{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:18Z","timestamp":1786649298775,"version":"build-2736575974"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>To evaluate the perioperative outcomes of hybrid multi-arm robotic-assisted uniportal thoracoscopic surgery (H-URATS) using a laparoscopic stapling device, assess the safety and feasibility of the procedure, and summarize the surgical experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>The Department of Thoracic Surgery at Xinjiang Tumor Hospital has performed over 100 H-URATS procedures using endoscopic staplers and the robotic surgery platform. We collected the clinical data and perioperative outcomes from patients undergoing Uniportal Video-assisted Thoracoscopic Surgery (UVATS) and H-URATS between January 2023 and August 2024. Propensity score matching (PSM) was conducted based on clinical characteristics and perioperative outcomes were compared between the two groups after matching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 395 patients were included, with 109 in the H-URATS group and 286 in the UVATS group. After PSM, each group consisted of 92 patients. There were no significant differences between the H-URATS and UVATS groups in terms of chest drainage duration, postoperative hospital stay, conversion to thoracotomy rate, intensive care unit admission rate, postoperative complication rate, postoperative pathological types, or tumor TNM staging (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). The H-URATS group had less intraoperative blood loss compared to the UVATS group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and more lymph nodes (LNs) and LN stations were dissected in the H-URATS group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>In terms of short-term results, our study confirms the safety and feasibility of H-URATS as a new minimally invasive technique. It combines the advantages of uniportal thoracoscopy and robotic surgery systems and demonstrates potential benefits in oncological outcomes and complex procedures such as segmentectomies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/atm.atm_236_24","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T11:01:25Z","timestamp":1743418885000},"page":"125-133","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of perioperative outcomes between hybrid uniportal robotic-assisted and uniportal video-assisted thoracoscopic surgery \u2013 A propensity score matching analysis"],"prefix":"10.4103","volume":"20","author":[{"given":"Jun","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery II, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China"},{"name":"Department of Thoracic Surgery, People\u2019s Hospital of Bayin Guoleng Mongol Autonomous Prefecture, Korla, Xinjiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunfei","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery II, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueying","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery II, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianhu","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery II, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaogang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, People\u2019s Hospital of Bayin Guoleng Mongol Autonomous Prefecture, Korla, Xinjiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongbo","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery II, Xinjiang Medical University Affiliated Tumor Hospital, Urumqi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,31]]},"reference":[{"key":"R1-20250331","first-page":"135","article-title":"Current role of uniportal video-assisted thoracic surgery for lung cancer treatment","volume":"6","author":"Maqueda","year":"2020","journal-title":"J Clin Transl Res"},{"key":"R2-20250331","doi-asserted-by":"crossref","first-page":"102707","DOI":"10.1016\/j.eclinm.2024.102707","article-title":"Robotic-assisted versus video-assisted lobectomy for resectable non-small-cell lung cancer:The RVlob randomized controlled trial","volume":"74","author":"Niu","year":"2024","journal-title":"EClinicalMedicine"},{"issue":"Suppl 2","key":"R3-20250331","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/resp.13920","article-title":"Video-assisted thoracoscopic surgery as the gold standard for lung cancer surgery","volume":"25","author":"Sihoe","year":"2020","journal-title":"Respirology"},{"key":"R4-20250331","doi-asserted-by":"crossref","first-page":"82","DOI":"10.21037\/acs-2022-urats-11","article-title":"Transition from multiportal video-assisted thoracic surgery to uniportal video-assisted thoracic surgery and evolution to uniportal robotic-assisted thoracic surgery?","volume":"12","author":"Sihoe","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R5-20250331","doi-asserted-by":"crossref","first-page":"46","DOI":"10.21037\/acs-2022-urats-16","article-title":"The future of the uniportal approach","volume":"12","author":"Siu","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R6-20250331","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1510\/icvts.2011.274746","article-title":"Single-port video-assisted thoracoscopic left upper lobectomy","volume":"13","author":"Gonzalez-Rivas","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"R7-20250331","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.jtcvs.2011.07.049","article-title":"Single-incision video-assisted thoracoscopic lobectomy:Initial results","volume":"143","author":"Gonzalez-Rivas","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R8-20250331","doi-asserted-by":"crossref","first-page":"2872","DOI":"10.21037\/jtd.2016.10.27","article-title":"Single-port video-assisted thoracic surgery in the treatment of