{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T17:41:46Z","timestamp":1793468506577,"version":"4.5.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"A.C.Camargo Cancer Center"}],"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                    Robotic colorectal surgery is increasingly complex, expanding from pelvic to multiquadrant procedures. Reports on the impact of institutional robotic platform transition remain limited. This study evaluated the challenges and effects of transitioning from the da Vinci Si (dV Si) to the da Vinci X\/Xi (dV X\/Xi) platform. A prospective observational cohort with historical comparison describing an institutional experience that included consecutive elective robotic colorectal cancer resections performed in 2023 (dV Si) and 2024 (dV X\/Xi). The primary endpoint was the learning curve for console time. Secondary outcomes included total operative time, port placement time, length of stay (LOS), ileus, anastomotic leakage, severe complications (Clavien\u2013Dindo\u2009\u2265\u20093), reoperation, and 30-day mortality. An institutional learning curve for the surgical team was constructed and evaluated using the cumulative sum (CUSUM) test. A total of 121 procedures were analyzed (dV Si:\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200949; dV X\/Xi:\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200972). Procedural profile shifted significantly (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.002), with increased multiquadrant resections in the dV X\/Xi group. Console time was longer in dV X\/Xi group (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.05), while total operative time and LOS were similar in the two groups. Postoperative outcomes were comparable. Parenteral nutrition was less frequently required in the dV X\/Xi group (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.02). CUSUM analysis showed a console learning plateau at 48 cases.We describe a real-world experience of robotic platform transition, demonstrating that it enabled an expanded range of procedures without compromising short-term outcomes.\n                  <\/jats:p>","DOI":"10.1007\/s11701-026-03855-y","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:23:19Z","timestamp":1787977399000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of robotic platform transition on short term outcomes in colorectal cancer surgeries"],"prefix":"10.1007","volume":"20","author":[{"given":"Rebeca Hara","family":"Nahime","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Roberto","family":"Stevanato Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiago Santoro","family":"Bezerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1s Mansur Duarte Miranda","family":"Marques","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Mayumi","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Elisa Catin","family":"Kupper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilson Toshihiko","family":"Nakagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ademar","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Samuel","family":"Aguiar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"issue":"3","key":"3855_CR1","doi-asserted-by":"publisher","first-page":"209","DOI":"10.3322\/caac.21660","volume":"71","author":"H Sung","year":"2021","unstructured":"Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021) Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 71(3):209\u2013249. https:\/\/doi.org\/10.3322\/caac.21660. Epub 2021 Feb 4. PMID: 33538338","journal-title":"CA Cancer J Clin"},{"key":"3855_CR2","volume-title":"Estimativa 2026: incid\u00eancia de c\u00e2ncer no Brasil","author":"Instituto Nacional de C\u00e2ncer (INCA)","year":"2026","unstructured":"Instituto Nacional de C\u00e2ncer (INCA) (2026) Estimativa 2026: incid\u00eancia de c\u00e2ncer no Brasil. INCA, Rio de Janeiro"},{"issue":"5","key":"3855_CR3","doi-asserted-by":"publisher","first-page":"2677","DOI":"10.1007\/s00464-024-10774-2","volume":"38","author":"D Ferrari","year":"2024","unstructured":"Ferrari D, Violante T, Novelli M, Starlinger PP, Smoot RL, Reisenauer JS, Larson DW (2024) The death of laparoscopy. Surg Endosc 38(5):2677\u20132688. https:\/\/doi.org\/10.1007\/s00464-024-10774-2 Epub 2024 Mar 22. PMID: 38519609","journal-title":"Surg Endosc"},{"key":"3855_CR4","doi-asserted-by":"publisher","unstructured":"Bonjer HJ, Deijen CL, Abis GA, Cuesta MA, van der Pas MH, de Lange-de Klerk ES, Lacy AM, Bemelman WA, Andersson J, Angenete E, Rosenberg J, Fuerst A, Haglind E (2015) COLOR II Study Group A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med 372(14):1324-32. https:\/\/doi.org\/10.1056\/NEJMoa1414882. PMID: 25830422","DOI":"10.1056\/NEJMoa1414882"},{"key":"3855_CR5","doi-asserted-by":"publisher","unstructured":"Green BL, Marshall HC, Collinson F, Quirke P, Guillou P, Jayne DG, Brown JM (2013) Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. Br J Surg100(1):75\u201382. https:\/\/doi.org\/10.1002\/bjs.8945. Epub 2012 Nov 6. PMID: 23132548","DOI":"10.1002\/bjs.8945"},{"issue":"16","key":"3855_CR6","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1001\/jama.2017.7219","volume":"318","author":"D Jayne","year":"2017","unstructured":"Jayne D, Pigazzi A, Marshall H, Croft J, Corrigan N, Copeland J, Quirke P, West N, Rautio T, Thomassen N, Tilney H, Gudgeon M, Bianchi PP, Edlin R, Hulme C, Brown J (2017) Effect of Robotic-Assisted vs Conventional Laparoscopic Surgery on Risk of Conversion to Open Laparotomy Among Patients Undergoing Resection for Rectal Cancer: The ROLARR Randomized Clinical Trial. JAMA 318(16):1569\u20131580. https:\/\/doi.org\/10.1001\/jama.2017.7219 PMID: 29067426; PMCID: PMC5818805","journal-title":"JAMA"},{"issue":"2","key":"3855_CR7","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1001\/jama.2025.8123","volume":"334","author":"Q Feng","year":"2025","unstructured":"Feng Q, Yuan W, Li T, Tang B, Jia B, Zhou Y, Zhang W, Zhao R, Zhang C, Cheng L, Zhang X, Wei Y, Liang F, He G, Xu J (2025) REAL Study Group Robotic vs Laparoscopic Surgery for Middle and Low Rectal Cancer: The REAL Randomized Clinical Trial. JAMA 334(2):136\u2013148. https:\/\/doi.org\/10.1001\/jama.2025.8123 PMID: 40455621; PMCID: PMC12131176","journal-title":"JAMA"},{"issue":"6","key":"3855_CR8","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1007\/s11701-022-01373-1","volume":"16","author":"SW Wong","year":"2022","unstructured":"Wong SW, Crowe P (2022) Factors affecting the learning curve in robotic colorectal surgery. J Robot Surg 16(6):1249\u20131256. https:\/\/doi.org\/10.1007\/s11701-022-01373-1 Epub 2022 Feb 1. PMID: 35106738; PMCID: PMC9606100","journal-title":"J Robot Surg"},{"issue":"23","key":"3855_CR9","doi-asserted-by":"publisher","first-page":"2546","DOI":"10.1200\/JCO.22.00032","volume":"40","author":"J Garcia-Aguilar","year":"2022","unstructured":"Garcia-Aguilar J, Patil S, Gollub MJ, Kim JK, Yuval JB, Thompson HM, Verheij FS, Omer DM, Lee M, Dunne RF, Marcet J, Cataldo P, Polite B, Herzig DO, Liska D, Oommen S, Friel CM, Ternent C, Coveler AL, Hunt S, Gregory A, Varma MG, Bello BL, Carmichael JC, Krauss J, Gleisner A, Paty PB, Weiser MR, Nash GM, Pappou E, Guillem JG, Temple L, Wei IH, Widmar M, Lin S, Segal NH, Cercek A, Yaeger R, Smith JJ, Goodman KA, Wu AJ, Saltz LB (2022) Organ Preservation in Patients With Rectal Adenocarcinoma Treated With Total Neoadjuvant Therapy. J Clin Oncol 40(23):2546\u20132556. https:\/\/doi.org\/10.1200\/JCO.22.00032 Epub 2022 Apr 28. PMID: 35483010; PMCID: PMC9362876","journal-title":"J Clin