{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T13:17:44Z","timestamp":1773148664391,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T00:00:00Z","timestamp":1722038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T00:00:00Z","timestamp":1722038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100019084","name":"Kobe University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100019084","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Robotic Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The hinotori\n                    <jats:sup>\u2122<\/jats:sup>\n                    Surgical Robot System (hinotori\n                    <jats:sup>\u2122<\/jats:sup>\n                    , Medicaroid, Kobe, Japan) is increasingly being utilized primarily in urology and adult surgery; however, data on its application in pediatric surgery are lacking. This preclinical study aimed to evaluate the limitations of this system for accurate suturing in small cavities designed for pediatric and neonatal applications. Two trained operators performed simple ligature sutures (easy task [ET]) and hepaticojejunostomy sutures (difficult task [DT]) within five differently sized boxes, ranging from 5123 to 125\u00a0mL. The suture time, number of internal and external instrument\/instrument collisions, instrument\/box collisions, and suture accuracy were evaluated. The suture accuracy was assessed using the A-Lap Mini endoscopic surgery skill assessment system. As a result, an increase in the number of collisions and extended suturing times were observed in boxes with volumes smaller than 215\u00a0mL. Despite these variations, there were no significant differences between the boxes, and all tasks were precisely performed in all boxes (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.10 for the ET and\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20091.00 for the DT). These findings demonstrate the capability of the hinotori\n                    <jats:sup>\u2122<\/jats:sup>\n                    system to perform precise suturing techniques within tightly confined simulated neonatal cavities as small as 125\u00a0mL. To advance the integration of pediatric robotic surgery utilizing the hinotori\n                    <jats:sup>\u2122<\/jats:sup>\n                    system, additional trials comparing it with conventional laparoscopic and thoracoscopic techniques using pediatric and animal models are necessary to assess its clinical safety and applicability.\n                  <\/jats:p>","DOI":"10.1007\/s11701-024-02053-y","type":"journal-article","created":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T12:01:39Z","timestamp":1722081699000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of the hinotori\u2122 Surgical Robot System for accurate suturing in small cavities"],"prefix":"10.1007","volume":"18","author":[{"given":"Yasuyuki","family":"Kameoka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7014-6178","authenticated-orcid":false,"given":"Yuichi","family":"Okata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohei","family":"Yoshimura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shino","family":"Inuzuka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serena","family":"Iwabuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harunori","family":"Miyauchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taichi","family":"Nakatani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Tomioka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Takanarita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Bitoh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,27]]},"reference":[{"key":"2053_CR1","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.1007\/s00383-019-04518-w","volume":"35","author":"HD Pham","year":"2019","unstructured":"Pham HD, Okata Y, Vu HM, Tran NX, Nguyen QT, Nguyen LT (2019) Robotic-assisted surgery for choledochal cyst in children: early experience at Vietnam National Children\u2019s Hospital. Pediatr Surg Int 35:1211\u20131216. https:\/\/doi.org\/10.1007\/s00383-019-04518-w","journal-title":"Pediatr Surg Int"},{"key":"2053_CR2","doi-asserted-by":"publisher","first-page":"1421","DOI":"10.1007\/s00383-019-04565-3","volume":"35","author":"H Koga","year":"2019","unstructured":"Koga H, Murakami H, Ochi T, Miyano G, Lane GJ, Yamataka A (2019) Comparison of robotic versus laparoscopic hepaticojejunostomy for