{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:29:15Z","timestamp":1786408155763,"version":"build-2736575974"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":67,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100009337","name":"Saitama Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009337","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Colorectal Dis"],"DOI":"10.1007\/s00384-026-05164-0","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T17:14:37Z","timestamp":1780679677000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A prospective randomized comparative trial of da Vinci SP versus da Vinci Xi in colon and rectosigmoid cancer surgery: a single-center, open-label study protocol"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7754-7926","authenticated-orcid":false,"given":"Yasuhiro","family":"Ishiyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9087-2715","authenticated-orcid":false,"given":"Yasumitsu","family":"Hirano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohei","family":"Akuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yume","family":"Minagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihito","family":"Nakanishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Nishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatsugu","family":"Fujii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Sugita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikashi","family":"Hiranuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"5164_CR1","doi-asserted-by":"publisher","unstructured":"Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394\u2013424. https:\/\/doi.org\/10.3322\/caac.21492. Epub 2018 Sep 12. Erratum in: CA Cancer J Clin. 2020 Jul;70(4):313","DOI":"10.3322\/caac.21492"},{"key":"5164_CR2","doi-asserted-by":"crossref","unstructured":"Dossa F, Chesney TR, Acuna SA, Baxter NN (2017) A watch-and-wait approach for locally advanced rectal cancer after a clinical complete response following neoadjuvant chemoradiation: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol 2:501\u2013513","DOI":"10.1016\/S2468-1253(17)30074-2"},{"key":"5164_CR3","doi-asserted-by":"publisher","unstructured":"Dattani M, Heald RJ, Goussous G, Broadhurst J, S\u00e3o Juli\u00e3o GP, Habr-Gama A et al (2018) Oncological and survival outcomes in watch and wait patients with a clinical complete response after neoadjuvant chemoradiotherapy for rectal cancer: a systematic review and pooled analysis. Ann Surg 268(6):955-967. https:\/\/doi.org\/10.1097\/SLA.0000000000002761","DOI":"10.1097\/SLA.0000000000002761"},{"key":"5164_CR4","doi-asserted-by":"crossref","unstructured":"\u015awi\u0105tkowski F, G\u00f3rnicki T, Bu\u0142dy\u015b K, Chabowski M. The quality of life of patients with surgically treated colorectal cancer: a narrative review. J Clin Med. 2022 11(20):6211. https:\/\/doi.org\/10.3390\/jcm11206211","DOI":"10.3390\/jcm11206211"},{"key":"5164_CR5","doi-asserted-by":"publisher","unstructured":"Jayne D, Pigazzi A, Marshall H, Croft J, Corrigan N, Copeland J, Quirke P, West N, Rautio T, Thomassen N, Tilney H, Gudgeon M, Bianchi PP, Edlin R, Hulme C, Brown J (2017) Effect of robotic-assisted vs conventional laparoscopic surgery on risk of conversion to open laparotomy among patients undergoing resection for rectal cancer: the ROLARR randomized clinical trial. JAMA 318(16):1569-1580. hhttps:\/\/doi.org\/10.1001\/jama.2017.7219","DOI":"10.1001\/jama.2017.7219"},{"key":"5164_CR6","doi-asserted-by":"publisher","unstructured":"Park JS, Lee SM, Choi GS, Park SY, Kim HJ, Song SH, Min BS, Kim NK, Kim SH, Lee KY (2023) Comparison of laparoscopic versus robot-assisted surgery for rectal cancers: the COLRAR randomized