Journal of Robotic Surgery最新文献

{"title":"Robotic-assisted laparoscopic niche repair (RALNR): technique development and pregnancy-associated outcomes.","authors":"Anne Muendane, Azadeh Babaei Bidhendi, Patrick Imesch, Isabell Witzel, Cornelia Betschart","doi":"10.1007/s11701-025-02394-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02394-2","url":null,"abstract":"<p><p>Uterine scar defects after cesarean sections are increasingly common and elevate the risk of life-threatening complications in subsequent pregnancies. From various sonomorphological measurement parameters, the residual myometrial thickness (RMT) is crucial for predicting an obstetric complication in a subsequent pregnancy. A low RMT can be improved by surgical correction. The purpose of this paper is to present our technique for robotic-assisted laparoscopic niche repair (RALNR), to sonomorphologically characterize the niches pre- and postoperatively and to surveil subsequent symptoms and pregnancies. A cohort study of 35 patients with a niche and the wish to conceive, who had undergone RALNR between 05/2019 and 09/2023 at the university hospital of Zurich, was conducted. Sonomorphological parameters before and 6 weeks after surgery, as well as surgical, clinical and obstetrical outcomes were assessed. The mean widths and depths of the niche were significantly reduced (p < 0.001), width from 10.0 ± 3.5 mm preoperatively to 2.6 ± 3.4 mm postoperatively, and depths from 9.1 ± 3.7 mm preoperatively to 1.8 ± 2.6 mm postoperatively. RMT was significantly improved after RALNR (p < 0.001) with mean 1.5 ± 1.5 mm preoperatively compared to 8.3 ± 2.9 mm postoperatively. The pregnancy rate was 13 of 18 (77%), and 7 re-cesarean sections were performed at term. Following surgery, RMT is improved, and subsequent pregnancy rates are high. Larger prospective studies with different long-term obstetric outcomes are needed to determine the clinical significance of RALNR in subsequent pregnancies. This effort advances the field`s state of the art by demonstrating a successful technique for RALNR and its clinical feasibility in a symptomatic cohort.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"248"},"PeriodicalIF":2.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic surgery in abdominal aortoiliac aneurysm and occlusive disease: a systematic review and single-arm meta-analysis.","authors":"Ana Carolina Bueno Santana, Lucas Monteiro Delgado, Lucas Soares de Souza Pinto Guedes, Bruna Maffei Bossi, Pedro Henrique Coelho de Melo Leite, Bernardo Fontel Pompeu","doi":"10.1007/s11701-025-02418-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02418-x","url":null,"abstract":"<p><p>Abdominal aortic aneurysms (AAA) and aorto-iliac occlusive disease (AIOD) are traditionally managed via open or endovascular techniques. Robotic surgery emerges as an alternative, offering enhanced visualization, precision, and ergonomics. A systematic review was conducted across PubMed, Embase, and Cochrane to identify observational studies up to September 2024. Continuous outcomes were pooled as mean values with 95% confidence intervals (CIs), and binary outcomes as proportions. Heterogeneity was assessed using the Cochrane Q-test and I² statistic. Analyses were performed using R (v4.4.1). Ten studies comprising 595 patients were included. Of these, 402 (67.5%) underwent fully robotic procedures and 193 (32.5%) robotic-assisted surgery. AIOD was the primary indication in 70.5% of cases and AAA in 21.5%. Pooled operative time was 301.2 min (95% CI 238.2-380.9), cross-clamping time 74.3 min (95% CI 56.8-97.2), and anastomotic time 45.5 min (95% CI 29.2-71.1). Mean blood loss was 727.5 mL (95% CI 454.4-1164.7), and hospital stay averaged 7.3 days (95% CI 4.8-11.0). Thirty-day mortality was 3% (95% CI 0%-5%), prosthesis patency at 12 weeks was 92% (95% CI 82%-97%), mesenteric ischemia occurred in 5% (95% CI 2%-11%), and conversion to open surgery in 5% (95% CI 2%-8%). Subgroup analysis revealed higher cross-clamping time and blood loss in AAA compared to AIOD. Robotic aortic surgery demonstrates acceptable short-term outcomes in AAA and AIOD, with low morbidity and promising technical feasibility. Further studies with long-term follow-up are needed to validate its role in aortic surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"250"},"PeriodicalIF":2.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A reappraisal of research on minimally invasive treatment evaluation for benign breast tumors.","authors":"Zhiling Zhou","doi":"10.1007/s11701-025-02425-y","DOIUrl":"https://doi.org/10.1007/s11701-025-02425-y","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"249"},"PeriodicalIF":2.