Journal of minimally invasive gynecology最新文献

{"title":"A Structured Two-Phase Workflow for Transvaginal Natural Orifice Transluminal Endoscopic Sacrocolpopexy: A 24-Case Consecutive Feasibility Series.","authors":"Yun Seok Yang, Jinyu Lee, Seong Hee Kim, Chul Kwon Lim, Jae Young Kwack, Jun-Hyeok Kang, Kwan Young Oh","doi":"10.1016/j.jmig.2026.09.013","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.09.013","url":null,"abstract":"<p><strong>Study objective: </strong>To describe the feasibility, perioperative outcomes, and short-term follow-up of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy performed with a structured two-phase workflow.</p><p><strong>Design: </strong>Retrospective consecutive case series.</p><p><strong>Setting: </strong>Single tertiary academic institution.</p><p><strong>Participants: </strong>Twenty-four consecutive intended vNOTES-SC/RvNOTES-SC cases in a selective single-surgeon program for stage II-IV apical prolapse (April 2019-December 2025).</p><p><strong>Interventions: </strong>The operation was organized into an endoscopic phase (presacral dissection, retroperitoneal tunneling, sacral fixation of the Y-mesh long arm, and peritonealization) and a direct-vision vaginal phase (vaginal-wall preparation, short-arm fixation, and cuff closure); robotic assistance, when used, was confined to the endoscopic phase. The first 10 cases used a previous multi-phase technique and the subsequent 14 the structured two-phase workflow.</p><p><strong>Measurements and main results: </strong>Sacrocolpopexy was completed in 23 of 24 patients (one intraoperative conversion). Over a median follow-up of 12.2 months (range 5.9-83.9), no mesh-related complications, recurrences, or reoperations for prolapse occurred. One patient had vaginal cuff inflammation (resolved with oral antibiotics; Clavien-Dindo grade II) and two had mild stress urinary incontinence managed conservatively. Total operative time was shorter in the later period (138.1 ± 19.3 vs 190.0 ± 25.6 minutes), but because the periods were chronological this could not be separated from a learning-curve effect or increasing robotic use.</p><p><strong>Conclusion: </strong>vNOTES sacrocolpopexy with a structured two-phase workflow was feasible, with a low complication profile and no mesh-related complications during short-term follow-up. Comparative effectiveness and long-term outcomes require prospective study; operative-time findings are hypothesis-generating.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-Assisted Transumbilical Single-Site Resection of Bulky Para-Aortic Lymph Nodes in Endometrial Cancer.","authors":"Lu Jiang, Sijing Chen, Chuntang Sun, Ying Zheng","doi":"10.1016/j.jmig.2026.09.007","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.09.007","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Study objective: &lt;/strong&gt;To demonstrate the surgical technique of robot-assisted transumbilical single-site resection of bulky para-aortic lymph nodes in a patient with endometrial cancer.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Surgical video article demonstrating stepwise robotic single-site retroperitoneal dissection.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Single tertiary academic referral center.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patients: &lt;/strong&gt;A 64-year-old woman with a body mass index (BMI) of 19.2 kg/m² and suspected stage IIIC2 endometrioid adenocarcinoma was found on preoperative magnetic resonance imaging to have a bulky left para-aortic nodal mass measuring 1.8 × 1.5 cm, located between the inferior mesenteric artery, abdominal aorta, left ureter, and left common iliac artery bifurcation. Her relatively low BMI was considered technically favorable for transumbilical single-site access and the planned robotic arm configuration.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Interventions: &lt;/strong&gt;The patient was placed in the dorsal lithotomy position with steep Trendelenburg positioning. A customized port with four independent 10-mm trocars was inserted through a 3.5-cm transumbilical incision. The da Vinci Xi surgical system was docked with caudal camera placement, bipolar fenestrated forceps on the left, monopolar curved scissors on the right, and a cranial assistant channel for laparoscopic countertraction and suction, creating separate triangular working zones. Key operative steps included: 1. Retroperitoneal entry, 2. Identification of the IMA and aortic surface, 3. Ureterolysis and lateralization of the left ureter, 4. Inframesenteric para-aortic nodal dissection along the aortic adventitial plane, 5. En bloc specimen retrieval through the umbilical incision. Particular attention was directed toward continuous identification of vascular landmarks and protection of the left ureter using gauze-assisted displacement during dissection. Assistant-assisted countertraction facilitated stable exposure of the retroperitoneal corridor while minimizing instrument collision within the confined operative workspace.