Journal of Robotic Surgery最新文献

{"title":"Preoperative ureteral rest and outcomes of robot-assisted upper urinary tract reconstruction: a systematic review and meta-analysis.","authors":"Xiao-Yu Zhou, Zhen Tu, Si-Meng Gan, Jin-Yun Yin, Song Cao, Shu-Kai Zhang, Jia-Li Wang, Xun-Tao Yao, Xue-Song Yang","doi":"10.1007/s11701-026-04076-z","DOIUrl":"10.1007/s11701-026-04076-z","url":null,"abstract":"<p><p>To evaluate whether a preoperative period of ureteral rest, defined as the absence of any indwelling stent crossing the diseased or anastomotic segment (irrespective of whether upper-tract drainage is maintained by a percutaneous nephrostomy), is associated with improved surgical success and perioperative outcomes after robot-assisted upper urinary tract reconstruction, comprising ureteral reconstruction and pyeloplasty for ureteropelvic junction obstruction. We searched PubMed/MEDLINE, Embase, Web of Science Core Collection and the Cochrane Library from inception to 31 July 2026, and included English-language studies that compared ureteral rest with immediate reconstruction. Studies without a no-rest comparator or without the key outcomes were excluded. Random-effects meta-analyses were performed in Review Manager 5.3 and R, using odds ratios (OR) or risk ratios (RR) for dichotomous outcomes and mean differences (MD) for continuous outcomes. The review was registered with PROSPERO (registration number CRD420261504719). Five retrospective comparative studies including 707 patients (478 managed with preoperative ureteral rest and 229 managed without) were analysed. Preoperative ureteral rest was associated with a higher pooled surgical success rate (OR 2.82, 95% CI 1.57 to 5.07, P = 0.0005; 447/478 [93.5%] versus 198/229 [86.5%]; absolute risk difference + 7.6%, 95% CI 2.9% to 12.4%) and with a small reduction in estimated intraoperative blood loss (MD -23.91 mL, 95% CI -35.79 to -12.03, P < 0.0001; three studies). No statistically significant differences were detected for operative time (MD 7.00 min, 95% CI -2.05 to 16.05, P = 0.13), length of hospital stay (MD -0.26 days, 95% CI -1.00 to 0.48, P = 0.49; I2 = 95%) or postoperative complications (OR 0.81, 95% CI 0.51 to 1.31, P = 0.40). Subgroup analyses by indication showed no significant interaction for any outcome (P for subgroup difference: surgical success 0.97, operative time 0.59, complications 0.98); the confidence interval for the ureteropelvic junction obstruction subgroup was wide because only two studies contributed data. Available retrospective comparative evidence suggests that preoperative ureteral rest is associated with higher surgical success after robot-assisted upper urinary tract reconstruction and with a small reduction in estimated blood loss. No clear association was observed with operative time, length of stay or postoperative complications. Because the available evidence is limited to a small number of retrospective studies with heterogeneous indications, definitions and reconstructive techniques, these findings should be considered hypothesis-generating. Current data are insufficient to establish whether the effect differs between acquired ureteral strictures and ureteropelvic junction obstruction.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208105","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":"Safety and efficacy of a novel miniaturized robotic assisted surgery system in hysterectomy: a prospective, investigational device exemption clinical trial.","authors":"Ricardo Estape, Piet Hinoul, Greg Heidrick, Todd Martin, Florence Beck, Ty B Erickson, Jean Dubuisson, Nadia Gomez","doi":"10.1007/s11701-026-04078-x","DOIUrl":"10.1007/s11701-026-04078-x","url":null,"abstract":"<p><p>To evaluate safety and effectiveness of the first-in-kind miniaturized surgical robotic platform, the MIRA Surgical System, in patients presenting with an indication for benign hysterectomy. A prospective, multi-center, multi-operator, non-randomized, consecutively enrolled Investigational Device Exemption Clinical Trial. Five surgeons participated across three types of institutions. Thirty-five patients with a mean age of 46.1 years (range 25-74) and a mean BMI of 29.2 kg/m² (range 21.5-41.5) were operated upon. Indications were menorrhagia (71.4%), fibroids (28.6%), and/or dysmenorrhea (25.7%). A total hysterectomy with uni-/bi-lateral salpingectomy was performed in 80%, a total hysterectomy with uni-/bi-lateral salpingo-oophorectomy in 14.3% and a total hysterectomy without adnexectomy in 5.7%. One subject required conversion to a laparoscopy due to a technical malfunction. Mean estimated blood loss was 52.6 ml (median 50 ml; range 10-200 ml). Specimens weighed from 31.2 g to 384 g (mean 136.1 g). No malignancies were identified. Vaginal-cuff closure was successfully completed in 34 cases, and completed vaginally in the converted case. Mean procedure duration was 141.8 min (median 127; range 73-273). Mean length of stay post-operatively was 5.0 h (median 3.5; range 1.3-29.4 h). Ten adverse events were reported: two intraoperative device-related and eight postoperative procedure-related (Seven Clavien-Dindo Grade-I, three Grade-II; no Grade-III or higher events). All resolved. The MIRA Surgical System demonstrated technical feasibility and an acceptable short-term safety profile in a selected cohort of patients undergoing benign hysterectomy. Evaluation in larger, diverse cohorts, with longer follow-up is required. (Registry: ClinicalTrials.gov, TRN: NCT06028542, Registration date: 16 August 2023.).