JungHoon Kang, Seung Hwan Yoon, Je Hoon Jeong, Moonyoung Chung, Hae-Dong Jang, SooBin Im
{"title":"Surgeon-Led Surgical Device Development Using Computer-Aided 3D Modeling.","authors":"JungHoon Kang, Seung Hwan Yoon, Je Hoon Jeong, Moonyoung Chung, Hae-Dong Jang, SooBin Im","doi":"10.1177/15533506261451353","DOIUrl":"https://doi.org/10.1177/15533506261451353","url":null,"abstract":"<p><p>ObjectiveTo describe a surgeon-led workflow for developing customized surgical instruments using computer-aided design (CAD) software and to evaluate the clinical utility of the resulting devices.MethodsUnmet clinical needs in spine surgery were identified by the operating surgeon, who then created three-dimensional (3D) models of five surgical instruments (windowed reamer, retractor blade for retroperitoneal or extrapleural approach, protect-guider, disposable sharp hook and holder, and flexible-tip retractor) using Autodesk Fusion 360®. Patient CT or MRI data were imported to determine key dimensions. Draft 3D models were provided to sales representatives, who relayed them to manufacturers' engineers for assessment of manufacturability and refinement into production drawings. The finished instruments were used in clinical practice for at least 6 months. Three board-certified neurospine surgeons completed a structured usability survey (six Likert-scale items) and reported the frequency of use of each device in eligible cases.ResultsThe windowed reamer and flexible-tip retractor achieved the highest mean satisfaction scores (27.7 ± 1.5 and 27.6 ± 1.5), followed by the retroperitoneal/extrapleural retractor (26.7 ± 1.5). These three devices are now used in almost all relevant procedures, effectively replacing their conventional counterparts at our institution. In contrast, the protect-guider and the disposable sharp hook and holder showed lower satisfaction and remain in mixed use with existing instruments.ConclusionSurgeon-generated 3D CAD models can substantially improve communication with manufacturers, enabling rapid development of customized surgical instruments that address specific intraoperative needs and, in some cases, replace standard tools in routine practice. This approach offers a practical pathway for surgeons to translate unmet clinical needs into manufacturable designs that can be integrated into conventional approval processes.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261451353"},"PeriodicalIF":1.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olufemi Oladokun, Kent K Yamamoto, Danyi Chen, Layla Triplett, Shannon Barter, Cameron Reid, Tanner J Zachem, Brian P Mann, Katharine L Jackson, Sabino Zani
{"title":"Insufflatable Modular Abdominal Simulation Environment (MASE) for Surgical Training Simulation.","authors":"Olufemi Oladokun, Kent K Yamamoto, Danyi Chen, Layla Triplett, Shannon Barter, Cameron Reid, Tanner J Zachem, Brian P Mann, Katharine L Jackson, Sabino Zani","doi":"10.1177/15533506261451391","DOIUrl":"https://doi.org/10.1177/15533506261451391","url":null,"abstract":"<p><p>Background/NeedLaparoscopic abdominal surgery requires navigating unique technical challenges with precision, dexterity, and a thorough understanding of anatomy. There is a need for higher-fidelity training models to assist in improving trainee competence. This manuscript introduces a novel modular abdominal simulation environment (MASE) with the ability to insufflate under standard parameters to accommodate laparoscopic and robotic surgery training and assessment.Methodology and Device DescriptionCT scans of a deidentified patient pelvis and spine are processed, reconstructed, and modified into 3D printable files, then printed using a high-fidelity resin printer. Silicone skin is developed to cover the MASE and mechanically fixed to create an air-tight seal. Insufflation capability is tested by measuring the pre- and post-insufflation height of the model, as well as internal pressure.Preliminary ResultsMASE meets the following criteria: anatomical accuracy, scale-to-life, and re-usability. Its ability to be insufflated via a Veress needle at Palmer's point