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34 Results Found

  • Article
  • Open Access
6 Citations
1,719 Views
11 Pages

29 December 2023

Background: The aim of this retrospective study was to compare the learning curve and perioperative outcomes between the two approaches uVATS and RATS during their implementation periods. Methods: The uVATS group included 77 consecutive uVATS segment...

  • Article
  • Open Access
3,013 Views
11 Pages

Uniportal VATS Treatment of Giant Bullous Emphysema: Is It Safe and Effective?

  • Antonio Giulio Napolitano,
  • Khrystyna Kuzmych,
  • Claudia Bellettati,
  • Giuseppe Calabrese,
  • Adriana Nocera,
  • Maria Letizia Vita,
  • Mahmoud Ismail,
  • Maria Teresa Congedo,
  • Elisa Meacci and
  • Dania Nachira
  • + 1 author

Background: Emphysema is a chronic lung disease characterized by alveolar wall destruction, leading to impaired gas exchange. Giant bullous emphysema (GBE) is a severe form of emphysema, often requiring surgical intervention. Video-assisted thoracosc...

  • Article
  • Open Access
1,134 Views
10 Pages

Does the Use of Oral Nutritional Supplements Influence the Rate of Postoperative Complications After Uniportal Video-Assisted Thoracoscopic Lung Resection?

  • Marco Andolfi,
  • Michela Tiberi,
  • Michele Salati,
  • Marina Taus,
  • Nadia Campelli,
  • Francesco Xiumè,
  • Alberto Roncon,
  • Gian Marco Guiducci,
  • Anna Chiara Nanto and
  • Majed Refai
  • + 2 authors

13 June 2025

Background: The positive effects of oral nutritional supplements (ONS) on postoperative outcomes have been well recognized in several previous studies. However, to date, little data has been available with respect to determining the best immune modul...

  • Review
  • Open Access
8 Citations
3,530 Views
17 Pages

Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques

  • Takuya Watanabe,
  • Masayuki Tanahashi,
  • Eriko Suzuki,
  • Naoko Yoshii,
  • Takuya Kohama,
  • Kensuke Iguchi and
  • Takumi Endo

26 June 2024

Twenty years have passed since uniportal video-assisted thoracoscopic surgery (VATS) was first reported. Several reports have already proven the minimal invasiveness of uniportal VATS. In addition, two large clinical trials recently demonstrated the...

  • Article
  • Open Access
8 Citations
2,729 Views
13 Pages

Are the Efficacy and Safety of Chest Tubes in Uniportal Video-Assisted Thoracic Surgery Related to the Level of Intercostal Space Insertion or to the Drain Type? A Prospective Multicenter Study

  • Dania Nachira,
  • Pietro Bertoglio,
  • Mahmoud Ismail,
  • Antonio Giulio Napolitano,
  • Giuseppe Calabrese,
  • Khrystyna Kuzmych,
  • Maria Teresa Congedo,
  • Carolina Sassorossi,
  • Elisa Meacci and
  • Stefano Margaritora
  • + 4 authors

12 January 2024

Objectives: The aim of this study is to evaluate if the efficacy and safety of chest tube placement are influenced by the level of intercostal space insertion (uniportal VATS vs. biportal VATS) or by the type of drain employed (standard vs. smart coa...

  • Article
  • Open Access
5 Citations
2,597 Views
13 Pages

Goal-Directed Fluid Therapy Using Pulse Pressure Variation in Thoracic Surgery Requiring One-Lung Ventilation: A Randomized Controlled Trial

  • Giovanni Punzo,
  • Giovanna Beccia,
  • Chiara Cambise,
  • Tiziana Iacobucci,
  • Flaminio Sessa,
  • Mauro Sgreccia,
  • Teresa Sacco,
  • Angela Leone,
  • Maria Teresa Congedo and
  • Paola Aceto
  • + 3 authors

20 September 2024

Background: Intraoperative fluid management based on pulse pressure variation has shown potential to reduce postoperative pulmonary complications (PPCs) and improve clinical outcomes in various surgical settings. However, its efficacy and safety have...

  • Review
  • Open Access
2 Citations
1,842 Views
10 Pages

Uniportal Video-Assisted Thoracoscopic Surgery for Minor Procedures

  • Apostolos C. Agrafiotis,
  • Sotirios D. Moraitis and
  • Georgios Sotiropoulos

20 August 2024

Introduction: Uniportal video-assisted thoracoscopic surgery (uVATS) is becoming popular for major lung resections, even for more complex procedures. The technique initially described for minor procedures seems more difficult to reproduce and has a l...