</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208113","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":"Correction: Staying minimally invasive: robotic versus laparoscopic colorectal cancer surgery in a propensity-weighted Italian multicentre cohort.","authors":"Alessio Giordano, Luigi Marano, Giuseppe Lamacchia, Jacopo Andreuccetti, Antonio Brillantino, Massimo Farina, Michela Mineccia, Maria Chiara Ranucci, Mirko Barone, Manuela Mastronardi, Nicola Cillara","doi":"10.1007/s11701-026-03994-2","DOIUrl":"https://doi.org/10.1007/s11701-026-03994-2","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208143","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":"Correction: Transoral Robotic Surgery (TORS) versus radical radiotherapy following neoadjuvant therapy for oropharyngeal carcinoma: a multicenter, real-world efficacy and safety analysis.","authors":"Xuguang Wang, Jian Meng, Xiaoyuan Liao, Zekun Deng, Yujie Zeng, Jingtao Chen, Mingyuan Du, Linfei Mao, Shuwei Chen, Ming Song, Shida Yan","doi":"10.1007/s11701-026-04056-3","DOIUrl":"https://doi.org/10.1007/s11701-026-04056-3","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197158","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-assisted conversion of unicompartmental to total knee arthroplasty: a systematic review.","authors":"Carmelo Burgio, Steven G Persaud, Francesco Bosco, Shrey Vachhani, Karlos E Zepeda, David J Mayman, Jonathan M Vigdorchik, Eytan M Debbi","doi":"10.1007/s11701-026-04063-4","DOIUrl":"10.1007/s11701-026-04063-4","url":null,"abstract":"<p><p>Conversion of unicompartmental knee arthroplasty (UKA) to total knee arthroplasty (TKA) presents technical challenges due to bone loss and altered anatomy, often requiring stems or augments. Robotic-assisted systems have emerged as a potential solution by improving precision and bone preservation. This systematic review evaluates robotic assistance in UKA-to-TKA conversion and its impact on surgical performance and outcomes. This review followed PRISMA guidelines and was registered in PROSPERO (CRD42025643211). A systematic search of PubMed, Embase, and Scopus was conducted through October 2025. Eligible studies reported outcomes of robotic-assisted UKA-to-TKA conversions with a mean follow-up of 20.9 months. Two reviewers independently screened studies and extracted data on demographics, perioperative variables, functional outcomes, complications, and implant survivorship. Risk of bias was assessed using the ROBINS-I tool. Five studies including 136 patients (140 knees) were analyzed. Most cases (n = 105) used the MAKO SmartRobotics™ System, while the remainder (n = 35) used the ROSA Knee System. No intraoperative conversions to manual technique occurred. Augments were required in 13.6% of cases and stems in 3.6%. Range of motion improved to 119-130° flexion with full extension. Patient-reported outcomes demonstrated improvements in r-WOMAC and OKS, with favorable postoperative FJS. Complication rates ranged from 0 to 11%, including one intraoperative tibial fracture (0.7%), two periprosthetic joint infections, three stiffness cases, and one aseptic loosening. Implant survivorship ranged from 93.2% to 100% at up to 3.6 years follow-up. Robotic-assisted UKA-to-TKA conversion demonstrates reproducible intraoperative performance, minimal need for augments, and favorable short-term outcomes. Longer-term studies are needed to confirm durability.Level of evidence: Level IV.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197132","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":"Willingness to undergo autonomous robotic surgery in Jordanian medical students: a national multicenter cross-sectional survey.","authors":"Bara M Hammadeh, Mayar Talafha, Zahraa Al-Haddad, Raghad Radi, Taima Jamal Faqeeh, Ayham Mohammad Hussein, Rami Ghanem","doi":"10.1007/s11701-026-04075-0","DOIUrl":"10.1007/s11701-026-04075-0","url":null,"abstract":"<p><p>Surgical robots in clinical use operate under continuous human control, yet research systems now perform surgical tasks on their own. Patient willingness may limit adoption, and to our knowledge no study has measured willingness across defined levels of autonomy while holding performance constant. To estimate the willingness of Jordanian medical students to undergo high-autonomy robotic surgery with immediate surgeon oversight and to quantify how willingness changes as autonomy