{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T19:57:35Z","timestamp":1776455855536,"version":"3.51.2"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"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":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of an educational stepwise robot\u2010assisted radical prostatectomy (RARP) procedure for urology residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a detailed evaluation of 42 RARP procedures performed by a single urology resident from July 2019 to February 2022. The RARP procedures were divided into the following nine steps: (1) bladder dissection, (2) endopelvic fascia dissection, (3) bladder neck dissection, (4) seminal vesicle dissection, (5) Denonvilliers' fascia dissection, (6) dorsal vascular complex ligation, (7) dissection of the prostatic apex, (8) posterior anastomosis, and (9) urethro\u2010vesical anastomosis. The procedures were further subcategorized as anatomical understanding, spatial recognition, and technical skills for evaluation of resident training. The surgeries were divided into first and second halves, and patient characteristics and operative outcomes were statistically analyzed. The operative time of each of the nine steps and the reasons for proctor intervention were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 42 patients, there were no significant differences in operative outcomes between the two groups. The median operative time was 169\u2009min (164 vs. 179\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.12), and the median console time was 128\u2009min (127 vs. 130\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.74). Although there were no significant differences in the time of the nine steps, the resident significantly overcame (7) dissection of the prostatic apex and (8) posterior anastomosis based on the evaluation of the proctored reasons for intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Urology residents can safely perform and efficiently learn RARP with this stepwise educational system. This educational stepwise RARP procedure can effectively help residents to develop their skills.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.13334","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T20:19:22Z","timestamp":1717445962000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy of educational stepwise robot\u2010assisted radical prostatectomy procedure for urology residents"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-0866","authenticated-orcid":false,"given":"Kyotaro","family":"Fukuta","sequence":"first","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoya","family":"Fukawa","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keito","family":"Shiozaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1953-0776","authenticated-orcid":false,"given":"Yutaro","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Seto","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryoichi","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Izaki","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima Prefectural Central Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2449-3148","authenticated-orcid":false,"given":"Masayuki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Kanda","sequence":"additional","affiliation":[{"name":"Department of Urology Kawashima Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiro\u2010omi","family":"Kanayama","sequence":"additional","affiliation":[{"name":"Department of Urology Kawashima Hospital  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Department of Urology Tokushima University Graduate School of Biomedical Sciences  Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"issue":"13","key":"e_1_2_11_2_1","first-page":"e19","article-title":"A decade of robot\u2010assisted radical prostatectomy training: time\u2010based metrics and qualitative grading for fellows and residents","volume":"36","author":"Altok M","year":"2018","journal-title":"Urol Oncol"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08997.x"},{"key":"e_1_2_11_4_1","unstructured":"Urology Robot\u2010Assisted Surgery Education Program: Japanese Urological Association and Japanese Society of Endourology and Robotics. April 1 2020 modification.https:\/\/www.jsee.jp\/davinci\/program\/"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12315"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.0239"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.01.057"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0378"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-013-0395-2"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prnil.2015.03.005"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2021.0082"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2008.0023"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-017-0710-y"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.06.017"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2016.11.017"},{"issue":"4","key":"e_1_2_11_16_1","first-page":"9843","article-title":"Oncological and functional outcomes of a large Canadian robotic\u2010assisted radical prostatectomy database with 10\u2009years of surgical experience","volume":"26","author":"Tholomier C","year":"2019","journal-title":"Can J Urol"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.13334","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.13334","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.13334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:59:36Z","timestamp":1773133176000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.13334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,3]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/ases.13334"],"URL":"https:\/\/doi.org\/10.1111\/ases.13334","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,3]]},"assertion":[{"value":"2024-02-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13334"}}