  • Article
  • Open Access
12 Citations
2,305 Views
12 Pages

Pulmonary Lobectomy for Early-Stage Lung Cancer with Uniportal versus Three-Portal Video-Assisted Thoracic Surgery: Results from a Single-Centre Randomized Clinical Trial

  • Davide Tosi,
  • Alessandra Mazzucco,
  • Valeria Musso,
  • Gianluca Bonitta,
  • Lorenzo Rosso,
  • Paolo Mendogni,
  • Ilaria Righi,
  • Rosaria Carrinola,
  • Francesco Damarco and
  • Alessandro Palleschi

18 November 2023

Video-assisted thoracic surgery (VATS) is a consolidated approach; however, there is no consensus on the number of ports leading to less postoperative pain. We compared early postoperative pain after uniportal and three-portal VATS lobectomy for earl...

  • Review
  • Open Access
3 Citations
2,610 Views
11 Pages

9 March 2025

Background: Minimally invasive thoracic surgery has advanced since the introduction of multiportal video-assisted thoracoscopic surgery (mVATS) in 1991. Primary spontaneous pneumothorax (PSP) is an ideal condition for refining minimally invasive tech...

  • Article
  • Open Access
375 Views
14 Pages

Biportal-RATS vs. Uniportal-VATS for Lung Resections: A Propensity Score-Matched Analysis from Early Experience

  • Dania Nachira,
  • Khrystyna Kuzmych,
  • Maria Teresa Congedo,
  • Alessia Oddone,
  • Giuseppe Calabrese,
  • Alessia Senatore,
  • Giovanni Punzo,
  • Maria Letizia Vita,
  • Leonardo Petracca-Ciavarella and
  • Elisa Meacci
  • + 1 author

9 December 2025

Background/Objectives: Minimally invasive thoracic surgery has evolved rapidly, with uniportal video-assisted thoracoscopic surgery (U-VATS) and robotic-assisted thoracic surgery (RATS). Biportal-RATS (Bi-RATS) has emerged as a hybrid technique, comb...

  • Article
  • Open Access
1 Citations
2,299 Views
13 Pages

Does the Performance of a Six-Minute Walking Test Predict Cardiopulmonary Complications After Uniportal Video-Assisted Thoracic Surgery Anatomic Lung Resection?

  • Michele Salati,
  • Marco Andolfi,
  • Alberto Roncon,
  • Gian Marco Guiducci,
  • Francesco Xiumè,
  • Michela Tiberi,
  • Anna Chiara Nanto,
  • Sara Cingolani,
  • Eleonora Ricci and
  • Majed Refai

26 December 2024

Objectives: The purpose of the present study was to verify if performance in the 6-min walking test (6MWT) during the preoperative evaluation phase is associated with the development of cardiopulmonary postoperative complications in patients who unde...

  • Article
  • Open Access
3 Citations
1,337 Views
10 Pages

Uniportal Video-Assisted Thoracoscopic Anatomic Lung Resection after Neoadjuvant Chemotherapy for Lung Cancer: A Case-Matched Analysis

  • Marco Andolfi,
  • Elisa Meacci,
  • Michele Salati,
  • Francesco Xiumè,
  • Alberto Roncon,
  • Gian Marco Guiducci,
  • Michela Tiberi,
  • Anna Chiara Nanto,
  • Dania Nachira and
  • Majed Refai
  • + 5 authors

25 July 2024

Background: The advantages of video-assisted thoracic surgery (VATS) are well-recognized in several studies. However, in the cases of advanced lung cancer after neoadjuvant chemotherapy (nCT), the role of VATS is still questionable, with concerns abo...

  • Article
  • Open Access
6 Citations
1,908 Views
13 Pages

Uniportal Video-Assisted Thoracoscopic Surgery Completion Lobectomy Long after Wedge Resection or Segmentectomy in the Same Lobe: A Bicenter Study

  • Elisa Meacci,
  • Majed Refai,
  • Dania Nachira,
  • Michele Salati,
  • Khrystyna Kuzmych,
  • Diomira Tabacco,
  • Edoardo Zanfrini,
  • Giuseppe Calabrese,
  • Antonio Giulio Napolitano and
  • Stefano Margaritora
  • + 11 authors

26 March 2024

Background: Completion lobectomy (CL) following a prior resection in the same lobe may be complicated by severe pleural or hilar adhesions. The role of uniportal video-assisted thoracoscopic surgery (U-VATS) has never been evaluated in this setting....

