{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T00:01:15Z","timestamp":1771286475571,"version":"3.50.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J CARS"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>In rectal cancer endoscopic surgery, the tissue hangs down and obstructs the surgical field when using a scalpel to make an incision to expose the tumor. Thus, there is a need for a tissue elimination device because the surgical field can be secured by lifting the hanging tissue during this surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed a wire-driven film-type device for tissue elimination that can be driven even in limited spaces such as the spatial constraints in the rectum. The device is composed of a polyethylene terephthalate film and stainless steel with a belt-loop structure to reduce film swelling. The belt-loop prevents film swelling and facilitates device movement without restriction of the obstacles above it. In addition, the device generates a force exceeding 1 N at a displacement of 0\u201310\u00a0mm. We used a mechanical model to analyze the relationship between the force at the device tip and the tensile force acting at the belt-loop position. This analysis facilitated the optimization of the belt-loop position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A maximum force of 4.25 N was achieved at a tensile force of 40 N under the specified displacement conditions. Further, the device with the optimized belt-loop position achieved a maximum force of 10.3 N at a tensile force of 40 N, which was approximately 2.4 times higher than that of the device before optimization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The wire-driven film-type device for tissue elimination can optimize the belt-loop position to satisfy the required specifications. Furthermore, evaluation results of the devices indicate it possesses sufficient performance for use in rectal cancer endoscopic surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11548-026-03570-x","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T10:13:07Z","timestamp":1771236787000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a wire-driven film-type device for tissue elimination in rectal cancer endoscopic surgery"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5571-2048","authenticated-orcid":false,"given":"Masaaki","family":"Kuruma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoto","family":"Fukunaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiro","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaaki","family":"Ito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Konishi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,16]]},"reference":[{"issue":"3","key":"3570_CR1","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1109\/TMRB.2020.3000899","volume":"2","author":"H Alfalahi","year":"2020","unstructured":"Alfalahi H, Renda F, Stefanini C (2020) Concentric tube robots for minimally invasive surgery: current applications and future opportunities. 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