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Updated: Aug 5, 2026
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Post-Operative Outcomes and Different Pain Trajectories Between Uniportal Thoracoscopic, Multiport Robot-Assisted and
Stefano Bongiolatti1, Lavinia Gatteschi1, Alessandro Gonfiotti1,2
1Thoracic Surgery Unit, Careggi University Hospital, Florence, Italy.
Objective:
Minimally invasive lung resections are the standard treatment of early stage non-small-cell lung cancer (NSCLC) and robot-assisted surgery has gained popularity. This study aims to compare the postoperative outcomes, pain scores and opioid consumption among three approaches: uniportal thoracoscopic (uVATS), multiport robot-assisted (mRATS) and uniportal robot-assisted (uRATS).
Methods:
We retrospectively analysed patients undergoing major lung resections for NSCLC via minimally invasive approaches by a single surgeon between 2021 2025.
Results:
In the study period, 109 uVATS, 40 mRATS and 19 uRATS surgeries were performed with similar outcomes, except for a longer operative time for uRATS procedures (p < 0.01). Pain scores were comparable, but the percentage of patients requiring morphine and the median total intravenous morphine equivalents were lower in the single-port techniques in comparison with mRATS (p < 0.01 and p = 0.046).
Conclusions:
Although post-operative pain was comparable across approaches, the uRATS technique seems associated with reduced opioid and morphine requirements.
