{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T00:24:22Z","timestamp":1766276662229,"version":"3.44.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Robotic stapled cardioplasty offers a novel, minimally invasive alternative for treating end-stage achalasia, a rare esophageal motor disorder. Achalasia is characterized by the inability of the lower esophageal sphincter to relax and reduced peristalsis, with about 5% of patients progressing to a stage where esophagectomy is often the only treatment option. This study introduces robotic stapled cardioplasty as a less aggressive, organ-preserving approach. Using a robotic platform, the procedure improves visibility, precision, and careful dissection, making it especially useful in complex revision cases. To our knowledge, this is the first reported case of robotic stapled cardioplasty for end-stage achalasia. It appears to be a safe and effective minimally invasive alternative to esophagectomy and may also serve as a rescue procedure for patients who have exhausted other treatment options before considering organ resection.<\/jats:p>\n          <jats:p>\n            <jats:bold>Graphical Abstract<\/jats:bold>\n          <\/jats:p>","DOI":"10.1007\/s13304-025-02161-w","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T01:45:33Z","timestamp":1742348733000},"page":"1141-1146","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Robotic stapled cardioplasty, an alternative before esophagectomy"],"prefix":"10.1007","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3132-4756","authenticated-orcid":false,"given":"Elisenda","family":"Garsot","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arantxa","family":"Clavell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pau","family":"Moreno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Viciano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"issue":"5","key":"2161_CR1","doi-asserted-by":"publisher","first-page":"1469","DOI":"10.1007\/s00268-017-4298-7","volume":"42","author":"A Aiolfi","year":"2018","unstructured":"Aiolfi A, Asti E, Bonitta G, L., Bonavina, (2018) Esophagectomy for end-stage achalasia: systematic review and meta-analysis. World J Surg 42(5):1469\u20131476","journal-title":"World J Surg"},{"key":"2161_CR2","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doy071","author":"G Zaninotto","year":"2018","unstructured":"Zaninotto G, Bennett C, Boeckxstaens G, Costantini M, Ferguson MK, Pandolfino The JE et al (2018) ISDE achalasia guidelines. Dis Esophagus. https:\/\/doi.org\/10.1093\/dote\/doy071","journal-title":"Dis Esophagus"},{"issue":"2","key":"2161_CR3","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1089\/lap.2019.0277","volume":"30","author":"M Weche","year":"2020","unstructured":"Weche M, Saad AR, Richter JE, Jacobs JJ, Velanovich V (2020) Revisional procedures for recurrent symptoms after heller myotomy and per-oral endoscopic myotomy. 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Br J Surg 99(9):1242\u20131245","journal-title":"Br J Surg"},{"issue":"5","key":"2161_CR8","doi-asserted-by":"publisher","first-page":"1675","DOI":"10.1007\/s00423-021-02117-9","volume":"406","author":"F Senra","year":"2021","unstructured":"Senra F, Navaratne L, Acosta-M\u00e9rida A, Gould S, Mart\u00ednez-Isla A (2021) Laparoscopic hand-sewn cardioplasty: an alternative procedure for end-stage achalasia. Langenbecks Arch Surg 406(5):1675\u20131682","journal-title":"Langenbecks Arch Surg"},{"issue":"4","key":"2161_CR9","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2253","volume":"17","author":"J Xie","year":"2021","unstructured":"Xie J, Vatsan MS, Gangemi A (2021) Laparoscopic versus robotic-assisted Heller myotomy for the treatment of achalasia: a systematic review with meta-analysis. Int J Med Robot 17(4):e2253","journal-title":"Int J Med Robot"},{"issue":"5","key":"2161_CR10","doi-asserted-by":"publisher","first-page":"1078","DOI":"10.1007\/s11605-016-3095-1","volume":"20","author":"PW Hamer","year":"2016","unstructured":"Hamer PW, Griffiths EA, Devitt PG, Watson DI, Thompson SK (2016) Laparoscopic stapled cardioplasty\u2014room for improvement. J Gastrointestinal Surg 20(5):1078\u20131079","journal-title":"J Gastrointestinal Surg"}],"container-title":["Updates in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-025-02161-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13304-025-02161-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-025-02161-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T09:23:57Z","timestamp":1757150637000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13304-025-02161-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,19]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["2161"],"URL":"https:\/\/doi.org\/10.1007\/s13304-025-02161-w","relation":{},"ISSN":["2038-131X","2038-3312"],"issn-type":[{"type":"print","value":"2038-131X"},{"type":"electronic","value":"2038-3312"}],"subject":[],"published":{"date-parts":[[2025,3,19]]},"assertion":[{"value":"20 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr Elisenda Garsot, Dr Arantxa Clavell, Dr Pau Moreno, and Dr Marta Viciano declare no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was given by the local ethics committee. This work involved human subjects or animals in its research.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The appropriate informed consent was obtained for the intervention and for the recording\/publication of images.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}