{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:45:42Z","timestamp":1792158342630,"version":"4.4.0"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":229,"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":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Timely suction is essential when bleeding or oozing obscures the operative field during robot\u2010assisted rectal cancer surgery; assistant\u2010access workflow may influence the response.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This exploratory, retrospective, matched cohort study compared a hinotori workflow with an additional assistant port and a conventional da Vinci Xi port configuration. Eleven hinotori and 82 da Vinci Xi cases were eligible. Propensity score matching was performed using body mass index, preoperative treatment, and tumor location; 10 matched pairs had analyzable videos. Visual field disturbance was defined as bleeding or oozing obscuring the operative view and requiring suction. The times from event onset to suction initiation and from onset to a restored view were defined as latency and time to recovery, respectively. Event\u2010level outcomes were log\u2010transformed; effect sizes were mean log differences and geometric mean ratios. Wilcoxon signed\u2010rank tests using case\u2010level medians were used for sensitivity analyses.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Overall, 152 events were identified (64 hinotori, 88 da Vinci Xi). The hinotori workflow was associated with shorter latency (mean log difference, \u22120.633; 95% confidence interval [CI], \u22121.021 to \u22120.244;\n p<\/jats:italic>\n \u2009=\u20090.001; geometric mean ratio, 0.531; 95% CI, 0.360\u20130.783) and shorter time to recovery (mean log difference, \u22120.438; 95% CI, \u22120.739 to \u22120.137;\n p<\/jats:italic>\n \u2009=\u20090.004; geometric mean ratio, 0.645; 95% CI, 0.478\u20130.872). Sensitivity analyses yielded consistent results.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A hinotori\u2010specific assistant\u2010port workflow was associated with faster suction response and visualization recovery. These exploratory findings require cautious interpretation because of institutional and assistant\u2010related confounding.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ases.70351","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:50Z","timestamp":1787097650000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bedside Assistant Suction Response and Visual Field Recovery During Robot\u2010Assisted Rectal Cancer Surgery: An Exploratory Propensity Score\u2010Matched Comparison of Assistant\u2010Access Workflows Using Hinotori and da Vinci Xi"],"prefix":"10.1111","volume":"19","author":[{"given":"Motoshi","family":"Miyagi","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Nanbu Tokushukai Hospital Okinawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasutake","family":"Uchima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Chubu Tokushukai Hospital Okinawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Henna","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Nanbu Tokushukai Hospital Okinawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaomi","family":"Eguchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Nanbu Tokushukai Hospital Okinawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasukazu","family":"Ikehara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Nanbu Tokushukai Hospital Okinawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.23922\/jarc.2019-037"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14041234"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40137-024-00397-w"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7219"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(22)00248-5"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-11766-6"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjad007"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/ales-25-10"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11206-x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14196743"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40792-023-01705-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2024.00871.0124"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3393\/ac.2025.00136.0019"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01497-4"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70351","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70351","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:50:52Z","timestamp":1792155052000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70351"],"URL":"https:\/\/doi.org\/10.1111\/ases.70351","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":"2026-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70351"}}