{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:38:15Z","timestamp":1792589895279,"version":"4.5.0"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":125,"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:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Telepresence enables real\u2010time observation and remote mentoring across distances, potentially accelerating the dissemination of advanced minimally invasive techniques. The da Vinci 5 platform integrates Telepresence within the My Intuitive digital ecosystem, facilitating remote case observation, collaboration, and mentoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This technology paper reports an international telepresence session in which an expert colorectal robotic surgeon located in Daegu, Republic of Korea, provided real\u2010time remote mentoring during a robot\u2010assisted colorectal procedure performed in Saitama, Japan. A representative clinical implementation involved a patient with rectosigmoid cancer (clinical stage T1bN0M0) and obesity (BMI 30.1\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). The telepresence\u2010mentored segment focused on the most technically demanding phase: peritoneal incision, dissection around the superior rectal artery (SRA), and vascular handling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mentored phase lasted 40\u2009min. During this segment, the remote mentor provided step\u2010by\u2010step guidance on exposure strategy, traction direction, and plane selection. Additionally, console\u2010integrated objective force visualization (\u201cForce Gauge\u201d) was used as a shared reference to optimize retraction. The operation was completed without intraoperative complications (operative time: 214\u2009min; estimated blood loss: 5\u2009mL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings demonstrate the feasibility of cross\u2010border telepresence mentoring on the da Vinci 5 platform. Coupling remote mentoring with objective intraoperative force feedback may improve shared situational awareness and support safe decision\u2010making during complex robotic colorectal surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70307","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T02:51:01Z","timestamp":1778122261000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["International Telepresence\u2010Assisted Robotic Colorectal Surgery Using the da Vinci 5 System: A Technology Paper on Cross\u2010Border Remote Mentoring"],"prefix":"10.1111","volume":"19","author":[{"given":"Yume","family":"Minagawa","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9087-2715","authenticated-orcid":false,"given":"Yasumitsu","family":"Hirano","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Ishiyama","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohei","family":"Akuta","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihito","family":"Nakanishi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Nishi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatsugu","family":"Fujii","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Sugita","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikashi","family":"Hiranuma","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Saitama Medical University International Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/35096636"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02703-9"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-023-10484-1"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02274-9"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-023-01792-8"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.08.043"},{"issue":"3","key":"e_1_2_9_8_1","first-page":"252","article-title":"The Benefit of Force Feedback in Surgery: Examination of Blunt Dissection","volume":"16","author":"Wagner C. R.","year":"2007","journal-title":"Presence (Cambridge, Mass.)"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70307","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:39:32Z","timestamp":1792586372000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70307"],"URL":"https:\/\/doi.org\/10.1111\/ases.70307","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70307"}}