{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T03:11:13Z","timestamp":1777518673368,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,24]],"date-time":"2022-01-24T00:00:00Z","timestamp":1642982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Diaphragmatic plication can be performed with various surgical approaches. The aim of this study was to assess the safety and effectiveness of robotic\u2010assisted plication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed consecutive patients who underwent diaphragmatic plication from 2017 to 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen patients underwent 20 operations, 11 of which were performed with robotic\u2010assisted thoracoscopic surgery (RATS) and 9 with open transthoracic approach. RATS was associated with shorter operating time (80 vs. 120\u00a0min; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04), less blood loss (20 vs. 100\u00a0ml; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01), shorter chest\u2010drain duration (1 vs. 3\u00a0days; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01), and shorter length of stay (3 vs. 7\u00a0days; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04). The median grade in the Medical Research Council dyspnoea scale improved from four to two in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotic\u2010assisted diaphragmatic plication is a safe procedure that can significantly improve dyspnoea and is associated with shorter hospitalisation compared to open approach.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2368","type":"journal-article","created":{"date-parts":[[2022,1,18]],"date-time":"2022-01-18T20:42:23Z","timestamp":1642538543000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Robotic\u2010assisted diaphragmatic plication: Improving safety and effectiveness in the treatment of diaphragmatic paralysis"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2827-5826","authenticated-orcid":false,"given":"Savvas","family":"Lampridis","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Guy\u2019s and St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3526-1684","authenticated-orcid":false,"given":"I. H. D. Saman","family":"Pradeep","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Guy\u2019s and St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Bill\u00e8","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Guy\u2019s and St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198209233071304"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI111841"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.44.11.960"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-2200"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.09.052"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000004263"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-2765"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38619-2"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/146.3.797"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.11.068"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.10.020"},{"issue":"1","key":"e_1_2_8_13_1","first-page":"56","article-title":"Early hemi\u2010diaphragmatic plication through a video assisted mini\u2010thoracotomy in postcardiotomy phrenic nerve paresis","volume":"4","author":"Tsakiridis K","year":"2012","journal-title":"J Thorac Dis"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx255"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.03.021"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8127-8"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3418-1"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-016-3789-2"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqx086"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004424-197503000-00002"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.165.1.7785574"},{"key":"e_1_2_8_24_1","first-page":"72","article-title":"Eventration of diaphragm due to unilateral phrenic nerve paralysis","volume":"28","author":"Morrison JM","year":"1923","journal-title":"Arch Radiol Electrother"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-011-0328-x"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12833"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/15569845211011583"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2016.04.009"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.05.027"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(88)80417-2"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.05.031"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.05.037"},{"key":"e_1_2_8_33_1","volume-title":"Clinical Methods: The History, Physical, and Laboratory Examinations","author":"Mukerji V","year":"1990"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivaa258"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.2368","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcs.2368","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.2368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T14:53:17Z","timestamp":1692975197000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.2368"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,24]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1002\/rcs.2368"],"URL":"https:\/\/doi.org\/10.1002\/rcs.2368","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,24]]},"assertion":[{"value":"2021-12-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-01-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2368"}}