{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T10:30:07Z","timestamp":1789727407193,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"19","license":[{"start":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:00:00Z","timestamp":1759363200000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Although uniportal video\u2010assisted thoracoscopic surgery (uVATS) is increasingly adopted for early\u2010stage lung cancer, long\u2010term survival data comparing different forms of anatomic resection remain limited. This study aimed to evaluate the long\u2010term oncologic outcomes\u2014specifically, 5\u2010year disease\u2010free survival (DFS) and overall survival (OS)\u2014of patients with clinical stage I non\u2010small cell lung cancer (NSCLC) who underwent uVATS segmentectomy or lobectomy. Secondary outcomes included perioperative parameters and complication rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of patients with clinical stage I NSCLC who underwent uVATS anatomical resection (lobectomy or segmentectomy) between January 2014 and December 2020. The primary endpoints were 5\u2010year DFS and OS, while the secondary endpoints included operative time, drainage duration, hospital stay, conversion rates, and postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 386 patients with clinical stage I NSCLC underwent uVATS anatomical resection, with 280 receiving lobectomy and 106 undergoing segmentectomy. The 5\u2010year DFS and OS rates did not significantly differ between segmentectomy and lobectomy for patients with pathological stage IA tumors. Segmentectomy was associated with a shorter drainage duration. The overall conversion rate to multiple\u2010port VATS or thoracotomy was 1.8%, with no 30\u2010day surgical mortality observed. Prolonged air leaks were the most common complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>uVATS anatomical resection is an effective treatment option for clinical stage I NSCLC, offering comparable long\u2010term survival outcomes for segmentectomy and lobectomy in selected patients. Further prospective studies are warranted to confirm these findings and optimize patient selection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1759-7714.70169","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T14:39:55Z","timestamp":1759415995000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Survival Effectiveness of Uniport Anatomic Resections in Patients With Clinical Stage I Lung Cancer: An Observation Cohort Study"],"prefix":"10.1111","volume":"16","author":[{"given":"Ching Feng","family":"Wu","sequence":"first","affiliation":[{"name":"Chang Gung University, Division of Thoracic and Cardiovascular Surgery, Department of Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"Coru\u00f1a University Hospital; Minimally Invasive Thoracic Surgery Unit (UCTMI), Department of Thoracic Surgry  Coru\u00f1a Spain"},{"name":"Chang Gung University Department of Thoacic Medicine, Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming Ju","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Chang Gung University, Division of Thoracic and Cardiovascular Surgery, Department of Surgery Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueh Fu","family":"Fang","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical care Medicine Department of Internal Medicine, Chang Gung Memotial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Yu","family":"Lin","sequence":"additional","affiliation":[{"name":"Chang Gung University, Division of Thoracic and Cardiovascular Surgery, Department of Surgery Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego Gonzalez","family":"Rivas","sequence":"additional","affiliation":[{"name":"Coru\u00f1a University Hospital; Minimally Invasive Thoracic Surgery Unit (UCTMI), Department of Thoracic Surgry  Coru\u00f1a Spain"},{"name":"Chang Gung University Department of Thoacic Medicine, Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ching Yang","family":"Wu","sequence":"additional","affiliation":[{"name":"Chang Gung University, Division of Thoracic and Cardiovascular Surgery, Department of Surgery Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(22)01694\u20104"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2054P7"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2022.0025"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.07.12"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2016.03.17"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy067"},{"issue":"3","key":"e_1_2_12_8_1","first-page":"S308","article-title":"Global Development and Current Evidence of Uniportal Thoracoscopic Surgery","volume":"8","author":"Tu C. 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