recreates a pneumoperitoneum (increasing in height by 108%), allowing for effective port placement and clear visualization with a laparoscope. The platform successfully supports fundamentals of laparoscopic surgery (FLS) tasks including intracorporeal knot tying and peg transfer both with laparoscopic tools and robotic system.Current StatusCurrent work includes a more efficient locking mechanism, incorporation of the retroperitoneal space, and addition of synthetic/explant organs for high-fidelity abdominal simulation. MASE combines high anatomical fidelity, realistic tissue simulation, and procedural versatility with reproducibility. Future testing includes stiffness characterization of the silicone skin and validation for surgical resident training.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261451391"},"PeriodicalIF":1.6,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sholem Hack, Daor Hayu, Jacon E Karni, Eran Glikson, Eric Remer, Eran E Alon, Omar G Ahmed, Masayoshi Takashima
{"title":"Impact of Generative AI on Operative Planning in Otolaryngology Residents.","authors":"Sholem Hack, Daor Hayu, Jacon E Karni, Eran Glikson, Eric Remer, Eran E Alon, Omar G Ahmed, Masayoshi Takashima","doi":"10.1177/15533506261446833","DOIUrl":"https://doi.org/10.1177/15533506261446833","url":null,"abstract":"<p><p>PurposeTo quantify how large language model (LLM) assistance influences otolaryngology residents' operative planning in a simulation-based setting.MethodsIn a within-subjects paired design, 13 otolaryngology residents (PGY1-4) completed 21 synthetic surgical scenarios twice: first independently and then after reviewing a ChatGPT-5-generated plan produced using a fixed prompt. After AI review, residents recorded an ordinal ImpactScore (0-3: no change to major change) describing the magnitude of plan modification and rated usefulness (1-5 Likert). Paired analyses compared pre- vs post-AI changes in plan structure and narrative length across domains; mixed-effects models evaluated associations with PGY level and subspecialty.ResultsAcross all 267 paired resident-case observations, AI altered operative plans in 91.0% (243/267; 95% CI, 87.2%-93.8%), with a mean ImpactScore of 1.32 ± 0.75 (median 1 [IQR 1-2]). Impact differed by PGY (H = 25.02; <i>P</i> = 1.53 × 10<sup>-5</sup>), with PGY2 and PGY3 showing lower ImpactScores than PGY1 in mixed-effects modeling. Subspecialty differences were observed (H = 11.95; <i>P</i> = 0.036), with higher impact in sleep surgery than laryngology. After AI review, operative step descriptions shortened (mean -192.2 characters; <i>P</i> < 10<sup>-40</sup>) and safety text shortened (-18.3 characters; <i>P</i> < 10<sup>-22</sup>), while complication text modestly increased (+8.1 characters; <i>P</i> = 0.0039). Mean usefulness was 2.90 ± 1.10 and increased with ImpactScore (β = 0.264; <i>P</i> = 0.003).ConclusionIn simulation-based operative planning, ChatGPT-5 frequently prompted residents to modify and reorganize operative plans, with effects varying by training level and case type. LLM assistance may function as a reflective structuring aid, but requires supervised use given occasional clinically concerning model suggestions.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261446833"},"PeriodicalIF":1.6,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147781681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of Near-Infrared Indocyanine Green Imaging to Identify and Manage an Obstructing Cystic Duct Stone During Hot Cholecystectomy: A Case Report.","authors":"Sanah Singh, Luca Bonomo","doi":"10.1177/15533506261443016","DOIUrl":"https://doi.org/10.1177/15533506261443016","url":null,"abstract":"<p><p>Indocyanine green (ICG) near-infrared (NIR) fluorescence imaging is increasingly used to enhance visualization of biliary anatomy during laparoscopic cholecystectomy. Its ability to identify cystic duct pathology, however, has rarely been reported. We present a case of a 69- year-old woman with acute cholecystitis and recent ERCP for choledocholithiasis who underwent hot laparoscopic cholecystectomy. Real-time NIR imaging demonstrated absent fluorescence in the cystic duct and gallbladder, indicating an obstruction. Palpation confirmed an impacted stone, which was milked back into the gallbladder, restoring fluorescence. Fluorescence guidance enhanced anatomical clarity and procedural safety despite significant inflammation. This case highlights the diagnostic value of ICG fluorescence in detecting cystic duct obstruction during complex emergency cholecystectomy.