{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:34:57Z","timestamp":1792053297496,"version":"4.4.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Magnetic-assisted robotic surgery (MARS) is a new platform developed to maximize the benefits of minimally invasive surgery for patients while enhancing surgeon control and visualization. The system is composed of two robotic arms that enable surgeon control of the laparoscopic camera and a deployable intraperitoneal magnetic grasper designed to provide incisionless retraction. The aim of this study was to evaluate the outcomes of the MARS platform following its use in outpatient laparoscopic cholecystectomy by a solo surgeon and examine patient perceptions of this approach.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A retrospective review of a prospectively maintained database identified all patients who underwent outpatient reduced port laparoscopic cholecystectomy assisted by MARS for symptomatic cholelithiasis from January 2024 to August 2024 at a tertiary care hospital. All cholecystectomies were performed without a surgical assistant. Primary outcomes were 30-day morbidity, 30-day readmission, operative time, and 30-day patient satisfaction as measured by a modified version of the Surgical Satisfaction Questionnaire (SSQ).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Fifty-one patients were identified. Mean age was 47.3\u2009\u00b1\u200913.9\u00a0years and most patients were female (N\u2009=\u200945, 88.2%). Mean operative time was 52.8\u2009\u00b1\u200916.3\u00a0min. All patients were discharged within 6\u00a0h after surgery. There were no 30-day morbidities or readmissions. Forty patients (78.4%) completed the modified SSQ at 30\u00a0days postoperatively and reported high degrees of satisfaction with pain management, return to preoperative baseline function, and the overall surgical experience. 92.5% of patients were \u201cvery satisfied\u201d with the use of the MARS system and 97.5% would recommend use of the system to others.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This study demonstrates the safety and feasibility of the MARS platform for use in outpatient reduced port laparoscopic cholecystectomy by a solo surgeon with high patient satisfaction. MARS was particularly useful for simultaneous gallbladder retraction and laparoscopic camera manipulation by the operating surgeon, thus eliminating the need for a surgical assistant.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00464-025-11879-y","type":"journal-article","created":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T19:35:32Z","timestamp":1749670532000},"page":"4463-4469","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Solo surgeon ambulatory magnetic-assisted robotic surgery (MARS): initial 51 cases with high patient satisfaction"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1134-1754","authenticated-orcid":false,"given":"Graham J.","family":"Spurzem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Jimenez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Paravic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ignacio","family":"Robles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Ya\u00f1ez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Escalona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Carmona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isidora","family":"Mendez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias","family":"Hidalgo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan C.","family":"Broderick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Horgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,11]]},"reference":[{"issue":"5","key":"11879_CR1","doi-asserted-by":"publisher","first-page":"764","DOI":"10.1377\/hlthaff.2013.1281","volume":"33","author":"EL Munnich","year":"2014","unstructured":"Munnich EL, Parente ST (2014) Procedures take less time at ambulatory surgery centers, keeping costs down