---
title: "Biological surgical stress after minimally invasive lung resection for NSCLC: robotic versus thora"
id: "pubmed-42758414"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42758414"
content_type: "clinical_feed_article"
specialty: "Critical Care"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42758414/"
doi: "10.1007/s11701-026-03955-9"
published_at: "2026-09-18T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Biological surgical stress after minimally invasive lung resection for NSCLC: robotic versus thora
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42758414
- **Specialty:** [Critical Care](https://medichelpline.com/clinical-feed/critical-care.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42758414/)
- **DOI:** [10.1007/s11701-026-03955-9](https://doi.org/10.1007%2Fs11701-026-03955-9)
- **Published At:** 2026-09-18T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This is a comparative study titled “Biological surgical stress after minimally invasive lung resection for non-small cell lung cancer: comparing robotic and thoracoscopic surgical platforms” published in J Robot Surg (2026 Sep 18). - The article compares biological surgical stress in patients undergoing **minimally invasive lung resection** for **non-small cell lung cancer** using **robotic** and **thoracoscopic** platforms. - The study is listed as a Comparative Study; PMID 42758414 and DOI 10.1007/s11701-026-03955-9. - Authors include Fernanda Mosquera and Anna Ureña (noted as contributing equally), plus multiple coauthors affiliated with Hospital Clinic, Barcelona; University of Barcelona; and IDIBAPS. - The PubMed record supplies bibliographic metadata (journal, date, volume/issue, DOI, PMID) and full author list with affiliations, but the abstract text, methods, results, and numeric outcomes are not present in the supplied source material. - Critical study details — including study design specifics, sample size, inclusion/exclusion criteria, perioperative protocols, which biomarkers or assays were used to quantify **biological surgical stress**, statistical analyses, and the study’s primary and secondary endpoints — were not reported in the provided PubMed page content. - The PubMed entry does not include the reported results, effect sizes, p-values, or clinical interpretation of differences between **robotic** and **thoracoscopic** approaches. - For clinical appraisal or application, the full-text article should be consulted to obtain methods, results, discussion, and conclusions; these elements were not available in the provided source extract. - Conflict of interest, funding sources, and detailed references are not available in the supplied excerpt and must be reviewed in the complete publication.
## Clinical Analysis & Structured Key Points
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](https://pubmed.ncbi.nlm.nih.gov/42758414/#abstract) * [ Conflict of interest statement ](https://pubmed.ncbi.nlm.nih.gov/42758414/#conflict-of-interest) * [ References ](https://pubmed.ncbi.nlm.nih.gov/42758414/#references) * [ Publication types ](https://pubmed.ncbi.nlm.nih.gov/42758414/#publication-types) * [ MeSH terms ](https://pubmed.ncbi.nlm.nih.gov/42758414/#mesh-terms) * [ Substances ](https://pubmed.ncbi.nlm.nih.gov/42758414/#substances) Title & authors Abstract Conflict of interest statement References Publication types MeSH terms Substances Comparative Study J Robot Surg Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22J+Robot+Surg%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J+Robot+Surg%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42758414/) . 2026 Sep 18;20(1):1003. doi: 10.1007/s11701-026-03955-9. # Biological surgical stress after minimally invasive lung resection for non-small cell lung cancer: comparing robotic and thoracoscopic surgical platforms [Fernanda Mosquera](https://pubmed.ncbi.nlm.nih.gov/?term=Mosquera+F&cauthor_id=42758414)[#](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Anna Ureña](https://pubmed.ncbi.nlm.nih.gov/?term=Ure%C3%B1a+A&cauthor_id=42758414)[#](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Gerard Munné](https://pubmed.ncbi.nlm.nih.gov/?term=Munn%C3%A9+G&cauthor_id=42758414)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Marc Boada](https://pubmed.ncbi.nlm.nih.gov/?term=Boada+M&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Irene Botias](https://pubmed.ncbi.nlm.nih.gov/?term=Botias+I&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Xavier Michavila](https://pubmed.ncbi.nlm.nih.gov/?term=Michavila+X&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Angela Guirao](https://pubmed.ncbi.nlm.nih.gov/?term=Guirao+A&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Rudith Guzman](https://pubmed.ncbi.nlm.nih.gov/?term=Guzman+R&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Laureano Molins](https://pubmed.ncbi.nlm.nih.gov/?term=Molins+L&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Andrea Calderon](https://pubmed.ncbi.nlm.nih.gov/?term=Calderon+A&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain."), [Nestor Quiroga](https://pubmed.ncbi.nlm.nih.gov/?term=Quiroga+N&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Camilo Moreno](https://pubmed.ncbi.nlm.nih.gov/?term=Moreno+C&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Maria Jose Arguis](https://pubmed.ncbi.nlm.nih.gov/?term=Arguis+MJ&cauthor_id=42758414)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain.")