{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T01:12:22Z","timestamp":1766970742122,"version":"3.48.0"},"reference-count":54,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82072741"],"award-info":[{"award-number":["82072741"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012232","name":"National Key Clinical Specialty Discipline Construction Program of China","doi-asserted-by":"publisher","award":["2022YW030009"],"award-info":[{"award-number":["2022YW030009"]}],"id":[{"id":"10.13039\/501100012232","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018609","name":"High-level Hospital Construction Project of Guangdong Provincial People's Hospital","doi-asserted-by":"publisher","award":["DFJH2019015"],"award-info":[{"award-number":["DFJH2019015"]}],"id":[{"id":"10.13039\/501100018609","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study compares robotic\u2010assisted pancreatic surgery (R\u2010PS) and laparoscopic pancreatic surgery (L\u2010PS) outcomes in patients with pancreatic malignancies and medium\u2010 to high\u2010risk pancreatic fistulas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted at Guangdong Provincial People's Hospital (2021\u20132023). The primary endpoints were major complications (Clavien\u2010Dindo grade\u00a0\u2265\u00a0III) and postoperative morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      200 R\u2010PS and 400 L\u2010PS patients were included, with 163 pairs matched. R\u2010PS showed lower conversion rates (2.5% vs. 17.2%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), less blood loss (119 vs. 179\u00a0mL,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.013), and faster function recovery (8.2 vs. 9.6\u00a0days,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.038). Postoperatively, R\u2010PS had fewer pancreatic fistulas in malignant (4.1% vs. 32.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and moderate to high\u2010risk cases (8.3% vs. 16.7%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.026). R\u2010PS benefits are not procedure\u2010specific.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>R\u2010PS offers advantages in blood loss, complications, and fistula prevention, suggesting it may be preferable for complex pancreatic surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70117","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T04:27:34Z","timestamp":1764044854000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Robotic and Laparoscopic Pancreatic Surgery Outcomes: A Retrospective Cohort Study With Propensity Score Matching and Subgroup Analysis of Pancreatic Malignancies and Moderate to High\u2010Risk Pancreatic Fistulas"],"prefix":"10.1002","volume":"21","author":[{"given":"Min","family":"Yu","sequence":"first","affiliation":[{"name":"Guangdong Cardiovascular Institute Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences  Guangzhou China"},{"name":"Department of Pancreas Center Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences) Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3395-9524","authenticated-orcid":false,"given":"Wentao","family":"Zhong","sequence":"additional","affiliation":[{"name":"Guangdong Cardiovascular Institute Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences  Guangzhou China"},{"name":"Department of Pancreas Center Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences) Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Biotherapy Center The Third Affiliated Hospital Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weifeng","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Zhejiang Cancer Hospital  Hangzhou China"},{"name":"Hangzhou Institute of Medicine (HIM) Chinese Academy of Sciences  Hangzhou China"},{"name":"Zhejiang Key Laboratory of Radiation Oncology  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Yuan","sequence":"additional","affiliation":[{"name":"Guangdong Cardiovascular Institute Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences  Guangzhou China"},{"name":"Department of Pancreas Center Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences) Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changgui","family":"Zou","sequence":"additional","affiliation":[{"name":"Guangdong Cardiovascular Institute Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences  Guangzhou China"},{"name":"Department of Pancreas Center Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences) Southern Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Lin","sequence":"additional","affiliation":[{"name":"Guangdong Cardiovascular Institute Guangdong Provincial People's Hospital Guangdong Academy of Medical Sciences  Guangzhou China"},{"name":"Department of Pancreas Center Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences) Southern Medical University  Guangzhou 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