{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T19:29:46Z","timestamp":1773170986985,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"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":["J Robotic Surg"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202\u00a0min vs 148\u00a0min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), ileal isolation and anastomosis (73\u00a0min vs 45\u00a0min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and stenting (23.0\u00a0min vs 6.5\u00a0min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). As the experience of the PSS increased, the time of the PSS procedures decreased.<\/jats:p>","DOI":"10.1007\/s11701-021-01256-x","type":"journal-article","created":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T10:07:26Z","timestamp":1622714846000},"page":"437-444","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men"],"prefix":"10.1007","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-0776","authenticated-orcid":false,"given":"Yutaro","family":"Sasaki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyotaro","family":"Fukuta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keito","family":"Shiozaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Daizumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keisuke","family":"Ozaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiteru","family":"Ueno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megumi","family":"Tsuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Kusuhara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoya","family":"Fukawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyo","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunihisa","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Izaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Kanda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroomi","family":"Kanayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,3]]},"reference":[{"key":"1256_CR1","doi-asserted-by":"publisher","first-page":"3149","DOI":"10.1007\/s00464-010-1108-9","volume":"24","author":"O Sgarbura","year":"2010","unstructured":"Sgarbura O, Vasilescu C (2010) The decisive role of the patient-side surgeon in robotic surgery. Surg Endosc 24:3149\u20133155. https:\/\/doi.org\/10.1007\/s00464-010-1108-9","journal-title":"Surg Endosc"},{"key":"1256_CR2","doi-asserted-by":"publisher","first-page":"204","DOI":"10.4103\/0970-1591.185095","volume":"32","author":"R Nayyar","year":"2016","unstructured":"Nayyar R, Yadav S, Singh P, Dogra PN (2016) Impact of assistant surgeon on outcomes in robotic surgery. Indian J Urol 32:204\u2013209. https:\/\/doi.org\/10.4103\/0970-1591.185095","journal-title":"Indian J Urol"},{"key":"1256_CR3","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1007\/s00345-006-0068-0","volume":"24","author":"R Kumar","year":"2006","unstructured":"Kumar R, Hemal AK (2006) The \u201cscrubbed surgeon\u201d in robotic surgery. World J Urol 24:144\u2013147. https:\/\/doi.org\/10.1007\/s00345-006-0068-0","journal-title":"World J Urol"},{"key":"1256_CR4","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1016\/j.eururo.2013.09.042","volume":"65","author":"K Ahmed","year":"2014","unstructured":"Ahmed K, Khan SA, Hayn MH et al (2014) Analysis of intracorporeal compared with extracorporeal urinary diversion after robot-assisted radical cystectomy: results from the international robotic cystectomy consortium. Eur Urol 65:340\u2013347. https:\/\/doi.org\/10.1016\/j.eururo.2013.09.042","journal-title":"Eur Urol"},{"key":"1256_CR5","doi-asserted-by":"publisher","first-page":"1302","DOI":"10.1016\/j.juro.2017.12.045","volume":"199","author":"AA Hussein","year":"2018","unstructured":"Hussein AA, May PR, Jing Z et al (2018) Outcomes of intracorporeal urinary diversion after robot-assisted radical cystectomy: results from the International Robotic Cystectomy Consortium. J Urol 199:1302\u20131311. https:\/\/doi.org\/10.1016\/j.juro.2017.12.045","journal-title":"J Urol"},{"key":"1256_CR6","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1007\/978-1-4614-4906-5_11","volume-title":"Robotic surgery of the bladder","author":"M Annerstedt","year":"2014","unstructured":"Annerstedt M, Castle EP (2014) Robot-assisted intracorporeal ileal conduit. In: Castle EP, Pruthi RS (eds) Robotic surgery of the bladder. Springer, New York, pp 111\u2013116"},{"key":"1256_CR7","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1016\/j.urology.2009.12.082","volume":"76","author":"K Guru","year":"2010","unstructured":"Guru K, Seixas-Mikelus SA, Hussain A et al (2010) Robot-assisted intracorporeal ileal conduit: marionette technique and initial experience at Roswell Park Cancer Institute. Urology 76:866\u2013871","journal-title":"Urology"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-021-01256-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-021-01256-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-021-01256-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T17:46:53Z","timestamp":1648489613000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-021-01256-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,3]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["1256"],"URL":"https:\/\/doi.org\/10.1007\/s11701-021-01256-x","relation":{},"ISSN":["1863-2483","1863-2491"],"issn-type":[{"value":"1863-2483","type":"print"},{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,3]]},"assertion":[{"value":"3 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Yutaro Sasaki, Masayuki Takahashi, Kyotaro Fukuta, Keito Shiozaki, Kei Daizumoto,\u00a0Keisuke Ozaki, Yoshiteru Ueno, Megumi Tsuda, Yoshito Kusuhara, Tomoya Fukawa, Yasuyo Yamamoto, Kunihisa Yamaguchi, Hirofumi Izaki, Kazuya Kanda and Hiroomi Kanayama declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The institutional review board approved this study (approval number 3838).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All patients provided informed consent.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}]}}