increases. We conducted a national, multicenter, cross-sectional online survey of a convenience sample of undergraduate medical students at eight Jordanian medical schools between 31 August and 17 September 2026. After a standardized vignette, students rated their willingness to undergo their own operation on a five-point scale under five arrangements, from surgeon-controlled robotic surgery (stage 1) to artificial intelligence (AI) operating with no surgeon in the room and none immediately available (stage 5), with regulatory approval and outcome equivalence held constant. The prespecified primary endpoint was willingness at stage 4 (the AI performs the whole operation while a surgeon in the room can take over); the gradient across stages was a prespecified secondary analysis. Cumulative link mixed models accounted for repeated ratings. Among five hundred seventy-four students (59.6% female), 39.7% (95% CI 35.8 to 43.8) reported willingness at stage 4. The proportion willing fell from 76.0% at stage 1 and 77.7% at stage 2 to 47.2% at stage 3 and 18.6% at stage 5 (odds ratio per stage 0.40, 95% CI 0.37 to 0.42). The largest declines followed AI performance of surgical steps (-30.5% points, 95% CI -35.0 to -25.8) and loss of immediate surgeon presence and rescue capability (-21.1 points, 95% CI -25.0 to -17.0). Trust in autonomous systems showed an association with willingness (adjusted odds ratio per SD 2.75, 95% CI 2.14 to 3.54), whereas surgical career intention showed none. The direction of each decline persisted across analyses of university representation and response quality, although the gradient was steeper among higher-quality respondents; stage 4 willingness ranged from 34.9% to 41.7%. Among these Jordanian medical students, willingness declined in steps rather than along a smooth curve, falling most when the machine began to act and when a surgeon was no longer immediately present or able to intervene. A supervised, stepwise introduction of surgical autonomy, with a surgeon able to intervene, would match their stated preferences; the views of patients remain untested.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197130","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":"Correction: Do all patients need a urethral catheter after robotic-assisted radical prostatectomy?","authors":"Binghao Zeng, Yubo Wang, Xinci Ning, Zhuyinjun Zong, Qingfeng Yu, Mingzhao Li, Yongda Liu, Chao Cai, Jiehui Zhong, Tao Xie, Jianfeng Liang, Jianhao Wu, Xuezhi Long, Yueting Huang, Yan Zhao, Viktor Stankov, Shancheng Ren, Guohua Zeng, Di Gu","doi":"10.1007/s11701-026-04051-8","DOIUrl":"10.1007/s11701-026-04051-8","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197095","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":"Robotic cholecystectomy using da Vinci SP, single-site, and multiport systems: a systematic review and comparative meta-analysis.","authors":"Hyun Hwa Choi, Jae-Yoon Kim","doi":"10.1007/s11701-026-04071-4","DOIUrl":"10.1007/s11701-026-04071-4","url":null,"abstract":"<p><p>Robotic platform names do not specify operative access or instrumentation. We compared da Vinci SP, Single-Site, and multiport cholecystectomy, prioritizing total operative time and planned-access completion failure. Five databases were searched in August 2026, with Scopus rerun on 6 October 2026. A registered review underwent outcome-specific, publication-based adjudication. Direct robot-to-robot mean differences were synthesized using restricted maximum likelihood (REML) and modified Hartung-Knapp confidence intervals (CIs). Single-incision laparoscopic cholecystectomy (SILC) comparisons were ancillary; historical indirect calculations were confined to a supplementary audit. Fourteen reports were included; nine supplied extractable direct data from analysis samples totaling 1,542 participants. For SP versus Single-Site, total operative time was very uncertain (4 studies; 580 participants; mean difference [MD] - 12.49 min; 95% CI - 36.50 to 11.53; I² = 91.0%), including one conditionally reconstructed mean. The full planned-access completion-failure composite was not estimable. Console time was secondary (4 studies; 580 participants; MD - 11.40 min; modified Hartung-Knapp 95% CI - 25.35 to 2.56; I² = 80.4%; approximate 95% prediction interval - 49.03 to 26.24). Its conventional REML-Wald CI excluded zero (- 19.43 to - 3.36), but the small-study-adjusted interval did not. Rare-event safety, long-term hernia, cost-effectiveness, and platform-specific workload evidence were insufficient. The evidence is very uncertain about differences in total operative and console time between da Vinci SP and Single-Site cholecystectomy. An overall operative-time advantage or comparative safety equivalence has not been established. The evidence does not isolate the causal effects of incision count and articulation.Review registration: PROSPERO CRD420261475321.