{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:44:56Z","timestamp":1769107496498,"version":"3.49.0"},"reference-count":36,"publisher":"e-Century Publishing Corporation","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Transl Res"],"DOI":"10.62347\/xuqu2687","type":"journal-article","created":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T06:05:06Z","timestamp":1759039506000},"page":"6861-6880","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the efficacy and safety of extended lymph node dissection in gastric cancer surgery: association with dissection quantity, inflammatory response, and complications"],"prefix":"10.62347","volume":"17","author":[{"given":"Huangzhen","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"48694","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1038\/s41571-023-00747-0","article-title":"Global burden of gastric cancer: epidemiological trends, risk factors, screening and prevention","volume":"20","author":"Thrift","year":"2023","unstructured":"Thrift AP, Wenker TN and El-Serag HB. Global burden of gastric cancer: epidemiological trends, risk factors, screening and prevention. Nat Rev Clin Oncol 2023; 20: 338-349.","journal-title":"Nat Rev Clin Oncol"},{"key":"ref1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","unstructured":"Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I and Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2024; 74: 229-263.","journal-title":"CA Cancer J Clin"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1038\/s41575-022-00726-3","article-title":"Updated epidemiology of gastrointestinal cancers in East Asia","volume":"20","author":"Huang","year":"2023","unstructured":"Huang J, Lucero-Prisno DE 3rd, Zhang L, Xu W, Wong SH, Ng SC and Wong MCS. Updated epidemiology of gastrointestinal cancers in East Asia. Nat Rev Gastroenterol Hepatol 2023; 20: 271-287.","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1053\/j.gastro.2024.07.038","article-title":"Atlas of metastatic gastric cancer links ferroptosis to disease progression and immunotherapy response","volume":"167","author":"Cheng","year":"2024","unstructured":"Cheng X, Dai E, Wu J, Flores NM, Chu Y, Wang R, Dang M, Xu Z, Han G, Liu Y, Chatterjee D, Hu C, Ying J, Du Y, Yang L, Guan X, Mo S, Cao X, Pei G, Jiang J, Lu X, Benitez AM, Waters RE, Pizzi MP, Shanbhag N, Fan Y, Peng F, Hanash SM, Calin G, Futreal A, Song S, Yee C, Mazur PK, Qin JJ, Ajani JA and Wang L. Atlas of metastatic gastric cancer links ferroptosis to disease progression and immunotherapy response. Gastroenterology 2024; 167: 1345-1357.","journal-title":"Gastroenterology"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1007\/s00423-021-02397-1","article-title":"Prognostic factors in patients who received paraaortic lymph node dissection for locally advanced gastric cancer with extensive lymph node metastasis","volume":"407","author":"Hikage","year":"2022","unstructured":"Hikage M, Fujiya K, Kamiya S, Tanizawa Y, Bando E, Notsu A and Terashima M. Prognostic factors in patients who received paraaortic lymph node dissection for locally advanced gastric cancer with extensive lymph node metastasis. Langenbecks Arch Surg 2022; 407: 1027-1037.","journal-title":"Langenbecks Arch Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"11213","DOI":"10.1038\/s41598-024-61671-6","article-title":"Preoperatively predicting the lymph node metastasis and prognosis for gastric cancer patients","volume":"14","author":"Wang","year":"2024","unstructured":"Wang D, Wang Y, Dong L, Zhang X and Du J. Preoperatively predicting the lymph node metastasis and prognosis for gastric cancer patients. Sci Rep 2024; 14: 11213.","journal-title":"Sci Rep"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2129","DOI":"10.1245\/s10434-024-16545-6","article-title":"D2 lymphadenectomy for gastric cancer: advancements and technical considerations","volume":"32","author":"Dehal","year":"2025","unstructured":"Dehal A, Woo Y, Glazer ES, Davis JL and Strong VE; Society of Surgical Oncology Gastrointestinal Disease Site Workgroup. D2 lymphadenectomy for gastric cancer: advancements and technical considerations. Ann Surg Oncol 2025; 32: 2129-2140.","journal-title":"Ann Surg