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11.8%, P0.001) into the mature robot period when compared to initial robot period plus the predominately VATS period, correspondingly. Multivariate analysis indicated that the robot had been involving a decrease in post-operative problems (OR 0.36; 95% CI, 0.23-0.57, P0.001). Into the TNM system only the anatomic location can be used to define nodal status. In this study we seek to evaluate the effectiveness of combining the area