{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:32:09Z","timestamp":1772987529169,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":260,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"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:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Robotic distal pancreatectomy (RDP) is increasingly performed for tumors of the pancreatic body and tail, offering reduced blood loss and faster recovery. However, prolonged operative time and higher costs remain challenges. Effective gastric retraction is critical for smooth surgical manipulation during RDP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Surgical Technique<\/jats:title>\n                    <jats:p>We developed the Three\u2010Point Gastric Retraction Technique (3P\u2010GRT). The greater omentum is incised to release the omental bursa, and the gastro\u2010splenic ligament is divided to mobilize the stomach. The first fixation sutures the gastric antrum to the abdominal wall, exposing the pancreatic body. The second fixation secures the posterior gastric fundus, enhancing access to the gastro\u2010pancreatic mesentery. The third fixation uses robotic\u2010assisted traction on the left gastric artery pedicle, providing adjustable retraction. This approach achieves stable, wide exposure from the pancreatic body to the tail, enabling smooth and efficient surgical maneuvers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Operative Results<\/jats:title>\n                    <jats:p>Eight consecutive patients underwent RDP with 3P\u2010GRT. Median operative time was 282\u2009min and median blood loss was 25\u2009mL. All procedures were completed safely without complications attributable to the technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The 3P\u2010GRT provides simple, reproducible gastric retraction, facilitating stable pancreatic exposure and efficient operative workflow in RDP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70153","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T13:16:33Z","timestamp":1758201393000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Three\u2010Point Gastric Retraction Technique (\n                    <scp>3P<\/scp>\n                    \u2010\n                    <scp>GRT<\/scp>\n                    ) for Enhanced Surgical Field Exposure in Robotic Distal Pancreatectomy"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3898-6373","authenticated-orcid":false,"given":"Shingo","family":"Kozono","sequence":"first","affiliation":[{"name":"Department of Surgery Kitakyushu Municipal Medical Center  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Tatsuguchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Kitakyushu Municipal Medical Center  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Surgery Kitakyushu Municipal Medical Center  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norimasa","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgery Kitakyushu Municipal Medical Center  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotaka","family":"Kuga","sequence":"additional","affiliation":[{"name":"Department of Surgery Kitakyushu Municipal Medical Center  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Surgery Kitakyushu Municipal Medical Center  Kitakyushu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn\u201023\u2010132"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaa039"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005601"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010023\u201009894\u2010y"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010010\u20101376\u20106"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102784\u20108"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2016.07.01"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2020.02.010"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.7602\/jmis.2024.27.3.177"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3791\/65216"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70153","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70153","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70153","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:02:12Z","timestamp":1772967732000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70153"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/ases.70153"],"URL":"https:\/\/doi.org\/10.1111\/ases.70153","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-06-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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