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185185","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":"Dehydrated human amniotic membrane for early return of erectile function after robotic radical prostatectomy: a 10-year journey and lessons learned.","authors":"Shirin Razdan, Ali Fathollahi, Alexandre Armache, Sanjay Razdan","doi":"10.1007/s11701-026-04040-x","DOIUrl":"https://doi.org/10.1007/s11701-026-04040-x","url":null,"abstract":"<p><p>The first description of dehydrated human amniotic membrane (dHAM) use in robotic urologic surgery was by Razdan et al. in 2014 at the World Congress of Endourology. Since then, it has been utilized as a nerve and anastomotic wrap to enhance early return of erectile function and continence, respectively, during robotic radical prostatectomy (RALP). We describe our ten-year experience with dHAM as a nerve wrap. After obtaining hospital institutional review board (IRB) approval, a retrospective review of a prospectively maintained single center prostate cancer database was performed. All men undergoing RALP with dHAM by a single high-volume surgeon were examined and compared to a cohort of men who underwent RALP alone. Groups were matched demographically, clinically, and biochemically. Potency was defined as the ability to have satisfactory penetrative intercourse > 50% of time and a SHIM score of ≥ 17. A total of 2,560 men underwent bilateral nerve sparing (ns)RALP with dHAM from 2014 to 2024 (Group 1). These were matched to 1,495 men who underwent nsRALP without dHAM (Group 2). Baseline patient and tumor characteristics are found in Table 1. Mean follow up was 8 years. The mean number of days until first erection was 7 vs. 14 (p < 0.05) in Groups 1 and 2. The mean number of days until erection sufficient for penetration was 21 vs. 36 (p < 0.05). The percent of potent patients in Group 1 at 3, 6, 12, and 24 months was 75%, 87%, 98%, 98%. The percent of potent patients in Group 2 during the same time frame was 60%, 78%, 90%, 94% (p < 0.05). There was no difference in complications or oncological outcomes between the two groups. A subgroup analysis stratifying patients based on age showed lower erectile function recovery in men over the age of 60 in Group 2. dHAM is a safe adjunct at the time of RALP to hasten return of erectile function as well as improve 12-month and 24-month potency rates without compromising oncological outcomes. Men over the age of 60, especially, show improved 12- and 24-month potency with dHAM.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184823","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":"Video-based analysis of camera-instrument distance dynamics and operative efficiency in expert and novice robot-assisted partial nephrectomy.","authors":"Kohei Kobatake, Yuki Kohada, Miki Naito, Shunsuke Miyamoto, Yohei Sekino, Hiroyuki Kitano, Keisuke Goto, Keisuke Hieda, Nobuyuki Hinata","doi":"10.1007/s11701-026-04073-2","DOIUrl":"10.1007/s11701-026-04073-2","url":null,"abstract":"<p><p>In robot-assisted partial nephrectomy (RAPN), experts and novices differ in many metrics, but it is unknown which difference relates to novice operative efficiency and whether it improves with early experience. We addressed these questions using routinely archived two-dimensional videos. We analyzed 155 RAPN by one expert (65) and eight novices (90). Deep learning tracked the right-hand instrument across 300,000 frames. In four operative phases (bowel mobilization to tumor resection), we computed working-tip kinematics (speed, path length, direction reversals), the tip's position in the surgeon's view, and the camera-instrument distance, reconstructed using the 8-mm shaft as a size reference. Distance stability was expressed as the standard deviation (SD) of the four phase medians (phase-to-phase distance SD). Console-time associations in novices were assessed by Spearman correlation and logistic regression adjusted for R.E.N.A.L. score and body mass index. The expert moved the working tip faster, with fewer direction reversals, more consistent tip placement in the view, and a more stable camera-instrument distance across phases (phase-to-phase SD 5.5 vs. 7.8 mm, P < 0.001). Within novices, the phase-to-phase SD was the only video-derived metric associated with console time (ρ = 0.41; adjusted odds ratio 1.24 per mm, 95% confidence interval 1.04-1.48). With experience, reversals decreased and median distance increased, but the phase-to-phase SD showed no detectable change. Among expert-novice differences, only the phase-to-phase stability of the camera-instrument distance was associated with console time in novices and showed no detectable change during early experience. Distance stability is a candidate training target that warrants prospective validation.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"20 1","pages":""},"PeriodicalIF":4.2,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13661652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185215","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}