Robotic-assisted mediastinal lymphadenectomy in lung cancer: a narrative review
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111729" target="_blank" >RIV/00843989:_____/25:E0111729 - isvavai.cz</a>
Alternative codes found
RIV/61988987:17110/25:A2603D7M
Result on the web
<a href="https://link.springer.com/article/10.1007/s11701-025-02392-4" target="_blank" >https://link.springer.com/article/10.1007/s11701-025-02392-4</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s11701-025-02392-4" target="_blank" >10.1007/s11701-025-02392-4</a>
Alternative languages
Result language
angličtina
Original language name
Robotic-assisted mediastinal lymphadenectomy in lung cancer: a narrative review
Original language description
The objective of this study is to undertake a narrative review of the oncological adequacy of mediastinal lymphadenectomy performed via robot-assisted thoracic surgery (RATS) in comparison with video-assisted thoracic surgery (VATS) and thoracotomy for non-small cell lung cancer (NSCLC). The focus of the review is on lymph node yield, nodal station dissection, and nodal upstaging rates. A narrative review of literature published in the last decade was conducted using PubMed, Cochrane, and Web of Science databases. Studies examining mediastinal lymphadenectomy outcomes for RATS, VATS, or thoracotomy were included in the discussion. The analysis of 19 studies from diverse geographical regions showed that in six out of nine comparative studies, RATS demonstrated superior lymph node retrieval compared to VATS, with statistically significant differences. RATS achieved comparable or superior nodal station dissection rates and showed particular advantages in upstaging from clinical N0 to pathological N2 status. Additionally, RATS demonstrated favourable perioperative outcomes with reduced morbidity and mortality rates compared to conventional approaches. RATS represents a reliable and oncologically sound approach to mediastinal lymphadenectomy, with potential advantages over conventional techniques. Its enhanced visualization and precision make it an increasingly utilised option for NSCLC treatment in centres with robotic capabilities.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
—
Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal of robotic surgery
ISSN
1863-2483
e-ISSN
1863-2491
Volume of the periodical
19
Issue of the periodical within the volume
article 263
Country of publishing house
GB - UNITED KINGDOM
Number of pages
9
Pages from-to
1-9
UT code for WoS article
001502922900002
EID of the result in the Scopus database
2-s2.0-105007222403