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mdpi.com

Explore Book/Chapter Submission at MDPI Books: Learn where and how to submit a manuscript. Understand the necessary information for a smooth submission process.

researchgate.net

Access 160+ million publication pages and connect with 25+ million researchers. Join for free and gain visibility by uploading your research.

adscientificindex.com

Highlighting top researchers with the highest citation impact globally. Discover citation-based rankings by AD Scientific Index.

preprints.org

Background: Recent trials, including JCOG0802/WJOG4607L and CALGB140503, con-firmed the oncological adequacy of segmentectomy for early-stage non-small cell lung cancer (NSCLC). This shift emphasizes the preservation of pulmonary function and minimal invasiveness. Robot-assisted thoracic surgery (RATS) offers enhanced anatomi-cal precision and potentially improves segmentectomy outcomes. Methods: We reviewed the current evidence comparing sublobar resection and lobectomy for early-stage NSCLC, focusing on RATS segmentectomy. Clinical trials, perioperative and long-term outcomes, technical innovations, and patient selection criteria were analyzed. Comparative data among RATS, video-assisted thoracoscopic surgery (VATS), and open approaches were synthesized, including the emerging roles of AI and 3D imaging. Results: Segmentectomy yields survival outcomes equivalent or superior to lobectomy for stage IA peripheral NSCLC ≤2 cm, with better pulmonary function despite higher locoregional recurrence. RATS enhances visualization, dexterity, and ergonomics, thereby enabling precise dissec-tion and lymph node assessment. Compared to VATS and open surgery, RATS shows lower conversion rates, reduced pain, and comparable oncological control. Innovations, such as indocyanine green imaging, 3D modeling, and AI-guided navigation, support margin accuracy and personalized care. Conclusions: Segmentectomy has redefined the surgical standards for early-stage NSCLC. RATS maximizes the minimally invasive bene-fits by combining oncological safety and functional preservation. Its technical precision facilitates complex resections and integration with digital planning tools to advance per-sonalized thoracic surgery. RATS represents the next evolution of minimally invasive thoracic surgery, redefining the balance between oncological safety and functional preservation in early-stage NSCLC.

science.org

science/aaas peer-reviewed journals deliver impactful research, daily news, expert commentary, and career resources.

hilarispublisher.com

Hilaris SRL is an independent, academic and scientific publisher keen in publishing research in all major scientific fields on open access platform

scilit.net

Explore a global search engine dedicated to scientific organizations and universities across the world. Streamline your research process with our user-friendly platform.

intechopen.com

intechopen is a leading global publisher of journals and books within the fields of science, technology and medicine. we are the preferred choice of over 60,000 authors worldwide.