Oncol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1186\/s40001-022-00748-2","article-title":"Outcomes of laparoscopic versus open total gastrectomy with D2 lymphadenectomy for gastric cancer: a systematic review and meta-analysis","volume":"27","author":"Yang","year":"2022","unstructured":"Yang Y, Chen Y, Hu Y, Feng Y, Mao Q and Xue W. Outcomes of laparoscopic versus open total gastrectomy with D2 lymphadenectomy for gastric cancer: a systematic review and meta-analysis. Eur J Med Res 2022; 27: 124.","journal-title":"Eur J Med Res"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Xie D, Shen J, Liu L, Cao B, Xiao A, Qin J, Wu J, Yan Q, Hu Y, Yang C, Cao Z, Hu J, Yin P and Gong J. Randomized clinical trial on D2 lymphadenectomy versus D2 lymphadenectomy plus complete mesogastric excision in patients undergoing gastrectomy for cancer (DCGC01 study). Br J Surg 2024; 111: znae106.","DOI":"10.1093\/bjs\/znae106"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1186\/s12876-023-03061-2","article-title":"Convenient method to improve efficiency of lymph node examination after gastrectomy with D2 lymphadenectomy for gastric cancer","volume":"23","author":"Xiang","year":"2023","unstructured":"Xiang H, Dong Z, Wu H, He Y, Chen Z, Chen S, Yu W and Liang C. Convenient method to improve efficiency of lymph node examination after gastrectomy with D2 lymphadenectomy for gastric cancer. BMC Gastroenterol 2023; 23: 428.","journal-title":"BMC Gastroenterol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"2233","DOI":"10.1016\/j.ejso.2021.04.019","article-title":"Lymph node dissection for gastric cancer: establishment of D2 and the current position of splenectomy in Europe and Japan","volume":"47","author":"Faiz","year":"2021","unstructured":"Faiz Z, Hayashi T and Yoshikawa T. Lymph node dissection for gastric cancer: establishment of D2 and the current position of splenectomy in Europe and Japan. Eur J Surg Oncol 2021; 47: 2233-2236.","journal-title":"Eur J Surg Oncol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/s11701-025-02219-2","article-title":"Evaluating the safety of robotic total gastrectomy with D2 lymphadenectomy for gastric cancer against the conventional laparoscopic approach: a systematic review and meta-analysis","volume":"19","author":"Kossenas","year":"2025","unstructured":"Kossenas K, Moutzouri O and Georgopoulos F. Evaluating the safety of robotic total gastrectomy with D2 lymphadenectomy for gastric cancer against the conventional laparoscopic approach: a systematic review and meta-analysis. J Robot Surg 2025; 19: 59.","journal-title":"J Robot Surg"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1016\/j.annonc.2020.11.004","article-title":"Adjuvant chemotherapy is superior to chemoradiation after D2 surgery for gastric cancer in the per-protocol analysis of the randomized CRITICS trial","volume":"32","author":"Steur WO","year":"2021","unstructured":"de Steur WO, van Amelsfoort RM, Hartgrink HH, Putter H, Meershoek-Klein Kranenbarg E, van Grieken NCT, van Sandick JW, Claassen YHM, Braak JPBM, Jansen EPM, Sikorska K, van Tinteren H, Walraven I, Lind P, Nordsmark M, van Berge Henegouwen MI, van Laarhoven HWM, Cats A, Verheij M and van de Velde CJH; CRITICS investigators. Adjuvant chemotherapy is superior to chemoradiation after D2 surgery for gastric cancer in the per-protocol analysis of the randomized CRITICS trial. Ann Oncol 2021; 32: 360-367.","journal-title":"Ann Oncol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1040495","DOI":"10.3389\/fonc.2022.1040495","article-title":"Evaluation of systemic inflammatory and nutritional indexes in locally advanced gastric cancer treated with adjuvant chemoradiotherapy after D2 dissection","volume":"12","author":"Wang","year":"2022","unstructured":"Wang SB, Chen JY, Xu C, Cao WG, Cai R, Cao L and Cai G. Evaluation of systemic inflammatory and nutritional indexes in locally advanced gastric cancer treated with adjuvant chemoradiotherapy after D2 dissection. Front Oncol 2022; 12: 1040495.","journal-title":"Front Oncol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"37556","DOI":"10.18632\/oncotarget.8788","article-title":"Nomogram based on systemic inflammatory response markers predicting