{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T12:46:17Z","timestamp":1769085977808,"version":"3.49.0"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1007\/s00464-025-12456-z","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:32:25Z","timestamp":1764970345000},"page":"801-809","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robotic crush and clip technique for pancreatic transection in robotic distal pancreatectomy"],"prefix":"10.1007","volume":"40","author":[{"given":"Yuichiro","family":"Uchida","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4800-955X","authenticated-orcid":false,"given":"Takeshi","family":"Takahara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayako","family":"Tsurumachi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Nishimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Fukuoka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Taniwaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideaki","family":"Iwama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Kojima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Uyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"Suda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"12456_CR1","doi-asserted-by":"crossref","unstructured":"Abu Hilal M, van Ramshorst TME, Boggi U, Dokmak S, Edwin B, Keck T, Khatkov I, Ahmad J, Al Saati H, Alseidi A, Azagra JS, Bjornsson B, Can FM, D'Hondt M, Efanov M, Espin Alvarez F, Esposito A, Ferrari G, Groot Koerkamp B, Gumbs AA, Hogg ME, Huscher CGS, Ielpo B, Ivanecz A, Jang JY, Liu R, Luyer MDP, Menon K, Nakamura M, Piardi T, Saint-Marc O, White S, Yoon YS, Zerbi A, Bassi C, Berrevoet F, Chan C, Coimbra FJ, Conlon KCP, Cook A, Dervenis C, Falconi M, Ferrari C, Frigerio I, Fusai GK, De Oliveira ML, Pinna AD, Primrose JN, Sauvanet A, Serrablo A, Smadi S, Badran A, Baychorov M, Bannone E, van Bodegraven EA, Emmen A, Giani A, de Graaf N, van Hilst J, Jones LR, Levi Sandri GB, Pulvirenti A, Ramera M, Rashidian N, Sahakyan MA, Uijterwijk BA, Zampedri P, Zwart MJW, Alfieri S, Berti S, Butturini G, Di Benedetto F, Ettorre GM, Giuliante F, Jovine E, Memeo R, Portolani N, Ruzzenente A, Salvia R, Siriwardena AK, Besselink MG, Asbun HJ, Collaborators (2024) The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS). Ann Surg 279: 45\u201357","DOI":"10.1097\/SLA.0000000000006006"},{"key":"12456_CR2","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1007\/s00464-023-10601-0","volume":"38","author":"Q Jiang","year":"2024","unstructured":"Jiang Q, Lu C, Zhou Y, Zhu Q, Ren Y, Mou Y, Jin W (2024) Comparison of manual sutures and laparoscopic stapler for pancreatic stump closure techniques in robotic distal pancreatectomy: a single-center experience. Surg Endosc 38:1230\u20131238","journal-title":"Surg Endosc"},{"key":"12456_CR3","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2470","volume":"19","author":"M Palmeri","year":"2023","unstructured":"Palmeri M, Furbetta N, Di Franco G, Gianardi D, Guadagni S, Bianchini M, Fatucchi LM, Comandatore A, Moglia A, Di Candio G, Morelli L (2023) Comparison of different pancreatic stump management strategies during robot-assisted distal pancreatectomy. Int J Med Robot 19:e2470","journal-title":"Int J Med Robot"},{"key":"12456_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2025.102195","volume":"59","author":"Y Uchida","year":"2025","unstructured":"Uchida Y, Takahara T, Kawase T, Mizumoto T, Nakauchi M, Nishimura A, Mii S, Fukuoka H, Taniwaki S, Iwama H, Kojima M, Uyama I, Suda K (2025) Robotic distal pancreatectomy using the hinotori surgical system: Differences in surgical techniques from the daVinci surgical system. Surg Oncol 59:102195","journal-title":"Surg Oncol"},{"key":"12456_CR5","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1007\/s00595-021-02418-y","volume":"52","author":"H Katsuno","year":"2022","unstructured":"Katsuno H, Hanai T, Endo T, Morise Z, Uyama I (2022) The double bipolar method for robotic total mesorectal excision in patients with rectal cancer. Surg Today 52:978\u2013985","journal-title":"Surg Today"},{"key":"12456_CR6","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1007\/s00534-009-0250-z","volume":"17","author":"W Kimura","year":"2010","unstructured":"Kimura W, Yano M, Sugawara S, Okazaki S, Sato T, Moriya T, Watanabe T, Fujimoto H, Tezuka K, Takeshita A, Hirai I (2010) Spleen-preserving distal pancreatectomy with conservation