{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:03:21Z","timestamp":1789448601791,"version":"build-2803163510"},"reference-count":17,"publisher":"Korean Society of Obstetrics and Gynecology","issue":"4","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003645","name":"National Cancer Center","doi-asserted-by":"publisher","award":["NCC2110790"],"award-info":[{"award-number":["NCC2110790"]}],"id":[{"id":"10.13039\/501100003645","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003645","name":"National Cancer Center","doi-asserted-by":"publisher","award":["NCC2110770"],"award-info":[{"award-number":["NCC2110770"]}],"id":[{"id":"10.13039\/501100003645","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ogscience.org"],"crossmark-restriction":true},"short-container-title":["Obstet Gynecol Sci"],"published-print":{"date-parts":[[2026,7,15]]},"abstract":"<jats:p>Objective To assess the feasibility of a hybrid surgical approach combining robotic-assisted pelvic and laparotomic upper abdominal cytoreduction for advanced ovarian cancer.Methods We retrospectively reviewed 20 patients with International Federation of Gynecology and Obstetrics stage III-IV ovarian cancer at the National Cancer Center, Korea, who underwent this hybrid approach between July 2023 and September 2024. Robotic surgery was performed for pelvic procedures, whereas upper abdominal cytoreduction was performed through a small laparotomy. Surgical outcomes included residual tumor status, operation time, estimated blood loss, complications, and postoperative recovery.Results The median age was 53 years, with 75% of patients diagnosed with high-grade serous carcinoma. The median operation time was 342.5 minutes (range, 200.0-505.0) and the median blood loss was 300 mL (range, 5.0-1,500.0). No gross residual disease was achieved in 95% of patients. Intraoperative complications occurred in two patients (10.0%). The median hospital stay was 8 days (range, 6.0-14.0). Foley catheter removal and the first bowel gas passage occurred at a median of 3.5 and 3.0 postoperative days, respectively. Postoperative complications within 30 days included ileus (10.0%), pleural effusion (10.0%), bowel perforation (5.0%), thromboembolism (5.0%), and wound complications (5.0%). Adjuvant chemotherapy began at a median of 17 days postoperatively (range, 10.0-36.0) and 15% of patients were readmitted for ileus, wound complications, or bowel perforation.Conclusion This hybrid approach demonstrates feasibility with acceptable morbidity in a selected cohort; however, the absence of a comparator group precludes conclusions regarding superiority over conventional approaches. Further prospective studies are required to validate these findings and evaluate long-term oncologic outcomes.<\/jats:p>","DOI":"10.5468\/ogs.26044","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T08:56:32Z","timestamp":1782809792000},"page":"254-263","update-policy":"https:\/\/doi.org\/10.5468\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid surgical approach for advanced ovarian cancer: hybrid approach for robotic and minimal open abdominal cytoreduction technique"],"prefix":"10.5468","volume":"69","author":[{"given":"Jaekyung","family":"Bae","sequence":"first","affiliation":[{"name":"Center for Gynecologic Cancer, National Cancer Center, Goyang, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uisuk","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Gynecologic Cancer, National Cancer Center, Goyang, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Gynecologic Cancer, National Cancer Center, Goyang, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8964-7158","authenticated-orcid":true,"given":"Myong Cheol","family":"Lim","sequence":"additional","affiliation":[{"name":"Center for Gynecologic Cancer, National Cancer Center, Goyang, Korea"},{"name":"Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea"},{"name":"Rare and Pediatric Cancer Branch and Immuno-Oncology Branch, Research Institute, Department of Cancer Control and Policy, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3425","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.2020.63.2.150","type":"journal-article"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.1684","type":"journal-article"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.23238","type":"journal-article"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60010053","type":"journal-article"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/312982","type":"journal-article"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1080\/13645706.2021.2010763","type":"journal-article"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2017.05.005","type":"journal-article"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.01.029","type":"journal-article"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2022.10.014","type":"journal-article"},{"key":"ref10","first-page":"e34","type":"journal-article","volume-title":"Confirmation of the utility of the CA-125 elimination rate (KELIM) as an indicator of the chemosensitivity in advanced-stage ovarian cancer in a \u201creal-life setting\u201d","author":"van Wagensveld","year":"2024"},{"key":"ref11","first-page":"205","type":"journal-article","volume-title":"Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey","author":"Dindo","year":"2004"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2023.102391","type":"journal-article"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000001851","type":"journal-article"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-017-0720-2","type":"journal-article"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-021-06339-6","type":"journal-article"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1136\/ijgc-2020-001584","type":"journal-article"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.46325","type":"journal-article"}],"updated-by":[{"DOI":"10.5468\/ogs.26044.e1","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000}}],"container-title":["Obstetrics &amp; Gynecology Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.ogscience.org\/upload\/pdf\/ogs-26044.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.ogscience.org\/journal\/view.php?doi=10.5468\/ogs.26044","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.ogscience.org\/upload\/pdf\/ogs-26044.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:21:24Z","timestamp":1784694084000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ogscience.org\/journal\/view.php?doi=10.5468\/ogs.26044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"URL":"https:\/\/doi.org\/10.5468\/ogs.26044","relation":{},"ISSN":["2287-8580"],"issn-type":[{"value":"2287-8580","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"assertion":[{"value":"2026-01-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-30","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}