{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T15:43:42Z","timestamp":1792856622260,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Diaphragmatic and thoracic endometriosis (DTE) is considered rare, often presenting with non\u2010specific cyclical thoracic symptoms. Diagnosis and surgical management remain challenging due to the need for cross\u2010specialty expertise. This study reports the first series of robot\u2010assisted surgeries for DTE performed by a single, consistent multidisciplinary team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This was a retrospective case series of 50 consecutive DTE surgeries performed between July 2020 and March 2023 in a specialist private hospital in the United Kingdom. Procedures involving robot\u2010assisted laparoscopy (RAL) for pelvic\/diaphragmatic disease and\/or robot\u2010assisted video\u2010assisted thoracoscopic surgery (RAVATS) for thoracic disease were included. All cases involved a multidisciplinary collaboration between gynecological, hepato\u2010pancreato\u2010biliary, and thoracic robotic surgeons. Data on presentation, operative metrics, histology, and 90\u2010day outcomes were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010six women underwent 50 procedures; 29 involved RAL only, 13 involved RAL with RAVATS, and 5 were RAVATS only. Median operative time was 236\u2009min for three\u2010compartment cases. No cases required conversion to open surgery. Endometriosis was confirmed histologically in 64.4% of abdominal diaphragm cases and 45% of thoracic cases. The right hemidiaphragm was most commonly affected. No Clavien\u2013Dindo \u2265II complications occurred. Combined three\u2010compartment procedures were significantly shorter overall than staged approaches (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Robot\u2010assisted surgery for DTE is safe, feasible, and may enhance disease recognition and excision, particularly when conducted by a dedicated multidisciplinary team. Simultaneous multi\u2010compartment surgery improves operative efficiency and reduces the risk of incomplete treatment. DTE warrants evaluation in specialized centers, in a multidisciplinary fashion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70211","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:22:46Z","timestamp":1778822566000},"page":"1614-1622","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A single centre multidisciplinary team retrospective review of fifty cases of robot\u2010assisted surgery for diaphragmatic and thoracic endometriosis"],"prefix":"10.1111","volume":"105","author":[{"given":"Peter","family":"Barton\u2010Smith","sequence":"first","affiliation":[{"name":"The Endometriosis Clinic The Platinum Medical Centre  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5826-8355","authenticated-orcid":false,"given":"Michal","family":"Kawka","sequence":"additional","affiliation":[{"name":"School of Health and Medical Sciences, City St George's University of London  London UK"},{"name":"St George's Vascular Institute St George's Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Routledge","sequence":"additional","affiliation":[{"name":"Guy's &amp; St Thomas' Hospitals  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rupali","family":"Arora","sequence":"additional","affiliation":[{"name":"University College London Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Long R.","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Academic Surgery The Royal Marsden Hospital  London UK"},{"name":"Department of Surgery and Cancer Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(97)89454-5"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(21)00147-9"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2019.00029"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2017.06.049"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2021.102147"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-08186-z"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.5114\/kitp.2016.61044"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.11.008"},{"issue":"7","key":"e_1_2_13_10_1","article-title":"Excisional versus ablative surgery for peritoneal endometriosis","volume":"2019","author":"Bignardi T","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2017.04.008"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.022"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2014.00312"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15225492"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3480-3"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-09941-8"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers15082391"},{"issue":"5","key":"e_1_2_13_19_1","first-page":"288","article-title":"Robotic liver surgery","volume":"3","author":"Leung U","year":"2014","journal-title":"Hepatobiliary Surg Nutr"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/PGP.0000000000000879"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70211","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.70211","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T05:17:27Z","timestamp":1783833447000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.70211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/aogs.70211"],"URL":"https:\/\/doi.org\/10.1111\/aogs.70211","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]},"assertion":[{"value":"2025-12-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}