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261443016"},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Guerrini, Alessandra Viglio, Cesare Zoia, Valeria Musella, Pietro Serinelli, Catherine Klersy, Pietro Zangrossi, Viola Marta Custodi, Erika Ferrari, Giuseppe Bellantoni, Francesco Salomi, Giannantonio Spena
{"title":"A Novel Plasma Microscalpel Based on Airplasma® Technology. A Histological Analysis of Brain Tissue Damage.","authors":"Francesco Guerrini, Alessandra Viglio, Cesare Zoia, Valeria Musella, Pietro Serinelli, Catherine Klersy, Pietro Zangrossi, Viola Marta Custodi, Erika Ferrari, Giuseppe Bellantoni, Francesco Salomi, Giannantonio Spena","doi":"10.1177/15533506261437503","DOIUrl":"https://doi.org/10.1177/15533506261437503","url":null,"abstract":"<p><p>BackgroundMicroscalpel based upon Airplasma® technology showed promising results in dermatology, plastic surgery and veterinary in terms of tissue lateral thermal damage (LTI). In this preclinical work, we aimed to explore its effect on central nervous system tissues which has not been established yet.MethodsSamples of glioma and meningioma tissue were cut by plasma microscalpel (PM) and bipolar forceps (BC). A pathologist, blinded to the assignment of samples, analyzed the presence of histological damage, that was the primary endpoint. This was a composite of 4 pathological aspects. A comparison between different types of cutting was performed.ResultsForty-three patients were included in the final analysis. Histological damage was observed in 14.29% of PM samples and in 46.34% of BC ones (<i>P</i> 0.001). A sensitivity analysis of the primary endpoint, based on significant damage in each pathological aspect, revealed significantly better results for PM samples.ConclusionsMicroscalpel based on Airplasma® technology showed less cellular damage if it is compared to BC. Even if it cannot supplant the bipolar cautery, this instrument could be important in microneurosurgery in terms of precise cutting, minimized temperature, very low lateral LTI and the possibility to reset mechanical forces.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261437503"},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amorim D Neves, José Manuel Comprido, Iago T C Grillo, Beatriz De Melo, Bernado F Pompeu
{"title":"Mckeown Esophagectomy: Minimally Invasive Robot-Assisted vs Conventional Technique - Systematic Review and Meta-Analysis of Randomized Clinical Trial.","authors":"Amorim D Neves, José Manuel Comprido, Iago T C Grillo, Beatriz De Melo, Bernado F Pompeu","doi":"10.1177/15533506261444974","DOIUrl":"https://doi.org/10.1177/15533506261444974","url":null,"abstract":"<p><p>IntroductionCurrently, conventional minimally invasive esophagectomy (MIE) is the preferred surgical approach for esophageal cancer. Despite the increasing popularity of robot-assisted minimally invasive esophagectomy (RAMIE), its potential advantages over MIE are yet unknown.MethodsWe searched PubMed, Embase, and the Cochrane database for randomized controlled trials (RCTs) comparing RAMIE to MIE in patients with esophageal cancer that reported the outcomes of interest. Mean differences (MD) with 95% confidence intervals (CI) were collected. Statistical analysis was performed using Review Manager 5.4 (Cochrane Collaboration). Heterogeneity was assessed with I<sup>2</sup> statistics.ResultsWe included three RCTs with 721 patients, of whom 364 (50,4%) underwent RAMIE. The number of dissected nodes increased in patients undergoing RAMIE (MD 3.72; 95% CI 1.07 to 6.37; <i>P</i> = 0.006). Similar results were observed in a subanalysis of the number of dissected thoracic