{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:22:58Z","timestamp":1792783378378,"version":"4.5.0"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Mie University","id":[{"id":"https:\/\/ror.org\/01529vy56","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gen Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Robot-assisted thoracic surgery is increasingly used in pediatric patients; however, its application in infants weighing less than 8\u00a0kg remains limited. We report a case of posterior mediastinal tumor resection in a 6-month-old female infant weighing 5.46\u00a0kg. A subcostal approach using the da Vinci Single Port system was employed to minimize instrument collision within the small thoracic cavity. A 3.5-cm subcostal incision was created, and the access port was secured without intercostal rib manipulation. The operative field was maintained using CO\n                    <jats:sub>2<\/jats:sub>\n                    insufflation at 3 mmHg. A 7.0-cm cystic tumor was successfully resected. The total operative time was 132\u00a0min. This intercostal-sparing technique may reduce intercostal nerve injury and subsequent long-term musculoskeletal complications. Subcostal single-port robotic surgery appears to be a safe and feasible minimally invasive option for infants weighing less than 8\u00a0kg.\n                  <\/jats:p>","DOI":"10.1007\/s11748-026-02356-x","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T13:44:57Z","timestamp":1783518297000},"page":"1138-1140","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Subcostal single-port robot-assisted resection of a posterior mediastinal tumor in an infant"],"prefix":"10.1007","volume":"74","author":[{"given":"Teruhisa","family":"Kawaguchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiaki","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Kaneda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kohei","family":"Matsushita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5986-9419","authenticated-orcid":false,"given":"Koji","family":"Kawaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"2356_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-026-03242-y","author":"M Todo","year":"2026","unstructured":"Todo M, Deguchi K, Okuyama H, Watanabe M. Long-term outcomes of children undergoing thoracotomy lung resection for congenital lung malformations. Surg Today. 2026. https:\/\/doi.org\/10.1007\/s00595-026-03242-y.","journal-title":"Surg Today"},{"key":"2356_CR2","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1016\/j.xjtc.2025.04.010","volume":"32","author":"S Kaneda","year":"2025","unstructured":"Kaneda S, Kawaguchi K, Ito A, Ito D, Kawaguchi T, Shimamoto A, et al. Subcostal approach using the single-port robotic system for a giant ganglioneuroma in a child. JTCVS Tech. 2025;32:141\u20133.","journal-title":"JTCVS Tech"},{"key":"2356_CR3","doi-asserted-by":"publisher","first-page":"1671131","DOI":"10.3389\/fped.2025.1671131","volume":"13","author":"F Palo","year":"2025","unstructured":"Palo F, Brenco G, Torre M, Wolfler A, Reali S, Avanzini S, et al. Robotic-assisted thoracoscopic surgery in children: a safe approach to remove thoracic tumors. Front Pediatr. 2025;13:1671131.","journal-title":"Front Pediatr"},{"key":"2356_CR4","doi-asserted-by":"publisher","first-page":"162840","DOI":"10.1016\/j.jpedsurg.2025.162840","volume":"61","author":"C Delgado-Miguel","year":"2026","unstructured":"Delgado-Miguel C, Camps J, Garavis Montagut I, D\u00edez R, Arredondo-Montero J, Hern\u00e1ndez-Oliveros F. Robotic-assisted thoracic surgery in children: a systematic review and meta-analysis. J Pediatr Surg. 2026;61:162840.","journal-title":"J Pediatr Surg"},{"key":"2356_CR5","doi-asserted-by":"publisher","first-page":"3854","DOI":"10.21037\/jtd-22-526","volume":"14","author":"S Li","year":"2022","unstructured":"Li S, Luo Z, Li K, Li Y, Yang D, Cao G, et al. Robotic approach for pediatric pulmonary resection: preliminary investigation and comparative study with thoracoscopic approach. J Thorac Dis. 2022;14:3854\u201364.","journal-title":"J Thorac Dis"}],"container-title":["General Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11748-026-02356-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11748-026-02356-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11748-026-02356-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:52:51Z","timestamp":1792659171000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11748-026-02356-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":5,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["2356"],"URL":"https:\/\/doi.org\/10.1007\/s11748-026-02356-x","relation":{},"ISSN":["1863-6705","1863-6713"],"issn-type":[{"value":"1863-6705","type":"print"},{"value":"1863-6713","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"assertion":[{"value":"11 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"None declared.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}