{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T17:09:25Z","timestamp":1783703365147,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To compare the clinical efficacy of the progressive suspension method and conventional thoracoscopic pulmonary resection in right upper lobectomy.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A prospective cohort study was conducted involving 60 patients admitted to the Department of Thoracic Surgery at Cangzhou Central Hospital from January 2024 to March 2025. Patients were randomly divided into the observation group (\n n<\/jats:italic>\n \u2009=\u200930, using the progressive suspension method, including 15 cases of trans\u2010thoracic puncture fixation and 15 cases of intra\u2010thoracic suture fixation) and the control group (\n n<\/jats:italic>\n \u2009=\u200930, conventional thoracoscopic pulmonary resection). Surgical field exposure, operative fluency, lymph node dissection, perioperative indicators, and hospitalization costs were compared between the two groups.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The observation group demonstrated significantly superior surgical field exposure (83.3% vs. 50.0%,\n p<\/jats:italic>\n \u2009=\u20090.008) and operative fluency (73.3% vs. 33.3%,\n p<\/jats:italic>\n \u2009=\u20090.002). The operative time [(87.5\u2009\u00b1\u200923.2) min vs. (112.4\u2009\u00b1\u200935.6) min,\n p<\/jats:italic>\n \u2009<\u20090.001], intraoperative blood loss [50 (20, 50) mL vs. 80 (50, 120) mL,\n p<\/jats:italic>\n \u2009<\u20090.001], postoperative drainage [150 (100, 200) mL vs. 250 (180, 300) mL,\n p<\/jats:italic>\n \u2009=\u20090.003], VAS pain score [(3.2\u2009\u00b1\u20091.1) vs. (4.8\u2009\u00b1\u20091.5),\n p<\/jats:italic>\n \u2009<\u20090.001], and hospitalization costs [(4.5\u2009\u00b1\u20090.8) vs. (5.2\u2009\u00b1\u20091.1) ten thousand yuan,\n p<\/jats:italic>\n \u2009=\u20090.009] were all significantly better in the observation group. The number of lymph nodes dissected [(10.3\u2009\u00b1\u20093.1) vs. (8.5\u2009\u00b1\u20092.8),\n p<\/jats:italic>\n \u2009=\u20090.021] showed a statistically significant difference, while the complete lymph node resection rate (93.3% vs. 80.0%,\n p<\/jats:italic>\n \u2009=\u20090.143) and complication rate (16.7% vs. 33.3%,\n p<\/jats:italic>\n \u2009=\u20090.132) showed no significant difference. No statistical differences were observed between the two suspension subgroups (\n p<\/jats:italic>\n \u2009>\u20090.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The progressive suspension method in thoracoscopic right upper lobectomy provides superior surgical field exposure, improved operative fluency, higher surgical efficiency, and better postoperative recovery compared to the conventional method, making it a safe and effective surgical approach.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.70549","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T11:42:32Z","timestamp":1773056552000},"page":"1164-1170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Application of Progressive Suspension in Thoracoscopic Right Upper Lobectomy"],"prefix":"10.1111","volume":"96","author":[{"given":"Liankai","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6054-0837","authenticated-orcid":false,"given":"Hao","family":"Hang","sequence":"additional","affiliation":[{"name":"Graduate School Bengbu Medical University Bengbu Anhui China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-9975","authenticated-orcid":false,"given":"Xiang","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanyi","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyun","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongbo","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Cangzhou Central Hospital Cangzhou Hebei China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-023-04920-x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2009.04.005"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-21-663"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000538787"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10502-2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminoncol.2022.06.012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.12.111"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.09.33"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.09.34"},{"issue":"1","key":"e_1_2_9_12_1","first-page":"109","article-title":"Safety and Technical Feasibility of Single\u2010Direction VATS Lobectomy: A Review of 1040 Cases","volume":"44","author":"Pu Q.","year":"2013","journal-title":"Sichuan Da Xue Xue Bao. Yi Xue Ban"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-023-02192-7"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2018.03.09"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6461-0"},{"issue":"5","key":"e_1_2_9_16_1","article-title":"A Comparative Analysis of Video\u2010Assisted Thoracoscopic Surgery and Thoracotomy in Non\u2010Small\u2010Cell Lung Cancer in Terms of Their Oncological Efficacy in Resection: A Systematic Review","volume":"14","author":"Nath T. 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