{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:49:52Z","timestamp":1792162192257,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":83,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    In Japan, nine gas embolisms related to robot\u2010assisted partial nephrectomy (RAPN)\u2014including fatal cases\u2014have been reported, all with a retroperitoneal approach, predominantly at 15\u2009mmHg intra\u2010abdominal pressure using gasketless cannulas. At our facility, a gas embolism occurred during retroperitoneal RAPN for an 18\u2009\u00d7\u200914\u2010mm left renal cell carcinoma. During resection, intra\u2010abdominal pressure was maintained at 15\u2009mmHg with positive end\u2010expiratory pressure deactivated. Seven minutes later, percutaneous oxygen saturation fell to 89%, accompanied by a decrease in end\u2010tidal carbon dioxide, leading to a diagnosis of pulmonary gas embolism. Postoperative plain computed tomography revealed a mirror image of CO\n                    <jats:sub>2<\/jats:sub>\n                    from the inferior vena cava to the left femoral vein. The retroperitoneal approach, high intra\u2010abdominal pressure, and use of gasketless cannulas are considered risk factors for gas embolism. Prevention requires understanding these factors and setting appropriate intra\u2010abdominal pressures.\n                  <\/jats:p>","DOI":"10.1111\/ases.70278","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T01:10:07Z","timestamp":1774487407000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pulmonary Gas Embolism During Robot\u2010Assisted Partial Nephrectomy: Experiences, Current Trends, and Important Cautions in Japan"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1935-5541","authenticated-orcid":false,"given":"Toshinori","family":"Nishikimi","sequence":"first","affiliation":[{"name":"Department of Urology Japanese Red Cross Aichi Medical Center, Nagoya Daini Hospital  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoyoshi","family":"Ohashi","sequence":"additional","affiliation":[{"name":"Department 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