[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-5 "Anesthesia Department, Hospital Clinic, Barcelona, 08036, Spain."), [Ricard Navarro](https://pubmed.ncbi.nlm.nih.gov/?term=Navarro+R&cauthor_id=42758414)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain.")[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-5 "Anesthesia Department, Hospital Clinic, Barcelona, 08036, Spain."), [Ricard Ramos](https://pubmed.ncbi.nlm.nih.gov/?term=Ramos+R&cauthor_id=42758414)[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-6 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain. rramosi@clinic.cat.")[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-7 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain. rramosi@clinic.cat.")[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#full-view-affiliation-8 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain. rramosi@clinic.cat.") Affiliations Expand ### Affiliations * 1 Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain. * 2 Faculty of Medicine and Health Sciences, University of Barcelona (UB), Barcelona, 08036, Spain. * 3 Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona (UB), Barcelona, 08036, Spain. * 4 Institut d´Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, 08036, Spain. * 5 Anesthesia Department, Hospital Clinic, Barcelona, 08036, Spain. * 6 Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain. rramosi@clinic.cat. * 7 Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona (UB), Barcelona, 08036, Spain. rramosi@clinic.cat. * 8 Institut d´Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, 08036, Spain. rramosi@clinic.cat. # Contributed equally. * PMID: **42758414** * DOI: [ 10.1007/s11701-026-03955-9 ](https://doi.org/10.1007/s11701-026-03955-9) Item in Clipboard Comparative Study # Biological surgical stress after minimally invasive lung resection for non-small cell lung cancer: comparing robotic and thoracoscopic surgical platforms Fernanda Mosquera et al. J Robot Surg. 2026. Show details Display options Display options Format Abstract PubMed PMID J Robot Surg Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22J+Robot+Surg%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J+Robot+Surg%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42758414/) . 2026 Sep 18;20(1):1003. doi: 10.1007/s11701-026-03955-9. ### Authors [Fernanda Mosquera](https://pubmed.ncbi.nlm.nih.gov/?term=Mosquera+F&cauthor_id=42758414)[#](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Anna Ureña](https://pubmed.ncbi.nlm.nih.gov/?term=Ure%C3%B1a+A&cauthor_id=42758414)[#](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Gerard Munné](https://pubmed.ncbi.nlm.nih.gov/?term=Munn%C3%A9+G&cauthor_id=42758414)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Marc Boada](https://pubmed.ncbi.nlm.nih.gov/?term=Boada+M&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Irene Botias](https://pubmed.ncbi.nlm.nih.gov/?term=Botias+I&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Xavier Michavila](https://pubmed.ncbi.nlm.nih.gov/?term=Michavila+X&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain."), [Angela Guirao](https://pubmed.ncbi.nlm.nih.gov/?term=Guirao+A&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-3 "Faculty of Medicine and Health Sciences, Department of Surgery and Medical Specializations, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Rudith Guzman](https://pubmed.ncbi.nlm.nih.gov/?term=Guzman+R&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-2 "Faculty of Medicine and Health Sciences, University of Barcelona \(UB\), Barcelona, 08036, Spain.")[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-4 "Institut d´Investigacions Biomèdiques August Pi i Sunyer \(IDIBAPS\), Barcelona, 08036, Spain."), [Laureano Molins](https://pubmed.ncbi.nlm.nih.gov/?term=Molins+L&cauthor_id=42758414)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-1 "Thoracic Surgery Department, Hospital Clinic, Barcelona, 08036, Spain.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42758414/#short-view-affiliation-3 "Faculty of Medi
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