and ability to meet demand up. Health Aff 33(5):764\u2013769","journal-title":"Health Aff"},{"issue":"10","key":"11879_CR2","doi-asserted-by":"publisher","first-page":"926","DOI":"10.1097\/MLR.0000000000000213","volume":"52","author":"BK Hollenbeck","year":"2014","unstructured":"Hollenbeck BK, Dunn RL, Suskind AM, Zhang Y, Hollingsworth JM, Birkmeyer JD (2014) Ambulatory surgery centers and outpatient procedure use among medicare beneficiaries. Med Care 52(10):926","journal-title":"Med Care"},{"key":"11879_CR3","unstructured":"Mukerji S (2023) Sg2 2023 annual report forecasts significant growth in ASC volume. ASC Focus. https:\/\/www.ascfocus.org\/ascfocus\/content\/articles-content\/articles\/2023\/digital-debut\/sg2-2023-annual-report-forecasts-significant-growth-in-asc-volume. Accessed 26 Sep 2024"},{"issue":"3","key":"11879_CR4","doi-asserted-by":"publisher","first-page":"e231198","DOI":"10.1001\/jamanetworkopen.2023.1198","volume":"6","author":"OA Shariq","year":"2023","unstructured":"Shariq OA, Bews KA, Etzioni DA, Kendrick ML, Habermann EB, Thiels CA (2023) Performance of general surgical procedures in outpatient settings before and after onset of the COVID-19 pandemic. JAMA Netw Open 6(3):e231198","journal-title":"JAMA Netw Open"},{"issue":"12","key":"11879_CR5","doi-asserted-by":"publisher","first-page":"7200","DOI":"10.1007\/s00464-020-08217-9","volume":"35","author":"M Madion","year":"2021","unstructured":"Madion M, Goldblatt MI, Gould JC, Higgins RM (2021) Ten-year trends in minimally invasive hernia repair: a NSQIP database review. Surg Endosc 35(12):7200\u20137208","journal-title":"Surg Endosc"},{"issue":"4","key":"11879_CR6","doi-asserted-by":"publisher","first-page":"e202000076","DOI":"10.4293\/JSLS.2020.00076","volume":"24","author":"A St. John","year":"2020","unstructured":"St. John A, Caturegli I, Kubicki NS, Kavic SM (2020) The rise of minimally invasive surgery: 16 year analysis of the progressive replacement of open surgery with laparoscopy. JSLS 24(4):e202000076","journal-title":"JSLS"},{"issue":"1","key":"11879_CR7","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1097\/SLA.0000000000002045","volume":"267","author":"H Rivas","year":"2018","unstructured":"Rivas H, Robles I, Riquelme F, Vivanco M, Jim\u00e9nez J, Marinkovic B, Uribe M (2018) Magnetic surgery: results from first prospective clinical trial in 50 patients. Ann Surg 267(1):88","journal-title":"Ann Surg"},{"issue":"2","key":"11879_CR8","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1007\/s00464-017-5762-z","volume":"32","author":"IN Haskins","year":"2018","unstructured":"Haskins IN, Strong AT, Allemang MT, Bencsath KP, Rodriguez JH, Kroh MD (2018) Magnetic surgery: first U.S. experience with a novel device. Surg Endosc 32(2):895\u2013899","journal-title":"Surg Endosc"},{"issue":"4","key":"11879_CR9","doi-asserted-by":"publisher","first-page":"e225","DOI":"10.1097\/AS9.0000000000000225","volume":"3","author":"G Romero-Velez","year":"2022","unstructured":"Romero-Velez G, Robles I, Jim\u00e9nez J, Cabrera C, Luengas R, Portenier D, Kroh M (2022) Robotic magnetic surgery: results from the first prospective clinical trial. Ann Surg Open 3(4):e225","journal-title":"Ann Surg Open"},{"issue":"8","key":"11879_CR10","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.1089\/lap.2018.0744","volume":"29","author":"G Davalos","year":"2019","unstructured":"Davalos G, Lan BY, Diaz R, Welsh LK, Roldan E, Portenier D, Guerron AD (2019) Single-center experience with magnetic retraction in colorectal surgery. J Laparoendosc Adv Surg Tech A 29(8):1033\u20131037","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"3","key":"11879_CR11","first-page":"212","volume":"38","author":"F Larenas","year":"2024","unstructured":"Larenas F, Flores I, Roman C, Martinez C, Gatica T, S\u00e1nchez C, Ortiz JF (2024) Initial experience in urological surgery with a novel robotic technology: magnetic-assisted robotic surgery in urology. J Endourol 38(3):212\u2013218","journal-title":"J