the survival of patients with resectable gastric cancer after D2 gastrectomy","volume":"7","author":"Liu","year":"2016","unstructured":"Liu J, Geng Q, Chen S, Liu X, Kong P, Zhou Z, Zhan Y and Xu D. Nomogram based on systemic inflammatory response markers predicting the survival of patients with resectable gastric cancer after D2 gastrectomy. Oncotarget 2016; 7: 37556-37565.","journal-title":"Oncotarget"},{"key":"ref15","unstructured":"Fu J, Lin F, Zheng S, Hong W and Zhang M. Laparoscopic D2 radical gastrectomy improves postoperative inflammation and gastric function in elderly patients with advanced gastric cancer. Am J Transl Res 2022; 14: 8695-8702."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1097\/CM9.0000000000002023","article-title":"conventional D2 gastrectomy for advanced gastric cancer","volume":"135","author":"Meng","year":"2022","unstructured":"Meng X, Wang L, Liu G, Zhang J, Wang Y, Yang D, Zheng G, Zhang T, Zheng Z and Zhao Y. D2 lymphadenectomy with complete mesogastrium excision vs. conventional D2 gastrectomy for advanced gastric cancer. Chin Med J (Engl) 2022; 135: 1223-1230.","journal-title":"Chin Med J (Engl)"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.suronc.2020.04.022","article-title":"A western monocentric experience","volume":"34","author":"Lauricella","year":"2020","unstructured":"Lauricella S, Caricato M, Mascian&#xE0; G, Carannante F, Carnazza M, Bonaccorso A, Angeletti S, Ciccozzi M, Coppola R and Capolupo GT. Topographic lymph node staging system shows prognostic superiority compared to the 8th edition of AJCC TNM in gastric cancer. A western monocentric experience. Surg Oncol 2020; 34: 223-233.","journal-title":"Surg Oncol"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.2147\/RMHP.S413052","article-title":"Prognostic model of D2 radical gastrectomy combined with neoadjuvant chemotherapy for gastric cancer","volume":"16","author":"Wang","year":"2023","unstructured":"Wang G, Tan Y, Jiang Y, Liu J, Su Y, Sun Z and Liu B. Prognostic model of D2 radical gastrectomy combined with neoadjuvant chemotherapy for gastric cancer. Risk Manag Healthc Policy 2023; 16: 1259-1271.","journal-title":"Risk Manag Healthc Policy"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1002\/bjs5.50270","article-title":"Nationwide study of the impact of D2 lymphadenectomy on survival after gastric cancer surgery","volume":"4","author":"Kung","year":"2020","unstructured":"Kung CH, Tsai JA, Lundell L, Johansson J, Nilsson M and Lindblad M. Nationwide study of the impact of D2 lymphadenectomy on survival after gastric cancer surgery. BJS Open 2020; 4: 424-431.","journal-title":"BJS Open"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1097\/SLA.0000000000003217","article-title":"Short-term outcomes of a multicenter randomized controlled trial comparing laparoscopic distal gastrectomy with D2 lymphadenectomy to open distal gastrectomy for locally advanced gastric cancer (KLASS-02-RCT)","volume":"270","author":"HJ","year":"2019","unstructured":"Lee HJ, Hyung WJ, Yang HK, Han SU, Park YK, An JY, Kim W, Kim HI, Kim HH, Ryu SW, Hur H, Kong SH, Cho GS, Kim JJ, Park DJ, Ryu KW, Kim YW, Kim JW, Lee JH and Kim MC; Korean Laparo-endoscopic Gastrointestinal Surgery Study (KLASS) Group. Short-term outcomes of a multicenter randomized controlled trial comparing laparoscopic distal gastrectomy with D2 lymphadenectomy to open distal gastrectomy for locally advanced gastric cancer (KLASS-02-RCT). Ann Surg 2019; 270: 983-991.","journal-title":"Ann Surg"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"598","DOI":"10.5230\/jgc.2023.23.e40","article-title":"Worse survival of patients with T1 stage II gastric cancer following radical gastrectomy","volume":"23","author":"Lee","year":"2023","unstructured":"Lee H, Song KY, Lee HH and Lee J. Worse survival of patients with T1 stage II gastric cancer following radical gastrectomy. J Gastric Cancer 2023; 23: 598-608.","journal-title":"J Gastric Cancer"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"467","DOI":"10.3892\/ol.2021.12728","article-title":"Current status of extended &#x2018;D2 plus&#x2019; lymphadenectomy in advanced gastric cancer","volume":"21","author":"JQ","year":"2021","unstructured":"Li