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Measurements and main results: &lt;/strong&gt;Intraoperative frozen section analysis confirmed lymph node metastasis, prompting completion of hysterectomy, bilateral salpingo-oophorectomy, and resection of suspiciously enlarged bilateral obturator lymph nodes. The total operative time was 187 minutes, and the estimated blood loss was 30 mL. The patient was discharged on postoperative day 3 without perioperative complications. Final histopathology confirmed metastasis in 4 of 4 para-aortic lymph nodes, whereas all 19 pelvic lymph nodes were negative.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Robot-assisted transumbilical single-site para-aortic lymphadenectomy is feasible in selected patients and may offer ergonomic and minimally invasive advantages for inframesenteric retroperitoneal surgery [1,2]. Strategic robotic arm configuration and assistant-assisted countertraction enable pr","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding \"Safety of In-bag Morcellation During Laparoscopic Myomectomy and Hysterectomy: A Note on Confounding by Indication\".","authors":"Siyuan Zhu","doi":"10.1016/j.jmig.2026.06.041","DOIUrl":"10.1016/j.jmig.2026.06.041","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's Reply.","authors":"Marie Carbonnel","doi":"10.1016/j.jmig.2026.09.010","DOIUrl":"10.1016/j.jmig.2026.09.010","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149008581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior Uterine Perforation during Treatment of Retained Products of Conception: Conservative Management and Subsequent Pregnancy.","authors":"Ayma Aqib, Emily N Liu, Nigel Pereira","doi":"10.1016/j.jmig.2026.09.009","DOIUrl":"10.1016/j.jmig.2026.09.009","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extraperitoneal Pelvic and Para-Aortic Lymphadenectomy via Vaginal Natural Orifice Transluminal Endoscopic Surgery in Endometrial Cancer: A Case Report.","authors":"Orkun Ilgen, Volkan Karatasli","doi":"10.1016/j.jmig.2026.09.008","DOIUrl":"10.1016/j.jmig.2026.09.008","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To demonstrate extraperitoneal pelvic and para-aortic lymphadenectomy for endometrial cancer staging using vaginal natural orifice transluminal endoscopic surgery (vNOTES).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Minimally invasive surgery is widely used for endometrial cancer staging [1,2]. vNOTES is a scarless minimally invasive approach, although its oncologic role remains under investigation [3]. This video demonstrates extraperitoneal vNOTES pelvic and para-aortic lymphadenectomy in 11 steps, with diagrams that clarify transvaginal entry, retroperitoneal orientation, and para-aortic dissection.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants: &lt;/strong&gt;A 64-year-old woman with grade 2 endometrioid endometrial carcinoma and suspicious pelvic and para-aortic lymph nodes on preoperative positron emission tomography-computed tomography. (Institutional permission was obtained for the publication of this surgical video. The patient provided written informed consent for the surgical procedure and for the use of anonymized clinical and video material for scientific publication. The patient's identity has been protected throughout the manuscript and video. Documentation of institutional permission/IRB exemption is provided in the submission files).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Interventions: &lt;/strong&gt;Total hysterectomy, bilateral salpingo-oophorectomy, and extraperitoneal pelvic and para-aortic lymphadenectomy were performed using vNOTES (Fig. 1). Blue dye was injected into the cervix for sentinel lymph node mapping; however, no stained sentinel lymph nodes were identified. Retroperitoneal access was obtained through the right lateral fornix into the extraperitoneal parametrial space. The paravesical and pararectal spaces were developed, followed by pelvic lymphadenectomy and para-aortic lymphadenectomy up to the renal vein (Figs. 2-3). This route allowed direct caudal-to-cranial access with minimal bowel interference and no abdominal incision, offering improved exposure, reduced abdominal wall trauma, less postoperative pain, and