controlled trial. Ann Surg 278(1):31-38. https:\/\/doi.org\/10.1097\/SLA.0000000000005788","DOI":"10.1097\/SLA.0000000000005788"},{"key":"5164_CR7","doi-asserted-by":"publisher","unstructured":"Fujii T, Hirano Y, Ishiyama Y, Yamato M, Akuta S, Yoshizawa M, Okazaki N, Hiranuma C (2025) Comparison of short- and mid-term outcomes between the Senhance digital laparoscopic system and laparoscopic colectomy: a propensity score matching study. Surg Endosc 39(2):1153-1159. https:\/\/doi.org\/10.1007\/s00464-024-11482-7","DOI":"10.1007\/s00464-024-11482-7"},{"key":"5164_CR8","doi-asserted-by":"publisher","unstructured":"Caputo D, Cammarata R, Farolfi T, Coppola R, La Vaccara V (2024) First worldwide report on rectal resections with Hugo\u2122 surgical system: description of docking angles and tips for an effective setup. ANZ J Surg 94(7-8):1299-1304. https:\/\/doi.org\/10.1111\/ans.18918","DOI":"10.1111\/ans.18918"},{"key":"5164_CR9","doi-asserted-by":"publisher","unstructured":"Morohara K, Katsuno H, Endo T, Kikuchi K, Nakamura K, Matsuo K, Higashiguchi T, Koide T, Hanai T, Morise Z (2025) Short-term surgical outcomes of robot-assisted colectomy for colon cancer using the Hinotori Surgical Robot System. Ann Coloproctol 41(1):97\u2013103. https:\/\/doi.org\/10.3393\/ac.2024.00871.0124","DOI":"10.3393\/ac.2024.00871.0124"},{"key":"5164_CR10","doi-asserted-by":"publisher","unstructured":"Feng Q, Yuan W, Li T, Tang B, Jia B, Zhou Y, Zhang W, Zhao R, Zhang C, Cheng L, Zhang X, Wei Y, Liang F, He G, Xu J (2025) REAL Study Group. Robotic vs laparoscopic surgery for middle and low rectal cancer: the REAL randomized clinical trial. JAMA 334(2):136\u2013148. https:\/\/doi.org\/10.1001\/jama.2025.8123","DOI":"10.1001\/jama.2025.8123"},{"key":"5164_CR11","doi-asserted-by":"publisher","unstructured":"Kang BM, Lee YS, Kim JH, Kim HJ, Lee SC, Kim CW, Lim SW, Kim JG, Lee SH (2021) Quality of life and patient satisfaction after single- and multiport laparoscopic surgery in colon cancer: a multicentre randomised controlled trial (SIMPLE Trial). Surg Endosc 35(11):6278-6290.\u00a0https:\/\/doi.org\/10.1007\/s00464-020-08128-9","DOI":"10.1007\/s00464-020-08128-9"},{"key":"5164_CR12","doi-asserted-by":"publisher","unstructured":"Watanabe J, Ishibe A, Suwa H, Ota M, Fujii S, Kubota K, Kunisaki C, Endo I (2021) Long-term outcomes of a randomized controlled trial of single-incision versus multi-port laparoscopic colectomy for colon cancer. Ann Surg 273(6):1060-1065.\u00a0https:\/\/doi.org\/10.1097\/SLA.0000000000004252","DOI":"10.1097\/SLA.0000000000004252"},{"key":"5164_CR13","doi-asserted-by":"publisher","unstructured":"Watanabe J, Ota M, Fujii S, Suwa H, Ishibe A, Endo I (2016) Randomized clinical trial of single-incision versus multiport laparoscopic colectomy. Br J Surg 103(10):1276-81.\u00a0https:\/\/doi.org\/10.1002\/bjs.10212","DOI":"10.1002\/bjs.10212"},{"key":"5164_CR14","doi-asserted-by":"publisher","unstructured":"Morales-Conde S, Peeters A, Meyer Y, Antoniou S, Del Agua I, Arezzo A, Arolfo S, Yehuda A, Boni L, Cassinotti E, Dapri G, Yang T, Fransen S, Forgione A, Hajibandeh S, Hajibandeh S, Mazzola M, Migliore M, Mittermair C, Mittermair D, Morandeira-Rivas A, Moreno-Sanz C, Morlacchi A, Nizri E, Nuijts M, Raakow J, S\u00e1nchez-Margallo F, S\u00e1nchez-Margallo J, Szold A, Weiss H, Weiss M, Zorron R, Bouvy N (2019) European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery. Surg Endosc 33:996-1019.\u00a0https:\/\/doi.org\/10.1007\/s00464-019-06693-2","DOI":"10.1007\/s00464-019-06693-2"},{"key":"5164_CR15","doi-asserted-by":"publisher","unstructured":"Greaves N, Nicholson J (2011) Single incision laparoscopic surgery in general surgery: a review. Ann R Coll Surg Engl 93(6):437-40.