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current perspectives of telesurgery applications among different specialties: first multicentric and multispecialty retrospective study.","authors":"Maria Chiara Sighinolfi, Marcio Covas Moschovas, Zhao Qun, Ma Yuntao, Cai Hui, Xia Dan, Wang Shuo, Liang Xiao, Wang Jun, Bernardo Rocco, Vipul Patel","doi":"10.1007/s11701-025-02393-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02393-3","url":null,"abstract":"<p><p>Telesurgery has recently emerged as a transformative technology with the potential to revolutionize surgical care with humanitarian and training opportunities. The advent of new robotic systems with telesurgical capabilities promoted the interest toward telesurgery; the Toumai (Microport, China) is among these new platforms and the only approved in Europe so far. The Toumai is a multiport robotic system with an immersive console and a single patient cart. The aim of the study is to report the largest series of telesurgical robotic procedures reported so far to prove the feasibility and safety of the technology. This is a multicenter cohort study on a series of patients who underwent robotic telesurgical procedures across China with the Toumai robotic system. The primary endpoint is to evaluate the safety of telesurgery measured as the need for conversion to local surgery or to different approaches. Furthermore, we reported the type of procedures performed and summarized the characteristics of connectivities. Overall, 66 overall surgeries-consisting of ten urological, 55 general, and one gynecological case-were performed with the Toumai across China, with an average distance of was 800, 220, and 300 km, respectively. No conversions to local surgery were recorded. The average delay time was 65, 34, and 61 ms for urological, general, and gynecological surgery, respectively. Apart from colecistectomies, gastric surgery (total gastrectomy, gastrowedge resection) and radical prostatectomies were the mostly performed interventions. Despite some issues needs to be addressed from a regulatory standpoint, technological and telecommunication advancements are willing to support the successful implementation of telesurgery; further series are expected to address the reproducibility of these outcomes in European countries.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"247"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative cystoscopy for urinary tract complications during robotic gynecological hysterectomy surgery.","authors":"Chikako Nagata, Shintaro Yanazume, Yusuke Kobayashi, Mika Fukuda, Mika Mizuno, Shinichi Togami, Hiroaki Kobayashi","doi":"10.1007/s11701-025-02407-0","DOIUrl":"10.1007/s11701-025-02407-0","url":null,"abstract":"<p><p>The effectiveness of cystoscopy in reducing urinary tract complications during robotic gynecologic surgery is poorly documented. Since the introduction of robotic surgery at our institution, cystoscopy has been consistently employed as a standard practice, and its usefulness was investigated. This retrospective study evaluated the utility of routine cystoscopy in patients who underwent robotic surgery between February 2017 and April 2024. The outcome was the detection rate of bladder and ureteral complications. Indigo carmine was injected intravenously while suturing the post-hysterectomy vaginal stump. Light permeation of the bladder wall was visually assessed intra-abdominally. Any leakage of the indigo carmine into the peritoneum or outflow from the external ureteral opening were noted. Eleven of 403 patients were suspected of having urinary tract complications. Among the 11 patients, two exhibited damage to the serous and muscular layers of the bladder, while nine had no outflow from the external ureteral opening. Among these nine cases, one patient was found to have right ureteral obstruction, which was attributed to vaginal stump suturing. The sensitivity and specificity for ureteral obstruction detection were 100% and 98.0%, respectively. In the remaining eight patients, no urinary complications could be identified postoperatively. Overall, the rate of bladder injury was 4/403 (0.9%), all of which were repaired intraoperatively, including two cases found by cystoscopy. Ureteral obstruction was identified in 1/403 (0.2%), and the case was due to intraoperative cystoscopy. Postoperatively, ureteral stenosis was observed in 1/403 (0.2%), and urinary tract infection (cystitis: Grade 2 or less) was noted in 6/403 (1.5%). This technique is an effective diagnostic tool with minimal patient burden and is likely to accurately identify ureteral obstruction or bladder injury during surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"246"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient complexity does not affect surgical learning curve and clinical outcomes during early experience in robotic assisted coronary surgery.","authors":"Fabrizio Rosati, Massimo Baudo, Lorenzo Di Bacco, Wouter Oosterlinck, Gianluca Torregrossa, Cesare Tomasi, Francesca Boldini, Claudio Muneretto, Stefano Benussi","doi":"10.1007/s11701-025-02370-w","DOIUrl":"10.1007/s11701-025-02370-w","url":null,"abstract":"<p><p>Adoption of robot-assisted coronary artery bypass grafting (RA-MIDCAB) remains limited due to concerns about learning curves, outcomes, and patient-specific anatomic