{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:28Z","timestamp":1792787668531,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"the National Natural Science Foundation of China","award":["No. 82302964"],"award-info":[{"award-number":["No. 82302964"]}],"id":[{"id":"https:\/\/ror.org\/01h0zpd94","id-type":"ROR","asserted-by":"crossref"}]},{"name":"the Henan Medical Innovation Talent Overseas Training Program","award":["HNMOT2025066"],"award-info":[{"award-number":["HNMOT2025066"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>\n                      To compare the efficacy of traditional double-layer suturing techniques\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      an improved \u201ccross-stitch\u201d suturing technique (CST) in robot-assisted partial nephrectomy (RAPN) for localized renal cell carcinoma.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed clinical data from patients who underwent RAPN at our center between August 2022 and January 2025. A total of 89 patients were ultimately included, including 58 in the double-layer suture group and 31 in the \u201ccross-stitch\u201d suturing technique group. To minimize selection bias, 1:1 propensity score matching (PSM) was performed to balance baseline characteristics between groups (matched covariates: age, body mass index, RENAL score, tumor size, tumor location, and growth pattern). In the matched cohort, a double robust estimation strategy was applied. Multivariate regression models were used to adjust for residual confounders, enabling comparison of perioperative indicators, early renal function changes, and postoperative complications between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After PSM, 52 patients (26 in each group) were analyzed, and the clinical baseline characteristics of both patient groups achieved favorable matching, with significantly reduced differences in the distribution of covariates such as age, BMI, tumor size, radius, exophytic\/endophytic, nearness to collecting system, anterior\/posterior, location score, tumor location, and growth pattern (standardized mean difference &lt;0.1). Compared with the double-layer suturing group, the \u201ccross-stitch\u201d suturing technique group had a significantly shorter operative time (111.1\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      133.4 minutes,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.002) and warm ischemia time (WIT) (15.4\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      20.5 minutes,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). However, no statistically significant differences were observed between groups in estimated blood loss (\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.362), postoperative hospital stay (\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.349), positive margin rate (\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.932), postoperative complications (\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.315), or trifecta achievement rate (\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.07).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The modified CST was associated with shorter WIT and operative time and may be particularly suitable for localized renal tumors of moderate complexity. However, no significant differences were observed in postoperative renal function or trifecta after matching, and these findings should be interpreted with caution and require further validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261458682","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T09:27:22Z","timestamp":1781170042000},"page":"1271-1277","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Modified \u201cCross-Stitch\u201d Suturing Technique Is Associated with Shorter Warm Ischemia Time in Robot-Assisted Partial Nephrectomy"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3954-0817","authenticated-orcid":false,"given":"Yao","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abao","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yafei","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianghui","family":"Ning","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhankui","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.10.002"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.15586\/jkcvhl.2015.23"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.04.100"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-023-01194-1"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2016.05.012"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.05.047"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2008.07.048"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2018.06.019"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-025-01803-w"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/5260131"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01394-w"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14537"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euo.2018.11.008"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-011-9899-8"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15658"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.04.020"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.05.035"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2102953"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.10.021"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.09.042"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.01.025"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-020-01010-0"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2022.103321"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.12.040"}],"updated-by":[{"DOI":"10.1177\/08927790261467490","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000}}],"container-title":["Journal 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