Oncol"},{"issue":"1","key":"3855_CR10","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/S1470-2045(20)30555-6","volume":"22","author":"RR Bahadoer","year":"2021","unstructured":"Bahadoer RR, Dijkstra EA, van Etten B, Marijnen CAM, Putter H, Kranenbarg EM, Roodvoets AGH, Nagtegaal ID, Beets-Tan RGH, Blomqvist LK, Fokstuen T, Ten Tije AJ, Capdevila J, Hendriks MP, Edhemovic I, Cervantes A, Nilsson PJ, Glimelius B, van de Velde CJH, Hospers GAP, RAPIDO collaborative investigators (2021) Short-course radiotherapy followed by chemotherapy before total mesorectal excision (TME) versus preoperative chemoradiotherapy, TME, and optional adjuvant chemotherapy in locally advanced rectal cancer (RAPIDO): a randomised, open-label, phase 3 trial. Lancet Oncol 22(1):29\u201342. https:\/\/doi.org\/10.1016\/S1470-2045(20)30555-6. Epub 2020 Dec 7. Erratum in: Lancet Oncol. 2021;22(2):e42. doi: 10.1016\/S1470-2045(20)30781-6. PMID: 33301740","journal-title":"Lancet Oncol"},{"issue":"5","key":"3855_CR11","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1016\/S1470-2045(21)00079-6","volume":"22","author":"T Conroy","year":"2021","unstructured":"Conroy T, Bosset JF, Etienne PL, Rio E, Fran\u00e7ois \u00c9, Mesgouez-Nebout N, Vendrely V, Artignan X, Bouch\u00e9 O, Gargot D, Boige V, Bonichon-Lamichhane N, Louvet C, Morand C, de la Fouchardi\u00e8re C, Lamfichekh N, Juzyna B, Jouffroy-Zeller C, Rullier E, Marchal F, Gourgou S, Castan F, Borg C (2021) Unicancer Gastrointestinal Group and Partenariat de Recherche en Oncologie Digestive (PRODIGE) Group Neoadjuvant chemotherapy with FOLFIRINOX and preoperative chemoradiotherapy for patients with locally advanced rectal cancer (UNICANCER-PRODIGE 23): a multicentre, randomised, open-label, phase 3 trial. Lancet Oncol 22(5):702\u2013715. https:\/\/doi.org\/10.1016\/S1470-2045(21)00079-6 Epub 2021 Apr 13. PMID: 33862000","journal-title":"Lancet Oncol"},{"issue":"25","key":"3855_CR12","doi-asserted-by":"publisher","first-page":"2363","DOI":"10.1056\/NEJMoa2201445","volume":"386","author":"A Cercek","year":"2022","unstructured":"Cercek A, Lumish M, Sinopoli J, Weiss J, Shia J, Lamendola-Essel M, El Dika IH, Segal N, Shcherba M, Sugarman R, Stadler Z, Yaeger R, Smith JJ, Rousseau B, Argiles G, Patel M, Desai A, Saltz LB, Widmar M, Iyer K, Zhang J, Gianino N, Crane C, Romesser PB, Pappou EP, Paty P, Garcia-Aguilar J, Gonen M, Gollub M, Weiser MR, Schalper KA, Diaz LA Jr. (2022) PD-1 Blockade in Mismatch Repair-Deficient, Locally Advanced Rectal Cancer. N Engl J Med 386(25):2363\u20132376. https:\/\/doi.org\/10.1056\/NEJMoa2201445 Epub 2022 Jun 5. PMID: 35660797; PMCID: PMC9492301","journal-title":"N Engl J Med"},{"issue":"4","key":"3855_CR13","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1056\/NEJMoa2303269","volume":"389","author":"D Schrag","year":"2023","unstructured":"Schrag D, Shi Q, Weiser MR, Gollub MJ, Saltz LB, Musher BL, Goldberg J, Al Baghdadi T, Goodman KA, McWilliams RR, Farma JM, George TJ, Kennecke HF, Shergill A, Montemurro M, Nelson GD, Colgrove B, Gordon V, Venook AP, O\u2019Reilly EM, Meyerhardt JA, Dueck AC, Basch E, Chang GJ, Mamon HJ (2023) Preoperative Treatment of Locally Advanced Rectal Cancer. N Engl J Med 389(4):322\u2013334. https:\/\/doi.org\/10.1056\/NEJMoa2303269 Epub 2023 Jun 4. PMID: 37272534; PMCID: PMC10775881","journal-title":"N Engl J Med"},{"issue":"3","key":"3855_CR14","doi-asserted-by":"publisher","first-page":"1935","DOI":"10.1245\/s10434-025-18742-3","volume":"33","author":"PR Stevanato Filho","year":"2026","unstructured":"Stevanato Filho PR, Bezerra TS, Marques TMDM, Takahashi RM, Nahime RH, Kupper BEC, Nakagawa WT, Lopes A, Aguiar Junior S (2026) Robotic Intracorporeal Single-Stapled Anastomosis (RISS) is Associated with Lower Anastomotic Leakage Rates than the Double-Stapled Technique After