{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:45:57Z","timestamp":1792028757847,"version":"4.4.0"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Situs inversus totalis complicates minimally invasive surgery, and simultaneous robotic surgery for tumors of different organs is particularly challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 72\u2010year\u2010old man with situs inversus totalis receiving androgen blockade for prostate cancer developed a 40\u2010mm muscle\u2010invasive bladder tumor undetected on magnetic resonance imaging 7\u2009months earlier; synchronous gastric cancer was also diagnosed. After four chemotherapy cycles, robot\u2010assisted distal gastrectomy and radical cystectomy with an ileal conduit were performed in one session, sharing four of eight ports and lasting 10\u2009h 27\u2009min. The bladder showed no residual carcinoma (ypT0N0) and the gastric cancer ypT2N3aM0; he died 27\u2009months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Two major robotic resections were completed in one session, to our knowledge for the first time. Port sharing avoided a second set of incisions and a second port map, although the robot was undocked and redocked. The surgery was prolonged and followed by suspected non\u2010occlusive mesenteric ischemia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/iju5.70281","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:26:01Z","timestamp":1792027561000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous Robot\u2010Assisted Distal Gastrectomy and Radical Cystectomy With a Shared Port Configuration in Situs Inversus Totalis"],"prefix":"10.1002","volume":"9","author":[{"given":"Takaharu","family":"Hamada","sequence":"first","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2300-8446","authenticated-orcid":false,"given":"Shugo","family":"Yajima","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shota","family":"Umezawa","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5419-0064","authenticated-orcid":false,"given":"Gaku","family":"Okumura","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2214-6574","authenticated-orcid":false,"given":"Tomoki","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5584-4661","authenticated-orcid":false,"given":"Shu","family":"Gozu","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madoka","family":"Kataoka","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0536-4335","authenticated-orcid":false,"given":"Yasukazu","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7365-8733","authenticated-orcid":false,"given":"Takahiro","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Department of Gastric Surgery National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9182-8481","authenticated-orcid":false,"given":"Hitoshi","family":"Masuda","sequence":"additional","affiliation":[{"name":"Department of Urology National Cancer Center Hospital East  Kashiwa Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"2437","DOI":"10.2147\/IJGM.S295444","article-title":"Situs Inversus Totalis: A Clinical Review","volume":"15","author":"Eitler K.","year":"2022","journal-title":"International Journal of General Medicine"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1155\/2023\/3894561","article-title":"Laparoscopic vs. Robotic Gastrectomy in Patients With Situs Inversus Totalis: A Systematic Review","volume":"2023","author":"Multani A.","year":"2023","journal-title":"Minimally Invasive Surgery"},{"issue":"3","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1089\/cren.2019.0137","article-title":"Robot\u2010Assisted Radical Cystectomy With Intracorporeal Ileal Conduit in a Patient With Situs Inversus Totalis","volume":"6","author":"Munshi F. I.","year":"2020","journal-title":"Journal of Endourology Case Reports"},{"issue":"1","key":"e_1_2_9_5_1","article-title":"Robot\u2010Assisted Gastrectomy and Sigmoid Colectomy With Situs Inversus Totalis: A Case Report","volume":"11","author":"Hara M.","year":"2025","journal-title":"Surgery Case Reports"},{"issue":"10184","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"1948","DOI":"10.1016\/S0140-6736(18)32557-1","article-title":"Perioperative Chemotherapy With Fluorouracil Plus Leucovorin, Oxaliplatin, and Docetaxel Versus Fluorouracil or Capecitabine Plus Cisplatin and Epirubicin for Locally Advanced, Resectable Gastric or Gastro\u2010Oesophageal Junction Adenocarcinoma (FLOT4): A Randomised, Phase 2\/3 Trial","volume":"393","author":"Al\u2010Batran S. E.","year":"2019","journal-title":"Lancet"},{"issue":"7","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1002\/cncr.11660","article-title":"Histomorphology and Grading of Regression in Gastric Carcinoma Treated With Neoadjuvant Chemotherapy","volume":"98","author":"Becker K.","year":"2003","journal-title":"Cancer"},{"issue":"12","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"2144","DOI":"10.1007\/s11605-017-3576-x","article-title":"Robotic Assisted Distal Gastrectomy for Gastric Cancer in a Patient With Situs Inversus Totalis: With Video","volume":"21","author":"Alhossaini R.","year":"2017","journal-title":"Journal of Gastrointestinal Surgery"},{"issue":"2","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1111\/ases.12860","article-title":"Robotic\u2010Assisted Total Gastrectomy in a Patient With Gastric Cancer Associated With Situs Inversus Totalis: With Video","volume":"14","author":"Yoshimoto T.","year":"2021","journal-title":"Asian Journal of Endoscopic Surgery"},{"issue":"1","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1159\/000030358","article-title":"Urinary Diversion Following Cystectomy in a Patient With Situs Inversus Totalis","volume":"62","author":"Rodrigues G. P.","year":"1999","journal-title":"Urologia Internationalis"},{"issue":"3","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1002\/iju5.70008","article-title":"Simultaneous Robot\u2010Assisted Radical Prostatectomy and Repair of Inguinal Bladder Hernia","volume":"8","author":"Imasato N.","year":"2025","journal-title":"IJU Case Reports"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70281","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/iju5.70281","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.70281","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:26:03Z","timestamp":1792027563000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.70281"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/iju5.70281"],"URL":"https:\/\/doi.org\/10.1002\/iju5.70281","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"assertion":[{"value":"2026-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70281"}}