Pure Robot‐Assisted Uniportal Anatomical Lung Resection for Non‐Small Cell Lung Cancer: Technical Aspects and Early Outcomes

Objective: Minimally invasive anatomic lung resections are the standard for early non-small-cell lung cancer, and the robotic approach has gained popularity and the latest frontier is the uniportal robotic (uRATS) approach. The goal of our study is to share our series showing technical details, feasibility and early outcomes. Methods: From December 2024, we started the uRATS programme for selected patients. Continuous and dichotomous variables were recorded about surgery and the perioperative period. Non-parametric tests were used to compare the data between uRATS and contemporary patients treated with robotic multiport RATS. Results: In 4 months we performed two segmentectomies and five Lobectomy through uRATS, while one patient was converted due to incomplete fissure. No severe perioperative complications occurred and in the comparison with the multiport approach, no significant differences in operative time, conversions and complications were observed. Conclusions: The Uniportal RATS approach was safe and feasible with adequate surgical and oncologic post-operative results.