{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:40:28Z","timestamp":1792813228809,"version":"4.5.0"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":286,"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>The da Vinci single\u2010port (SP) system has been utilized across various surgical procedures. However, a standardized technique for SP robot\u2010assisted adrenalectomy (SP\u2010RAA) remains unestablished. Herein, we report our technique for retroperitoneal SP\u2010RAA via the low anterior access (LAA) approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Surgical Technique<\/jats:title>\n                    <jats:p>Nine patients underwent SP\u2010RAA using our standardized procedure. Patients were placed in a modified supine position. The primary incision was typically located two fingerbreadths cranial to a point two\u2010thirds laterally along the spino\u2010umbilical line. The operation was performed via a retroperitoneal approach. For right\u2010sided tumors, dissection proceeded cranially along the psoas muscle and the inferior vena cava. For left\u2010sided tumors, a gonadal vein\u2010guided ascending approach was utilized to clear the surgical plane. After identifying and transecting the adrenal vein, periadrenal dissection was performed, and the adrenal gland was dissected free from its retroperitoneal attachments. Median operative and console times were 128 and 91\u2009min, respectively, with no perioperative or postoperative complications or readmissions occurring within 30\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Although surgeons require familiarization with this unique approach and the corresponding orientation of anatomical structures, the LAA approach can be successfully utilized for SP\u2010RAA. It may enhance safety over traditional methods, including prone or transperitoneal approaches, by avoiding forced positioning and mitigating the risks associated with intraperitoneal manipulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70391","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:16:46Z","timestamp":1792027006000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low Anterior Access Approach for Single\u2010Port Retroperitoneal Robot\u2010Assisted Adrenalectomy: Surgical Technique and Early Outcomes"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9241-2373","authenticated-orcid":false,"given":"Shinnosuke","family":"Fujiwara","sequence":"first","affiliation":[{"name":"Department of Urology Saiseikai Yokohamashi Tobu Hospital  Yokohama\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Ishida","sequence":"additional","affiliation":[{"name":"Department of Urology Saiseikai Yokohamashi Tobu Hospital  Yokohama\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3915-5653","authenticated-orcid":false,"given":"Yuichiro","family":"Konnai","sequence":"additional","affiliation":[{"name":"Department of Urology Saiseikai Yokohamashi Tobu Hospital  Yokohama\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tansei","family":"Sanjo","sequence":"additional","affiliation":[{"name":"Department of Urology Saiseikai Yokohamashi Tobu Hospital  Yokohama\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadatsugu","family":"Anno","sequence":"additional","affiliation":[{"name":"Department of Urology Saiseikai Yokohamashi Tobu Hospital  Yokohama\u2010shi Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2025.108.6.367"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010023\u201010380\u20108"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010021\u201011208\u20102"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2023.0406"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers17081372"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2023.05.006"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm15070306"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70391","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70391","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:54:29Z","timestamp":1792810469000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/ases.70391"],"URL":"https:\/\/doi.org\/10.1111\/ases.70391","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":"2026-07-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70391"}}