{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:49:04Z","timestamp":1792500544543,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Video-assisted thoracoscopic surgery (VATS), via multiportal and uniportal approaches, has largely replaced thoracotomy for lung cancer surgery. However, the comparative effectiveness of these techniques in optimal lymph node dissection remains under active investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review included 763 patients who underwent lung resection for primary lung cancer between October 2001 and January 2024. Demographic, clinical, and pathological data were collected. Patients were stratified into 3 VATS learning phases: early (2001 to 2016), intermediate (2017 to 2020), and late (2021 to 2024). Propensity score matching (PSM; 1:1) was performed based on age, gender, tumor-node-metastasis staging, and preoperative mediastinal staging status. The number of dissected lymph nodes among groups was compared using the Kruskal\u2013Wallis test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Six hundred patients (78.3%) were male, with a mean age of 61.28 \u00b1 10.18 years. In this cohort, 469 patients (61.2%) underwent thoracotomy, 147 (19.2%) multiportal VATS, and 150 (19.6%) uniportal VATS. The mean number of dissected lymph nodes was 22.1 \u00b1 17.2 for thoracotomy, 16.8 \u00b1 11.1 for multiportal VATS, and 12.8 \u00b1 10.8 for uniportal VATS (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). After PSM, mean lymph node counts were 21.0 \u00b1 18.5, 17.4 \u00b1 11.5, and 13.4 \u00b1 11.1 for thoracotomy, multiportal, and uniportal VATS, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). In the late phase, thoracotomy had a higher mean lymph node count (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006); however, after PSM, differences were not statistically significant (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.158).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Thoracotomy allows more extensive lymphadenectomy in lung cancer patients. However, following the learning curve, multiportal and uniportal VATS approaches may yield comparable outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845261457086","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:22:51Z","timestamp":1782361371000},"page":"273-278","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Thoracotomy Versus Uniportal and Multiportal Video-Assisted Thoracoscopic Approaches for Lymph Node Dissection in Lung Cancer: A Propensity-Matched Analysis"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0711-9229","authenticated-orcid":false,"given":"Zeynep","family":"\u00c7\u0131rak","sequence":"first","affiliation":[{"name":"Cerrahpasa Medical School, Istanbul University-Cerrahpasa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1761-3220","authenticated-orcid":false,"given":"Melek","family":"A\u011fko\u00e7","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Erzurum City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamil","family":"Kaynak","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0278-5468","authenticated-orcid":false,"given":"Ezel","family":"Er\u015fen","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan Volkan","family":"Kara","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3229-830X","authenticated-orcid":false,"given":"Akif","family":"Turna","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Cerrahpasa Medical School, Istanbul University-Cerrahpasa, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(94)70344-2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00179-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.12.6649"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.07.078"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000234892.79056.63"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.07.060"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.04.026"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.oa.16-00087"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-016-1038-7"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.11.055"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2022.09.040"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15338"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2020.53.3.104"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtho.2015.09.009"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.08.008"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-019-01221-4"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.02.094"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezr220"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.11.059"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-016-0526-8"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2008.04.004"},{"key":"e_1_3_2_23_2","first-page":"47","article-title":"Learning curve associated with VATS lobectomy","volume":"1","author":"Petersen RH","year":"2012","unstructured":"Petersen RH, and Hansen HJ. Learning curve associated with VATS lobectomy. Ann Cardiothorac Surg 2012; 1: 47\u201350.","journal-title":"Ann Cardiothorac Surg"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-010-0661-7"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.09.073"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-024-03180-1"},{"key":"e_1_3_2_27_2","article-title":"Transition from a multiport technique to a single-port technique for lung cancer surgery: is lymph node dissection inferior using the single-port technique?","volume":"49","author":"Liu CC","year":"2016","unstructured":"Liu CC, Shih CS, Pennarun N, et al. Transition from a multiport technique to a single-port technique for lung cancer surgery: is lymph node dissection inferior using the single-port technique? Eur J Cardiothorac Surg 2016; 49(suppl 1): i64\u2013i72.","journal-title":"Eur J Cardiothorac Surg"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.ra.24-00137"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845261457086","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845261457086","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845261457086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:19:07Z","timestamp":1792498747000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845261457086"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/15569845261457086"],"URL":"https:\/\/doi.org\/10.1177\/15569845261457086","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}