Intelligent Surgery最新文献

{"title":"Advancements in robotic pancreaticoduodenectomy: Innovations and future directions","authors":"Hao Hu ,&nbsp;Keke Lv ,&nbsp;Tianlin He","doi":"10.1016/j.isurg.2024.10.001","DOIUrl":"10.1016/j.isurg.2024.10.001","url":null,"abstract":"<div><div>In recent years, robot-assisted surgery has advanced significantly and has emerged as a vital approach for the treatment of benign and malignant pancreatic diseases. Robotic pancreaticoduodenectomy, one of the most critical pancreatic surgical modalities, is distinguished by its high surgical difficulty and risk. The focus of recent scholarly discussions has been on ensuring the safety and feasibility of the procedure. Drawing from the expertise of our unit's primary diagnostic team, this article provides an overview of the progress in robotic pancreaticoduodenectomy, encompassing patient selections, surgical approaches, identification of significant anatomical structures, and pancreaticojejunostomy techniques.</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 85-89"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical technique of da Vinci robotic-assisted minimally invasive esophagectomy(RAMIE) expert experiences","authors":"Chengyuan Fang,&nbsp;Luquan Zhang,&nbsp;Hao Liang,&nbsp;Yanzhong Xin,&nbsp;Wei Zheng,&nbsp;Jianqun Ma","doi":"10.1016/j.isurg.2024.01.001","DOIUrl":"10.1016/j.isurg.2024.01.001","url":null,"abstract":"<div><p>Esophageal cancer is a prevalent disease in thoracic surgery, and surgery is currently the main treatment method. It can completely remove the tumor and improve the patient's quality of life. The da Vinci robot-assisted McKeown surgery for esophageal cancer has the advantages of less trauma, less pain, good results, faster postoperative recovery, and beautiful incisions. The da Vinci robotic system has a three-dimensional enlarged actual surgical field of view and can perform all-round operations. It has been gradually accepted to clearly observe the lesion and its relationship with surrounding tissues, nerves, and lymph nodes, safely remove the lesion, reduce nerve damage, and remove enough lymph nodes. This article will introduce the surgical experience of our center in detail.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 12-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000012/pdfft?md5=73b3d1f0c3461195cce6fd9fd5f8eb8f&pid=1-s2.0-S2666676624000012-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can \"membrane bridge\" be used to describe the connective tissue between two different embryonic compartments? An exploratory attempt to standardize the description of embryonic compartment hysterectomy","authors":"Ya Li ,&nbsp;Jing Na ,&nbsp;Xinyou Wang,&nbsp;Jun Wang,&nbsp;Shichao Han","doi":"10.1016/j.isurg.2024.09.002","DOIUrl":"10.1016/j.isurg.2024.09.002","url":null,"abstract":"<div><div>Standardized surgical procedures are crucial for preventing recurrence and ensuring a favorable prognosis in cervical cancer patients. The primary surgical challenge lies in the circumferential en bloc resection of the tissues surrounding the cervix and paravaginal area. This region's complex vascular and neural distribution increases the risk of bleeding, injury, and other surgical complications, which in turn heightens the risk of local tumor recurrence. Recently, the concept of total mesometrial resection (TMMR) guided by embryonic origin principles has shown promise in reducing postoperative recurrence rates. The technique focuses on using embryonic boundaries as surgical margins and entering through avascular planes, thereby minimizing complications while achieving favorable oncological outcomes. However, due to inconsistencies with traditional anatomical terms and surgical approaches, this method has yet to gain widespread adoption. Our team has conducted preliminary explorations into embryonic compartmental-based hysterectomy, yielding encouraging results. We have introduced the concept of the \"membrane bridge\" to standardize surgical procedures, facilitating the broader adoption of this technique. Due to the unique advantage of the three-dimensional view provided by robotic surgery, we utilized images from robotic procedures to illustrate the different \"membrane bridges.\"</div></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 80-84"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000140/pdfft?md5=9cf58769aff8d9f6ed209dd65630acfd&pid=1-s2.0-S2666676624000140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes","authors":"Chengcai Liang ,&nbsp;Jianrong Guo ,&nbsp;Guoming Chen ,&nbsp;Zhiwei Zhou ,&nbsp;Shuqiang Yuan","doi":"10.1016/j.isurg.2024.03.001","DOIUrl":"10.1016/j.isurg.2024.03.001","url":null,"abstract":"<div><h3>Background</h3><p>This study reported the surgical details and outcomes in a case of totally robotic total gastrectomy (TRTG) using the da Vinci Xi robotic system, aiming to share surgical experience in difficult procedures during TRTG and add evidence supporting the feasibility and safety of TRTG.