challenges. This study evaluates our initial single-center experience with RA-MIDCAB. Between December 2022 and June 2024, 52 patients underwent RA-MIDCAB. Inclusion criteria comprised isolated left anterior descending artery (LAD) stenosis or LAD revascularization as part of a hybrid valvular/coronary strategy. Primary endpoints were 30-day mortality, conversion to sternotomy, and graft injury. Operative times and biometric indices (body indices such as body mass index [BMI], Haller Index, and Cardiothoracic Ratio) were analyzed for correlation with learning curve progression and surgical outcomes. Mean age was 68.5 ± 11.5 years, and 82.7% (43/52) were males. Robotic LITA harvesting was successfully completed in 98.1% (51/52) of patients (one patient had a graft injury), with no perioperative mortality. Postoperative complications occurred in 38.5% (20/52), mostly due to atrial fibrillation (19.2%, 10/52) and acute kidney injury (13.5%, 7/52) with no correlation with operative times at logistic regression. According to thoracic indexes, no correlation was found between chest complexity and postoperative complications. Neither EuroSCORE II, BMI nor thoracic indices significantly impacted operative times. Linear regression demonstrated significant reductions in overall surgical and graft-harvesting times across the experience, suggesting improved efficiency. RA-MIDCAB is feasible and safe, even in patients with challenging thoracic anatomy. This early experience demonstrated promising outcomes and significant learning curve improvements, supporting the potential for broader adoption of this technique even in patients unlikely deemed suitable for minimally invasive cardiac revascularization surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"245"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Perioperative anesthesia management of remote 5G robot surgery and precautions for operation team.","authors":"XiLan Wang, Shanye Liu, WenJuan Lei, Dan Zhao, Longhe Xu, Zeguo Feng, Feng Long","doi":"10.1007/s11701-025-02377-3","DOIUrl":"https://doi.org/10.1007/s11701-025-02377-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"242"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic versus open salvage prostatectomy in recurrent disease: a systematic review and meta-analysis of surgical outcomes.","authors":"Song Cao, Chong-Jian Wang, Cai-Xia Chen, Hong-Yuan Li, Hao-Tian Huang, Lin-Han Jiang, Xue-Song Yang","doi":"10.1007/s11701-025-02400-7","DOIUrl":"https://doi.org/10.1007/s11701-025-02400-7","url":null,"abstract":"<p><p>The objective of this research was to evaluate the perioperative results, complications, and oncological outcomes associated with two distinct surgical methods for the treatment of recurrent prostate cancer: salvage robotic-assisted prostatectomy and salvage open prostatectomy. Our methodology concerned a complete search of major databases, along with PubMed, Web of Science, the Cochrane Library and Embase, covering studies published in all kinds of languages up to November 2024. Additionally, we omitted papers that included conference summaries and lacked relevance to our research. Various variables were assessed by employing weighted mean difference (WMD) and odds ratio (OR) metrics. The meta-analyses of the diverse parameters were carried out using Review Manager. Additionally, this study was registered with PROSPERO and the registration number is CRD42025632172. This meta-analysis encompassed three trials, comprising a total of 510 participants. The findings revealed that salvage robot-assisted prostatectomy (sRARP) had a longer operative time (WMD 13.88, 95% CI 3.94, 23.82; p = 0.006) and a lower rate of postoperative vesicourethral anastomotic stricture (OR 0.44, 95% CI 0.23-0.83; p = 0.01) compared to salvage open prostatectomy (sORP). However, no massive variations had been determined between the two surgical techniques regarding hospital stay, estimated blood loss, transfusion rate, complications, and oncological outcomes. In the context of recurrent prostate cancer, sRARP demonstrated superiority over sORP in reducing the rate of vesicourethral anastomotic stricture. Nonetheless, it is crucial to acknowledge that there were no significant disparities between the two techniques in terms of hospital stay, blood loss, transfusion requirements, complication rates, and oncological results. These insights suggest that robotic-assisted prostatectomy may offer certain advantages for patients undergoing salvage prostatectomy, but these benefits are not conclusive and warrant further validation through larger-scale, high-quality randomized controlled trials.