Endourol"},{"issue":"2","key":"11879_CR12","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1089\/lap.2020.0388","volume":"31","author":"LK Welsh","year":"2021","unstructured":"Welsh LK, Davalos G, Diaz R, Narvaez A, Perez JE, Castro M, Kuchibhatla M, Risoli T, Portenier D, Guerron AD (2021) Magnetic liver retraction decreases postoperative pain and length of stay in bariatric surgery compared to nathanson device. J Laparoendosc Adv Surg Tech A 31(2):194\u2013202","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"6","key":"11879_CR13","doi-asserted-by":"publisher","first-page":"S49","DOI":"10.1016\/j.jmig.2011.08.171","volume":"18","author":"RE Haff","year":"2011","unstructured":"Haff RE, Stoltzfus J, Lucente VR, Murphy M (2011) The surgical satisfaction questionnaire (SSQ-8): a validated tool for assessment of patient satisfaction following surgery to correct prolapse and\/or incontinence. J Minim Invasive Gynecol 18(6):S49\u2013S50","journal-title":"J Minim Invasive Gynecol"},{"key":"11879_CR14","unstructured":"Health Industry Distributors Association (2024) 2024 United States ambulatory surgery center market report. Research and Markets. https:\/\/www.researchandmarkets.com\/reports\/5928560\/united-states-ambulatory-surgery-center-market. Accessed 2 Dec 2024"},{"key":"11879_CR15","unstructured":"American Hospital Association (2021) Data brief: health care workforce challenges threaten hospitals\u2019 ability to care for patients. https:\/\/www.aha.org\/fact-sheets\/2021-11-01-data-brief-health-care-workforce-challenges-threaten-hospitals-ability-care. Accessed 2 Dec 2024"},{"issue":"1","key":"11879_CR16","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1007\/s00464-013-3142-x","volume":"28","author":"S Gillen","year":"2014","unstructured":"Gillen S, Pletzer B, Heiligensetzer A, Wolf P, Kleeff J, Feussner H, F\u00fcrst A (2014) Solo-surgical laparoscopic cholecystectomy with a joystick-guided camera device: a case\u2013control study. Surg Endosc 28(1):164\u2013170","journal-title":"Surg Endosc"},{"issue":"4","key":"11879_CR17","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1097\/SLE.0b013e31806030ae","volume":"17","author":"M Kalteis","year":"2007","unstructured":"Kalteis M, Pistrich R, Schimetta W, P\u00f6lz W (2007) Laparoscopic cholecystectomy as solo surgery with the aid of a robotic camera holder: a case-control study. Surg Laparosc Endosc Percutan Tech 17(4):277","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"3","key":"11879_CR18","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1007\/s11701-015-0518-z","volume":"9","author":"M Maheshwari","year":"2015","unstructured":"Maheshwari M, Ind T (2015) Concurrent use of a robotic uterine manipulator and a robotic laparoscope holder to achieve assistant-less solo laparoscopy: the double ViKY. J Robotic Surg 9(3):211\u2013213","journal-title":"J Robotic Surg"},{"issue":"4","key":"11879_CR19","doi-asserted-by":"publisher","first-page":"230","DOI":"10.3109\/13645706.2014.893890","volume":"23","author":"B Tuschy","year":"2014","unstructured":"Tuschy B, Berlit S, Brade J, S\u00fctterlin M, Hornemann A (2014) Solo surgery\u2013early results of robot-assisted three-dimensional laparoscopic hysterectomy. Minim Invasive Ther Allied Technol 23(4):230\u2013234","journal-title":"Minim Invasive Ther Allied Technol"},{"issue":"1","key":"11879_CR20","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1080\/13645706.2020.1771373","volume":"31","author":"AM Samar","year":"2022","unstructured":"Samar AM, Bond A, Ranaboldo C (2022) Comparison of FreeHand\u00ae robot-assisted with human-assisted laparoscopic fundoplication. Minim Invasive Ther Allied Technol 31(1):24\u201327","journal-title":"Minim Invasive Ther Allied Technol"},{"issue":"7","key":"11879_CR21","doi-asserted-by":"publisher","first-page":"2206","DOI":"10.1007\/s00464-018-6506-4","volume":"33","author":"Y Ohmura","year":"2019","unstructured":"Ohmura Y, Suzuki H, Kotani K, Teramoto A (2019) Comparative effectiveness of human scope assistant versus robotic scope holder in laparoscopic resection for colorectal cancer. Surg Endosc 33(7):2206\u20132216","journal-title":"Surg Endosc"},{"key":"11879_CR22","first-page":"87","volume":"34","author":"SW Holl\u00e4nder","year":"2019","unstructured":"Holl\u00e4nder SW, Klingen HJ, Hess S, Merscher A, Glanemann M, Birk D (2019) Benefits of robotic camera assistance in minimally invasive bariatric procedures: prospective clinical trial using a joystick-guided camera-holder. Surg Technol Int 34:87\u201392","journal-title":"Surg Technol Int"},{"issue":"12","key":"11879_CR23","doi-asserted-by":"publisher","first-page":"3919","DOI":"10.1007\/s00464-019-06678-1","volume":"33","author":"PJM Wijsman","year":"2019","unstructured":"Wijsman PJM, Molenaar L, Van\u2019t Hullenaar CDP, van Vugt BST, Bleeker WA, Draaisma WA, Broeders IAMJ (2019) Ergonomics in handheld and robot-assisted camera control: a randomized controlled trial. Surg Endosc 33(12):3919\u20133925","journal-title":"Surg Endosc"},{"issue":"3","key":"11879_CR24","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1080\/13645706.2020.1806078","volume":"31","author":"M Rade","year":"2022","unstructured":"Rade M, Birkett D, Sherman J, Nepomnayshy D (2022) Evaluation of a stand-alone robotic camera holding system: technology that improves laparoscopy. Minim Invasive Ther Allied Technol 31(3):404\u2013409","journal-title":"Minim Invasive Ther Allied Technol"},{"issue":"9","key":"11879_CR25","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1007\/s00464-001-9174-7","volume":"16","author":"S Aiono","year":"2002","unstructured":"Aiono S, Gilbert JM, Soin B, Finlay PA, Gordan A (2002) Controlled trial of the introduction of a robotic camera assistant (Endo Assist) for laparoscopic cholecystectomy. Surg Endosc 16(9):1267\u20131270","journal-title":"Surg Endosc"},{"issue":"2","key":"11879_CR26","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1007\/s00464-016-5058-8","volume":"31","author":"M Takahashi","year":"2017","unstructured":"Takahashi M, Takahashi M, Nishinari N, Matsuya H, Tosha T, Minagawa Y, Shimooki O, Abe T (2017) Clinical evaluation of complete solo surgery with the \u201cViKY\u00ae\u201d robotic laparoscope manipulator. Surg Endosc 31(2):981\u2013986","journal-title":"Surg Endosc"},{"issue":"6","key":"11879_CR27","doi-asserted-by":"publisher","first-page":"2134","DOI":"10.1016\/S0022-5347(01)66715-6","volume":"154","author":"LR Kavoussi","year":"1995","unstructured":"Kavoussi LR, Moore RG, Adams JB, Partin AW (1995) Comparison of robotic versus human laparoscopic camera control. J Urol 154(6):2134\u20132136","journal-title":"J Urol"},{"issue":"5","key":"11879_CR28","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1097\/SLE.0000000000000452","volume":"27","author":"MC Stott","year":"2017","unstructured":"Stott MC, Barrie J, Sebastien D, Hammill C, Subar DA (2017) Is the use of a robotic camera holder economically viable? A cost comparison of surgical assistant versus the use of a robotic camera holder in laparoscopic liver resections. Surg Laparosc Endosc Percutan Tech 27(5):375\u2013378","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"2","key":"11879_CR29","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1177\/2010105817738794","volume":"27","author":"JJI Chan","year":"2018","unstructured":"Chan JJI, Thong SY, Tan MGE (2018) Factors affecting postoperative pain and delay in discharge from the post-anaesthesia care unit: A descriptive correlational study. Proc Singapore Healthc 27(2):118\u2013124","journal-title":"Proc Singapore Healthc"},{"issue":"2","key":"11879_CR30","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.jpain.2015.12.008","volume":"17","author":"R Chou","year":"2016","unstructured":"Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy CL, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MF, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL (2016) Management of postoperative