{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:03:12Z","timestamp":1791838992853,"version":"4.3.4"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Robot-assisted thoracic surgery using the single-port robotic system is a novel minimally invasive approach; however, clinical data on its use for anatomical segmentectomy remain limited. Therefore, this single-center retrospective cohort study aimed to investigate the safety and feasibility of this technique for segmentectomy by comparing its perioperative outcomes with those of multi-port robot-assisted thoracic surgery and video-assisted thoracoscopic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from patients with non-small cell lung cancer who underwent anatomical segmentectomy from April 2014 to April 2025 were analyzed. Patients were categorized into single-port and multi-port robot-assisted thoracic surgery groups and video-assisted thoracoscopic surgery group according to the surgical approach. Perioperative outcomes were analyzed after propensity score matching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 345 patients were included in the analysis: single-port robot-assisted thoracic surgery (SP-RATS,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950), multi-port robot-assisted thoracic surgery (MP-RATS,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200975), and video-assisted thoracoscopic surgery (VATS,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009220). Following matching, 47 patients were included in each group. All patients in the single-port robot-assisted thoracic surgery group underwent complete resection (R0) without conversion to open thoracotomy. In the matched cohort, the SP-RATS group demonstrated a significantly shorter total operative time than that of the MP-RATS group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), whereas no significant difference was observed between the SP-RATS and the VATS groups. In addition, the SP-RATS group had a significantly shorter duration of chest tube drainage than those of the MP-RATS and VATS groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.039, respectively). No significant differences were observed between groups in terms of postoperative complications, postoperative pain, or pathological outcomes, including the number of harvested lymph nodes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robotic segmentectomy using the da Vinci SP system appears safe and feasible, with favorable short-term perioperative outcomes. Large-scale, well-designed prospective trials with long-term follow-up are remained warranted to validate its clinical efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1811255","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:13:21Z","timestamp":1783433601000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Single-port robotic segmentectomy using the da Vinci SP system for non-small cell lung cancer"],"prefix":"10.3389","volume":"13","author":[{"given":"Jun Hee","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeong Hun","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Medicine, Korea University College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Mo","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soon Young","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Korea University College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kook Nam","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Chung-Ang University Gwangmyeong Hospital","place":["Gwangmyeong, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Koo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1016\/0003-4975(95)00537-U","article-title":"Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. 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