{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:17:45Z","timestamp":1787807865841,"version":"build-2784847793"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82102723"],"award-info":[{"award-number":["82102723"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82373335"],"award-info":[{"award-number":["82373335"]}],"id":[{"id":"10.13039\/501100001809","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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This retrospective study compared two reconstruction techniques in 50 patients undergoing robotic proximal gastrectomy: the novel Upper\u2010Dome Overlap Single\u2010flap valvuloplasty (UDOS) and the conventional Kamikawa anastomosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Perioperative data, anastomotic time, complication rates, nutritional outcomes, lower oesophageal sphincter pressures, and health\u2010related quality of life scores were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared with Kamikawa, the UDOS technique significantly reduced anastomosis time by 39.8% (25.9 vs. 43.0\u00a0min). Perioperative safety and early complication rates were comparable. The UDOS group demonstrated a favourable trend in reducing late complications, with a lower incidence of anastomotic stenosis (4.0% vs. 16.0%) and no cases of reflux oesophagitis (0% vs. 8.0%). Both groups achieved similar post\u2010operative nutritional outcomes, lower oesophageal sphincter pressures, and health\u2010related quality of life scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>UDOS offers a technically more efficient alternative to Kamikawa anastomosis with equivalent perioperative safety and potential benefits for reducing long\u2010term complications, meriting further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70200","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T15:50:13Z","timestamp":1783007413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Short\u2010Term Outcomes of Upper\u2010Dome Overlap Single\u2010Flap Valvuloplasty Versus Kamikawa Anastomosis in Robotic Proximal Gastrectomy"],"prefix":"10.1002","volume":"22","author":[{"given":"Fengyuan","family":"Li","sequence":"first","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shenglong","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9316-9601","authenticated-orcid":false,"given":"Zhongyuan","family":"He","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weizhi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wasit Ahmad","family":"Rahmani","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwen","family":"Xia","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9679-3714","authenticated-orcid":false,"given":"Bowen","family":"Li","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dinghua","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery Sir Run Run Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of General Surgery Nanjing Luhe People's Hospital Yangzhou University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery Nanjing Luhe People's Hospital Yangzhou University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5179-4128","authenticated-orcid":false,"given":"Zekuan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The First Affiliated Hospital of Nanjing Medical University  Nanjing China"},{"name":"The Friendship Hospital of Ili Kazakh Autonomous Prefecture Ili &amp; Jiangsu Joint Institute of Health  Ili China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7391-2516","authenticated-orcid":false,"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of General Surgery The Friendship Hospital of Ili Kazakh Autonomous Prefecture  Ili China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongda","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5827-1821","authenticated-orcid":false,"given":"Hao","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery The First Affiliated Hospital of Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101746.2008.05572.x"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000001148"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2022.11.069"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010018\u20100804\u20103"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010014\u20100377\u20108"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010018\u20106342\u20108"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010019\u201007352\u20102"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010024\u201068514\u20104"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn441530\u201020250106\u201000011"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.09.022"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.1000719"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00535\u2010023\u201001974\u2010z"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.7150\/jca.83909"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.5230\/jgc.2015.15.2.77"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2024.5077"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13380"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010025\u201003606\u2010x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.7150\/jca.87315"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12216"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010025\u201002214\u20100"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2024.1414120"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0242223"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010024\u201011156\u20104"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010016\u20103510\u20105"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gassur.2024.10.026"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010023\u201010663\u20100"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010023\u201001975\u2010y"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10120\u2010022\u201001331\u20108"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010024\u201002635\u20105"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21388"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010019\u201007123\u2010z"},{"issue":"5","key":"e_1_2_10_33_1","first-page":"266","article-title":"A Study of the Failures After Gastrectomy","volume":"3","author":"Visick A. H.","year":"1948","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.21147\/j.issn.1000\u20109604.2022.03.08"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957\u2010025\u201003744\u2010y"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canlet.2026.218261"}],"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.70200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcs.70200","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.70200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:26:11Z","timestamp":1787804771000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.70200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/rcs.70200"],"URL":"https:\/\/doi.org\/10.1002\/rcs.70200","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"assertion":[{"value":"2026-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70200"}}