nodes (MD 1.36 nodes; 95% Cl 0.12 to 2.61; <i>P</i> = 0.03), but not abdominal nodes (MD 0.30 nodes; 95% Cl -0.69 to 1.29; <i>P</i> = 0.55). RAMIE was associated with a reduction in blood loss (MD -47.76 mL; 95% Cl -70.06 to -25.46; <i>P</i> = <0.0001), thoracic operative time (MD -21.96 minutes; 95% Cl -33.82 to -10.10; <i>P</i> = 0.0003) and abdominal operative time (MD -15.10 minutes; 95% Cl -18.51 to -11.69; <i>P</i> = <0.00001) compared to MIE.ConclusionsThis meta-analysis of RCTs found that, in patients with esophageal cancer, RAMIE increased the number of dissected nodes and reduced blood loss and operative time compared with MIE.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261444974"},"PeriodicalIF":1.6,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Halima Tabani, Tarun Mattikalli, Konstantinos Margetis, Joshua B Bederson, James D Lin, Jeremy Steinberger
{"title":"360-Degree Virtual Reality Consultations for Patients Undergoing Spine Surgery: A Single Center Pilot Study.","authors":"Halima Tabani, Tarun Mattikalli, Konstantinos Margetis, Joshua B Bederson, James D Lin, Jeremy Steinberger","doi":"10.1177/15533506261444585","DOIUrl":"https://doi.org/10.1177/15533506261444585","url":null,"abstract":"<p><p>BackgroundVirtual reality (VR) has recently emerged as a tool to potentially aid patients' understanding of disease and reduce perioperative stress. This study therefore aimed to assess patient perceptions of such 360-degree VR models for demonstration of anatomy, pathology, and approach during spine surgery consultations.MethodsPatient specific, three-dimensional VR models were created using the ConveyXR virtual reality system (Surgical Theater, LLC). Preoperative CT or MRI images were used to create educational models for use during consultations. Participants completed a Likert-style questionnaire regarding their experience to assess their understanding, comfort level, satisfaction, and perceived value of the VR-based demonstration.ResultsTwenty-five patients were enrolled from 2019-2023. 66.7% (<i>n</i> = 16) participated in the session prior to surgical intervention, 20% (<i>n</i> = 5) participated postoperatively, and 8% (<i>n</i> = 2) participated both before and after. The mean satisfaction rating was 9.83 ± 0.38 out of 10. Most respondents reported they understood the doctor's explanation of the VR content (72% strongly agree, 24% agree), it improved comfort with treatment (76% strongly agree, 12% agree), and that they were generally satisfied with their visit (76% strongly agree, 24% agree). 84% of respondents reported being more satisfied with the novel VR-based approach than traditional methods. 88% would \"definitely recommend\" the physician and hospital based on their VR consultation.ConclusionsVR-based consultations were associated with favorable patient-reported perceptions of understanding, comfort, and satisfaction. VR may serve as a feasible adjunct to traditional educational methods, though larger comparative studies are needed to evaluate its impact on clinical outcomes.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261444585"},"PeriodicalIF":1.6,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salvador Llopis-Mestre, Judith Camps-Lasa, Eric Herrero-Fonollosa, María Galofré-Recasens, Ana Alcaine-DelRio, Qiaomiao Lin, Salvadora Delgado-Rivilla, María Isabel García-Domingo
{"title":"Robotic Left Minor Liver Resection With the Hugo™ RAS System: Initial Experience.","authors":"Salvador Llopis-Mestre, Judith Camps-Lasa, Eric Herrero-Fonollosa, María Galofré-Recasens, Ana Alcaine-DelRio, Qiaomiao Lin, Salvadora Delgado-Rivilla, María Isabel García-Domingo","doi":"10.1177/15533506261442269","DOIUrl":"https://doi.org/10.1177/15533506261442269","url":null,"abstract":"<p><p>IntroductionMinimally invasive liver resection has become an established approach in selected patients, offering reduced blood loss, lower morbidity, and faster recovery compared with open surgery. The recent introduction of new robotic systems, such as the Hugo™ RAS (Medtronic), has expanded the potential of robotic hepatobiliary