pain: a clinical practice guideline from the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists\u2019 Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain 17(2):131\u2013157","journal-title":"J Pain"},{"issue":"4","key":"11879_CR31","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1097\/ALN.0000000000003951","volume":"135","author":"JS Khan","year":"2021","unstructured":"Khan JS, Sessler DI, Chan MTV, Wang CY, Garutti I, Szczeklik W, Turan A, Busse JW, Buckley DN, Paul J, McGillion M, Fern\u00e1ndez-Riveira C, Srinathan SK, Shanthanna H, Gilron I, Jacka M, Jackson P, Hankinson J, Paniagua P, Pettit S, Devereaux PJ (2021) Persistent incisional pain after noncardiac surgery: an international prospective cohort study. Anesthesiology 135(4):711\u2013723","journal-title":"Anesthesiology"},{"issue":"3","key":"11879_CR32","first-page":"183","volume":"3","author":"AN Kalloo","year":"2007","unstructured":"Kalloo AN (2007) Natural orifice transluminal endoscopic surgery (NOTES). Gastroenterol Hepatol 3(3):183\u2013184","journal-title":"Gastroenterol Hepatol"},{"issue":"1","key":"11879_CR33","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1097\/SLA.0000000000000765","volume":"261","author":"TC Tsai","year":"2015","unstructured":"Tsai TC, Orav EJ, Jha AK (2015) Patient satisfaction and quality of surgical care in US hospitals. Ann Surg 261(1):2\u20138","journal-title":"Ann Surg"},{"issue":"1","key":"11879_CR34","first-page":"41","volume":"17","author":"W Boulding","year":"2011","unstructured":"Boulding W, Glickman SW, Manary MP, Schulman KA, Staelin R (2011) Relationship between patient satisfaction with inpatient care and hospital readmission within 30 days. Am J Manag Care 17(1):41\u201348","journal-title":"Am J Manag Care"},{"issue":"3","key":"11879_CR35","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1056\/NEJMp1211775","volume":"368","author":"MP Manary","year":"2013","unstructured":"Manary MP, Boulding W, Staelin R, Glickman SW (2013) The patient experience and health outcomes. N Engl J Med 368(3):201\u2013203","journal-title":"N Engl J Med"},{"issue":"1","key":"11879_CR36","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.yasu.2015.03.006","volume":"49","author":"SE Tevis","year":"2015","unstructured":"Tevis SE, Kennedy GD, Kent KC (2015) Is there a relationship between patient satisfaction and favorable surgical outcomes? Adv Surg 49(1):221\u2013233","journal-title":"Adv Surg"},{"issue":"4","key":"11879_CR37","doi-asserted-by":"publisher","first-page":"1611","DOI":"10.1007\/s11695-019-04251-2","volume":"30","author":"CA Narvaez","year":"2020","unstructured":"Narvaez CA, Ortega C, Davalos G, Welsh LK, Jara RD, Perez JE, Chtchetinin J, Lee HJ, Garzon N, Friedman K, Jain-Spangler K, Portenier D, Guerron AD (2020) Scars matter: the importance of incision decisions in bariatric patients. Obes Surg 30(4):1611\u20131615","journal-title":"Obes Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-11879-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-11879-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-11879-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T17:38:33Z","timestamp":1751477913000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-11879-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,11]]},"references-count":37,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["11879"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-11879-y","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,11]]},"assertion":[{"value":"8 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 June 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Ryan C Broderick is a consultant for Stryker Corporation. Dr. Santiago Horgan is a consultant for Stryker Corporation and Ethicon. Ms. Isidora Mendez and Drs. Graham J Spurzem, Julio Jimenez, Natasha Paravic, Ignacio Robles, Marcelo Ya\u00f1ez, Gabriel Escalona, Carolina Carmona, and Matias Hidalgo have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}