</p></div><div><h3>Methods</h3><p>A 55-year-old male patient diagnosed with adenocarcinoma of gastroesophageal junction underwent TRTG via the da Vinci Xi robotic system in Sun Yat-sen University Cancer Center on January 10, 2024. The surgical details and perioperative outcomes were summarized.</p></div><div><h3>Results</h3><p>With an estimated blood loss of 100 ​ml, the operation lasted 210 ​min, including an anastomosis time of 36 ​min. During a postoperative hospital stay of 7 days, the patient started liquid diet after the removal of gastric tube on the third day. There were no perioperative complications. Postoperative radiography demonstrated no evidence of anastomotic fistulas or luminal narrowing. The final pathology revealed a 4.5∗1.5 ​cm gastric adenocarcinoma with 10/61 positive lymph nodes. The pathological stage of this patient was pT3N3aM0 IIIB.</p></div><div><h3>Conclusions</h3><p>This successful surgery reflected the effectiveness of minimally invasive surgery for total gastrectomy through a totally intracorporeal robotic approach. Future research is warranted to further validate the feasibility and safety of performing TRTG.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 36-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000061/pdfft?md5=e036fb253d85553f31ea550a0f97911d&pid=1-s2.0-S2666676624000061-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards an optimization of catheter guidance in vascular surgery: A comparative analysis of the contribution of reinforcement learning","authors":"Cheima Bouden","doi":"10.1016/j.isurg.2024.07.002","DOIUrl":"10.1016/j.isurg.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><p>Precision in catheter guidance is essential for the success of vascular surgeries, yet current methods often need more accuracy due to the complex anatomy and dynamics of blood vessels.</p></div><div><h3>Methods</h3><p>This study evaluates the efficacy of advanced reinforcement learning (RL) techniques to enhance catheter navigation. We compare different RL approaches within simulated vascular environments, focusing on their success rates, operational efficiency, and adaptability to varied clinical scenarios.</p></div><div><h3>Results</h3><p>Advanced reinforcement learning techniques display exceptional performance, yielding high success rates and improved precision in catheter guidance. Integrating specific enhancements has notably increased learning speeds and strengthened operational robustness.</p></div><div><h3>Conclusion</h3><p>The study indicates that reinforcement learning could significantly improve the precision and safety of catheter navigation in vascular surgery. By adopting these techniques, medical practices could see more accurate and less invasive procedures, enhancing patient outcomes. Future research should aim to refine these algorithms for wider clinical use and integration.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 53-61"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000103/pdfft?md5=0f3cdcc44d34ed2f9c653d8069a2d199&pid=1-s2.0-S2666676624000103-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transvaginal NOTES hysterectomy with the Chinese robotic single port platform - Report of two cases","authors":"Chunhua Zhang ,&nbsp;Qing Li ,&nbsp;Fang Fang ,&nbsp;Shanchuang Wei ,&nbsp;Qian Lu ,&nbsp;Xiaoming Guan","doi":"10.1016/j.isurg.2024.02.001","DOIUrl":"10.1016/j.isurg.2024.02.001","url":null,"abstract":"<div><h3>Objective</h3><p>To demonstrate the surgical techniques employed in the robotic single port (SP) transvaginal natural orifice transluminal endoscopic surgery (RSP-vNOTES) for hysterectomy utilizing a domestically developed robotic system in China.</p></div><div><h3>Methods</h3><p>We performed two cases of RSP-vNOTES hysterectomy for patients presenting with persistent vaginal bleeding resulting in atypical endometrial hyperplasia per endometrial biopsy. Procedures were initiated with traditional TVH and seamlessly transitioned to the robotic platform when necessary to complete the entire process. The robotic docking process was executed smoothly. Two elbowed instruments, a bipolar grasper, a pair of monopolar scissors, and a facing-upward camera were used. The hysterectomies were carried out precisely, without complications. Bilateral salpingo-oophorectomy was performed in the first patient and bilateral salpingectomy in the second. The vaginal cuff was closed continuously through a transvaginal approach after undocking.