{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T06:28:11Z","timestamp":1772605691393,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Intuitive Surgical, Korea","award":["06-2021-4790"],"award-info":[{"award-number":["06-2021-4790"]}]},{"DOI":"10.13039\/501100002631","name":"Gachon University","doi-asserted-by":"publisher","award":["GCU-202407000001"],"award-info":[{"award-number":["GCU-202407000001"]}],"id":[{"id":"10.13039\/501100002631","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002551","name":"Seoul National University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002551","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This study evaluated the feasibility and safety of Synchroseal (SS), a new articulating bipolar energy-based device, in da Vinci robotic gastrectomy for gastric cancer. A prospective study of 25 patients using SS was compared with retrospective data from 218 patients treated with conventional ultrasonic shears (US). Propensity score matching (PSM) ensured comparability. Metrics analyzed included C-reactive protein (CRP) levels, operative time, lymph nodes (LNs) retrieved, intraoperative blood loss, laboratory tests, hospital stay duration, and complication rates. PSM yielded a balanced comparison between the two groups (standardized differences\u2009&lt;\u20090.1). SS (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200925) significantly reduced CRP levels on postoperative days 2, 4, and 6 compared to US (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009123) [7.67\u2009\u00b1\u20094.73 vs. 10.18\u2009\u00b1\u20095.66, (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.040), 5.11\u2009\u00b1\u20093.33 vs. 6.65\u2009\u00b1\u20094.23, (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.090), 2.74\u2009\u00b1\u20092.10 vs. 4.26\u2009\u00b1\u20093.78, (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001)]. Additionally, SS showed lower serum amylase levels and shorter operation times than US [67.60\u2009\u00b1\u200948.31 vs. 168.66\u2009\u00b1\u2009316.92, (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.027) and 234.52\u2009\u00b1\u200965.03 vs. 274.75\u2009\u00b1\u200954.90, (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.002)]. Although SS retrieved fewer total LNs (31.80\u2009\u00b1\u20099.5 vs. 36.88\u2009\u00b1\u200914.96,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.034), both groups achieved adequate LN dissection (&gt;\u200930 LNs). No significant differences were observed in other parameters. SS led to lower postoperative CRP and serum amylase levels, shorter operation time, and adequate LN dissection, suggesting reduced postoperative inflammation and faster sealing function as potential benefits.\n                  <\/jats:p>","DOI":"10.1007\/s13304-025-02261-7","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T18:07:05Z","timestamp":1754330825000},"page":"2255-2265","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and safety of the synchroseal articulating bipolar energy-based device for robotic gastrectomy in patients with gastric cancer: a prospective single-arm clinical trial with historical controls"],"prefix":"10.1007","volume":"77","author":[{"given":"Ji-Hyeon","family":"Park","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JeeSun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danbi","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong-Ho","family":"Kong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Do Joong","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyuk-Joon","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3495-3048","authenticated-orcid":false,"given":"Han-Kwang","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"issue":"4","key":"2261_CR1","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1001\/jamaoncol.2018.6727","volume":"5","author":"HH Kim","year":"2019","unstructured":"Kim HH, Han SU, Kim MC, Kim W, Lee HJ, Ryu SW et al (2019) Effect of laparoscopic distal gastrectomy vs open distal gastrectomy on long-term survival among patients with stage I gastric cancer: the KLASS-01 randomized clinical trial. 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This study was conducted under the guidelines of Good Clinical Practice and in accordance with the Declaration of Helsinki for research involving humans. Written informed consent was obtained from all participants preoperatively.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Drs. Ji-Hyeon Park, JeeSun Kim, Seong-Ho Kong, Do Joong Park, Hyuk-Joon Lee, and Han-Kwang Yang, and research coordinator, Danbi Lee, have no conflict of interest or financial ties to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}}]}}