choledochal cyst in children: a first report. Pediatr Surg Int 35:1421\u20131425. https:\/\/doi.org\/10.1007\/s00383-019-04565-3","journal-title":"Pediatr Surg Int"},{"key":"2053_CR3","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1111\/ases.12653","volume":"11","author":"K Mizuno","year":"2018","unstructured":"Mizuno K, Kojima Y, Nishio H, Hoshi S, Sato Y, Hayashi Y (2018) Robotic surgery in pediatric urology: current status. Asian J Endosc Surg 11:308\u2013317. https:\/\/doi.org\/10.1111\/ases.12653","journal-title":"Asian J Endosc Surg"},{"key":"2053_CR4","doi-asserted-by":"publisher","first-page":"1120831","DOI":"10.3389\/fped.2023.1120831","volume":"11","author":"H Mei","year":"2023","unstructured":"Mei H, Tang S (2023) Robotic-assisted surgery in the pediatric surgeons\u2019 world: current situation and future prospectives. Front Pediatr 11:1120831. https:\/\/doi.org\/10.3389\/fped.2023.1120831","journal-title":"Front Pediatr"},{"key":"2053_CR5","doi-asserted-by":"publisher","first-page":"e000482","DOI":"10.1136\/wjps-2022-000482","volume":"5","author":"LT Shen","year":"2022","unstructured":"Shen LT, Tou J (2022) Application and prospects of robotic surgery in children: a scoping review. World J Pediatr Surg 5:e000482. https:\/\/doi.org\/10.1136\/wjps-2022-000482","journal-title":"World J Pediatr Surg"},{"key":"2053_CR6","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.1111\/iju.14973","volume":"29","author":"N Hinata","year":"2022","unstructured":"Hinata N, Yamaguchi R, Kusuhara Y, Kanayama H, Kohjimoto Y, Hara I, Fujisawa M (2022) hinotori surgical robot system, a novel robot-assisted surgical platform: preclinical and clinical evaluation. Int J Urol 29:1213\u20131220. https:\/\/doi.org\/10.1111\/iju.14973","journal-title":"Int J Urol"},{"key":"2053_CR7","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1111\/ases.13197","volume":"16","author":"M Miyo","year":"2023","unstructured":"Miyo M, Okita K, Okuya K et al (2023) Right hemicolectomy for ascending colon cancer using the hinotori surgical robot system: the first ever case report for colon cancer. Asian J Endosc Surg 16:604\u2013607. https:\/\/doi.org\/10.1111\/ases.13197","journal-title":"Asian J Endosc Surg"},{"key":"2053_CR8","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1111\/ases.13212","volume":"16","author":"D Motoyama","year":"2023","unstructured":"Motoyama D, Matsushita Y, Watanabe H, Tamura K, Otsuka A, Fujisawa M, Miyake H (2023) Robot-assisted adrenalectomy using a hinotori surgical robot system: report of first series of six cases. Asian J Endosc Surg 16:489\u2013495. https:\/\/doi.org\/10.1111\/ases.13212","journal-title":"Asian J Endosc Surg"},{"key":"2053_CR9","doi-asserted-by":"publisher","first-page":"1034","DOI":"10.1093\/jjco\/hyad105","volume":"53","author":"S Togami","year":"2023","unstructured":"Togami S, Higashi T, Tokudome A, Fukuda M, Mizuno M, Yanazume S, Kobayashi H (2023) The first report of surgery for gynecological diseases using the hinotori\u2122 surgical robot system. Jpn J Clin Oncol 53:1034\u20131037. https:\/\/doi.org\/10.1093\/jjco\/hyad105","journal-title":"Jpn J Clin Oncol"},{"key":"2053_CR10","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1186\/s40792-023-01705-9","volume":"9","author":"R Miura","year":"2023","unstructured":"Miura R, Okuya K, Akizuki E et al (2023) World-first report of low anterior resection for rectal cancer with the hinotori\u2122 surgical robot system: a case report. Surg Case Rep 9:156. https:\/\/doi.org\/10.1186\/s40792-023-01705-9","journal-title":"Surg Case Rep"},{"key":"2053_CR11","doi-asserted-by":"publisher","first-page":"101974","DOI":"10.1016\/j.suronc.2023.101974","volume":"50","author":"T Ide","year":"2023","unstructured":"Ide T, Ito K, Tanaka T, Noshiro H (2023) Robotic distal pancreatectomy using a docking-free system (the hinotori\u2122 surgical robot system). Surg Oncol 50:101974. https:\/\/doi.org\/10.1016\/j.suronc.2023.101974","journal-title":"Surg Oncol"},{"key":"2053_CR12","doi-asserted-by":"publisher","first-page":"175628722311777","DOI":"10.1177\/17562872231177781","volume":"15","author":"M Salkowski","year":"2023","unstructured":"Salkowski M, Checcucci E, Chow AK et al (2023) New multiport robotic surgical systems: a comprehensive literature review of clinical outcomes in urology. Ther Adv Urol 15:17562872231177780. https:\/\/doi.org\/10.1177\/17562872231177781","journal-title":"Ther Adv