</p></div><div><h3>Results</h3><p>Both patients were discharged on the third postoperative day, with satisfactory surgical results and no complications.</p></div><div><h3>Conclusions</h3><p>The domestically developed Chinese Robotic SP system demonstrates feasibility for RSP-vNOTES procedures of hysterectomy. This approach amalgamates the advantages of both vaginal and robotic surgeries, incorporating surgical triangulation with an elbowed function that simplifies surgical manipulation. However, further studies with larger sample sizes and potential comparative analyses are essential to validate the merits and safety of adopting this platform.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 30-35"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266667662400005X/pdfft?md5=7836157f8379815acb5e996a577875d1&pid=1-s2.0-S266667662400005X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and safety evaluation of ultra-remote robot-assisted laparoscopic hysterectomy","authors":"Juyuan Huang ,&nbsp;Li'an Li ,&nbsp;Jing Cheng ,&nbsp;Jing Liao ,&nbsp;Yurou Chen ,&nbsp;Yi Peng ,&nbsp;Sha Wang ,&nbsp;Qiongyan Zou ,&nbsp;Guoyan Zhao ,&nbsp;Wei Zhao ,&nbsp;Mengya You ,&nbsp;Jingying Yang ,&nbsp;Yan Xiong ,&nbsp;Kunxian Zhang ,&nbsp;Chang Chen ,&nbsp;Jiaqiang Xiong ,&nbsp;Haotong Guan ,&nbsp;Renjie Liu ,&nbsp;Peng Zhou ,&nbsp;Wuyi Zhao ,&nbsp;Yuanguang Meng","doi":"10.1016/j.isurg.2024.09.001","DOIUrl":"10.1016/j.isurg.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the safety and feasibility of ultra-remote robot-assisted laparoscopic hysterectomy using the Edge Multi-Port Endoscopic Surgical Robot MP1000 (Shenzhen Edge Medical Co., Ltd., Shenzhen, China) combined with 5G communication technology.</p></div><div><h3>Methods</h3><p>A case of remote robot-assisted laparoscopic hysterectomy was successfully completed on May 2024 by using the Edge Multi-Port Endoscopic Surgical Robot MP1000 at Zhongnan Hospital of Wuhan University and the People's Liberation Army General Hospital, approximately 1, 200 ​km apart. The procedure was simultaneously broadcast during the 36th Annual Meeting of the International Society for Gynecologic Endoscopy in Conjuction with the Peking University Gynecologic Oncology Summit Forum.</p></div><div><h3>Results</h3><p>A 49-year-old female was hospitalized in the Department of Gynecology of Zhongnan Hospital of Wuhan University for frequent urination for half a year and increased menstrual flow for over a month. The patient was diagnosed with abnormal uterine bleeding caused by multiple uterine leiomyoma and endometrial polyps, combined with moderate anemia. There were no contraindications for surgery, and the patient had surgical indications. On May 2024, the patient underwent a 5G remote robot-assisted laparoscopic hysterectomy and bilateral salpingectomy under general anesthesia. The procedure was successful, with no surgical complications and no interruptions during the live broadcast. The intraoperative blood loss was approximately 20 ​mL, and the surgery lasted about 70 ​min. The bidirectional latency during the operation was around 19 ​ms, with no adverse events related to the robot or the network. The patient recovered well postoperatively and was discharged on the fourth day with no postoperative complications.</p></div><div><h3>Conclusion</h3><p>Preliminary findings indicate that ultra-remote robot-assisted laparoscopic hysterectomy is safe and feasible with the support of 5G communication technology. This surgery represents the first globally broadcast remote procedure in the field of gynecology, marking a new milestone in the stability and safety of China's remote medical technology. Remote robotic surgery is expected to be widely promoted in the future, providing services to patients in areas with limited medical resources.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 74-79"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000139/pdfft?md5=41aa34e3adf031b4da9a0cc32471606d&pid=1-s2.0-S2666676624000139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender differences in robotic surgery for rectal cancer: A retrospective study","authors":"Muhammad Ali ,&nbsp;Wei Wang ,&nbsp;Liuhua Wang ,&nbsp;Bin Liu ,&nbsp;Jun Ren ,&nbsp;Daorong Wang","doi":"10.1016/j.isurg.2024.08.001","DOIUrl":"10.1016/j.isurg.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate gender-based differences in outcomes following robotic surgery for rectal cancer.</p></div><div><h3>Methods</h3><p>A retrospective study was conducted on 155 patients (82 males, 73 females) who underwent robotic surgery for rectal cancer. Demographic, pre-operative, operative, and post-operative data were collected and analyzed.