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<PubmedArticle><MedlineCitation Status="MEDLINE" Owner="NLM" IndexingMethod="Automated"><PMID Version="1">35842254</PMID><DateCompleted><Year>2022</Year><Month>07</Month><Day>19</Day></DateCompleted><DateRevised><Year>2022</Year><Month>07</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2173-5077</ISSN><JournalIssue CitedMedium="Internet"><Volume>100</Volume><Issue>8</Issue><PubDate><Year>2022</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Cirugia espanola</Title><ISOAbbreviation>Cir Esp (Engl Ed)</ISOAbbreviation></Journal><ArticleTitle>Similar outcomes after newly implemented rats approach compared to standard vats for anatomical lung resection. A propensity-score matched analysis.</ArticleTitle><Pagination><StartPage>504</StartPage><EndPage>510</EndPage><MedlinePgn>504-510</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.cireng.2022.06.032</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S2173-5077(22)00212-5</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Outcomes after the introduction of surgical innovations can be impaired by learning periods. The aim of this study is to compare the short-term outcomes of a recently implemented RATS approach to a standard VATS program for anatomical lung resections.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective review of consecutive patients undergoing pulmonary anatomical resection through a minimally invasive approach since RATS approach was applied in our department (June 01, 2018, to November 30, 2019). Propensity score matching was performed according to patients' age, gender, ppoFEV1, cardiac comorbidity, type of malignancy, and type of resection. Outcome evaluation includes: overall morbidity, significant complications (cardiac arrhythmia, pneumonia, prolonged air leak, and reoperation), 30-day mortality, and length of hospital stay. Data were compared by two-sided chi-square or Fisher's exact test for categorical and Mann-Whitney U test for continuous variables.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 273 patients (206 VATS, 67 RATS) were included in the study. After propensity score matching, data of 132 patients were analyzed. The thirty-days mortality was nil. Overall morbidity (RATS: 22.4%, VATS: 29.2%; p=0.369), major complications (RATS: 9% vs VATS: 9.2%; p=0.956) and the rates of specific major complications (cardiac arrhythmia RATS: 4.5%, VATS: 4.6%, p=1; pneumonia RATS:0%, VATS:4.6%, p=0.117; prolonged air leak RATS: 7.5%; VATS: 4.6%, p=0.718) and reoperation (RATS: 3%, VATS: 1.5%, p=1) were comparable between both groups. The median length of stay was 3 days in both groups (p=0.101).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A RATS program for anatomical lung resection can be implemented safely by experienced VATS surgeons without increasing morbidity rates.</AbstractText><CopyrightInformation>Copyright &#xa9; 2022. Published by Elsevier Espa&#xf1;a, S.L.U.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>G&#xf3;mez-Hern&#xe1;ndez</LastName><ForeName>Mar&#xed;a Teresa</ForeName><Initials>MT</Initials><AffiliationInfo><Affiliation>Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, Spain. Electronic address: mtgh@usal.es.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fuentes</LastName><ForeName>Marta G</ForeName><Initials>MG</Initials><AffiliationInfo><Affiliation>Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Novoa</LastName><ForeName>Nuria M</ForeName><Initials>NM</Initials><AffiliationInfo><Affiliation>Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodr&#xed;guez</LastName><ForeName>Israel</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Varela</LastName><ForeName>Gonzalo</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Salamanca Institute of Biomedical Research, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jim&#xe9;nez</LastName><ForeName>Marcelo F</ForeName><Initials>MF</Initials><AffiliationInfo><Affiliation>Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, Spain; Salamanca Institute of Biomedical Research, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Cir Esp (Engl Ed)</MedlineTA><NlmUniqueID>101771152</NlmUniqueID><ISSNLinking>2173-5077</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008168" MajorTopicYN="N">Lung</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008175" MajorTopicYN="Y">Lung Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011013" MajorTopicYN="N">Pneumonectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057216" MajorTopicYN="N">Propensity Score</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020775" MajorTopicYN="Y">Thoracic