{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T05:39:22Z","timestamp":1792561162180,"version":"4.5.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":200,"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>\n                      Robotic Descending Colectomy Occasionally Requires Splenic Flexure (\n                      <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\n                      ) and Sigmoid\u2013Descending Junction (\n                      <jats:styled-content style=\"fixed-case\">SDJ<\/jats:styled-content>\n                      ) Mobilization. In Multiport Robotic Surgery, This Bidirectional Mobilization Can Be Technically Demanding Because the Operative Field Extends in Two Directions, and Conventional Curved\u2010Line or Stepped\u2010Line Configurations May Limit Operative Envelope or Cause Arm Interference.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Surgical Technique<\/jats:title>\n                    <jats:p>For lesions requiring continuous SF\u2013SDJ access, an oblique\u2010line configuration using the da Vinci Xi (DVXi) or the da Vinci SP (DVSP) system is typically required for an adequate operative envelope. This study describes the selection and use of curved\u2010line, stepped\u2010line, and oblique\u2010line DVXi port configurations, with the DVSP system as a complementary option, based on lesion location and required mobilization direction. In the oblique\u2010line configuration, the robotic ports are arranged diagonally from the right side of the round ligament of the liver toward the lower abdominal midline.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      The Oblique\u2010Line Configuration Is Designed to Align the Camera Axis and Working Instruments With the Anticipated Direction of Mobilization, Whereas the\n                      <jats:styled-content style=\"fixed-case\">DVSP<\/jats:styled-content>\n                      System Provides Flexible Access Across Proximal and Distal Operative Fields. These Strategies May Help Surgeons Gain Stable Robotic Access Without Additional Port Insertion, Redocking, or Excessive Instrument Angulation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70352","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T01:24:02Z","timestamp":1784597042000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Operative Approach for Robotic Descending Colon Cancer Requiring Bidirectional Mobilization of the Splenic Flexure and Sigmoid\u2013Descending Junction"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7177-9328","authenticated-orcid":false,"given":"Tsutomu","family":"Kumamoto","sequence":"first","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5866-0461","authenticated-orcid":false,"given":"Koki","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Advanced Robotic and Endoscopic Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0928-5394","authenticated-orcid":false,"given":"Junichiro","family":"Hiro","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koshiro","family":"Matsunami","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2347-0796","authenticated-orcid":false,"given":"Gaku","family":"Inaguma","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Omura","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7419-2445","authenticated-orcid":false,"given":"Yosuke","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1044-2948","authenticated-orcid":false,"given":"Ichiro","family":"Uyama","sequence":"additional","affiliation":[{"name":"Department of Advanced Robotic and Endoscopic Surgery Fujita Health University  Toyoake Japan"},{"name":"Collaborative Laboratory for Research and Development in Advanced Surgical Technology Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0423-1565","authenticated-orcid":false,"given":"Koichi","family":"Suda","sequence":"additional","affiliation":[{"name":"Department of Surgery Fujita Health University  Toyoake Japan"},{"name":"Collaborative Laboratory for Research and Development in Advanced Surgical Intelligence Fujita Health University  Toyoake Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2020.02.026"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1918"},{"key":"e_1_2_12_4_1","first-page":"59","volume-title":"Robotic Surgery of Colon and Rectum","author":"Giuliani G.","year":"2023"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f3012"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17307"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.21037\/jgo-21-221"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3718-0"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-022-02597-x"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70352","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70352","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T04:49:50Z","timestamp":1792558190000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70352"],"URL":"https:\/\/doi.org\/10.1111\/ases.70352","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":"2026-05-25","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":"2026-07-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70352"}}