{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:36:06Z","timestamp":1792197366531,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T00:00:00Z","timestamp":1471651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T00:00:00Z","timestamp":1471651200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ijgo.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the incidence of, and risk factors for, conversion from robotic gynecologic procedures to other procedure types.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study included data from women who underwent any robotic gynecologic procedures between January 1, 2011 and December 31, 2012 at a tertiary care referral center in the USA. Demographic data, perioperative data, and surgeon experience (monthly case volume) data were retrieved; potential risk factors were compared between robotic procedures that were converted to other procedures and those completed as robotic procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 942 robotic procedures during the study period. Conversion from robotic to any other type of procedure was recorded for 47 (5.0%, 95% confidence interval 3.8\u20136.6) procedures and robotic\u2010to\u2010open\u2010surgery conversion occurred in 16 (1.7%, 95% confidence interval 1.0\u20132.7) procedures. Conversion from robotic surgery to another approach was associated with higher body mass index (<jats:italic>P<\/jats:italic> &lt; 0.001), previous laparotomy (<jats:italic>P<\/jats:italic> = 0.042), and surgeons having a lower monthly robotic surgical case volume (<jats:italic>P<\/jats:italic> = 0.011). Asthma (<jats:italic>P<\/jats:italic> = 0.008), intra\u2010operative bowel injury (<jats:italic>P<\/jats:italic> &lt; 0.001), intra\u2010operative vascular injury (<jats:italic>P<\/jats:italic> = 0.003), and single\u2010port robotic surgery (<jats:italic>P<\/jats:italic> = 0.034) were associated with increased odds of requiring conversion from robotic procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The overall incidence of conversion from robotic surgery to laparotomy was low. Higher body mass index, previous laparotomy, history of asthma, using a single\u2010port approach, and surgeon case volume were associated with the risk of conversion.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2016.06.016","type":"journal-article","created":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T07:36:25Z","timestamp":1471937785000},"page":"299-303","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["Risk factors for robotic gynecologic procedures requiring conversion to other surgical procedures"],"prefix":"10.1002","volume":"135","author":[{"given":"Cecile A.","family":"Unger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark P.","family":"Lachiewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beri","family":"Ridgeway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,8,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1006602"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-007-0066-4"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e32831ffe8e"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.06.050"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2008.01.008"},{"issue":"12","key":"e_1_2_6_7_2","article-title":"Robot\u2010assisted surgery in gynaecology","author":"Liu H.","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318231537c"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182602c7d"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318265b61a"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680812X13517013317914"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.06.008"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.03.016"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.10.871"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000224"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000070"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2014.01.020"},{"issue":"4","key":"e_1_2_6_18_2","first-page":"517","article-title":"Anesthetic considerations in robotic\u2010assisted gynecologic surgery","volume":"13","author":"Kaye A.D.","year":"2013","journal-title":"Ochsner J"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.01.009"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.02.008"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1567"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.11.017"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2013.24.4.303"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.12.003"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.07.057"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.07.129"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729216303174?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729216303174?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2016.06.016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2016.06.016","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2016.06.016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,23]],"date-time":"2025-02-23T11:24:45Z","timestamp":1740309885000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2016.06.016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,20]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1016\/j.ijgo.2016.06.016"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2016.06.016","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,20]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk factors for robotic gynecologic procedures requiring conversion to other surgical procedures","name":"articletitle","label":"Article Title"},{"value":"International Journal of Gynecology & Obstetrics","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.ijgo.2016.06.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}