{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:31:17Z","timestamp":1747182677350,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,12,25]],"date-time":"2022-12-25T00:00:00Z","timestamp":1671926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82060509"],"award-info":[{"award-number":["82060509"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This multi\u2010center study was aimed at retrospectively evaluating the feasibility, safety, clinical outcomes, and surgical learning curve of an optimized procedure for right upper lobectomy (RUL), which is challenging because of the anatomical structures and features of this lobe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included 45 RUL cases of robot\u2010assisted thoracoscopy (RATS) in a pilot cohort and 187 RUL cases of video\u2010assisted thoracoscopy (VATS) in three cohorts. A total of 121 and 111 patients underwent traditional and optimized RUL, respectively. The optimized surgical procedure was performed to consecutively transect the superior arterial trunk and bronchus, and finally disconnect the pulmonary vein and posterior ascending artery with interlobar fissures. Clinical and radiological data were reviewed retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Optimized RUL can be performed successfully by RATS or VATS. The optimized procedure yielded better clinical outcomes than the traditional procedure, including shorter operation times, less blood loss, fewer complications, shorter hospital times, lower costs, and a lower likelihood of postoperative intermedius bronchial kinking. Additionally, for calcified interlobar lymph nodes, the optimized VATS group was less likely to be converted to thoracotomy than the traditional group. The skills required to perform optimized VATS RUL can be gained by surgeons after 12 to 15 cases. The two RUL procedures in the pilot cohort showed similar disease\u2010free survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The optimized RUL was safe, economical, and feasible, with a short learning curve and satisfactory disease\u2010free survival.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.14781","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T04:42:35Z","timestamp":1672029755000},"page":"573-583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Multi\u2010center experience in an optimized right upper lobectomy surgical procedure in China"],"prefix":"10.1111","volume":"14","author":[{"given":"Long\u2010Yong","family":"Mei","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Surgery Research, Daping Hospital Army Medical University  Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen\u2010Zhou","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery The Second Affiliated Hospital of Guangxi Medical University  Nanning China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Chi","family":"Xiu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery General Hospital of Northern Theater Command  Shenyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shao\u2010Lin","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Surgery Research, Daping Hospital Army Medical University  Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong\u2010Geng","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Surgery Research, Daping Hospital Army Medical University  Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qun\u2010You","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Institute of Surgery Research, Daping Hospital Army Medical University  Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi\u2010Guang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery General Hospital of Northern Theater Command  Shenyang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Xian","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery The Second Affiliated Hospital of Guangxi Medical University  Nanning 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Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.14781","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1759-7714.14781","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.14781","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T03:26:25Z","timestamp":1692329185000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1759-7714.14781"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,25]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/1759-7714.14781"],"URL":"https:\/\/doi.org\/10.1111\/1759-7714.14781","archive":["Portico"],"relation":{},"ISSN":["1759-7706","1759-7714"],"issn-type":[{"type":"print","value":"1759-7706"},{"type":"electronic","value":"1759-7714"}],"subject":[],"published":{"date-parts":[[2022,12,25]]},"assertion":[{"value":"2022-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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