{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:46:28Z","timestamp":1787319988694,"version":"build-2736575974"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST110-2314-B-002 -270 -MY3"],"award-info":[{"award-number":["MOST110-2314-B-002 -270 -MY3"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008903","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["MOHW111-TDU-B-221-114006"],"award-info":[{"award-number":["MOHW111-TDU-B-221-114006"]}],"id":[{"id":"10.13039\/100008903","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Esophageal Disease Education Foundation","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"name":"Taiwan Society for the Chest Care","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Drainless minimally invasive anatomical lung resection surgery for pulmonary malignancies is safe and feasible in terms of early postoperative outcomes. However, the quality of surgery in the long term remains uncertain. This study aimed to investigate the perioperative outcomes, 3-year overall, and disease-free survival rates of patients who underwent minimally invasive anatomical lung resection surgery with the drainless technique for pulmonary malignancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty-eight patients who underwent drainless minimally invasive anatomical lung resection surgery for pulmonary malignancies (36 -lobectomy; 22 -segmentectomy) between November 2017 and June 2022 by a single surgeon were enrolled. Patients\u2019 characteristics and perioperative, early postoperative, and long-term data were collected. The lymph node dissection stations and number, resection margin, 3-year overall and disease-free survival rates were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median age was 64 years. Forty-four patients were females (76%) and forty-seven patients were non-smokers (81%). The median five-factor modified frailty index was 1. Most patients had primary lung cancer; four (7%), 43 (74%), seven (12%), and three (5%) had stage 0, I, II, and III, respectively. The median lymph node dissection stations was four, and the number was 17. The resection margin was free in 98% of the cases. The 3-year overall survival rate was 98.3% in all patients, and 97.2% and 100% in the lobectomy and segmentectomy subgroups, respectively. The 3-year disease-free survival rate was 85.3% in all patients and 80.5% and 92.9% in the lobectomy and segmentectomy subgroups, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The drainless technique is safe and feasible for minimally invasive anatomical lung resection surgery for pulmonary malignancies in terms of early postoperative and long-term outcomes. However, further randomized controlled studies are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-024-03303-8","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T01:06:46Z","timestamp":1738544806000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Long-term outcomes of drainless anatomical lung resection surgery for pulmonary malignancies"],"prefix":"10.1186","volume":"20","author":[{"given":"Ting-Fang","family":"Kuo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mong-Wei","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke-Cheng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuenn-Wen","family":"Kuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei-Ming","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jang-Ming","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"issue":"1","key":"3303_CR1","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1093\/ejcts\/ezy301","volume":"55","author":"TJP Batchelor","year":"2019","unstructured":"Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the enhanced recovery after surgery (ERAS\u00ae) Society and the European Society of thoracic surgeons (ESTS). Eur J Cardiothorac Surg. 2019;55(1):91\u2013115.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"5","key":"3303_CR2","doi-asserted-by":"publisher","first-page":"872","DOI":"10.1016\/j.ejcts.2004.01.041","volume":"25","author":"A Watanabe","year":"2004","unstructured":"Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg. 2004;25(5):872\u20136.