Urol"},{"key":"2053_CR13","doi-asserted-by":"publisher","first-page":"1626","DOI":"10.1007\/s00464-024-10695-0","volume":"38","author":"S Inoue","year":"2024","unstructured":"Inoue S, Nakauchi M, Umeki Y, Suzuki K, Serizawa A, Akimoto S, Watanabe Y, Tanaka T, Shibasaki S, Inaba K et al (2024) First clinical experiences of robotic gastrectomy for gastric cancer using the hinotori\u2122 surgical robot system. Surg Endosc 38:1626\u20131636. https:\/\/doi.org\/10.1007\/s00464-024-10695-0","journal-title":"Surg Endosc"},{"key":"2053_CR14","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s40792-024-01808-x","volume":"10","author":"K Tomihara","year":"2024","unstructured":"Tomihara K, Ide T, Ito K, Tanaka T, Noshiro H (2024) Robotic spleen-preserving distal pancreatectomy using the first domestic surgical robot platform (the hinotori\u2122 surgical robot system): a case report. Surg Case Rep 10:22. https:\/\/doi.org\/10.1186\/s40792-024-01808-x","journal-title":"Surg Case Rep"},{"issue":"2","key":"2053_CR15","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1002\/iju5.12682","volume":"7","author":"K Takahara","year":"2024","unstructured":"Takahara K, Shiroki R (2024) Editorial Comment to Robot-assisted radical nephrectomy and inferior vena cava tumor thrombectomy using the hinotori: initial experience with two cases. IJU Case Rep 7(2):100. https:\/\/doi.org\/10.1002\/iju5.12682","journal-title":"IJU Case Rep"},{"key":"2053_CR16","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1016\/j.juro.2007.10.091","volume":"179","author":"AA Thakre","year":"2008","unstructured":"Thakre AA, Bailly Y, Sun LW, Van Meer F, Yeung CK (2008) Is smaller workspace a limitation for robot performance in laparoscopy? J Urol 179:1138\u20131142. https:\/\/doi.org\/10.1016\/j.juro.2007.10.091","journal-title":"J Urol"},{"key":"2053_CR17","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1007\/s00464-017-5781-9","volume":"32","author":"Q Ballouhey","year":"2018","unstructured":"Ballouhey Q, Clermidi P, Cros J, Grosos C, Rosa-Ars\u00e8ne C, Bahans C, Caire F, Longis B, Compagnon R, Fourcade L (2018) Comparison of 8 and 5\u00a0mm robotic instruments in small cavities: 5 or 8\u00a0mm robotic instruments for small cavities? Surg Endosc 32:1027\u20131034. https:\/\/doi.org\/10.1007\/s00464-017-5781-9","journal-title":"Surg Endosc"},{"key":"2053_CR18","doi-asserted-by":"publisher","first-page":"199","DOI":"10.3390\/children9020199","volume":"9","author":"M Kayser","year":"2022","unstructured":"Kayser M, Krebs TF, Alkatout I, Kayser T, Reischig K, Baastrup J, Meinzer A, Ulrich K, Osmonov D, Bergholz R (2022) Evaluation of the versius robotic surgical system for procedures in small cavities. Children (Basel) 9:199. https:\/\/doi.org\/10.3390\/children9020199","journal-title":"Children (Basel)"},{"key":"2053_CR19","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1007\/s11701-019-00961-y","volume":"14","author":"R Bergholz","year":"2020","unstructured":"Bergholz R, Botden S, Verweij J, Tytgat S, Van Gemert W, Boettcher M, Ehlert H, Reinshagen K, Gidaro S (2020) Evaluation of a new robotic-assisted laparoscopic surgical system for procedures in small cavities. J Robot Surg 14:191\u2013197. https:\/\/doi.org\/10.1007\/s11701-019-00961-y","journal-title":"J Robot Surg"},{"key":"2053_CR20","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1186\/s13104-015-1657-z","volume":"8","author":"I Meldere","year":"2015","unstructured":"Meldere I, Urtans V, Petersons A, Abola Z (2015) Measurement of abdominal circumference in preterm infants. BMC Res Notes 8:725. https:\/\/doi.org\/10.1186\/s13104-015-1657-z","journal-title":"BMC Res Notes"},{"key":"2053_CR21","first-page":"23","volume":"55","author":"N Okada","year":"2015","unstructured":"Okada N, Ehara A, Tateishi A, Watanabe S (2015) A longitudinal study on physical growth of young children. Bull Tokyo Coll Domest Sci 55:23\u201334","journal-title":"Bull Tokyo Coll Domest Sci"},{"key":"2053_CR22","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1007\/s00464-014-3681-9","volume":"29","author":"M Uemura","year":"2015","unstructured":"Uemura M, Yamashita M, Tomikawa M, Obata S, Souzaki R, Ieiri S, Ohuchida K, Matsuoka N, Katayama T, Hashizume M (2015) Objective assessment of the suture ligature method for the laparoscopic intestinal anastomosis model using a new computerized system. Surg Endosc 29:444\u2013452. https:\/\/doi.org\/10.1007\/s00464-014-3681-9","journal-title":"Surg