  • Article
  • Open Access
671 Views
11 Pages

Added Value of SPECT/CT in Radio-Guided Occult Localization (ROLL) of Non-Palpable Pulmonary Nodules Treated with Uniportal Video-Assisted Thoracoscopy

  • Demetrio Aricò,
  • Lucia Motta,
  • Giulia Giacoppo,
  • Michelangelo Bambaci,
  • Paolo Macrì,
  • Stefania Maria,
  • Francesco Barbagallo,
  • Nicola Ricottone,
  • Lorenza Marino and
  • Laura Evangelista
  • + 5 authors

29 July 2025

Background/Objectives: The extensive use of computed tomography (CT) has led to a significant increase in the detection of small and non-palpable pulmonary nodules, necessitating the use of invasive methods for definitive diagnosis. Video-assisted th...

  • Systematic Review
  • Open Access
1 Citations
1,663 Views
13 Pages

Uniportal Laser-Assisted Video-Assisted Thoracoscopy (U-LA-VATS) for Lung Metastasectomy: Technical Description, Peri-Operative Results and Pertinent Literature Review

  • Carolina Sassorossi,
  • Marco Chiappetta,
  • Dania Nachira,
  • Annalisa Campanella,
  • Gloria Santoro,
  • Giuseppe Calabrese,
  • Chiara Scognamiglio,
  • Antonio Giulio Napolitano,
  • Alessia Senatore and
  • Filippo Lococo
  • + 3 authors

10 September 2024

Pulmonary metastasectomy (PM) is a well-established treatment that is able to contribute to the cure of oligometastatic cancer. Surgery should adopt the most lung-sparing approach possible to preserve pulmonary function (and, consequently, the qualit...

  • Article
  • Open Access
18 Citations
2,918 Views
23 Pages

1 November 2021

Titanium and its alloys are largely used in various applications due its prominent mechanical properties. However, the machining of titanium alloys is associated with assured challenges, including high-strength, low thermal conductivity, and long chi...

  • Article
  • Open Access
7 Citations
2,596 Views
16 Pages

14 November 2021

The processing method, one-dimensional ultrasonic vibration-assisted turning (1D UVAT), is a potential and efficient way for fabricating a micro-textured surface. This paper aims at exploring the surface integrity and friction performance of brass H6...

  • Article
  • Open Access
44 Citations
10,489 Views
20 Pages

Effects of Intermittent Energy Restriction Combined with a Mediterranean Diet on Reducing Visceral Adiposity: A Randomized Active Comparator Pilot Study

  • Chloe E. Panizza,
  • Unhee Lim,
  • Kim M. Yonemori,
  • Kevin D. Cassel,
  • Lynne R. Wilkens,
  • Michelle N. Harvie,
  • Gertraud Maskarinec,
  • Edward J. Delp,
  • Johanna W. Lampe and
  • Carol J. Boushey
  • + 2 authors

20 June 2019

Intermittent energy restriction combined with a Mediterranean diet (IER+MED) has shown promise to reduce body fat and insulin resistance. In the Multiethnic Cohort Adiposity Phenotype Study, Japanese Americans had the highest visceral adipose tissue...

  • Article
  • Open Access
21 Citations
6,987 Views
15 Pages

Reducing Loneliness and Improving Social Support among Older Adults through Different Modalities of Personal Voice Assistants

  • Valerie K. Jones,
  • Changmin Yan,
  • Marcia Y. Shade,
  • Julie Blaskewicz Boron,
  • Zhengxu Yan,
  • Hyeon Jung Heselton,
  • Kate Johnson and
  • Victoria Dube

22 February 2024

This study examines the potential of AI-powered personal voice assistants (PVAs) in reducing loneliness and increasing social support among older adults. With the aging population rapidly expanding, innovative solutions are essential. Prior research...

  • Article
  • Open Access
10 Citations
3,222 Views
12 Pages

2 November 2023

Minimum quantity lubrication (MQL) is a potential technology for reducing the consumption of cutting fluids in machining processes. However, there is a need for further improvement in its lubrication and cooling properties. Nanofluid MQL (NMQL) and u...