\u00a0https:\/\/doi.org\/10.1308\/003588411x590358","DOI":"10.1308\/003588411x590358"},{"key":"5164_CR16","doi-asserted-by":"publisher","unstructured":"Jung JM, Kim YI, Yoon YS, Yang S, Kim MH, Lee JL, Kim CW, Park IJ, Lim SB, Yu CS (2023) Short-term outcomes of da Vinci SP versus Xi for colon cancer surgery: a propensity-score matching analysis of multicenter cohorts. J Robot Surg 17(6):2911-2917.\u00a0https:\/\/doi.org\/10.1007\/s11701-023-01727-3","DOI":"10.1007\/s11701-023-01727-3"},{"key":"5164_CR17","doi-asserted-by":"publisher","unstructured":"Kim MH, Yang S, Yoon YS, Kim YI, Lee JL, Kim CW, Park IJ, Lim SB, Yu CS (2025) Short-term outcomes of da Vinci SP versus Xi for rectal cancer surgery: a propensity score matching analysis of two tertiary center cohorts. Surg Endosc 39(1):162-170.\u00a0https:\/\/doi.org\/10.1007\/s00464-024-11372-y","DOI":"10.1007\/s00464-024-11372-y"},{"key":"5164_CR18","doi-asserted-by":"publisher","unstructured":"Brucchi F, Montroni I, Cirocchi R, Taffurelli G, Vitellaro M, Mascian\u00e0 G, Sandri GBL, Dionigi G, Lauricella S (2025) A systematic review of the Da Vinci\u00ae Single-Port system (DVSP) in the context of colorectal surgery. Int J Colorectal Dis 40(1):83.\u00a0https:\/\/doi.org\/10.1007\/s00384-025-04878-x","DOI":"10.1007\/s00384-025-04878-x"},{"key":"5164_CR19","doi-asserted-by":"publisher","unstructured":"Kinugasa Y, Uehara K, Yamaguchi K, Saito Y, Murofushi K, Sugai T, Ishiguro M, Ishihara S, Ueno H, Oka S, Kato T, Kanemitsu Y, Kawakami H, Kobayashi H, Sakamoto Y, Shiozawa M, Shiomi A, Shinozaki E, Takiyama H, Taniguchi H, Nakajima TE, Hotta K, Matsuda K, Murata K, Morita S, Yamazaki K, Yoshida M, Yamaguchi N, Kagawa H, Yamauchi S, Ajioka Y; Japanese Society for Cancer of the Colon and Rectum (2025) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2024 for the treatment of colorectal cancer. Int J Clin Oncol 30(12):2410\u20132463. https:\/\/doi.org\/10.1007\/s10147-025-02899-8","DOI":"10.1007\/s10147-025-02899-8"},{"key":"5164_CR20","doi-asserted-by":"crossref","unstructured":"Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205\u2013213","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"5164_CR21","doi-asserted-by":"publisher","unstructured":"Kim JY, Hallbeck MS, Larson DW, Behm KT, Norasi H (2025) Workload and usability evaluation of the da Vinci SP and Xi during low anterior resections. Surg Endosc. https:\/\/doi.org\/10.1007\/s00464-025-12388-8","DOI":"10.1007\/s00464-025-12388-8"},{"key":"5164_CR22","doi-asserted-by":"crossref","unstructured":"Ishiyama Y, Hirano Y, Akuta S, Minagawa Y, Nakanishi A, Nishi Y, Hayashi H, Fujii T, Sugita H, Hiranuma C (2025) Comparative analysis of postoperative inflammation and pain: robot-assisted versus single-incision laparoscopic surgery for right-sided colon cancer. Surg En","DOI":"10.1007\/s00464-025-11970-4"}],"container-title":["International Journal of Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00384-026-05164-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-026-05164-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-026-05164-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T23:38:16Z","timestamp":1786405096000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00384-026-05164-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["5164"],"URL":"https:\/\/doi.org\/10.1007\/s00384-026-05164-0","relation":{},"ISSN":["1432-1262"],"issn-type":[{"value":"1432-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]},"assertion":[{"value":"20 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Saitama Medical University International Medical Center (Approval ID: R000065814RCT). 2025\/10\/28","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"131"}}