</p></div><div><h3>Results</h3><p>There were no significant differences in demographic and pre-operative characteristics between genders. While males had longer operative times (177 ​min vs. 160 ​min for females), this was not statistically significant. However, males had significantly shorter hospital stays (<em>P</em> ​&lt; ​0.05), while females had a higher incidence of Clavien-Dindo grade III-IV complications (48% vs. 37.8% in males). Complication rates were comparable, but specific complications varied between genders.</p></div><div><h3>Conclusion</h3><p>Demographic and pre-operative features were similar, notable differences between genders emerged in operative time, length of hospital stay and complication severity. These findings underscore the importance of gender-specific considerations in both surgical approaches and post-operative care for rectal cancer patients undergoing robotic surgery.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"7 ","pages":"Pages 62-65"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676624000115/pdfft?md5=b7b5350759c3aa2a321ac02195f69563&pid=1-s2.0-S2666676624000115-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initial experience of single-incision robotic surgery for distal gastrectomy with da Vinci Xi platform","authors":"Chao Han ,&nbsp;Shijun Xiang ,&nbsp;Renchao Zhang ,&nbsp;Gang Cen,&nbsp;Yuan Fang,&nbsp;Zhengjun Qiu,&nbsp;Chen Huang","doi":"10.1016/j.isurg.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.02.001","url":null,"abstract":"<div><h3>Background</h3><p>The aim of this study was to describe technical considerations and short-term outcomes from the first reported single-incision robotic operation for distal gastrectomy with the use of da Vinci Xi surgical system.</p></div><div><h3>Methods</h3><p>A 71-year-old patient with a body-mass index of 22.4 ​kg/m² was treated for a gastrointestinal stromal tumor(GIST) in the posterior wall of the gastric antrum by single-incision robot-assisted distal gastrectomy with the da Vinci Xi robotic system on September 17, 2022 in Shanghai General Hospital.</p></div><div><h3>Results</h3><p>The single-incision da Vinci Xi robot-assisted distal gastrectomy was successfully performed with intraperitoneal Billroth Ⅱ anastomosis. The console time among the operation was 100 ​min with 10 ​ml of intraoperative blood loss. The patient was put on a liquid diet the next day after surgery and discharged on postoperative day 4. During the postoperative period, no severe adverse events occurred. The final pathology revealed a low-risk gastrointestinal stromal tumor (GIST) with a size of 5.0 ​× ​3.5 ​× ​2.5 ​cm.</p></div><div><h3>Conclusion</h3><p>Single-incision da Vinci Xi robot-assisted distal gastrectomy was a safe and feasible surgical method for patients with gastric tumor. The study filled in the corresponding research gaps and provided a basis for subsequent research. To verify its superior operative outcomes, further clinical trials are needed.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 12-15"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49890979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric robot-assisted kidney transplantation: An initial case report in China","authors":"Yangyang Wu ,&nbsp;Huixia Zhou ,&nbsp;Pin Li ,&nbsp;Xun Sun ,&nbsp;Lifei Ma ,&nbsp;Yang Zhao ,&nbsp;Yuandong Tao ,&nbsp;Jianchun Cui ,&nbsp;Xiaoguang Zhou ,&nbsp;Tian Tao ,&nbsp;Ran Zhuo ,&nbsp;Hongshuai Jia ,&nbsp;Guang Yue ,&nbsp;Xiaowei Zhang","doi":"10.1016/j.isurg.2023.11.002","DOIUrl":"https://doi.org/10.1016/j.isurg.2023.11.002","url":null,"abstract":"<div><h3>Objective</h3><p>In this study, we aim to investigate the safety and feasibility of robot-assisted kidney transplantation (RAKT) in children by reporting our initial experience.</p></div><div><h3>Methods</h3><p>Using the Da Vinci robotic system, we performed a successful RAKT on a 12-year-old child who had been on hemodialysis for 27 months.</p></div><div><h3>Results</h3><p>The total operative time for the RAKT procedure was 245 min. The vascular anastomosis took 41 min, while the ureterovesical anastomosis lasted 18 min. The estimated blood loss during the surgery was 100.0 ml. Following the removal of the arterial and venous clamp, the kidney was well perfused, and no perioperative complications were observed.</p></div><div><h3>Conclusion</h3><p>This study presents the first pediatric RAKT in China, proving the safety and feasibility of the robot-assisted technique for children awaiting kidney transplantation.</p></div>","PeriodicalId":100683,"journal":{"name":"Intelligent Surgery","volume":"6 ","pages":"Pages 82-85"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666676623000182/pdfft?md5=76d0c3b010bb394be06bcbcfabc39708&pid=1-s2.0-S2666676623000182-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138436746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}