{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:58:45Z","timestamp":1792159125611,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":245,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/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>Robot\u2010assisted surgery (RS) is increasingly used for rectal cancer, but its clinical benefits over laparoscopic surgery (LS) remain uncertain. We compared perioperative and oncological outcomes between RS and LS after propensity score matching (PSM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010center retrospective study included 553 consecutive patients with clinical Stage I\u2013III rectal adenocarcinoma who underwent RS or LS. PSM was performed using age, sex, body mass index, tumor location, neoadjuvant therapy, clinical T stage, clinical N stage, anastomosis status, and lateral pelvic lymph node dissection as covariates. The primary endpoint was 3\u2010year relapse\u2010free survival (RFS), and perioperative outcomes were secondary endpoints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PSM yielded 214 matched pairs. Operative time was significantly longer in the RS group than in the LS group (254 vs. 231\u2009min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas intraoperative blood loss was significantly lower (10 vs. 20\u2009mL;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Conversion to open surgery was less frequent in the RS group (0.5% vs. 3.7%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). Three\u2010year RFS rates were comparable between the RS and LS groups (82.2% vs. 81.1%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.68), although the crude overall recurrence proportion was significantly lower in the RS group than in the LS group (15.0% vs. 22.9%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RS and LS achieved comparable mid\u2010term oncological outcomes in patients with Stage I\u2013III rectal adenocarcinoma. RS was associated with a lower conversion rate and reduced intraoperative blood loss, suggesting selective perioperative advantages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70375","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:28:10Z","timestamp":1788481690000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Robot\u2010Assisted Versus Laparoscopic Surgery for Rectal Cancer: A Propensity Score\u2010Matched Single\u2010Institution Study"],"prefix":"10.1111","volume":"19","author":[{"given":"Hiroaki","family":"Shuto","sequence":"first","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5985-4754","authenticated-orcid":false,"given":"Takashi","family":"Okuyama","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunya","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruo","family":"Hosoya","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Koshizuka","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsumi","family":"Naito","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gambo","family":"Hirotaka","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuyuki","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emiko","family":"Takeshita","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7961-8724","authenticated-orcid":false,"given":"Hidehiro","family":"Tajima","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takatoshi","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2911-8056","authenticated-orcid":false,"given":"Hideyuki","family":"Yoshitomi","sequence":"additional","affiliation":[{"name":"Department of Surgery Dokkyo Medical University Saitama Medical Center  Koshigaya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(14)70205-0"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001388"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24867"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70016-0"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414882"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdx224"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-019-01485-z"},{"key":"e_1_2_12_9_1","unstructured":"National Comprehensive Cancer Network \u201cNCCN Clinical Practice Guidelines in Oncology Rectal Cancer \u201daccessed March 17 2026 https:\/\/www.nccn.org\/guidelines\u2010detail?category=1&id=1461."},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12836"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001017"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07000-9"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7219"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(22)00248-5"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005788"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002535"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02628-3"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11374-w"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15199"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v14.i1.90590"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/JHC.S456093"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.23922\/jarc.2019-018"},{"key":"e_1_2_12_23_1","volume-title":"TNM Classification of Malignant Tumors","author":"Brierley J. D.","year":"2017"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-018-1403-9"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08681-x"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-025-02805-z"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002321"},{"issue":"2","key":"e_1_2_12_29_1","first-page":"176","article-title":"Short\u2010 and Medium\u2010Term Outcome of Robot\u2010Assisted and Traditional Laparoscopic Rectal Resection","volume":"13","author":"Patriti A.","year":"2009","journal-title":"JSLS"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-025-04888-9"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.8123"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.70278"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032709"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30555-6"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00079-6"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.07.010"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6739"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.109134"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-03080-z"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70375","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70375","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70375","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:39:12Z","timestamp":1792157952000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70375"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":38,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70375"],"URL":"https:\/\/doi.org\/10.1111\/ases.70375","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":"2026-05-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70375"}}