Minimally Invasive Total Mesorectal Excision for Rectal Cancer. Ann Surg Oncol 33(3):1935\u20131945. https:\/\/doi.org\/10.1245\/s10434-025-18742-3 Epub 2025 Nov 20. PMID: 41266919; PMCID: PMC12901133","journal-title":"Ann Surg Oncol"},{"issue":"5","key":"3855_CR15","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1002\/jso.27583","volume":"129","author":"PR Stevanato Filho","year":"2024","unstructured":"Stevanato Filho PR, Bezerra TS, Marques TMDM, Nahime RH, Takahashi RM, Nakagawa WT, Lopes A, Aguiar S Jr. (2024) A precise approach to robotic intracorporeal rectal transection and hand-sewn purse-string anastomosis for low anterior resection. J Surg Oncol 129(5):939\u2013944. https:\/\/doi.org\/10.1002\/jso.27583 Epub 2024 Jan 14. PMID: 38221657","journal-title":"J Surg Oncol"},{"issue":"12","key":"3855_CR16","doi-asserted-by":"publisher","first-page":"3123","DOI":"10.1016\/j.ejso.2021.08.002","volume":"47","author":"A Spinelli","year":"2021","unstructured":"Spinelli A, Foppa C, Carvello M, Sacchi M, De Lucia F, Clerico G, Carrano FM, Maroli A, Montorsi M, Heald RJ (2021) Transanal Transection and Single-Stapled Anastomosis (TTSS): A comparison of anastomotic leak rates with the double-stapled technique and with transanal total mesorectal excision (TaTME) for rectal cancer. Eur J Surg Oncol 47(12):3123\u20133129 Epub 2021 Aug 6. PMID: 34384655","journal-title":"Eur J Surg Oncol"},{"issue":"6","key":"3855_CR17","doi-asserted-by":"publisher","first-page":"1367","DOI":"10.1016\/j.surg.2023.02.018","volume":"173","author":"C Foppa","year":"2023","unstructured":"Foppa C, Carvello M, Maroli A, Sacchi M, Gramellini M, Montorsi M, Spinelli A (2023) Single-stapled anastomosis is associated with a lower anastomotic leak rate than double-stapled technique after minimally invasive total mesorectal excision for MRI-defined low rectal cancer. Surgery 173(6):1367\u20131373 Epub 2023 Mar 24. PMID: 36967334","journal-title":"Surgery"},{"issue":"2","key":"3855_CR18","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","volume":"240","author":"D Dindo","year":"2004","unstructured":"Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205\u2013213. https:\/\/doi.org\/10.1097\/01.sla.0000133083.54934.ae PMID: 15273542; PMCID: PMC1360123","journal-title":"Ann Surg"},{"issue":"3","key":"3855_CR19","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1007\/s00464-010-1281-x","volume":"25","author":"MB Bokhari","year":"2011","unstructured":"Bokhari MB, Patel CB, Ramos-Valadez DI, Ragupathi M, Haas EM (2011) Learning curve for robotic-assisted laparoscopic colorectal surgery. Surg Endosc 25(3):855\u2013860. https:\/\/doi.org\/10.1007\/s00464-010-1281-x Epub 2010 Aug 24. PMID: 20734081; PMCID: PMC3044842","journal-title":"Surg Endosc"},{"issue":"9","key":"3855_CR20","doi-asserted-by":"publisher","first-page":"3297","DOI":"10.1007\/s00464-013-2909-4","volume":"27","author":"KK Sng","year":"2013","unstructured":"Sng KK, Hara M, Shin JW, Yoo BE, Yang KS, Kim SH (2013) The multiphasic learning curve for robot-assisted rectal surgery. Surg Endosc 27(9):3297\u20133307. https:\/\/doi.org\/10.1007\/s00464-013-2909-4 Epub 2013 Mar 19. PMID: 23508818","journal-title":"Surg Endosc"},{"key":"3855_CR21","doi-asserted-by":"publisher","unstructured":"Bolsin S, Colson M (2000) The use of the Cusum technique in the assessment of trainee competence in new procedures. Int J Qual Health Care 12(5):433-8. https:\/\/doi.org\/10.1093\/intqhc\/12.5.433. PMID: 11079224","DOI":"10.1093\/intqhc\/12.5.433"},{"issue":"1","key":"3855_CR22","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1007\/s11701-017-0689-x","volume":"12","author":"B Protyniak","year":"2018","unstructured":"Protyniak B, Jorden J, Farmer R (2018) Multiquadrant robotic colorectal surgery: the da Vinci Xi vs Si comparison. J