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"3303_CR3","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.athoracsur.2007.03.007","volume":"84","author":"H Luckraz","year":"2007","unstructured":"Luckraz H, Rammohan KS, Phillips M, et al. Is an intercostal chest drain necessary after video-assisted thoracoscopic (VATS) lung biopsy? Ann Thorac Surg. 2007;84(1):237\u20139.","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"3303_CR4","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1016\/j.athoracsur.2022.04.030","volume":"115","author":"IEWG Laven","year":"2023","unstructured":"Laven IEWG, Franssen AJPM, van Dijk DPJ, et al. A no-chest-drain policy after video-assisted thoracoscopic surgery wedge resection in selected patients: our 12-year experience. Ann Thorac Surg. 2023;115(4):835\u201343.","journal-title":"Ann Thorac Surg"},{"issue":"10","key":"3303_CR5","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1007\/s11748-016-0692-6","volume":"64","author":"BL Holbek","year":"2016","unstructured":"Holbek BL, Hansen HJ, Kehlet H, Petersen RH. Thoracoscopic pulmonary wedge resection without post-operative chest drain: an observational study. Gen Thorac Cardiovasc Surg. 2016;64(10):612\u20137.","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"5","key":"3303_CR6","doi-asserted-by":"publisher","first-page":"2712","DOI":"10.21037\/jtd.2018.04.75","volume":"10","author":"P Li","year":"2018","unstructured":"Li P, Shen C, Wu Y, Lai Y, Zhou K, Che G. It is safe and feasible to omit the chest tube postoperatively for selected patients receiving thoracoscopic pulmonary resection: a meta-analysis. J Thorac Dis. 2018;10(5):2712\u201321.","journal-title":"J Thorac Dis"},{"issue":"suppl 1","key":"3303_CR7","doi-asserted-by":"publisher","first-page":"i70","DOI":"10.1093\/ejcts\/ezaa061","volume":"58","author":"CY Liu","year":"2020","unstructured":"Liu CY, Hsu PK, Leong KI, Ting CK, Tsou MY. Is tubeless uniportal video-assisted thoracic surgery for pulmonary wedge resection a safe procedure? Eur J Cardiothorac Surg. 2020;58(suppl 1):i70\u20136.","journal-title":"Eur J Cardiothorac Surg"},{"key":"3303_CR8","doi-asserted-by":"crossref","unstructured":"Abdul Khader A, Pons A, Palmares A, Booth S, et al. Are chest drains routinely required after thoracic surgery? A drainology study of On-Table chest-drain removals. JTCVS Open; 2023.","DOI":"10.1016\/j.xjon.2023.05.009"},{"issue":"2","key":"3303_CR9","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1016\/j.athoracsur.2016.09.006","volume":"103","author":"SM Yang","year":"2017","unstructured":"Yang SM, Wang ML, Hung MH, Hsu HH, Cheng YJ, Chen JS. Tubeless uniportal thoracoscopic wedge resection for peripheral lung nodules. Ann Thorac Surg. 2017;103(2):462\u20138.","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"3303_CR10","first-page":"689","volume":"51","author":"S Li","year":"2017","unstructured":"Li S, Jiang L, Ang KL, et al. New Tubeless video-assisted thoracoscopic surgery for small pulmonary nodules. Eur J Cardiothorac Surg. 2017;51(4):689\u201393.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"3303_CR11","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1016\/j.athoracsur.2019.10.048","volume":"109","author":"HC Liao","year":"2020","unstructured":"Liao HC, Yang SM, Hung MH, Cheng YJ, Hsu HH, Chen JS. Thoracoscopic surgery without drainage tube placement for peripheral lung nodules. Ann Thorac Surg. 2020;109(3):887\u201393.","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"3303_CR12","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1093\/ejcts\/ezs679","volume":"44","author":"K Ueda","year":"2013","unstructured":"Ueda K, Hayashi M, Tanaka T, Hamano K. Omitting chest tube drainage after thoracoscopic major lung resection. Eur J Cardiothorac Surg. 2013;44(2):225\u20139. discussion 29.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"3303_CR13","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1016\/j.athoracsur.2017.03.030","volume":"104","author":"J Murakami","year":"2017","unstructured":"Murakami J, Ueda K, Tanaka T, Kobayashi T, Kunihiro Y, Hamano K. The validation of a no-drain policy after thoracoscopic major lung resection. Ann Thorac Surg. 2017;104(3):1005\u201311.","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"3303_CR14","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1016\/j.athoracsur.2019.03.018","volume":"108","author":"K Ueda","year":"2019","unstructured":"Ueda K, Haruki T, Murakami J, Tanaka T, Hayashi M, Hamano K. No drain after thoracoscopic major lung resection for cancer helps preserve the physical function. Ann Thorac Surg. 2019;108(2):399\u2013404.","journal-title":"Ann Thorac Surg"},{"key":"3303_CR15","doi-asserted-by":"crossref","unstructured":"Yong LS, Lin MW, Chen KC, Huang PM, Lee JM. Drainless thoracoscopic lobectomy for lung cancer. J Clin Med. 2021;10(16).","DOI":"10.3390\/jcm10163679"},{"issue":"11","key":"3303_CR16","first-page":"100414","volume":"3","author":"ACH Lee","year":"2022","unstructured":"Lee ACH, Lee SM, Ferguson MK. Frailty is associated with adverse postoperative outcomes after lung cancer resection. JTO Clin Res Rep. 2022;3(11):100414.","journal-title":"JTO Clin Res Rep"},{"key":"3303_CR17","unstructured":"National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Non-small Cell Lung Cancer; Version 3.2023. 