  • Article
  • Open Access
18 Citations
3,125 Views
15 Pages

Association between Blood Manganese Levels and Visceral Adipose Tissue in the United States: A Population-Based Study

  • Chengzhe Tao,
  • Yuna Huang,
  • Xuzhao Huang,
  • Zhi Li,
  • Yun Fan,
  • Yan Zhang,
  • Tingya Wan,
  • Liyu Lu,
  • Qiaoqiao Xu and
  • Chuncheng Lu
  • + 3 authors

11 November 2022

Background: Manganese (Mn) is an essential trace element with a narrow toxic margin for human health. The association between Mn exposure and adverse visceral adipose tissue (VAT) accumulation is unclear. Objective: This study aimed to estimate the a...

  • Article
  • Open Access
3 Citations
5,002 Views
11 Pages

A Combined Region- and Pixel-Based Deep Learning Approach for Quantifying Abdominal Adipose Tissue in Adolescents Using Dixon Magnetic Resonance Imaging

  • Olanrewaju A. Ogunleye,
  • Harish Raviprakash,
  • Ashlee M. Simmons,
  • Rhasaan T.M. Bovell,
  • Pedro E. Martinez,
  • Jack A. Yanovski,
  • Karen F. Berman,
  • Peter J. Schmidt,
  • Elizabeth C. Jones and
  • Li-Yueh Hsu
  • + 2 authors

15 January 2023

Background: The development of adipose tissue during adolescence may provide valuable insights into obesity-associated diseases. We propose an automated convolutional neural network (CNN) approach using Dixon-based magnetic resonance imaging (MRI) to...

  • Article
  • Open Access
3 Citations
2,334 Views
11 Pages

Rate and Predictors of Unforeseen PN1/PN2-Disease in Surgically Treated cN0 NSCLC-Patients with Primary Tumor > 3 cm: Nationwide Results from Italian VATS-Group Database

  • Filippo Lococo,
  • Dania Nachira,
  • Marco Chiappetta,
  • Isabella Sperduti,
  • Maria Teresa Congedo,
  • Elisa Meacci,
  • Fausto Leoncini,
  • Rocco Trisolini,
  • Roberto Crisci and
  • on the behalf of the Italian VATS Group
  • + 3 authors

17 March 2023

Background. Since no robust data are available on the real rate of unforeseen N1-N2 disease (uN) and the relative predictive factors in clinical-N0 NSCLC with peripheral tumours > 3 cm, the usefulness of performing a (mini)invasive mediastinal sta...

  • Article
  • Open Access
18 Citations
3,511 Views
13 Pages

7 August 2023

Adiposity and bone mineral density (BMD) are closely associated. The aim of this research was to investigate the association between BMD and adiposity measures in adults, including gynoid percent fat (GPF), android percent fat (APF), total percent fa...

  • Article
  • Open Access
13 Citations
3,091 Views
11 Pages

Increased Visceral Adipose Tissue and Hyperinsulinemia Raise the Risk for Recurrence of Non-B Non-C Hepatocellular Carcinoma after Curative Treatment

  • Kenji Imai,
  • Koji Takai,
  • Takao Miwa,
  • Toshihide Maeda,
  • Tatsunori Hanai,
  • Makoto Shiraki,
  • Atsushi Suetsugu and
  • Masahito Shimizu

26 March 2021

We investigated the factors affecting recurrence-free survival in patients with non-B non-C hepatocellular carcinoma (HCC) who received curative treatment. Decision-tree analysis was performed in 72 curative cases of non-B non-C HCC to extract the ri...

  • Article
  • Open Access
6 Citations
3,195 Views
25 Pages

22 February 2022

Fabricating micro-textures with specific parameters (size, shape, and distribution) on the surface of mechanical components has the potential to improve the tribological performance. When the ultrasonic vibration is applied to depth direction of turn...

  • Article
  • Open Access
4 Citations
2,911 Views
17 Pages

VAT-SNet: A Convolutional Music-Separation Network Based on Vocal and Accompaniment Time-Domain Features

  • Xiaoman Qiao,
  • Min Luo,
  • Fengjing Shao,
  • Yi Sui,
  • Xiaowei Yin and
  • Rencheng Sun

8 December 2022

The study of separating the vocal from the accompaniment in single-channel music is foundational and critical in the field of music information retrieval (MIR). Mainstream music-separation methods are usually based on the frequency-domain characteris...

  • Article
  • Open Access
27 Citations
4,246 Views
18 Pages

Effect of Different Vat Polymerization Techniques on Mechanical and Biological Properties of 3D-Printed Denture Base

  • Hao-Ern Lee,
  • Muhammad Syafiq Alauddin,
  • Mohd Ifwat Mohd Ghazali,
  • Zulfahmi Said and
  • Syazwani Mohamad Zol

15 March 2023

Three-dimensional printing is increasingly applied in dentistry to fabricate denture bases. Several 3D-printing technologies and materials are available to fabricate denture bases, but there is data scarcity on the effect of printability, mechanical,...

