{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:38:40Z","timestamp":1792820320155,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":175,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"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>Introduction<\/jats:title>\n                    <jats:p>We aimed to evaluate the feasibility, safety, and perioperative outcomes of single\u2010port (SP) robot\u2010assisted partial nephrectomy (RAPN) via the supine low anterior access (LAA) compared with conventional multi\u2010port (MP) RAPN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 65 patients with cT1a renal tumors who underwent retroperitoneal RAPN between October 2023 and September 2025. Fifteen patients underwent SP\u2010RAPN via the supine LAA, and 50 patients underwent MP\u2010RAPN via the lateral flank access (LFA). Perioperative outcomes and postoperative outcomes, including warm ischemia time (WIT), estimated blood loss (EBL), complications, trifecta achievement, renal function, and length of hospital stay, were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After adjusting patient variables by 1:2 propensity score matching (PSM), 13 and 26 patients were in the respective groups, and there were no significant differences in baseline characteristics between groups. SP\u2010RAPN demonstrated longer WIT (17.4\u2009\u00b1\u20093.2 vs. 13.7\u2009\u00b1\u20093.7\u2009min,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). EBL (95\u2009\u00b1\u200986.1 vs. 63.1\u2009\u00b1\u200989.3\u2009mL,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.295) and complication rates were similar, with no conversions or positive surgical margins in either group. Length of hospital stay was shorter in the SP group (7.3\u2009\u00b1\u20090.9 vs. 8.5\u2009\u00b1\u20090.9\u2009days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Trifecta achievement was 100% in SP\u2010RAPN vs. 96.2% in MP\u2010RAPN (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091). Postoperative renal function was comparable between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SP\u2010RAPN via the supine LAA is a safe alternative to MP\u2010RAPN, offering comparable oncologic outcomes with reduced hospitalization. Despite longer WIT during the learning phase, the supine LAA and single\u2010port access may provide ergonomic and recovery benefits. However, further studies are warranted to assess its clinical benefits, cost\u2010effectiveness, and long\u2010term oncologic outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70335","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T01:45:52Z","timestamp":1782438352000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Early Outcomes of Single\u2010Port Robot\u2010Assisted Partial Nephrectomy via Supine Low Anterior Access"],"prefix":"10.1111","volume":"19","author":[{"given":"Masashi","family":"Takenaka","sequence":"first","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryoichi","family":"Shiroki","sequence":"additional","affiliation":[{"name":"Fujita Medical Innovation Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihito","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanobu","family":"Saruta","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuhiko","family":"Yoshizawa","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuhisa","family":"Nukaya","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8455-7364","authenticated-orcid":false,"given":"Kenji","family":"Zennami","sequence":"additional","affiliation":[{"name":"Department of Urology Nagoya University Graduate School of Medicine  Nagoya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9783-2967","authenticated-orcid":false,"given":"Manabu","family":"Ichino","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitomi","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Takahara","sequence":"additional","affiliation":[{"name":"Department of Urology Fujita Health University School of Medicine  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.06.044"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.12.013"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-021-01051-z"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2023.06.004"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17172847"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01271-y"},{"key":"e_1_2_10_8_1","first-page":"223","article-title":"Single\u2010Port Versus Multiport Partial Nephrectomy: A Propensity\u2010Score\u2010Matched Comparison of Perioperative and Short\u2010Term Outcomes","volume":"17","author":"Harrison 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