{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:53:03Z","timestamp":1786978383829,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"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":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Robotic\u2010assisted redo fundoplication has some advantages compared to the laparoscopic approach in adults, although to date there are no studies in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case\u2010control study was performed among consecutive children who underwent redo antireflux surgery between 2004 and 2020, divided into two groups: LAF group (laparoscopic redo\u2010fundoplication) and RAF group (robotic\u2010assisted redo\u2010fundoplication). Demographics, clinical, intraoperative, postoperative and economic data were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 24 patients were included (10 LAF group; 14 RAF group) without demographic or clinical differences. The RAF group presented lower intraoperative blood loss (52\u00a0\u00b1\u00a019\n                      <jats:italic>vs<\/jats:italic>\n                      . 145\u00a0\u00b1\u00a069\u00a0mL;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.021), shorter surgery time (135\u00a0\u00b1\u00a039\n                      <jats:italic>vs<\/jats:italic>\n                      . 179\u00a0\u00b1\u00a068\u00a0min;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.009) and shorter length of hospital stay (median 3\u00a0days [2\u20134]\n                      <jats:italic>vs<\/jats:italic>\n                      . 5\u00a0days [3\u20137];\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002). The RAF group presented a higher rate of symptom improvement (85.7% vs. 60%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.192) and lower overall associated economic costs (25\u00a0800$ vs. 45\u00a0500$;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Robotic\u2010assisted redo antireflux surgery may offer several benefits over the laparoscopic approach. Prospective studies are still needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.2541","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T03:02:53Z","timestamp":1686798173000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Robotic\u2010assisted versus laparoscopic redo antireflux surgery in children: A cost\u2010effectiveness study"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4994-6898","authenticated-orcid":false,"given":"Carlos","family":"Delgado\u2010Miguel","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Prisma Health Children's Hospital  Columbia South Carolina USA"},{"name":"Institute for Health Research IdiPAZ La Paz University Hospital  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan I.","family":"Camps","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Prisma Health Children's Hospital  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1517"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.18.2331"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.08.553"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199910000-00015"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.309"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0002-9610(99)80070-1"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2011.09.002"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481908500939"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2012.12.006"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2007.50"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7590"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2611-y"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3822"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.08.022"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6304-z"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-7950-6"},{"key":"e_1_2_8_19_1","first-page":"238","article-title":"Evaluation of initial experience and comparison of the da Vinci surgical system with established laparoscopic and open pediatric Nissen fundoplication surgery","volume":"12","author":"Copeland DR","year":"2008","journal-title":"J Soc Laparoendosc Surg"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1220680"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1615279"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2016.11.018"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-022-05098-y"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1233495"}],"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.2541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T16:05:50Z","timestamp":1699027550000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.2541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,15]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/rcs.2541"],"URL":"https:\/\/doi.org\/10.1002\/rcs.2541","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,15]]},"assertion":[{"value":"2023-03-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2541"}}