  • Article
  • Open Access
10 Citations
2,889 Views
15 Pages

Pectinases Secretion by Saccharomyces cerevisiae: Optimization in Solid-State Fermentation and Identification by a Shotgun Proteomics Approach

  • Matheus Mikio Takeyama,
  • Márcia Corrêa de Carvalho,
  • Helena Sacco Carvalho,
  • Cristiane Rodrigues Silva,
  • Ana Paula Trovatti Uetanabaro,
  • Andrea Miura da Costa,
  • Joseph A. Medeiros Evaristo,
  • Fábio César Sousa Nogueira,
  • Ana Elizabeth Cavalcante Fai and
  • Maria Gabriela Bello Koblitz

5 August 2022

A sequential design strategy was applied to optimize the secretion of pectinases by a Saccharomyces cerevisiae strain, from Brazilian sugarcane liquor vat, on passion fruit residue flour (PFRF), through solid-state fermentation (SSF). A factorial des...

  • Article
  • Open Access
804 Views
16 Pages

To Breathe or Not to Breathe: Spontaneous Ventilation During Thoracic Surgery in High-Risk COPD Patients—A Feasibility Study

  • Matyas Szarvas,
  • Csongor Fabo,
  • Gabor Demeter,
  • Adam Oszlanyi,
  • Stefan Vaida,
  • Jozsef Furak and
  • Zsolt Szabo

20 November 2025

Background: Spontaneous ventilation with intubation (SVI) during video-assisted thoracoscopic surgery (VATS) has been introduced as a hybrid technique that combines the physiological benefits of spontaneous breathing with the safety of a secured airw...

  • Article
  • Open Access
2 Citations
1,807 Views
19 Pages

Investigation of the Flow Stress Model for Cr4Mo4V Bearing Steel under Ultrasonic Vibration Conditions

  • Zhenmeng Luan,
  • Man Zhao,
  • Jian Mao,
  • Gang Liu,
  • Liqiang Zhang,
  • Yixuan Feng and
  • Steven Y. Liang

24 January 2024

To investigate the mechanisms behind the effect of ultrasonic vibration on the plastic deformation of materials, the flow stress model of Cr4Mo4V was established according to the dislocation dynamics and thermal activation theory, which considers the...

  • Review
  • Open Access
3 Citations
2,651 Views
40 Pages

A Critical Review of Ultrasonic-Assisted Machining of Titanium Alloys

  • Muhammad Fawad Jamil,
  • Qilin Li,
  • Mohammad Keymanesh,
  • Pingfa Feng and
  • Jianfu Zhang

11 September 2025

Ultrasonic-assisted machining (UAM) has emerged as a transformative technology for increasing material removal efficiency, improving surface quality and extending tool life in precision manufacturing. This review specifically focuses on the applicati...

  • Article
  • Open Access
24 Citations
5,418 Views
17 Pages

Mapping Relict Charcoal Hearths in New England Using Deep Convolutional Neural Networks and LiDAR Data

  • Ji Won Suh,
  • Eli Anderson,
  • William Ouimet,
  • Katharine M. Johnson and
  • Chandi Witharana

17 November 2021

Advanced deep learning methods combined with regional, open access, airborne Light Detection and Ranging (LiDAR) data have great potential to study the spatial extent of historic land use features preserved under the forest canopy throughout New Engl...

  • Article
  • Open Access
25 Citations
7,993 Views
18 Pages

Thromboxane-Dependent Platelet Activation in Obese Subjects with Prediabetes or Early Type 2 Diabetes: Effects of Liraglutide- or Lifestyle Changes-Induced Weight Loss

  • Paola Simeone,
  • Rossella Liani,
  • Romina Tripaldi,
  • Augusto Di Castelnuovo,
  • Maria Teresa Guagnano,
  • Armando Tartaro,
  • Riccardo C. Bonadonna,
  • Virginia Federico,
  • Francesco Cipollone and
  • Francesca Santilli
  • + 1 author

2 December 2018

Thromboxane (TX)-dependent platelet activation and lipid peroxidation, as reflected in vivo by the urinary excretion of 11-dehydro-TXB2 and 8-iso-prostaglandin (PG)F2α, play a key role in atherothrombosis in obesity and type 2 diabetes mellitus...