{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:01:10Z","timestamp":1790204470756,"version":"4.1.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"10","funder":[{"name":"Shanghai Aohua Photoelectricity Endoscope Co."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Robotic assistance may mitigate occupational hazards associated with endoscopic retrograde cholangiopancreatography (ERCP). We evaluated the safety, feasibility, and learning curve of a new ERCP robotic system.<\/jats:p>\n                  <jats:p>In this observational study, 26 patients with common bile duct stones underwent robotic-assisted ERCP; 6 underwent biliary cannulation only and 20 underwent stone extraction. For the 20 cases with stone extraction, comparisons were performed using 1:1 propensity score matching (PSM) with conventional ERCP performed by the same operator. The safety outcome was adverse events. Feasibility outcomes included technical success, procedural times, operator radiation exposure, and learning-curve characteristics.<\/jats:p>\n                  <jats:p>After PSM, adverse event rates were similar between groups. Post-ERCP pancreatitis occurred in 15.0% (3\/20, robotic) and 10.0% (2\/20, conventional) (P &gt;0.99), with no bleeding, perforation, or procedure-related mortality. Biliary cannulation and stone extraction success rates were 100% (20\/20) in both groups. Robotic-assisted ERCP had a longer procedure time (36.6 vs. 17.0 minutes; P &lt; 0.001), but similar cannulation and fluoroscopy times. In robotic-assisted procedures, radiation exposure was markedly lower in the control room than in the operation room (0.10 vs. 1.26 \u03bcSv; P &lt; 0.001). Learning-curve analysis suggested performance stabilization after 10\u201312 cases.<\/jats:p>\n                  <jats:p>Robotic-assisted ERCP appeared safe and feasible, with high technical success and substantially reduced operator radiation exposure.<\/jats:p>","DOI":"10.1055\/a-2895-1501","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T23:17:07Z","timestamp":1781306227000},"page":"1123-1131","source":"Crossref","is-referenced-by-count":0,"title":["Safety and feasibility of an ERCP robotic system in patients with common bile duct stones: a propensity score-matched observational study"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9028-1106","authenticated-orcid":false,"given":"Dehua","family":"Tang","sequence":"first","affiliation":[{"name":"Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing University, China","place":["Nanjing"],"department":["Department of 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