{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:58:28Z","timestamp":1792159108116,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":227,"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>This study evaluates short\u2010term outcomes of robot\u2010assisted (Rt) and laparoscopic (Lap) intracorporeal anastomosis (IA) in colon resection using an exploratory single\u2010center retrospective cohort and a systematic review and meta\u2010analysis conducted in accordance with PRISMA guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with colon cancer who underwent laparoscopic or robotic surgery at our institution from 2015 to 2024 were retrospectively enrolled. Additionally, a meta\u2010analysis was conducted using PubMed, Web of Science, Scopus, and the Cochrane Library to identify studies comparing Rt\u2010IA and Lap\u2010IA. Short\u2010term outcomes were statistically compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 77 patients were included (Rt\u2010IA 26, Lap\u2010IA 51). Intraoperative blood loss was significantly lower in the Rt\u2010IA group (median, 5\u2009mL vs. 10\u2009mL;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). No statistically significant differences were detected in major postoperative complications or most recovery\u2010related outcomes. For the meta\u2010analysis, 11 studies (1 prospective and 10 retrospective) met the inclusion criteria. After adding our institutional data, the pooled analysis showed that operative time was significantly longer in the Rt\u2010IA group (MD, 54.02\u2009min; 95% CI, 34.18\u201373.86;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200995.4%), whereas the Rt\u2010IA group demonstrated significantly less blood loss (MD, \u221214.33\u2009mL; 95% CI: \u221227.04 to \u22121.63;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200919.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of our institutional analysis together with meta\u2010analysis suggest that Rt\u2010IA may be associated with longer operative time but slightly lower blood loss than Lap\u2010IA. These findings suggest that Rt\u2010IA may be a feasible alternative to Lap\u2010IA; however, the results should be interpreted with caution given the limitations of the available evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70366","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T01:37:09Z","timestamp":1786930629000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Short\u2010Term Outcomes of Intracorporeal Anastomosis in Robot\u2010Assisted colon Resection and Laparoscopic colon Resection: A Single\u2010Center Study and Systematic Review and meta\u2010Analysis"],"prefix":"10.1111","volume":"19","author":[{"given":"Yusuke","family":"Tomita","sequence":"first","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1596-4200","authenticated-orcid":false,"given":"Kohei","family":"Shigeta","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzuko","family":"Momose","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2937-7713","authenticated-orcid":false,"given":"Masayoshi","family":"Monno","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5551-8662","authenticated-orcid":false,"given":"Satoru","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8554-1137","authenticated-orcid":false,"given":"Koji","family":"Okabayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuko","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09290-5"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(05)70221-7"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11389"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12915"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-023-04445-2"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0693"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-023-01737-8"},{"key":"e_1_2_11_9_1","first-page":"763","article-title":"Robotic\u2010Assisted Surgery for Low Rectal Dissection: From Better Views to Better Outcome","volume":"50","author":"Ng K. 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