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"243"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality after total knee arthroplasty: a comparative analysis of robotic-assisted and conventional techniques.","authors":"A B Suhas Masilamani, Tarun Jayakumar, Praharsha Mulpur, Rajeev Reddy Kikkuri, Shravya Vaddiparthi, A V Gurava Reddy","doi":"10.1007/s11701-025-02405-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02405-2","url":null,"abstract":"<p><p>Total knee arthroplasty (TKA) significantly alleviates pain and improves functionality in patients with end-stage knee osteoarthritis. However, postoperative sleep disturbances remain a common issue affecting quality of life (QOL) and rehabilitation. This study aimed to compare postoperative sleep quality between robotic-assisted TKA (RATKA) and conventional TKA (CTKA). This observational study enrolled 200 consecutive patients undergoing primary unilateral TKA, divided equally into RATKA and CTKA cohorts. All surgeries were performed by a single surgeon using cemented TKA, either conventionally or with the MAKO® robotic system. Standardized pain management and rehabilitation protocols were followed in both cohorts. Preoperative and postoperative sleep quality were evaluated weekly for the first month and subsequently at 3 and 6 months post-operatively, utilizing the Pittsburgh Sleep Quality Index (PSQI). Pain scores were recorded using the Visual Analog Scale (VAS). Preoperative PSQI scores showed no significant differences between the RATKA (5.55 ± 2.05) and conventional TKA (5.70 ± 2.26) groups. Postoperative sleep disturbances peaked at 1 week post-surgery in both cohorts (RATKA: 12.42 ± 1.75, TKA: 12.59 ± 2.42), with gradual improvement observed over 6 months, although baseline sleep quality was not fully restored. Pain scores (VAS) were significantly lower in the RATKA cohort at all postoperative intervals (p < 0.001). No significant correlation was found between sleep quality and age, BMI, gender, or surgical approach. Both RATKA and conventional TKA resulted in similar patterns of postoperative sleep disturbances, peaking shortly after surgery and progressively improving over 6 months without fully returning to pre-operative levels. Despite significantly better pain control in the RATKA cohort, postoperative sleep quality did not differ significantly between the two surgical techniques. Future research should explore comprehensive perioperative management strategies to address the multifactorial nature of sleep disturbances post-TKA.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"244"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of 11 bibliometric publications in the Journal of Robotic Surgery: a few suggestions.","authors":"Siddig Ibrahim Abdelwahab, Manal Mohamed Elhassan Taha, Abdullah Farasani, Saleh M Abdullah, Jobran M Moshi, Nizar A Khamjan, Abrar Fahad Alshahrani, Ahmad Assiri, Saeed Alshahrani, Amal Mayudh Alhusayni, Muhammad H Sultan, Ali Elamin, Waseem Hassan","doi":"10.1007/s11701-025-02399-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02399-x","url":null,"abstract":"<p><p>Bibliometric research offers valuable insights into publication trends, citation dynamics, and research collaborations. The growing body of bibliometric literature reflects the dedication of numerous authors who have contributed significantly to our understanding of scientific progress. At the same time, the differences in methodology and scope can affect the depth and interpretation of findings. This review takes a closer look at bibliometric studies published in the Journal of Robotic Surgery, with an emphasis on appreciating the contributions of each work while also identifying opportunities for further enrichment in future analyses. Eleven bibliometric studies were examined to better understand the current approaches applied in this field. These works were reviewed across several dimensions, including publication volume, citation patterns, author productivity, institutional and national involvement, collaboration structures, and thematic development. The studies collectively provided a solid foundation by highlighting the basic indicators such as publication counts and total citations. While these contributions are valuable, the integration of more diverse impact metrics-such as the g-index or m-index-was less frequent. Temporal mapping of prolific authors, institutions, and countries was also limited, which may constrain the understanding of evolving research leadership over time. Some studies engaged in collaboration network analysis; however, there were relatively few attempts to explore the clustering patterns within these networks. Co-word analysis tended to focus on author keywords, with fewer efforts devoted to examining titles, abstracts, or thematic progression. Moreover, elements such as long-term trend analysis, regional disparities, and citation burst detection were not widely addressed. The efforts of researchers in this area are greatly appreciated and their work has laid an important groundwork for future bibliometric studies in robotic surgery. A thoughtful expansion of methodologies may deepen the impact of future research and further strengthen the value of bibliometric analysis in robotic surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"241"},"PeriodicalIF":2.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}