{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:24:40Z","timestamp":1790375080846,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite growing interest in robot\u2010assisted surgery, the literature remains limited on the application of robotic surgery for complex endometriosis surgery requiring multidisciplinary input for multi\u2010visceral resection. The aim of the study was to report the short\u2010term feasibility and safety outcomes of this technique from a high\u2010volume robotic surgery facility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a single centre, retrospective study evaluating prospectively collected data. All women underwent planned multidisciplinary robotic surgery using the da Vinci Xi system between January 2018 and July 2024. Fifty\u2010eight patients were included in the analysis of demographic, operative and 30\u2010day postoperative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median age was 40.5 (range 21\u201355), with 94.82% of women having ASRM grade 3\u20134 endometriosis. Almost half of the patients had total hysterectomy and bilateral salpingectomy. Concurrent colorectal resections included appendicectomy\/stapled caecectomy (41.38%), rectal shaving (36.21%), rectal wedge resection (39.66%), endo\u2010anal discoid resection (1.72%) and rectal segmental resection (15.52%). Partial bladder excision and extensive ureterolysis for ureteral stenosis occurred in 5.17% and 11.54%, respectively. The median console time was 148\u2009min (range 49\u2013480\u2009min), 0% conversions and a median 100mls estimated blood loss. Median length of stay was 3\u2009days (range 1\u20137). Clavien\u2010Dindo complications \u22652 occurred 5.17% of cases. There were no anastomotic leaks, other infectious complications, postoperative ileus, blood transfusion requirements or mortality within 30\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The robotic assisted approach is feasible and safe with overall short operative time, acceptable blood loss, no conversions, relatively short length of stay and minimal short term postoperative complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70058","type":"journal-article","created":{"date-parts":[[2025,3,9]],"date-time":"2025-03-09T09:06:36Z","timestamp":1741511196000},"page":"1211-1215","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Robotic multidisciplinary endometriosis surgery with multi\u2010visceral resection: evaluation of short\u2010term feasibility and safety outcomes"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9274-4821","authenticated-orcid":false,"given":"Joseph Do Woong","family":"Choi","sequence":"first","affiliation":[{"name":"Australian Robotic Colorectal Surgery Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Hofmann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Craig","family":"Lynch","sequence":"additional","affiliation":[{"name":"Australian Robotic Colorectal Surgery Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine and Psychology The Australian National University  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assad","family":"Zahid","sequence":"additional","affiliation":[{"name":"Australian Robotic Colorectal Surgery Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine and Psychology The Australian National University  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Ravindran","sequence":"additional","affiliation":[{"name":"Australian Robotic Colorectal Surgery Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine and Psychology The Australian National University  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walid","family":"Barto","sequence":"additional","affiliation":[{"name":"Australian Robotic Colorectal Surgery Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine and Psychology The Australian National University  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Nikam","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Sydney Adventist Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1457-2582","authenticated-orcid":false,"given":"Stephen","family":"Pillinger","sequence":"additional","affiliation":[{"name":"Australian Robotic Colorectal Surgery Sydney Adventist Hospital  Sydney New South Wales Australia"},{"name":"School of Medicine and Psychology The Australian National University  Canberra Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02744.x"},{"key":"e_1_2_11_3_1","unstructured":"Australian clinical practice guideline for the diagnosis and management of endometriosis [press release]. 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