{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T11:59:34Z","timestamp":1777291174140,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"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":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This prospective feasibility study evaluated the safety and efficacy of robotic retroperitoneal para\u2010aortic lymphadenectomy in patients with intermediate\u2010to high\u2010risk endometrial cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with endometrial cancer who underwent robotic surgical staging at Mie University Hospital between October 2021 and May 2025 were prospectively enroled and analysed following ethics approval. Patient clinical data, intraoperative parameters, and postoperative quality of life (QOL) were collected according to a predefined protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 18 patients with a median operative time of 411.0\u00a0min, median blood loss of 51.0\u00a0mL, and 25.5 and 24.5 resected pelvic and para\u2010aortic lymph nodes, respectively. Para\u2010aortic lymph node metastasis was observed in one case, and postoperative complications in two. QOL returned to baseline within 28\u00a0days postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The robotic retroperitoneal approach to para\u2010aortic lymphadenectomy is a feasible and safe staging procedure for intermediate\u2010to high\u2010risk endometrial cancer, with rapid postoperative QOL recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>This study was registered in the Japan Registry of Clinical Trials (jRCT1042210047).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70148","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T09:11:47Z","timestamp":1773997907000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Outcomes of a Robotic Retroperitoneal Approach to Para\u2010Aortic Lymphadenectomy in Intermediate\u2010 and High\u2010Risk Endometrial Cancer: A Prospective Study"],"prefix":"10.1002","volume":"22","author":[{"given":"Michiko","family":"Kubo\u2010Kaneda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saki","family":"Kotaka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asumi","family":"Okumura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Mastumoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kota","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9773-2520","authenticated-orcid":false,"given":"Eiji","family":"Kondo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Mie University School of Medicine  Tsu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Global Cancer Observatory: Cancer Today"},{"key":"e_1_2_13_3_1","unstructured":"National Cancer Institute Cancer Stat Facts: Uterine Cancer Last accessed on September 1 2025 https:\/\/seer.cancer.gov\/statfacts\/html\/ovary.html."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.09.006"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2018.01.002"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2023.34.e56"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2009.02.012"},{"key":"e_1_2_13_8_1","volume-title":"WHO Classification of Tumours of Female Reproductive Organs","author":"Kurman R. 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