{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:07:39Z","timestamp":1788966459023,"version":"build-2803163510"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T00:00:00Z","timestamp":1658361600000},"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":["J Robotic Surg"],"DOI":"10.1007\/s11701-022-01445-2","type":"journal-article","created":{"date-parts":[[2022,7,21]],"date-time":"2022-07-21T11:02:58Z","timestamp":1658401378000},"page":"303-312","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Lower vs standard pressure pneumoperitoneum in robotic-assisted radical prostatectomy: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1788-3669","authenticated-orcid":false,"given":"Omar","family":"El-Taji","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Howell-Etienne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samih","family":"Taktak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishwanath","family":"Hanchanale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,21]]},"reference":[{"key":"1445_CR1","doi-asserted-by":"publisher","first-page":"1964","DOI":"10.1016\/S0022-5347(05)66251-9","volume":"165","author":"CC Abbou","year":"2001","unstructured":"Abbou CC, Hoznek A, Salomon L et al (2001) Laparoscopic radical prostatectomy with a remote controlled robot. J Urol 165:1964\u20131966","journal-title":"J Urol"},{"issue":"7","key":"1445_CR2","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1007\/s00464-001-9166-7","volume":"16","author":"J Neudecker","year":"2002","unstructured":"Neudecker J, Sauerland S, Bergamaschi R et al (2002) The European Association for Endoscopic Surgery clinical practice guideline on the pneumoperitoneum for laparoscopic surgery. Surg Endosc 16(7):1121\u20131143","journal-title":"Surg Endosc"},{"issue":"2","key":"1445_CR3","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1097\/MOU.0000000000000470","volume":"28","author":"G Ploussard","year":"2018","unstructured":"Ploussard G (2018) Robotic surgery in urology: facts and reality. What are the real advantages of robotic approaches for prostate cancer patients? Curr Opin Urol 28(2):153\u2013158","journal-title":"Curr Opin Urol"},{"key":"1445_CR4","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1007\/s004649900633","volume":"12","author":"P Taura","year":"1998","unstructured":"Taura P, Lopez A, Lacy AM et al (1998) Prolonged pneumoperitoneum at 15 mmHg causes lactic acidosis. Surg Endosc 12:198\u2013201","journal-title":"Surg Endosc"},{"key":"1445_CR5","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/0022-4804(81)90156-6","volume":"30","author":"J Kashtan","year":"1981","unstructured":"Kashtan J, Green JF, Parsons EQ, Holcroft JW (1981) Hemodynamic effects of increased abdominal pressure. J Surg Res 30:249\u2013255","journal-title":"J Surg Res"},{"key":"1445_CR6","doi-asserted-by":"publisher","first-page":"2611","DOI":"10.1152\/jappl.1991.70.6.2611","volume":"70","author":"T Mutoh","year":"1991","unstructured":"Mutoh T, Lamm JE, Embree LJ, Hildebrandt J, Albert RK (1991) Abdominal distention alters regional pleural pressures and chest wall mechanics in pigs in vivo. J Appl Physiol 70:2611\u20132618","journal-title":"J Appl Physiol"},{"key":"1445_CR7","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1097\/01.ju.0000173102.16381.08","volume":"174","author":"MC Ost","year":"2005","unstructured":"Ost MC, Tan BJ, Lee BR (2005) Urologic laparoscopy: basic physiological considerations and immunological consequences. J Urol 174:1183\u20131188","journal-title":"J Urol"},{"key":"1445_CR8","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1007\/s00464-001-9093-7","volume":"16","author":"BM Ure","year":"2002","unstructured":"Ure BM, Niewold TA, Bax NM et al (2002) Peritoneal, systemic, and distant organ inflammatory responses are reduced by a laparoscopic approach and carbon dioxide versus air. Surg Endosc 16:836\u2013842","journal-title":"Surg Endosc"},{"issue":"4","key":"1445_CR9","first-page":"178","volume":"15","author":"RL Hsu","year":"2013","unstructured":"Hsu RL, Kaye AD, Urman RD (2013) Anesthetic challenges in robotic-assisted urologic surgery. Rev Urol 15(4):178\u2013184","journal-title":"Rev Urol"},{"key":"1445_CR10","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1007\/s12262-012-0484-x","volume":"75","author":"A Umar","year":"2013","unstructured":"Umar A, Mehta KS, Mehta N (2013) Evaluation of hemodynamic changes using different intra-abdominal pressures for laparoscopic cholecystectomy. Indian J Surg 75:284\u2013289","journal-title":"Indian J Surg"},{"key":"1445_CR11","doi-asserted-by":"publisher","first-page":"2049","DOI":"10.1007\/s00464-015-4454-9","volume":"30","author":"DM \u00d6zdemir-van Brunschot","year":"2016","unstructured":"\u00d6zdemir-van Brunschot DM, van Laarhoven KC, Scheffer GJ et al (2016) What is the evidence for the use of low-pressure pneumoperitoneum? A systematic review. Surg Endosc 30:2049\u20132065","journal-title":"Surg Endosc"},{"key":"1445_CR12","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1186\/s13063-016-1609-5","volume":"17","author":"X