{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:13:24Z","timestamp":1784045604864,"version":"3.55.0"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018532","name":"Major Scientific and Technological Innovation Project of Shandong Province","doi-asserted-by":"publisher","award":["2019JZZY021002"],"award-info":[{"award-number":["2019JZZY021002"]}],"id":[{"id":"10.13039\/501100018532","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Robot\u2010assisted thoracoscopic surgery (RATS) is more precise and flexible than video\u2010assisted thoracoscopic surgery (VATS) for early\u2010stage non\u2010small cell lung cancer (NSCLC) treatment. This study compared the early postoperative functional recovery of patients who underwent triportal RATS with that of patients who underwent uniportal video\u2010assisted thoracic surgery (UVATS) for segmentectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This observational, prospective study included 172 patients with clinical stage I or II peripheral NSCLC who underwent RATS or UVATS segmentectomy. Propensity score matching (PSM) was used to balance differences between groups. The functional recovery data were collected during the first 4\u2009weeks after discharge via portable devices and questionnaires (EORTC QLQ\u2010C30, Christensen Fatigue Scale, MD Anderson Symptom Inventory, and Leicester Cough Questionnaire).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After PSM, the baseline characteristics were consistent between the groups. RATS was associated with shorter operation time and lower total drainage volume compared to UVATS. However, RATS was associated with more cases of severe postoperative pain. Despite this, patients who underwent RATS recovered well, showed good short\u2010term outcomes in fatigue and physical function, and experienced few postoperative adverse events. The differences in average daily step count and sleep duration were not significant. In terms of global health status (GHS), RATS was slightly but nonsignificantly advantageous.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the enhanced recovery after surgery (ERAS) pathway, triportal RATS has potential benefits in terms of perioperative and early postoperative functional recovery after segmentectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>Biomedical Research Ethics Committee of Shandong Province: 2022\u2010580; Chinese Clinical Trial Registry: ChiCTR2300067977<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.70041","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T03:14:26Z","timestamp":1741835666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of Early Functional Recovery Following Triportal Robot\u2010Assisted and Uniportal Video\u2010Assisted Segmentectomy in Patients With Early\u2010Stage Non\u2010Small Cell Lung Cancer: A Propensity Score\u2010Matched Analysis"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4889-9479","authenticated-orcid":false,"given":"Yan\u2010Cheng","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University Shandong First Medical University  Jinan P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai\u2010xiao","family":"Diao","sequence":"additional","affiliation":[{"name":"National Clinical Research Center for Cancer Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University Shandong First Medical University  Jinan P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3067-5610","authenticated-orcid":false,"given":"Zhong\u2010Min","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University Shandong First Medical University  Jinan P. R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00312-3"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1214726"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00537-U"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2022.0025"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(18)30411-9"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02333-3"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-019-0614-9"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003719"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy062"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.13920"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-20-576"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004922"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-21-960"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-023-13179-y"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-20-533"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2204.0023"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.03.012"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.10.010"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy301"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2016.09.004"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2020.03.83"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076221121162"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2021.04.015"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.005"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2019-0348"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.58.4.339"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.19.00577"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010018\u20102068\u20100"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.12.112"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.1009298"},{"issue":"12","key":"e_1_2_12_33_1","first-page":"767","article-title":"Comparison of Short\u2010Term Outcomes of Lung Segmentectomy by Robotic\u2010Assisted and Video\u2010Assisted Thoracoscopic Surgery","volume":"22","author":"Xie B.","year":"2019","journal-title":"Zhongguo Fei Ai Za Zhi"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.858242"},{"issue":"3","key":"e_1_2_12_35_1","first-page":"263","article-title":"Successful Transition to Robotic\u2010Assisted Lobectomy With Previous Proficiency in Thoracoscopic Lobectomy","volume":"14","author":"Merritt R. 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