JQ, He D and Liang YX. Current status of extended &#x2018;D2 plus&#x2019; lymphadenectomy in advanced gastric cancer. Oncol Lett 2021; 21: 467.","journal-title":"Oncol Lett"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"760963","DOI":"10.3389\/fonc.2021.760963","article-title":"12 station during D2 lymphadenectomy improves survival for advanced lower-third gastric cancer: a retrospective study from a single center in southern China","volume":"11","author":"Dai","year":"2022","unstructured":"Dai W, Zhai ET, Chen J, Chen Z, Zhao R, Chen C, Yuan Y, Wu H, Cai S and He Y. Extensive dissection at No. 12 station during D2 lymphadenectomy improves survival for advanced lower-third gastric cancer: a retrospective study from a single center in southern China. Front Oncol 2022; 11: 760963.","journal-title":"Front Oncol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.1007\/s10120-020-01081-5","article-title":"Optimal extent of lymph node dissection for remnant advanced gastric carcinoma after distal gastrectomy: a retrospective analysis of more than 3000 patients from the nationwide registry of the Japanese Gastric Cancer Association","volume":"23","author":"Katai","year":"2020","unstructured":"Katai H, Ishikawa T, Akazawa K, Fukagawa T, Isobe Y, Miyashiro I, Oda I, Tsujitani S, Ono H, Tanabe S, Nunobe S, Suzuki S and Kakeji Y; Registration Committee of the Japanese Gastric Cancer Association. Optimal extent of lymph node dissection for remnant advanced gastric carcinoma after distal gastrectomy: a retrospective analysis of more than 3000 patients from the nationwide registry of the Japanese Gastric Cancer Association. Gastric Cancer 2020; 23: 1091-1101.","journal-title":"Gastric Cancer"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s12957-024-03388-4","article-title":"Optimal lymph node dissection for gastric cancer: a narrative review","volume":"22","author":"Nico","year":"2024","unstructured":"Nico R, Veziant J, Chau A, Eveno C and Piessen G. Optimal lymph node dissection for gastric cancer: a narrative review. World J Surg Oncol 2024; 22: 108.","journal-title":"World J Surg Oncol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1186\/s12957-021-02218-1","article-title":"Laparoscopic gastrectomy plus D2 lymphadenectomy is as effective as open surgery in terms of long-term survival: a single-institution study on gastric cancer","volume":"19","author":"Wang","year":"2021","unstructured":"Wang Y, Wang Y, Wu W, Lu X, An T and Jiang J. Laparoscopic gastrectomy plus D2 lymphadenectomy is as effective as open surgery in terms of long-term survival: a single-institution study on gastric cancer. World J Surg Oncol 2021; 19: 102.","journal-title":"World J Surg Oncol"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1429","DOI":"10.1002\/bjs.11655","article-title":"Laparoscopic sentinel node navigation surgery versus laparoscopic gastrectomy with lymph node dissection for early gastric cancer: short-term outcomes of a multicentre randomized controlled trial (SENORITA)","volume":"107","author":"JY","year":"2020","unstructured":"An JY, Min JS, Hur H, Lee YJ, Cho GS, Park YK, Jung MR, Park JH, Hyung WJ, Jeong SH, Kim YW, Yoon HM, Eom BW, Kook MC, Han MR, Nam BH and Ryu KW; SEntinel Node ORIented Tailored Approach (SENORITA) Study Group. Laparoscopic sentinel node navigation surgery versus laparoscopic gastrectomy with lymph node dissection for early gastric cancer: short-term outcomes of a multicentre randomized controlled trial (SENORITA). Br J Surg 2020; 107: 1429-1439.","journal-title":"Br J Surg"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"218","DOI":"10.4174\/astr.2024.106.4.218","article-title":"Comparison of totally laparoscopic and laparoscopic-assisted approach in gastrectomy with D2 lymphadenectomy for advanced gastric cancer after neoadjuvant chemotherapy: a retrospective comparative study","volume":"106","author":"Chen","year":"2024","unstructured":"Chen Z, Chen G, Li Y, Kou S, Wang T, Zhang L, Cao Y and Liu L. Comparison of totally laparoscopic and laparoscopic-assisted approach in gastrectomy with D2 lymphadenectomy for advanced gastric cancer after neoadjuvant chemotherapy: a retrospective comparative study. Ann Surg Treat Res 