{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:23:42Z","timestamp":1780478622644,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T00:00:00Z","timestamp":1633651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Oesophagogastric anastomosis is mainly complicated by its tediousness. We hope to modify an oesophagogastric anastomotic technique that simplifies anastomosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective analysis of 57 cases executed using reverse\u2010puncture anastomotic (RPA) technique and 64 cases of manual purse anastomosis (MPA) technique for robot\u2010assisted minimally invasive oesophagectomy (RAMIE). Baseline characteristics and perioperative outcomes were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences between the 2 groups with regards\u00a0to\u00a0demographic data and clinical features. All patients had R0 resection. Relative to\u00a0MPA, RPA group experienced significantly shorter operation times (232.5\u00a0\u00b1\u00a033.84\u00a0min vs. 262.3\u00a0\u00b1\u00a083.94\u00a0min, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.038).RPA group patients had shorter anastomotic times relative to MPA group patients (10.5\u00a0\u00b1\u00a03.4\u00a0min vs. 18.3\u00a0\u00b1\u00a04.1\u00a0min, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.014). No adverse events were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reverse\u2010puncture anastomosis is safe, feasible in RAMIE. This approach has the potential to efficiently shorten the anastomotic time and ensure safe operation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2336","type":"journal-article","created":{"date-parts":[[2021,9,29]],"date-time":"2021-09-29T19:36:36Z","timestamp":1632944196000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A safe and effective anastomotic technique for robot\u2010assisted minimally invasive oesophagectomy: Reverse\u2010puncture anastomosis"],"prefix":"10.1002","volume":"18","author":[{"given":"Hao","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery Jinling Hospital Medical School of Nanjing University Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Jinling Hospital Nanjing Medical 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