Endosc"},{"key":"2053_CR23","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1111\/ases.12672","volume":"12","author":"C Busch","year":"2019","unstructured":"Busch C, Nakadate R, Uemura M, Obata S, Jimbo T, Hashizume M (2019) Objective assessment of robotic suturing skills with a new computerized system: a step forward in the training of robotic surgeons. Asian J Endosc Surg 12:388\u2013395. https:\/\/doi.org\/10.1111\/ases.12672","journal-title":"Asian J Endosc Surg"},{"key":"2053_CR24","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1007\/s00383-024-05631-1","volume":"40","author":"Y Okata","year":"2024","unstructured":"Okata Y, Murakami M, Uemura M, Tsuruno Y, Iwabuchi S, Kameoka Y, Yoshimura S, Takanarita Y, Watanabe A, Uemura K et al (2024) Endosurgery workshop to improve the confidence of novice pediatric surgeons in performing laparoscopic hepaticojejunostomy. Pediatr Surg Int 40:45. https:\/\/doi.org\/10.1007\/s00383-024-05631-1","journal-title":"Pediatr Surg Int"},{"key":"2053_CR25","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1007\/s00383-016-3918-7","volume":"32","author":"T Jimbo","year":"2016","unstructured":"Jimbo T, Ieiri S, Obata S, Uemura M, Souzaki R, Matsuoka N, Katayama T, Masumoto K, Hashizume M, Taguchi T (2016) Preoperative simulation regarding the appropriate port location for laparoscopic hepaticojejunostomy: a randomized study using a disease-specific training simulator. Pediatr Surg Int 32:901\u2013907. https:\/\/doi.org\/10.1007\/s00383-016-3918-7","journal-title":"Pediatr Surg Int"},{"key":"2053_CR26","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1038\/bmt.2012.224","volume":"48","author":"Y Kanda","year":"2013","unstructured":"Kanda Y (2013) Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics. Bone Marrow Transplant 48:452\u2013458. https:\/\/doi.org\/10.1038\/bmt.2012.224","journal-title":"Bone Marrow Transplant"},{"key":"2053_CR27","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1007\/s00464-007-9418-2","volume":"22","author":"JJ Meehan","year":"2008","unstructured":"Meehan JJ, Sandler A (2008) Pediatric robotic surgery: a single-institutional review of the first 100 consecutive cases. Surg Endosc 22:177\u2013182. https:\/\/doi.org\/10.1007\/s00464-007-9418-2","journal-title":"Surg Endosc"},{"key":"2053_CR28","doi-asserted-by":"publisher","first-page":"2643","DOI":"10.1007\/s00464-014-3982-z","volume":"29","author":"Q Ballouhey","year":"2015","unstructured":"Ballouhey Q, Villemagne T, Cros J, Szwarc C, Braik K, Longis B, Lardy H, Fourcade L (2015) A comparison of robotic surgery in children weighing above and below 15.0\u00a0kg: size does not affect surgery success. Surg Endosc 29:2643\u20132650. https:\/\/doi.org\/10.1007\/s00464-014-3982-z","journal-title":"Surg Endosc"},{"key":"2053_CR29","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1136\/adc.65.2.168","volume":"65","author":"B Chapman","year":"1990","unstructured":"Chapman B, O\u2019Callaghan C, Coxon R, Glover P, Jaroszkiewicz G, Howseman A, Mansfield P, Small P, Milner AD, Coupland RE (1990) Estimation of lung volume in infants by echo planar imaging and total body plethysmography. Arch Dis Child 65:168\u2013170. https:\/\/doi.org\/10.1136\/adc.65.2.168","journal-title":"Arch Dis Child"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-024-02053-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-024-02053-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-024-02053-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,24]],"date-time":"2024-12-24T19:09:23Z","timestamp":1735067363000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-024-02053-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,27]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2053"],"URL":"https:\/\/doi.org\/10.1007\/s11701-024-02053-y","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4365219\/v1","asserted-by":"object"}]},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,27]]},"assertion":[{"value":"3 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The research ethical committee at our institution has confirmed that no ethical approval was required for this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors affirm that informed consent was obtained from the research participants for the evaluation and publication of the study results.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}}],"article-number":"294"}}