of the splenic artery and vein: techniques and its significance. J Hepatobiliary Pancreat Sci 17:813\u2013823","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"12456_CR7","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.pan.2023.12.009","volume":"24","author":"T Ohtsuka","year":"2024","unstructured":"Ohtsuka T, Fernandez-Del Castillo C, Furukawa T, Hijioka S, Jang JY, Lennon AM, Miyasaka Y, Ohno E, Salvia R, Wolfgang CL, Wood LD (2024) International evidence-based Kyoto guidelines for the management of intraductal papillary mucinous neoplasm of the pancreas. Pancreatology 24:255\u2013270","journal-title":"Pancreatology"},{"key":"12456_CR8","doi-asserted-by":"publisher","first-page":"439","DOI":"10.6004\/jnccn.2021.0017","volume":"19","author":"MA Tempero","year":"2021","unstructured":"Tempero MA, Malafa MP, Al-Hawary M, Behrman SW, Benson AB, Cardin DB, Chiorean EG, Chung V, Czito B, Del Chiaro M, Dillhoff M, Donahue TR, Dotan E, Ferrone CR, Fountzilas C, Hardacre J, Hawkins WG, Klute K, Ko AH, Kunstman JW, LoConte N, Lowy AM, Moravek C, Nakakura EK, Narang AK, Obando J, Polanco PM, Reddy S, Reyngold M, Scaife C, Shen J, Vollmer C, Wolff RA, Wolpin BM, Lynn B, George GV (2021) Pancreatic adenocarcinoma, version 2.2021, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 19:439\u2013457","journal-title":"J Natl Compr Canc Netw"},{"key":"12456_CR9","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.amjsurg.2008.11.033","volume":"199","author":"M Sugiyama","year":"2010","unstructured":"Sugiyama M, Suzuki Y, Abe N, Matsuoka H, Yanagida O, Masaki T, Mori T, Atomi Y (2010) Secure placement of a peripancreatic drain after a distal pancreatectomy. Am J Surg 199:178\u2013182","journal-title":"Am J Surg"},{"key":"12456_CR10","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1007\/s00464-019-06757-3","volume":"34","author":"HJ Asbun","year":"2020","unstructured":"Asbun HJ, Van Hilst J, Tsamalaidze L, Kawaguchi Y, Sanford D, Pereira L, Besselink MG, Stauffer JA (2020) Technique and audited outcomes of laparoscopic distal pancreatectomy combining the clockwise approach, progressive stepwise compression technique, and staple line reinforcement. Surg Endosc 34:231\u2013239","journal-title":"Surg Endosc"},{"key":"12456_CR11","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/s11701-024-02020-7","volume":"18","author":"T Mizumoto","year":"2024","unstructured":"Mizumoto T, Takahara T, Nishimura A, Mii S, Uchida Y, Iwama H, Kojima M, Kato Y, Uyama I, Suda K (2024) Robot-assisted approach using a laparoscopic articulating vessel-sealing device versus pure-robotic approach during distal pancreatectomy. J Robot Surg 18:263","journal-title":"J Robot Surg"},{"key":"12456_CR12","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1016\/j.surg.2016.11.014","volume":"161","author":"C Bassi","year":"2017","unstructured":"Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, Allen P, Andersson R, Asbun HJ, Besselink MG, Conlon K, Del Chiaro M, Falconi M, Fernandez-Cruz L, Fernandez-Del Castillo C, Fingerhut A, Friess H, Gouma DJ, Hackert T, Izbicki J, Lillemoe KD, Neoptolemos JP, Olah A, Schulick R, Shrikhande SV, Takada T, Takaori K, Traverso W, Vollmer CR, Wolfgang CL, Yeo CJ, Salvia R, Buchler M (2017) The 2016 update of the international study group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 years after. Surgery 161:584\u2013591","journal-title":"Surgery"},{"key":"12456_CR13","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1016\/j.surg.2007.05.005","volume":"142","author":"MN Wente","year":"2007","unstructured":"Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, Neoptolemos JP, Padbury RT, Sarr MG, Traverso LW, Yeo CJ, Buchler MW (2007) Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery 142:761\u2013768","journal-title":"Surgery"},{"key":"12456_CR14","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.surg.2007.02.001","volume":"142","author":"MN Wente","year":"2007","unstructured":"Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, Neoptolemos JP, Padbury RT, Sarr MG, Yeo CJ, Buchler MW (2007) Postpancreatectomy hemorrhage (PPH): an International study group of pancreatic surgery (ISGPS) definition. Surgery 142:20\u201325","journal-title":"Surgery"},{"key":"12456_CR15","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","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","journal-title":"Ann