Zhang","year":"2016","unstructured":"Zhang X, Wei J, Song X et al (2016) Comparison of the impact of prolonged low-pressure and standard-pressure pneumoperitoneum on myocardial injury after robot-assisted surgery in the Trendelenburg position: study protocol for a randomized controlled trial. Trials 17:488","journal-title":"Trials"},{"key":"1445_CR13","first-page":"CD006930","volume":"18","author":"KS Gurusamy","year":"2014","unstructured":"Gurusamy KS, Vaughan J, Davidson BR (2014) Low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy. Cochrane Database Syst Rev 18:CD006930","journal-title":"Cochrane Database Syst Rev"},{"key":"1445_CR14","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.1007\/s00464-009-0827-2","volume":"24","author":"OH Hypolito","year":"2010","unstructured":"Hypolito OH, Azevedo JL, Caldeira FM et al (2010) Creation of pneumoperitoneum: noninvasive monitoring of clinical effects of elevated intraperitoneal pressure for the insertion of the first trocar. Surg Endosc 24:1663\u20131669","journal-title":"Surg Endosc"},{"key":"1445_CR15","doi-asserted-by":"publisher","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","volume":"151","author":"D Moher","year":"2009","unstructured":"Moher D, Liberati A, Telzlaff J (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Int Med 151:264\u2013269","journal-title":"Ann Int Med"},{"key":"1445_CR16","unstructured":"Wells GA, Shea B, O\u2019Connell D et al (2011) The Newcastle\u2013Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analysis. http:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp"},{"key":"1445_CR17","doi-asserted-by":"publisher","DOI":"10.3310\/hta7270","author":"J Deeks","year":"2003","unstructured":"Deeks J, Dinnes J, D\u2019Amico R et al (2003) Evaluating non-randomized intervention studies. Health Technol Assess. https:\/\/doi.org\/10.3310\/hta7270","journal-title":"Health Technol Assess"},{"issue":"7650","key":"1445_CR18","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1136\/bmj.39489.470347.AD","volume":"336","author":"GH Guyatt","year":"2008","unstructured":"Guyatt GH, Oxman AD, Vist GE et al (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336(7650):924\u2013926","journal-title":"BMJ"},{"key":"1445_CR19","unstructured":"Review Manager Web (RevMan Web). Version (5.4.1). The Cochrane Collaboration, (5.4.1). Available at revman.cochrane.org."},{"key":"1445_CR20","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/s11701-016-0570-3","volume":"10","author":"C Christensen","year":"2016","unstructured":"Christensen C, Maatman TK, Maatman TJ, Tran T (2016) Examining clinical outcomes utilizing low-pressure pneumoperitoneum during robotic-assisted radical prostatectomy. J Robotic Surg 10:215\u2013219","journal-title":"J Robotic Surg"},{"key":"1445_CR21","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1111\/bju.14682","volume":"124","author":"M Ferroni","year":"2019","unstructured":"Ferroni M, Abaza R (2019) Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6 mmHg and comparison of clinical outcomes vs standard pressure of 15 mmHg. BJU Int 124:308\u2013313","journal-title":"BJU Int"},{"key":"1445_CR22","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1007\/s11701-018-00915-w","volume":"13","author":"M Rohloff","year":"2019","unstructured":"Rohloff M, Cicic A, Christensen C et al (2019) Reduction in postoperative ileus rates utilizing lower pressure pneumoperitoneum in robotic-assisted radical prostatectomy. J Robotic Surg 13:671\u2013674","journal-title":"J Robotic Surg"},{"issue":"3","key":"1445_CR23","doi-asserted-by":"publisher","first-page":"199","DOI":"10.5152\/tud.2021.20568","volume":"47","author":"C Johnstone","year":"2021","unstructured":"Johnstone C, Hammond J, Hanchanale V (2021) Is the use of ultra-low insufflation pressure safe and feasible in robot assisted radical prostatectomy. Turk J Urol 47(3):199\u2013204","journal-title":"Turk J Urol"},{"issue":"7","key":"1445_CR24","doi-asserted-by":"publisher","first-page":"2469","DOI":"10.1007\/s00345-020-03486-4","volume":"39","author":"M Rohloff","year":"2021","unstructured":"Rohloff M, Peifer G, Shakuri-Rad J, Maatman T (2021) The impact of low pressure pneumoperitoneum in robotic assisted radical prostatectomy: a prospective, randomized, double blinded trial. World J Urol 39(7):2469\u20132474","journal-title":"World J Urol"},{"issue":"10","key":"1445_CR25","doi-asserted-by":"publisher","first-page":"1148","DOI":"10.1089\/end.2015.0094","volume":"29","author":"P Modi","year":"2015","unstructured":"Modi P, Kwon YS, Patel N et al (2015) Safety of Robot-Assisted Radical Prostatectomy with Pneumoperitoneum of 20mmHg: a study of 751 patients. J Endourol 29(10):1148\u20131151","journal-title":"J Endourol"},{"issue":"3","key":"1445_CR26","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1016\/j.eururo.2012.05.047","volume":"62","author":"G Novara","year":"2012","unstructured":"Novara G, Ficarra V, Mocellin S et al (2012) Systematic review and meta-analysis of studies reporting oncologic outcome after robot-assisted radical prostatectomy. Eur Urol 62(3):382\u2013404","journal-title":"Eur Urol"},{"issue":"2","key":"1445_CR27","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1007\/s11701-007-0024-z","volume":"1","author":"M Danic","year":"2007","unstructured":"Danic M, Chow M, Alexandeer G, Bhandari A, Menon M, Brown M (2007) Anesthesia considerations for robotic-assisted laparoscopic prostatectomy: a review of 1,500 cases. J Robot Surg 1(2):119\u2013123","journal-title":"J Robot Surg"},{"key":"1445_CR28","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1097\/00003246-198902000-00002","volume":"17","author":"DJ Cullen","year":"1989","unstructured":"Cullen DJ, Coyle JP, Teplick R, Long MC (1989) Cardiovascular, pulmonary and renal effects of massively increased intra-abdominal pressure in critically ill patients. Crit Care Med 17:118\u2013121","journal-title":"Crit Care Med"},{"key":"1445_CR29","first-page":"317","volume":"182","author":"EM McDougall","year":"1996","unstructured":"McDougall EM, Monk TG, Wolf JS et al (1996) The effect of prolonged pneumoperitoneum on renal function in an animal model. J Am Coll Surg 182:317\u2013328","journal-title":"J Am Coll Surg"},{"issue":"6","key":"1445_CR30","doi-asserted-by":"publisher","first-page":"e1029","DOI":"10.1016\/j.clgc.2017.05.027","volume":"15","author":"S La Falce","year":"2017","unstructured":"La Falce S, Novara G, Gandaglia G et al (2017) Low pressure robot-assisted radical prostatectomy with the airseal system at OLV hospital: results from a prospective study. Clin Genitourin Cancer 15(6):e1029\u2013e1037","journal-title":"Clin Genitourin Cancer"},{"key":"1445_CR31","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1002\/bjs.7457","volume":"98","author":"K Eiriksson","year":"2011","unstructured":"Eiriksson K, Fors D, Rubertsson S, Arvidsson D (2011) High intra-abdominal pressure during experimental laparoscopic liver resection reduces bleeding but increases the risk of gas embolism. Br J Surg 98:845\u2013852","journal-title":"Br J Surg"},{"issue":"Suppl 2","key":"1445_CR32","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1111\/j.1743-3150.2004.00558.x","volume":"16","author":"AJ Bauer","year":"2004","unstructured":"Bauer AJ, Boeckxstaens GE (2004) Mechanisms of postoperative ileus. Neurogastroenterol Motil 16(Suppl 2):54\u201360","journal-title":"Neurogastroenterol Motil"},{"issue":"4","key":"1445_CR33","first-page":"378","volume":"184","author":"MK Schilling","year":"1997","unstructured":"Schilling MK, Redaelli C, Kr\u00e4henb\u00fchl L, Signer C, B\u00fcchler MW (1997) Splanchnic microcirculatory changes during CO2 laparoscopy. J Am Coll Surg 184(4):378\u2013382","journal-title":"J Am Coll Surg"},{"key":"1445_CR34","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1186\/s12894-017-0262-y","volume":"17","author":"A Sachdeva","year":"2017","unstructured":"Sachdeva A, Veeratterapillay R, Voysey A et al (2017) Positive surgical margins and biochemical recurrence following minimally-invasive radical prostatectomy\u2014an analysis of outcomes from a UK tertiary referral centre. BMC Urol 17:91","journal-title":"BMC Urol"},{"issue":"2","key":"1445_CR35","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1016\/j.eururo.2013.07.039","volume":"65","author":"O Yossepowitch","year":"2014","unstructured":"Yossepowitch O, Briganti A, Eastham J et al (2014) Positive surgical margins after radical prostatectomy: a systematic review and contemporary update. Eur Urol 65(2):303\u2013313","journal-title":"Eur Urol"},{"key":"1445_CR36","unstructured":"ClinicalTrials.gov [Internet]. Maatman T: National Library of Medicine (US). 2000 Feb 29 - . Identifier NCT03370016, The Impact of Low Pressure Pneumo in RARP; 2017; Available from: https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03370016"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-022-01445-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-022-01445-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-022-01445-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T12:20:18Z","timestamp":1680697218000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-022-01445-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,21]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["1445"],"URL":"https:\/\/doi.org\/10.1007\/s11701-022-01445-2","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,21]]},"assertion":[{"value":"10 February 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 June 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Omar El-Taji, Jack Howell-Etienne, Samih Taktak and Vishwanath Hanchanale declare that they have no conflict of interest and declare that no funds, grants, or other support were received during the preparation of this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This article does not contain any studies with human or animal subjects performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}