Surgery, Video-Assisted</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Complicaciones postoperatorias</Keyword><Keyword MajorTopicYN="N">Lobectom&#xed;a VATS</Keyword><Keyword MajorTopicYN="N">Lobectom&#xed;a rob&#xf3;tica</Keyword><Keyword MajorTopicYN="N">Lung resection</Keyword><Keyword MajorTopicYN="N">Postoperative complication</Keyword><Keyword MajorTopicYN="N">Resecci&#xf3;n pulmonar</Keyword><Keyword MajorTopicYN="N">Robotic lobectomy</Keyword><Keyword MajorTopicYN="N">VATS lobectomy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>8</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2021</Year><Month>4</Month><Day>6</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2022</Year><Month>7</Month><Day>16</Day><Hour>21</Hour><Minute>4</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2022</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2022</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">35842254</ArticleId><ArticleId IdType="doi">10.1016/j.cireng.2022.06.032</ArticleId><ArticleId IdType="pii">S2173-5077(22)00212-5</ArticleId></ArticleIdList></PubmedData></PubmedArticle></PubmedArticleSet>trying2...<BR>trying...<BR><?xml version="1.0" encoding="UTF-8" ?>
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               <h2><a href="https://www.litmetric.com/detail/35842254/Similar-outcomes-after-newly-implemented-rats-approach-compared-to-standard-vats-for-anatomical-lung" >Similar outcomes after newly implemented rats approach compared to standard vats for anatomical lung resection. A propensity-score matched analysis.</a></h2>
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                <div class="publication-auther"><a href="https://www.litmetric.com/author/Maria+Teresa+Gomez-Hernandez" class="tag" style="margin-bottom: 5px;">María Teresa Gómez-Hernández</a> <a href="https://www.litmetric.com/author/Marta+G+Fuentes" class="tag" style="margin-bottom: 5px;">Marta G Fuentes</a> <a href="https://www.litmetric.com/author/Nuria+M+Novoa" class="tag" style="margin-bottom: 5px;">Nuria M Novoa</a> <a href="https://www.litmetric.com/author/Israel+Rodriguez" class="tag" style="margin-bottom: 5px;">Israel Rodríguez</a> <a href="https://www.litmetric.com/author/Gonzalo+Varela" class="tag" style="margin-bottom: 5px;">Gonzalo Varela</a> <a href="https://www.litmetric.com/author/Marcelo+F+Jimenez" class="tag" style="margin-bottom: 5px;">Marcelo F Jiménez</a></div>                   
                    <p class="mb-0 dark-color fz15 fw500 list-inline-item ml15 mb5-sm ml0-xs"><i class="flaticon-contract vam fz20 me-2"></i> Cir Esp (Engl Ed)</p>
              
                   <p class="mb-0 dark-color fz15 fw500 list-inline-item mr15  mb5-sm ml0-xs"><i class="flaticon-place text-thm2 vam fz20 me-2"></i> Service of Thoracic Surgery, Salamanca University Hospital, Salamanca, <a href='https://www.litmetric.com/search/Spain%3B+Salamanca+Institute+of+Biomedical+Research%5BAffiliation%5D' style='text-decoration: underline'>Spain; Salamanca Institute of Biomedical Research</a>, Spain.</p>
                    
                     
                   <p class="mb-0 dark-color fz15 fw500 list-inline-item ml15 mb5-sm ml0-xs"><i class="flaticon-calendar vam fz20 me-2"></i> Published: August 2022</p>
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                   <p class="text mb30"><p class="text mt10"><em>Introduction</em>: Outcomes after the introduction of surgical innovations can be impaired by learning periods. The aim of this study is to compare the short-term outcomes of a recently implemented RATS approach to a standard VATS program for anatomical lung resections.<BR><BR><em>Methods</em>: Retrospective review of consecutive patients undergoing pulmonary anatomical resection through a minimally invasive approach since RATS approach was applied in our department (June 01, 2018, to November 30, 2019). Propensity score matching was performed according to patients' age, gender, ppoFEV1, cardiac comorbidity, type of malignancy, and type of resection. Outcome evaluation includes: overall morbidity, significant complications (cardiac arrhythmia, pneumonia, prolonged air leak, and reoperation), 30-day mortality, and length of hospital stay. Data were compared by two-sided chi-square or Fisher's exact test for categorical and Mann-Whitney U test for continuous variables.<BR><BR><em>Results</em>: A total of 273 patients (206 VATS, 67 RATS) were included in the study. After propensity score matching, data of 132 patients were analyzed. The thirty-days mortality was nil. Overall morbidity (RATS: 22.4%, VATS: 29.2%; p=0.369), major complications (RATS: 9% vs VATS: 9.2%; p=0.956) and the rates of specific major complications (cardiac arrhythmia RATS: 4.5%, VATS: 4.6%, p=1; pneumonia RATS:0%, VATS:4.6%, p=0.117; prolonged air leak RATS: 7.5%; VATS: 4.6%, p=0.718) and reoperation (RATS: 3%, VATS: 1.5%, p=1) were comparable between both groups. The median length of stay was 3 days in both groups (p=0.101).<BR><BR><em>Conclusions</em>: A RATS program for anatomical lung resection can be implemented safely by experienced VATS surgeons without increasing morbidity rates.</p><table class="table table-bordered table-striped downloadTable" >
