181-B1","doi-asserted-by":"crossref","first-page":"e947561","DOI":"10.12659\/MSM.947561","article-title":"A review of non-cardiac complications of general anesthesia: the current state of knowledge","volume":"31","author":"Radkowski","year":"2025","journal-title":"Med Sci Monit."},{"key":"2026071512411154600_ivag181-B2","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1093\/ejcts\/ezv136","article-title":"Non-intubated video-assisted thoracoscopic lung resections: the future of thoracic surgery?","volume":"49","author":"Gonzalez-Rivas","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026071512411154600_ivag181-B3","first-page":"428","article-title":"Non-intubated spontaneous ventilation in video-assisted thoracoscopic surgery: a meta-analysis","volume":"57","author":"Wen","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2026071512411154600_ivag181-B4","doi-asserted-by":"crossref","first-page":"3875","DOI":"10.21037\/tlcr-21-629","article-title":"Perioperative and long-term outcomes of spontaneous ventilation video-assisted thoracoscopic surgery for non-small cell lung cancer","volume":"10","author":"Zheng","year":"2021","journal-title":"Transl Lung Cancer Res"},{"key":"2026071512411154600_ivag181-B5","doi-asserted-by":"crossref","first-page":"2863","DOI":"10.1007\/s13304-024-01935-y","article-title":"Comparison of postoperative pulmonary complications and intraoperative safety in thoracoscopic surgery under non-intubated versus intubated anesthesia: a randomized, controlled, double-blind non-inferiority trial","volume":"76","author":"Wang","year":"2024","journal-title":"Updates Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag181\/68645750\/ivag181.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/7\/ivag181\/68645750\/ivag181.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/7\/ivag181\/68645750\/ivag181.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T16:41:20Z","timestamp":1784133680000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag181\/8721577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,1]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag181","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,7]]},"published":{"date-parts":[[2026,6,29]]},"article-number":"ivag181"}}