2023. https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/nscl.pdf (13 April 2023, date last accessed)."},{"issue":"10335","key":"3303_CR18","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1016\/S0140-6736(21)02333-3","volume":"399","author":"H Saji","year":"2022","unstructured":"Saji H, Okada M, Tsuboi M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802\/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399(10335):1607\u201317.","journal-title":"Lancet"},{"issue":"1","key":"3303_CR19","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1186\/s13019-016-0484-1","volume":"11","author":"D Zhou","year":"2016","unstructured":"Zhou D, Deng XF, Liu QX, Chen Q, Min JX, Dai JG. Single chest tube drainage is superior to double chest tube drainage after lobectomy: a meta-analysis. J Cardiothorac Surg. 2016;11(1):88.","journal-title":"J Cardiothorac Surg"},{"issue":"6","key":"3303_CR20","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1056\/NEJMoa2212083","volume":"388","author":"N Altorki","year":"2023","unstructured":"Altorki N, Wang X, Kozono D, et al. Lobar or sublobar resection for peripheral stage IA non\u2013small-cell lung cancer. N Engl J Med. 2023;388(6):489\u201398.","journal-title":"N Engl J Med"},{"issue":"2","key":"3303_CR21","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1016\/j.asjsur.2022.07.042","volume":"46","author":"L Peng","year":"2023","unstructured":"Peng L, Shang QW, Deng HY, Liu ZK, Li W, Wang Y. Lobe-specific lymph node dissection in early-stage non-small-cell lung cancer: an overview. Asian J Surg. 2023;46(2):683\u20137.","journal-title":"Asian J Surg"},{"issue":"5","key":"3303_CR22","first-page":"100516","volume":"4","author":"W Woo","year":"2023","unstructured":"Woo W, Shin JI, Kipkorir V, Yang YH, Lee S, Lee CY. Clinical benefits of lobe-specific lymph node dissection in surgery for NSCLC: a systematic review and meta-analysis. JTO Clin Res Rep. JTO Clin Res Rep. 2023;4(5):100516.","journal-title":"JTO Clin Res Rep"},{"issue":"2","key":"3303_CR23","doi-asserted-by":"publisher","first-page":"505","DOI":"10.21037\/jtd.2019.01.39","volume":"11","author":"W Zhao","year":"2019","unstructured":"Zhao W, Chen T, Feng J, et al. Comparison of lymph node dissection and lymph node sampling for non-small cell lung cancers by video-assisted thoracoscopic surgery. J Thorac Dis. 2019;11(2):505\u201313.","journal-title":"J Thorac Dis"},{"issue":"4","key":"3303_CR24","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1016\/S1010-7940(01)00875-2","volume":"20","author":"G Myrdal","year":"2001","unstructured":"Myrdal G, Gustafsson G, Lambe M, H\u00f6rte LG, St\u00e5hle E. Outcome after lung cancer surgery. Factors predicting early mortality and major morbidity. Eur J Cardiothorac Surg. 2001;20(4):694\u20139.","journal-title":"Eur J Cardiothorac Surg"},{"key":"3303_CR25","doi-asserted-by":"publisher","first-page":"3767","DOI":"10.2147\/COPD.S168048","volume":"13","author":"W Wang","year":"2018","unstructured":"Wang W, Dou S, Dong W, et al. Impact of COPD on prognosis of lung cancer: from a perspective on disease heterogeneity. Int J Chron Obstruct Pulmon Dis. 2018;13:3767\u201376.","journal-title":"Int J Chron Obstruct Pulmon Dis"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-03303-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-03303-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-03303-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T01:06:56Z","timestamp":1738544816000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-03303-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,3]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["3303"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-03303-8","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,3]]},"assertion":[{"value":"7 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"114"}}