{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:43:50Z","timestamp":1792593830246,"version":"4.5.0"},"reference-count":6,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":208,"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>Lymphadenectomy around the left recurrent laryngeal nerve is one of the most technically demanding steps in esophagectomy. Even in robot\u2010assisted esophagectomy, the operative field easily becomes wet and achieving on\u2010demand suction remains challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Surgical Technique<\/jats:title>\n                    <jats:p>Between July 2024 and November 2025, 11 patients underwent robot\u2010assisted esophagectomy in the prone position. We developed a simple on\u2010demand suction technique by suturing gauze to a commercially available suction tube, allowing both the surgeon and the assistant to perform suction as needed. The modified tube can be manipulated using either robotic instruments or assistant forceps and can also be used for gentle tracheal rolling during lymphadenectomy. Furthermore, to evaluate the feasibility and safety of this technique, we conducted a retrospective comparison with 11 cases performed using the conventional method (tracheal traction with a robotic Cadiere forceps) between March 2023 and May 2024. All procedures were performed by a single surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This simple and low\u2010cost technique facilitates maintenance of a dry operative field during robot\u2010assisted esophagectomy. Furthermore, in comparison with the conventional method, no significant differences were observed in operative time, blood loss, or the incidence of recurrent laryngeal nerve palsy; however, there was a trend toward reduced intraoperative manipulation time. These findings suggest that this technique offers comparable safety to the conventional approach while potentially contributing to improved operative field management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70358","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:06:19Z","timestamp":1785283579000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["On\u2010Demand Suction to Maintain a Dry Operative Field During Robotic Esophagectomy With Video"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6644-1066","authenticated-orcid":false,"given":"Shinsuke","family":"Sato","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1782-4615","authenticated-orcid":false,"given":"Mao","family":"Tsuru","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erina","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Taki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaya","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Kanemoto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Shizuoka General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-020-01990-0"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09052-w"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-09738-w"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2244"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13247611"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.13273"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70358","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70358","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:23:13Z","timestamp":1792592593000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70358"],"URL":"https:\/\/doi.org\/10.1111\/ases.70358","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":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70358"}}