Surg"},{"key":"12456_CR16","doi-asserted-by":"crossref","unstructured":"Piaggio G, Elbourne DR, Pocock SJ, Evans SJW, Altman DG; for the CONSORT Group ft (2012) Reporting of noninferiority and equivalence randomized trials: extension of the CONSORT 2010 statement. JAMA 308","DOI":"10.1001\/jama.2012.87802"},{"key":"12456_CR17","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1097\/SLA.0000000000005601","volume":"278","author":"PC Muller","year":"2023","unstructured":"Muller PC, Breuer E, Nickel F, Zani S Jr., Kauffmann E, De Franco L, Tschuor C, Krohn PS, Burgdorf SK, Jonas JP, Oberkofler CE, Petrowsky H, Saint-Marc O, Seelen L, Molenaar IQ, Wellner U, Keck T, Coratti A, van Dam JL, de Wil R, Koerkamp BG, Valle V, Giulianotti P, Ghabi E, Moskal D, Lavu H, Vrochides D, Martinie J, Yeo C, Sanchez-Velazquez P, Ielpo B, Ajay PS, Shah MM, Kooby DA, Gao S, Hao J, He J, Boggi U, Hackert T, Allen P, Borel-Rinkes IHM, Clavien PA (2023) Robotic distal pancreatectomy: a novel standard of care? Benchmark values for surgical outcomes from 16 international expert centers. Ann Surg 278:253\u2013259","journal-title":"Ann Surg"},{"key":"12456_CR18","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1093\/bjs\/znac352","volume":"110","author":"TME van Ramshorst","year":"2022","unstructured":"van Ramshorst TME, Giani A, Mazzola M, Dokmak S, Fteriche FS, Esposito A, de Pastena M, Lof S, Edwin B, Sahakyan M, Boggi U, Kauffman EF, Fabre JM, Souche RF, Zerbi A, Butturini G, Molenaar Q, Al-Sarireh B, Marino MV, Keck T, White SA, Casadei R, Burdio F, Bjornsson B, Soonawalla Z, Koerkamp BG, Fusai GK, Pessaux P, Jah A, Pietrabissa A, Hackert T, D\u2019Hondt M, Pando E, Besselink MG, Ferrari G, Hilal MA, European Consortium on Minimally Invasive Pancreatic S (2022) Benchmarking of robotic and laparoscopic spleen-preserving distal pancreatectomy by using two different methods. Br J Surg 110:76\u201383","journal-title":"Br J Surg"},{"key":"12456_CR19","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrab001","author":"TH Mungroop","year":"2021","unstructured":"Mungroop TH, van der Heijde N, Busch OR, de Hingh IH, Scheepers JJ, Dijkgraaf MG, Groot Koerkamp B, Besselink MG, van Eijck CH (2021) Randomized clinical trial and meta-analysis of the impact of a fibrin sealant patch on pancreatic fistula after distal pancreatectomy: CPR trial. BJS Open. https:\/\/doi.org\/10.1093\/bjsopen\/zrab001","journal-title":"BJS Open"},{"key":"12456_CR20","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1159\/000322406","volume":"28","author":"H Eguchi","year":"2011","unstructured":"Eguchi H, Nagano H, Tanemura M, Takeda Y, Marubashi S, Kobayashi S, Wada H, Umeshita K, Mori M, Doki Y (2011) A thick pancreas is a risk factor for pancreatic fistula after a distal pancreatectomy: selection of the closure technique according to the thickness. Dig Surg 28:50\u201356","journal-title":"Dig Surg"},{"key":"12456_CR21","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1007\/s00464-015-4255-1","volume":"30","author":"AS Mendoza 3rd","year":"2016","unstructured":"Mendoza AS 3rd, Han HS, Ahn S, Yoon YS, Cho JY, Choi Y (2016) Predictive factors associated with postoperative pancreatic fistula after laparoscopic distal pancreatectomy: a 10-year single-institution experience. Surg Endosc 30:649\u2013656","journal-title":"Surg Endosc"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12456-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-12456-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12456-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:32:55Z","timestamp":1769023975000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-12456-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["12456"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-12456-z","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,5]]},"assertion":[{"value":"7 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 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. Yuichiro Uchida, Takeshi Takahara, Ayako Tsurumachi, Akihiro Nishimura, Hirotaka Fukuoka, Shinichi Taniwaki, Hideaki Iwama, Masayuki Kojima, Ichiro Uyama, Koichi Suda: The authors have no conflicts of interest to disclose related to this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}},{"value":"The institutional review board approved the study protocol (approval number: HM19-064).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}