Robot Surg 12(1):67\u201374. https:\/\/doi.org\/10.1007\/s11701-017-0689-x Epub 2017 Mar 8. PMID: 28275893","journal-title":"J Robot Surg"},{"issue":"12","key":"3855_CR23","doi-asserted-by":"publisher","first-page":"3580","DOI":"10.1245\/s10434-018-6752-7","volume":"25","author":"G Spinoglio","year":"2018","unstructured":"Spinoglio G, Bianchi PP, Marano A, Priora F, Lenti LM, Ravazzoni F, Petz W, Borin S, Ribero D, Formisano G, Bertani E (2018) Robotic Versus Laparoscopic Right Colectomy with Complete Mesocolic Excision for the Treatment of Colon Cancer: Perioperative Outcomes and 5-Year Survival in a Consecutive Series of 202 Patients. Ann Surg Oncol 25(12):3580\u20133586. https:\/\/doi.org\/10.1245\/s10434-018-6752-7. Epub 2018 Sep 14. Erratum in: Ann Surg Oncol. 2019;26(Suppl 3):884. doi: 10.1245\/s10434-019-07267-1. PMID: 30218248","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"3855_CR24","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1097\/SLE.0000000000000384","volume":"28","author":"HJ Lujan","year":"2018","unstructured":"Lujan HJ, Plasencia G, Rivera BX, Molano A, Fagenson A, Jane LA, Holguin D (2018) Advantages of Robotic Right Colectomy With Intracorporeal Anastomosis. Surg Laparosc Endosc Percutan Tech 28(1):36\u201341 PMID: 28319493; PMCID: PMC5802257","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"issue":"4","key":"3855_CR25","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1007\/s11701-018-0793-6","volume":"12","author":"JC Ngu","year":"2018","unstructured":"Ngu JC, Ng YY (2018) Robotics confers an advantage in right hemicolectomy with intracorporeal anastomosis when matched against conventional laparoscopy. J Robot Surg 12(4):647\u2013653. https:\/\/doi.org\/10.1007\/s11701-018-0793-6 Epub 2018 Feb 22. PMID: 29470772","journal-title":"J Robot Surg"},{"issue":"1","key":"3855_CR26","doi-asserted-by":"publisher","first-page":"20566","DOI":"10.1038\/s41598-022-24665-w","volume":"12","author":"CY Lin","year":"2022","unstructured":"Lin CY, Liu YC, Chen MC, Chiang FF (2022) Learning curve and surgical outcome of robotic assisted colorectal surgery with ERAS program. Sci Rep 12(1):20566. https:\/\/doi.org\/10.1038\/s41598-022-24665-w PMID: 36446802; PMCID: PMC9709162","journal-title":"Sci Rep"},{"issue":"3","key":"3855_CR27","doi-asserted-by":"publisher","first-page":"1248","DOI":"10.3390\/jcm15031248","volume":"15","author":"YK Tseng","year":"2026","unstructured":"Tseng YK, Chiang FF, Chen MC, Lin CY (2026) Learning Curve of Da Vinci Xi Robotic Low Anterior Resection: A Cumulative Sum Analysis of a Single High-Volume Surgeon. J Clin Med 15(3):1248. https:\/\/doi.org\/10.3390\/jcm15031248 PMID: 41682929; PMCID: PMC12898540","journal-title":"J Clin Med"}],"container-title":["Journal of Robotic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03855-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11701-026-03855-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11701-026-03855-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:23:19Z","timestamp":1787977399000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11701-026-03855-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3855"],"URL":"https:\/\/doi.org\/10.1007\/s11701-026-03855-y","relation":{},"ISSN":["1863-2491"],"issn-type":[{"value":"1863-2491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,29]]},"assertion":[{"value":"3 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the A.C. Camargo Cancer Center Institutional Review Board (IRB). (Approval No. 3490\/23) and conducted in accordance with the principles of the Declaration of Helsinki.The authors declare that this study received partial support through the donation of materials by Intuitive Surgical Inc, Sunnyvale, CA.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"905"}}