{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:32:31Z","timestamp":1772987551193,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":224,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Single\u2010incision laparoscopic percutaneous extraperitoneal closure (SILPEC) is used for pediatric inguinal hernia repair in several institutions. However, SILPEC requires at least two operators. We report the first SILPEC performed by a single surgeon using the Senhance robotic system for pediatric patients. The Senhance, which features reusable 3\u2010 to 5\u2010mm instruments and tremor filtering, allows both eye\u2010tracked and manually adjustable camera control via a standalone robotic arm, resulting in stable, assistant\u2010free visualization while preserving the small port philosophy. Two pediatric patients with inguinal hernia underwent SILPEC. The laparoscope was mounted on one robotic arm, and a 3\u2010mm curved grasper was manipulated manually through the same incision. Operative times were 71 and 77\u2009min, without blood loss, conversions, or perioperative complications. Both patients remained recurrence\u2010free. This report demonstrates the feasibility, safety, procedural efficiency, and potential cost\u2010effectiveness of single\u2010surgeon robotic assisted SILPEC, thus offering a pragmatic solution for understaffed pediatric surgical units.<\/jats:p>","DOI":"10.1111\/ases.70131","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T02:05:15Z","timestamp":1755137115000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["First Report of Single\u2010Surgeon Single\u2010Incision Laparoscopic Percutaneous Extraperitoneal Closure Using the Senhance Robotic System as Camera Holder for Pediatric Inguinal Hernia"],"prefix":"10.1111","volume":"18","author":[{"given":"Daiki","family":"Kato","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Nagoya University Graduate School of Medicine  Nagoya 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