{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:53:26Z","timestamp":1792259606552,"version":"4.4.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100024990","name":"National Yang Ming Chiao Tung University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100024990","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                    This study compares the retro-auricular robotic-assisted approach using two or three robotic instruments with conventional open neck dissection in patients with early N stage oral cavity cancer. Twenty-six patients with T1-3N0-1M0 disease underwent supraomohyoid neck dissection between 2018 and 2023 (13 robotic, 13 open). Perioperative outcomes, including hospital stay, drainage duration, complications, and lymph node yield, showed no significant differences (median lymph nodes: 20 vs. 21;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.950). During a median follow-up of 743\u00a0days, no recurrences or deaths occurred. In the last five robotic cases, a third instrument (ProGrasp Forceps) was added without increasing operative time (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.803). Robotic-assisted neck dissection via the retro-auricular route is a safe and effective alternative for early stage oral cavity cancer patients, particularly those with clinical N0 disease, preserving oncologic outcomes while improving cosmetic appearance.\n                  <\/jats:p>","DOI":"10.1007\/s11701-025-02656-z","type":"journal-article","created":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T14:54:16Z","timestamp":1755442456000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparable outcomes with improved esthetics: da Vinci-assisted neck dissection for early stage oral cancers"],"prefix":"10.1007","volume":"19","author":[{"given":"Wen-Chun","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Man-Wei","family":"Hua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen-Chi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,17]]},"reference":[{"issue":"2","key":"2656_CR1","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1002\/(sici)1097-0347(199803)20:2<138::aid-hed7>3.0.co;2-3","volume":"20","author":"RM Byers","year":"1998","unstructured":"Byers RM, El-Naggar AK, Lee YY, Rao B, Fornage B, Terry NH et al (1998) Can we detect or predict the presence of occult nodal metastases in patients with squamous carcinoma of the oral tongue? 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The study protocol was approved by the Institutional Review Board of the TCVGH (IRB no. _CE25239B_).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Institutional review board statement"}},{"value":"No copyrighted material from other sources requiring permission was used in this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Permissions statement"}}],"article-number":"490"}}