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						<tbody><tr><td><i class='icon-doc'></i><a href='http://dx.doi.org/10.1016/j.cireng.2022.06.032'  rel='nofollow' target='_blank' onClick='ga("send", "event", "fulltextclick_DOI Listing", "click", "article");' style='text-decoration:underline;' class='clickTrack' data-ref='fulltext-35842254-n' >http://dx.doi.org/10.1016/j.cireng.2022.06.032</a></td><td>DOI Listing</td></tr></tbody></table><div class="publication-dtl-rgt fr"><div class="publication-social"><a href="https://www.facebook.com/sharer/sharer.php?u=https://www.litmetric.com/detail/35842254" target="_blank" onClick='ga("send", "event", "facebook", "share", "article");' title="" class="fb socialShare" id="fb-a-35842254"><i class="icon-facebook"></i></a> 
                    
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					 <a  href="http://www.linkedin.com/shareArticle?mini=true&amp;url=https://www.litmetric.com/detail/35842254&amp;title=Similar+outcomes+after+newly+implemented+rats+approach+compared+to+standard+vats+for+anatomical+lung+resection.+A+propensity-score+matched+analysis.&amp;summary=Article+Summary+on+PubFacts.com"  target="_blank" onClick='ga("send", "event", "linkedin", "share", "article");' title="" class="in socialShare" id="in-a-35842254"><i class="icon-linkedin"></i></a></div><div class="row" ><div class="pubfacts-artical-heading right-head" style="margin-bottom:30px; margin-top:30px; " >
      <h2 style="padding-bottom:5px">Publication Analysis</h2>
    </div> <div class="col-md-12"> <h4>Top Keywords</h4> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">rats approach</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 100%;" role="progressbar" aria-valuenow="100" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">12</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">anatomical lung</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 100%;" role="progressbar" aria-valuenow="100" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">12</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">rats</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 84%;" role="progressbar" aria-valuenow="84" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">10</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">vats</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 75%;" role="progressbar" aria-valuenow="75" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">9</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">implemented rats</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 67%;" role="progressbar" aria-valuenow="67" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">8</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">standard vats</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 67%;" role="progressbar" aria-valuenow="67" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">8</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">lung resection</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 67%;" role="progressbar" aria-valuenow="67" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">8</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">program anatomical</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 67%;" role="progressbar" aria-valuenow="67" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">8</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">propensity score</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 67%;" role="progressbar" aria-valuenow="67" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">8</div>
										   </div> <div class="review-list d-flex align-items-center mb10">
										  <div class="list-number">score matching</div>
										   <div class="progress">
											   <div class="progress-bar" style="width: 67%;" role="progressbar" aria-valuenow="67" aria-valuemin="0" aria-valuemax="100"></div>
										   </div>
										   <div class="value text-end">8</div>
										   </div></div></div></div></div></p>
                     
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