surgery. This study reports the first clinical experience with robotic liver resection (RLR) performed using the Hugo™.MethodsA prospective case series was conducted at a tertiary referral centre, including the first 3 consecutive patients who underwent robotic liver resection for colorectal liver metastases (CRLM) between April and June 2025. Demographic, perioperative, and oncological data were collected and analyzed descriptively. All procedures were performed by experienced hepatobiliary surgeons using the Hugo™ RAS platform.ResultsThree patients (2 males; median age 84 years) underwent minor hepatectomies: 2 left lateral sectionectomies (segments II-III) and one combined non-anatomical resection of segments II-III-IVb with cholecystectomy. All operations were completed robotically without conversion. The median operative time was 210 minutes (range 180-240), median docking time was 15 minutes, and median blood loss was 50 mL (range 50-100). No intraoperative complications occurred. Median hospital stay was 4 days (range 3-5). No postoperative complications or readmissions were recorded at 30- and 90-day follow-up. All specimens achieved R0 margins.ConclusionsRLR using the Hugo™ RAS system is feasible and safe in selected minor hepatectomies.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261442269"},"PeriodicalIF":1.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Alaimo, Tommaso Campagnaro, Simone Conci, Sara Boggio, Elisa Fresu, Mario De Bellis, Edoardo Poletto, Andrea Marchese, Gessica Manzini, Simone Priolo, Anna Fratucello, Stefano Landi, Gianluca Maistri, Chiara Leardini, Callisto Marco Bravi, Andrea Ruzzenente
{"title":"Robot-Assisted Liver Resection With Versius<sup>®</sup> Surgical System: COMPAR-L Prospective Study.","authors":"Laura Alaimo, Tommaso Campagnaro, Simone Conci, Sara Boggio, Elisa Fresu, Mario De Bellis, Edoardo Poletto, Andrea Marchese, Gessica Manzini, Simone Priolo, Anna Fratucello, Stefano Landi, Gianluca Maistri, Chiara Leardini, Callisto Marco Bravi, Andrea Ruzzenente","doi":"10.1177/15533506261442271","DOIUrl":"https://doi.org/10.1177/15533506261442271","url":null,"abstract":"<p><p>BackgroundWhile similar procedures can be performed using various robotic platforms across different surgical fields, no data exists on robotic liver resection (RLR) with the Versius<sup>®</sup> robotic system (Cambridge Medical Robots-CMR Surgical). This study collected data on the first case series of hepatectomies using the Versius<sup>®</sup> system.MethodsPatients who underwent liver resection of anterolateral segments using the Versius<sup>®</sup> system at the General and Hepatobiliary Surgery unit of the University of Verona between July and December 2024 were enrolled. Experienced surgeons in RLR performed the resections. The short-term outcomes, timing, and cost of each surgical and non-surgical phase were analyzed.ResultsTen patients underwent robotic liver resection using the Versius<sup>®</sup> platform for hepatocellular carcinoma (n = 2), liver metastases (n = 2), and benign lesions (n = 6) in the anterolateral segments. Eight patients had prior abdominal surgery, 2 had multiple lesions, and 6 had anatomical resections (ie, H23 n = 3, H2 n = 1, H3 n = 1, H5-subsegmentectomy n = 1). Hilar clamping was used in 5 patients, with a median total time of 30 min (IQR 15-40), median blood loss of 50.0 mL (IQR 50.0-100.0), and no intra- or post-operative complications. Median total operative time was 259.5min (IQR 183.0-347.0) with median parenchymal transection time of 83.0min (IQR 40.8-93.8). Median total cost of the procedure was €4146.5 (IQR 3608.5-4976.2), which included personnel, operating room, robotic platform, kit, and consumables costs.ConclusionsThis preliminary experience with liver resection using the Versius<sup>®</sup> system demonstrated its feasibility and safety. To our knowledge, this is the first reported series of liver resections utilizing the Versius<sup>®</sup> platform.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506261442271"},"PeriodicalIF":1.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}