2024; 106: 218-224.","journal-title":"Ann Surg Treat Res"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.amjsurg.2006.04.018","article-title":"Standard D2 versus extended D2 (D2+) lymphadenectomy for gastric cancer: an interim safety analysis of a multicenter, randomized, clinical trial","volume":"193","author":"Kulig","year":"2007","unstructured":"Kulig J, Popiela T, Kolodziejczyk P, Sierzega M and Szczepanik A; Polish Gastric Cancer Study Group. Standard D2 versus extended D2 (D2+) lymphadenectomy for gastric cancer: an interim safety analysis of a multicenter, randomized, clinical trial. Am J Surg 2007; 193: 10-15.","journal-title":"Am J Surg"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"381","DOI":"10.3748\/wjg.v28.i3.381","article-title":"Postoperative mortality and morbidity after D2 lymphadenectomy for gastric cancer: a retrospective cohort study","volume":"28","author":"Brisinda","year":"2022","unstructured":"Brisinda G, Chiarello MM, Crocco A, Adams NJ, Fransvea P and Vanella S. Postoperative mortality and morbidity after D2 lymphadenectomy for gastric cancer: a retrospective cohort study. World J Gastroenterol 2022; 28: 381-398.","journal-title":"World J Gastroenterol"},{"key":"ref31","unstructured":"Liang H. Prevention of surgery-related complications of D2+ lymphadenectomy for gastric cancer. Zhonghua Wei Chang Wai Ke Za Zhi 2017; 20: 140-143."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1007\/s10120-011-0039-z","article-title":"IL-6 serum levels predict postoperative morbidity in gastric cancer patients","volume":"14","author":"Szczepanik","year":"2011","unstructured":"Szczepanik AM, Scislo L, Scully T, Walewska E, Siedlar M, Kolodziejczyk P, Lenart M, Rutkowska M, Galas A, Czupryna A and Kulig J. IL-6 serum levels predict postoperative morbidity in gastric cancer patients. Gastric Cancer 2011; 14: 266-273.","journal-title":"Gastric Cancer"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"92","DOI":"10.14715\/cmb\/2024.70.6.15","article-title":"The impact of laparoscopic radical gastrectomy on the inflammatory response and immune function of patients with gastric cancer","volume":"70","author":"Ling","year":"2024","unstructured":"Ling J, Wang X and Ying J. The impact of laparoscopic radical gastrectomy on the inflammatory response and immune function of patients with gastric cancer. Cell Mol Biol (Noisy-le-grand) 2024; 70: 92-96.","journal-title":"Cell Mol Biol (Noisy-le-grand)"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"833","DOI":"10.3390\/cancers16040833","article-title":"Preoperative chronic inflammation is a risk factor for postoperative complications independent of body composition in gastric cancer patients undergoing radical gastrectomy","volume":"16","author":"Matsui","year":"2024","unstructured":"Matsui R, Inaki N, Tsuji T and Fukunaga T. Preoperative chronic inflammation is a risk factor for postoperative complications independent of body composition in gastric cancer patients undergoing radical gastrectomy. Cancers (Basel) 2024; 16: 833.","journal-title":"Cancers (Basel)"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1056\/NEJMoa0707035","article-title":"D2 lymphadenectomy alone or with para-aortic nodal dissection for gastric cancer","volume":"359","author":"Sasako","year":"2008","unstructured":"Sasako M, Sano T, Yamamoto S, Kurokawa Y, Nashimoto A, Kurita A, Hiratsuka M, Tsujinaka T, Kinoshita T, Arai K, Yamamura Y and Okajima K; Japan Clinical Oncology Group. D2 lymphadenectomy alone or with para-aortic nodal dissection for gastric cancer. N Engl J Med 2008; 359: 453-462.","journal-title":"N Engl J Med"}],"container-title":["American Journal of Translational Research"],"original-title":[],"link":[{"URL":"https:\/\/e-century.us\/files\/ajtr\/17\/9\/ajtr0165877.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T02:17:34Z","timestamp":1769048254000},"score":1,"resource":{"primary":{"URL":"https:\/\/e-century.us\/files\/ajtr\/17\/9\/ajtr0165877.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":36,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.62347\/xuqu2687","relation":{},"ISSN":["1943-8141"],"issn-type":[{"value":"1943-8141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}