scarless surgery [4]. Potential disadvantages include a steep learning curve, limited working space, instrument collision, and difficulty managing major vascular injuries; therefore, emergency preparedness and appropriate surgical expertise are essential. The procedure was completed without complications, and the patient was discharged on postoperative day 2. Pathology showed a 3-cm grade 2 endometrioid carcinoma with less than half myometrial invasion. A total of 12 pelvic and 8 para-aortic lymph nodes were removed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This video illustrates the feasibility of extraperitoneal pelvic and para-aortic lymphadenectomy via vNOTES in selected patients. Adequate lymph node yield was achieved, but comparative studies are needed before conclusions regarding equivalence or non-inferiority to laparoscopy can be drawn. With further experience, extraperitoneal vNOTES may have future applications in selected gynecologi","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methods for Development of AAGL Clinical Practice Guidelines.","authors":"Xiao Xu, Pamela Garcia-Filion, Loren Hackett, Allison Siegel, Rosanne M Kho","doi":"10.1016/j.jmig.2026.09.003","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.09.003","url":null,"abstract":"<p><p>The AAGL Practice Guideline Committee develops evidence-based clinical practice guidelines on topics of importance to complex benign gynecology and minimally invasive gynecologic surgery. This document describes the role and responsibilities of the internal AAGL Practice Guideline team and the standardized process used to develop, review, approve, disseminate, and update AAGL practice guidelines. Its purpose is to promote methodological rigor, transparency, consistency, and accountability throughout guideline development.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient- and Disease-Related Characteristics to Anticipate Segmental Resection for Isolated Rectal Endometriosis: A Multicenter Prospective Study.","authors":"Celine Bafort, Noémi Csibi, Didier Bielen, Gabriele Bislenghi, Attila Bokor, André D'hoore, Steffen Fieuws, Sára Horváth, Gernot Hudelist, Christel Meuleman, Gábor Szabó, Albert Wolthuis, Carla Tomassetti","doi":"10.1016/j.jmig.2026.09.006","DOIUrl":"10.1016/j.jmig.2026.09.006","url":null,"abstract":"<p><strong>Study objective: </strong>To identify predictors for segmental resection in patients with an isolated rectal endometriotic nodule (i.e., involvement of at least the muscular layer in depth and up to 15 cm to the anus).</p><p><strong>Design: </strong>Multicenter prospective observational study evaluating 5 predefined predictors: bowel endometriosis syndrome score, rectal nodule characteristics (length on ultrasound; height and circumference on MRI), and prior surgery in the rectovaginal space/bowel.</p><p><strong>Setting: </strong>Two European referral centers: University Hospitals Leuven (Belgium) and Semmelweis University Hospital in Budapest (Hungary).</p><p><strong>Participants: </strong>196 patients with rectal endometriosis were included: 104 (53.1%) underwent segmental resection, and 92 (46.9%) had conservative surgical treatment.</p><p><strong>Interventions: </strong>Laparoscopic surgery for rectal endometriosis using either a radical approach (with colorectal segmental resection) vs a more conservative approach aiming at preserving the rectal ampulla (by shaving or disc excision).</p><p><strong>Measurements and main results: </strong>Uni- and multivariable logistic regression models, including the five predefined predictors as well as center of inclusion. Of these, only rectal nodule length on ultrasound (in mm) and MRI circumference (affected % of the outer contour) were associated with segmental resection. Rectal nodule length was 19.1 ± 9.2 mm in the conservative vs 25.8 ± 11.9 mm in the segmental resection group (p < .001); MRI circumference was 26.0 ± 10.0% and 35.4 ± 11.1% (p < .001). Results of the multivariable regression model (only considering rectal nodule length and MRI circumference) confirm the importance of these two factors: odds ratio of 1.047 (95% CI 1.010-1.085; p = .0123) for rectal nodule length and odds ratio of 4.543 (95% CI 2.276-9.068; p < .001) for the (log2-transformed) MRI circumference. The discriminative ability (AUC) equaled 0.756 (0.688; 0.824).</p><p><strong>Conclusion: </strong>Given that rectal nodule length and circumference have been identified as important predictors for the type of surgery, we propose to systematically evaluate them preoperatively to support surgical planning and patient counseling.