non-small cell lung cancer:A propensity-matched comparative analysis","volume":"8","author":"Dai","year":"2016","journal-title":"J Thorac Dis"},{"key":"R9-20250331","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1093\/icvts\/ivt441","article-title":"Left lower sleeve lobectomy by uniportal video-assisted thoracoscopic approach","volume":"18","author":"Gonzalez-Rivas","year":"2014","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"R10-20250331","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1016\/j.jtcvs.2013.02.052","article-title":"Uniportal video-assisted thoracoscopic bronchial sleeve lobectomy:First report","volume":"145","author":"Gonzalez-Rivas","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R11-20250331","doi-asserted-by":"crossref","first-page":"2763","DOI":"10.21037\/jtd.2019.07.12","article-title":"Comparison of the perioperative efficacy between single-port and two-port video-assisted thoracoscopic surgery anatomical lung resection for non-small cell lung cancer:A systematic review and meta-analysis","volume":"11","author":"Yang","year":"2019","journal-title":"J Thorac Dis"},{"key":"R12-20250331","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1097\/SLA.0000000000004922","article-title":"Robotic-assisted versus video-assisted thoracoscopic lobectomy:Short-term results of a randomized clinical trial (RVlob Trial)","volume":"275","author":"Jin","year":"2022","journal-title":"Ann Surg"},{"key":"R13-20250331","doi-asserted-by":"crossref","first-page":"e2580","DOI":"10.1002\/rcs.2580","article-title":"Uniportal robotic assisted surgery for anatomical lung resection-first German experience","volume":"20","author":"Stamenovic","year":"2023","journal-title":"Int J Med Robot"},{"key":"R14-20250331","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1097\/SLA.0000000000005115","article-title":"Pulmonary open, robotic, and thoracoscopic lobectomy (PORTaL) study:An analysis of 5721 cases","volume":"277","author":"Kent","year":"2023","journal-title":"Ann Surg"},{"key":"R15-20250331","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1097\/SLA.0000000000005820","article-title":"Pulmonary open, robotic, and thoracoscopic lobectomy (PORTaL) study:Survival analysis of 6646 cases","volume":"277","author":"Kent","year":"2023","journal-title":"Ann Surg"},{"key":"R16-20250331","doi-asserted-by":"crossref","first-page":"142","DOI":"10.21037\/acs-2022-urats-26","article-title":"Uniportal robotic-assisted thoracoscopic surgery right upper lobectomy for aspergilloma","volume":"12","author":"Gonzalez-Rivas","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R17-20250331","doi-asserted-by":"crossref","first-page":"144","DOI":"10.21037\/acs-2023-urats-36","article-title":"Uniportal fully robotic-assisted bronchovascular sleeve bilobectomy","volume":"12","author":"Gonzalez-Rivas","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R18-20250331","doi-asserted-by":"crossref","first-page":"130","DOI":"10.21037\/acs-2022-urats-86","article-title":"Uniportal robotic-assisted thoracic surgery lung-sparing carinal sleeve resection and reconstruction","volume":"12","author":"Gonzalez-Rivas","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R19-20250331","doi-asserted-by":"crossref","first-page":"136","DOI":"10.21037\/acs-2023-urats-35","article-title":"Uniportal hybrid robotic-assisted right upper sleeve lobectomy in an 83-year-old patient with severe pulmonary hypertension","volume":"12","author":"Gonzalez-Rivas","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R20-20250331","doi-asserted-by":"crossref","first-page":"362","DOI":"10.21037\/atm-22-1866","article-title":"Uniportal pure robotic-assisted thoracic surgery-technical aspects, tips and tricks","volume":"11","author":"Gonzalez-Rivas","year":"2023","journal-title":"Ann Transl Med"},{"key":"R21-20250331","doi-asserted-by":"crossref","first-page":"133","DOI":"10.21037\/acs-2022-urats-25","article-title":"Uniportal robotic-assisted thoracic surgery anatomic segmentectomies","volume":"12","author":"Motas","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R22-20250331","doi-asserted-by":"crossref","first-page":"52","DOI":"10.21037\/acs-2022-urats-29","article-title":"Uniportal fully robotic-assisted major pulmonary resections","volume":"12","author":"Gonzalez-Rivas","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R23-20250331","doi-asserted-by":"crossref","first-page":"ezac410","DOI":"10.1093\/ejcts\/ezac410","article-title":"Uniportal robotic-assisted thoracic surgery for lung resections","volume":"62","author":"Gonzalez-Rivas","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"R24-20250331","doi-asserted-by":"crossref","first-page":"34","DOI":"10.21037\/acs-2022-urats-140","article-title":"Hybrid uniportal robotic-assisted thoracoscopic surgery using video-assisted thoracoscopic surgery staplers:Technical aspects and results","volume":"12","author":"Haoran","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R25-20250331","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.21037\/tlcr-21-207","article-title":"A uniportal right upper lobectomy by three-arm robotic-assisted thoracoscopic surgery using the da Vinci (Xi) surgical system in the treatment of early-stage lung cancer","volume":"10","author":"Yang","year":"2021","journal-title":"Transl Lung Cancer Res"},{"key":"R26-20250331","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1053\/j.semtcvs.2019.05.021","article-title":"Outcomes of uniportal versus multiportal video-assisted thoracoscopic lobectomy","volume":"32","author":"Bourdages-Pageau","year":"2020","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"R27-20250331","doi-asserted-by":"crossref","first-page":"10235","DOI":"10.1007\/s00432-023-04920-x","article-title":"Clinical