{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:38:38Z","timestamp":1791463118319,"version":"4.3.4"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"06","funder":[{"DOI":"10.13039\/100022963","name":"Key Research and Development Program of Zhejiang Province","doi-asserted-by":"crossref","award":["No.2023C03054"],"award-info":[{"award-number":["No.2023C03054"]}],"id":[{"id":"10.13039\/100022963","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100022963","name":"Key Research and Development Program of Zhejiang Province","doi-asserted-by":"crossref","award":["No.2024C03048"],"award-info":[{"award-number":["No.2024C03048"]}],"id":[{"id":"10.13039\/100022963","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Zhejiang Provincial Natural Science Foundation of China","award":["No. LQN25H030008"],"award-info":[{"award-number":["No. LQN25H030008"]}]},{"name":"The Construction Fund of Key Medical Disciplines of Hangzhou","award":["2025HZGF05"],"award-info":[{"award-number":["2025HZGF05"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A robotic endoscopic system was developed to assist in endoscopic retrograde cholangiopancreatography (ERCP), enabling endoscopists to reduce occupational radiation exposure without the need for cumbersome protective gear. This pilot trial evaluated the procedural feasibility and clinical potential of this robotic system.<\/jats:p>\n                  <jats:p>Patients were prospectively recruited at a single tertiary hospital. The primary end points were technical and clinical success rates. The secondary end points included ERCP-related complications, convenience and stability of the robotic system, procedure time, postoperative hospital stay, and hospitalization cost.<\/jats:p>\n                  <jats:p>13 patients underwent robot-assisted ERCP. Technical success was 100%, with a median procedure time of 38 minutes (range 6\u201393). The preoperative therapeutic goal was achieved in 12 patients. The median postoperative hospital stay was 3 days (range 1\u20138). Postoperatively, one patient developed mild pancreatitis and another patient developed moderate cholangitis. Operators reported satisfaction with the system\u2019s convenience in 12 of 13 procedures, and with its stability in all 13 procedures.<\/jats:p>\n                  <jats:p>Despite the need for cautious interpretation in this limited cohort, our initial outcomes support the procedural feasibility of the robotic system and hint at its potential to assist in ERCP, but findings must be confirmed in larger studies.<\/jats:p>","DOI":"10.1055\/a-2797-9550","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T23:47:10Z","timestamp":1769557630000},"page":"660-668","source":"Crossref","is-referenced-by-count":2,"title":["Robot-assisted endoscopic retrograde cholangiopancreatography: a pilot study"],"prefix":"10.1055","volume":"58","clinical-trial-number":[{"clinical-trial-number":"chictr2500100615","registry":"10.18810\/chictr"}],"author":[{"given":"Xuanhua","family":"Chen","sequence":"first","affiliation":[{"name":"Affiliated Hangzhou First People\u2019s 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China","place":["Hangzhou"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianfeng","family":"Yang","sequence":"additional","affiliation":[{"name":"Affiliated Hangzhou First People\u2019s Hospital, School of Medicine, Westlake University, China","place":["Hangzhou"],"department":["Department of Gastroenterology"]},{"name":"Hangzhou Institute of Digestive Diseases, China","place":["Hangzhou"],"department":["Department of Gastroenterology"]},{"name":"Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province, China","place":["Hangzhou"],"department":["Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hangbin","family":"Jin","sequence":"additional","affiliation":[{"name":"Affiliated Hangzhou First People\u2019s Hospital, School of Medicine, Westlake University, 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