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the Obstacle: Hysteroscopic Management of Voluntary Termination of Pregnancy Behind a Giant Previa Isthmic Myoma.","authors":"Brunella Zizolfi, Vito Antonio Quartulli, Erika Catania, Attilio Di Spiezio Sardo","doi":"10.1016/j.jmig.2026.09.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.09.005","url":null,"abstract":"<p><strong>Objective: </strong>To demonstrate a minimally invasive, two-step surgical strategy for managing a complex first-trimester voluntary termination of pregnancy (TOP) obstructed by a massive 9.5 cm FIGO type 1 previa isthmic myoma.</p><p><strong>Setting: </strong>University of Naples \"Federico II\" (Italy).</p><p><strong>Participants: </strong>A 41-year-old woman requesting a TOP at 10 weeks of gestation, where access to the viable fundal fetus was completely obstructed by a 9.5 cm previa isthmic myoma.</p><p><strong>Interventions: </strong>Due to the severe distortion of the lower uterine segment, standard medical management or blind suction curettage carried a high risk of complications, such as catastrophic hemorrhage and incomplete evacuation. Subsequently a two-step approach was adopted. First, Uterine Artery Embolization (UAE) - using a temporary agent - was performed to reduce the myoma's vascularization and safely induce fetal demise without permanently compromising fertility. Second, direct hysteroscopic visualization was chosen to safely navigate the myoma. A miniaturized 15 Fr bipolar resectoscope was introduced via vaginoscopy to gain safe access and perform a targeted resection of the umbilical cord, the fetus, and part of the gestational sac. Following mechanical cervical dilation up to 9.5 Hegar, a standard 27 Fr resectoscope was utilized to efficiently complete the resection of the remaining gestational tissue. All major tissue fragments were retrieved through the cervical canal using the resectoscopic loop under direct visualization, without the use of suction curettage. The fluid deficit was strictly limited to 1100 mL, and the estimated blood loss was minimal, with only a 0.5 g/dL post-operative hemoglobin drop.</p><p><strong>Conclusion: </strong>Combining temporary UAE with a sequential ultrasound-guided hysteroscopic approach provides a safe, reproducible, and highly effective fertility-sparing alternative for early pregnancy terminations facing severe mechanical obstructions. At the 60-day follow-up, the myoma drastically reduced to 2.5 cm and the endometrial cavity was completely restored, successfully avoiding demolitive surgery.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148955289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Erkilinc Technique for vNOTES Hysterectomy: A Speculum-assisted Approach Without Prior Vaginal Dissection: A 163-Case Series.","authors":"Selçuk Erkılınç, Serhan Can İşcan, Sena Özcan, Ufuk Atlıhan, Çağlayan Biçer, Betül Öztürk, Can Ata, İlker Çakır","doi":"10.1016/j.jmig.2026.09.004","DOIUrl":"10.1016/j.jmig.2026.09.004","url":null,"abstract":"<p><strong>Objective: </strong>To describe a novel speculum-assisted glove-port technique for vNOTES hysterectomy (Erkilinc technique) and to evaluate its feasibility, safety, and learning curve in patients undergoing surgery for benign indications.</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>Tertiary referral center.</p><p><strong>Participants: </strong>A total of 163 consecutive women undergoing vNOTES hysterectomy for benign indications between January 2019 and November 2023.</p><p><strong>Interventions: </strong>vNOTES hysterectomy using a speculum-integrated glove-port system allowing complete laparoscopic execution without prior vaginal dissection.</p><p><strong>Measurements and main results: </strong>The mean surgical time was 70.6 ± 24.5 minutes. The mean uterine weight was 280.9 ± 214 g. The mean decrease in hemoglobin was 0.9 ± 1.4 g/dL. The overall complication rate was 3.1%, with no ureteric or bowel injuries observed. The mean VAS scores were 4.7 at 4 hours and 3.3 at 24 hours. Learning curve analysis demonstrated a significant reduction in surgical time over successive cases, with procedural proficiency achieved after approximately 45 cases based on CUSUM analysis. Surgical times were comparable to those reported for Alexis-based systems.</p><p><strong>Conclusion: </strong>The Erkilinc technique represents a reproducible and efficient vNOTES approach that avoids prior vaginal dissection and eliminates the need for internal wound retractors. This technique may expand the applicability of vNOTES to nonprolapsed uteri while maintaining safety and operative efficiency.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}