applications of minimally invasive uniportal video-assisted thoracic surgery","volume":"149","author":"Wang","year":"2023","journal-title":"J Cancer Res Clin Oncol"},{"key":"R28-20250331","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s00408-020-00411-9","article-title":"Uniportal versus multiportal video-assisted thoracoscopic lobectomy for lung cancer:An updated meta-analysis","volume":"199","author":"Magouliotis","year":"2021","journal-title":"Lung"},{"key":"R29-20250331","doi-asserted-by":"crossref","first-page":"840070","DOI":"10.3389\/fsurg.2022.840070","article-title":"Surgical effectiveness of uniportal-VATS lobectomy compared to open surgery in early-stage lung cancer","volume":"9","author":"Nachira","year":"2022","journal-title":"Front Surg"},{"key":"R30-20250331","doi-asserted-by":"crossref","first-page":"5316","DOI":"10.1038\/s41598-024-55737-8","article-title":"Long-term outcome of uniport versus multiport video-assisted thoracoscopic lobectomy for lung cancer","volume":"14","author":"Ruan","year":"2024","journal-title":"Sci Rep"},{"key":"R31-20250331","doi-asserted-by":"crossref","first-page":"9208","DOI":"10.1007\/s00464-023-10476-1","article-title":"Radicality and safety of mediastinal lymphadenectomy in lung resection:A comparative analysis of uniportal thoracoscopic, multiportal thoracoscopic, and thoracotomy approaches","volume":"37","author":"Tulinsk\u00fd","year":"2023","journal-title":"Surg Endosc"},{"key":"R32-20250331","doi-asserted-by":"crossref","first-page":"e0261767","DOI":"10.1371\/journal.pone.0261767","article-title":"RAVAL trial:Protocol of an international, multi-centered, blinded, randomized controlled trial comparing robotic-assisted versus video-assisted lobectomy for early-stage lung cancer","volume":"17","author":"Patel","year":"2022","journal-title":"PLoS One"},{"key":"R33-20250331","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1093\/icvts\/ivab112","article-title":"Comparison between robot-assisted thoracoscopic surgery and video-assisted thoracoscopic surgery for mediastinal and hilar lymph node dissection in lung cancer surgery","volume":"33","author":"Haruki","year":"2021","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"R34-20250331","doi-asserted-by":"crossref","first-page":"3442","DOI":"10.3390\/cancers15133442","article-title":"Acomparison of total thoracoscopic and robotic surgery for lung cancer lymphadenectomy","volume":"15","author":"Ure\u00f1a","year":"2023","journal-title":"Cancers (Basel)"},{"key":"R35-20250331","doi-asserted-by":"crossref","first-page":"70","DOI":"10.21037\/jtd.2020.01.22","article-title":"Why comprehensive adoption of robotic assisted thoracic surgery is ideal for both simple and complex lung resections","volume":"12","author":"Mazzei","year":"2020","journal-title":"J Thorac Dis"},{"key":"R36-20250331","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s12957-017-1168-6","article-title":"Feasibility and safety of robot-assisted thoracic surgery for lung lobectomy in patients with non-small cell lung cancer:A systematic review and meta-analysis","volume":"15","author":"Wei","year":"2017","journal-title":"World J Surg Oncol"},{"key":"R37-20250331","doi-asserted-by":"crossref","first-page":"2757","DOI":"10.1245\/s10434-023-13179-y","article-title":"Comparison of short-term outcomes between robot-assisted and video-assisted segmentectomy for small pulmonary nodules:A propensity score-matching study","volume":"30","author":"Yang","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"R38-20250331","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.athoracsur.2019.03.032","article-title":"Technique, outcomes with navigational bronchoscopy using indocyanine green for robotic segmentectomy","volume":"108","author":"Geraci","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"R39-20250331","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1007\/s11701-023-01639-2","article-title":"Robot-assisted segmentectomy with improved modified inflation-deflation combined with the intravenous indocyanine green method","volume":"17","author":"Hao","year":"2023","journal-title":"J Robot Surg"},{"key":"R40-20250331","doi-asserted-by":"crossref","first-page":"96","DOI":"10.21037\/acs-2022-urats-34","article-title":"The transition to uniportal robotic surgery in the second decade of uniportal surgery","volume":"12","author":"Ismail","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R41-20250331","doi-asserted-by":"crossref","first-page":"117","DOI":"10.21037\/acs-2022-urats-18","article-title":"Short-term outcomes of uniportal robotic-assisted thoracic surgery anatomic pulmonary resections:Experience of shanghai pulmonary hospital","volume":"12","author":"Ning","year":"2023","journal-title":"Ann Cardiothorac Surg"},{"key":"R42-20250331","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.athoracsur.2019.03.051","article-title":"Robotic-assisted lobectomy for non-small cell lung cancer:A comprehensive institutional experience","volume":"108","author":"Nelson","year":"2019","journal-title":"Ann Thorac Surg"}],"container-title":["Annals of Thoracic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/atm.atm_236_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:02Z","timestamp":1786647122000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/atm.atm_236_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,31]]},"references-count":42,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/atm.atm_236_24","relation":{},"ISSN":["1817-1737","1998-3557"],"issn-type":[{"value":"1817-1737","type":"print"},{"value":"1998-3557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,31]]},"assertion":[{"value":"2024-10-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}