Journal of Robotic Surgery最新文献

{"title":"Retrieving the lost needle during abdominal and pelvic minimally invasive surgeries: a literature review.","authors":"Ali Faegh, Fatemeh Chinisaz, Ghazaleh Baghaei-Shiva, Fatemeh Nafarzadeh, Behnam Shakiba, Ameneh Haghgoo, Robab Maghsoudi","doi":"10.1007/s11701-025-02463-6","DOIUrl":"https://doi.org/10.1007/s11701-025-02463-6","url":null,"abstract":"<p><p>Losing a surgical instrument during a minimally invasive procedure is uncommon but critical, with an estimated incidence of 0.06% to 0.11%. Needle loss can be challenging even for expert surgeons and increases the operation time considerably. The present study focused on successful retrieval techniques for lost needles during laparoscopic and robot-assisted abdominal and pelvic surgeries by reviewing the reported cases in the literature. We aimed to identify information, such as time for needle loss, successful and failed attempts for needle-retrieval, imaging modalities to identify the lost needle, and using special instruments or techniques. The needle withdrawing from the surgical port is the most commonly reported time for needle loss; however, needle loss can occur during needle introduction and suturing. After losing a needle, the camera's first attempt at intra-operative exploration of the surgical field is usually unsuccessful. Nevertheless, the intra-operative X-ray is the most commonly used modality in locating the lost needle successfully. Data suggests that surgical instruments, including ports, are considerable locations for finding the lost needle, which makes port disassembly and visualization one of the principal aspects of needle-retrieval. Some studies report specific instruments for needle-retrieval, including magnets, micro-laparoscopes, semi-rigid hysteroscopes, and needle holders, which may be helpful in exceptional cases. Future studies should compare different methods for needle-retrieval in a considerable population.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"329"},"PeriodicalIF":2.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512550","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":"Advantages of the Da Vinci robotic system in choledochal cyst surgery: a multi-dimensional comparative study with traditional laparoscopic techniques.","authors":"Huijuan Wang, Zebing Zheng, Yuanzhu Gan, Xilin Liao, Qing Du, Yu Liao, Xingrong Xia, Daiwei Zhu, Chenyan Tang, Lu Huang, Wankang Zhou, Zeping Li, Yuan Gong, Yuanmei Liu, Zhu Jin","doi":"10.1007/s11701-025-02487-y","DOIUrl":"10.1007/s11701-025-02487-y","url":null,"abstract":"<p><p>The Da Vinci robot-assisted surgical technology signifies a substantial advancement in pediatric surgery for the treatment of congenital structural malformations. This research endeavor aims to perform a comprehensive comparative analysis of the therapeutic efficacy and assess the clinical applicability and value of the Da Vinci robot-assisted surgical method in relation to the conventional laparoscopic surgical technique, particularly in the management of congenital choledochal cysts. A retrospective cohort study was conducted involving 117 pediatric patients diagnosed with congenital choledochal cysts, who were admitted to the Affiliated Hospital of Zunyi Medical University between January 2019 and October 2024. Patients were categorized into two groups based on the surgical approach: the robot-assisted surgery group (RS group, n = 45) and the traditional laparoscopic surgery group (LS group, n = 72). Basic demographic and clinical data, perioperative parameters-including operation duration and intraoperative blood loss-and postoperative complications were systematically collected and statistically analyzed for both groups. The operating time in the robotic surgery (RS) group was 224.5 (203.3, 247.7) minutes, significantly longer than the 190.2 (170.5, 219.7) minutes recorded in the laparoscopic surgery (LS) group, with a statistically significant difference (P < 0.05). No conversions to open surgery occurred in either group. Intraoperative blood loss in the RS group was 11.5 (9.4, 13.4) ml, which was significantly less than the 19.8 (14.7, 26.6) ml observed in the LS group (P < 0.001). The postoperative drainage tube retention time was 4.5 (4, 6) days in the RS group compared to 5.8 (4, 7) days in the LS group, with a statistically significant difference (z = -3.285, P = 0.001). The postoperative hospital stay averaged 9 (7, 11) days for the RS group, while the LS group had an average of 11 (10, 13) days, also showing a statistically significant difference (z = -4.520, P < 0.001). During the follow-up period, complications were reported in 1 case [2.22% (1/45)] in the RS group, whereas 6 cases [8.33% (6/72)] were reported in the LS group. However, there was no statistically significant difference in complication rates between the two groups (P = 0.424). Robot-assisted treatment of congenital choledochal cysts is considered both safe and reliable. This technique minimizes the complexity of hepaticojejunal anastomosis and decreases the duration of the anastomosis. Furthermore, it provides several advantages, including reduced intraoperative blood loss, a low rate of postoperative complications, and a faster recovery period.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"328"},"PeriodicalIF":2.2,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508853","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":"A comparative analysis of staple height used for robotic right colectomy.","authors":"Pranav Hinduja, Iram S Alam, Mehmet Gulmez, Yadin Bornstein, Olivia Delau, Chady Atallah, Bashar Safar, Michael J Grieco","doi":"10.1007/s11701-025-02503-1","DOIUrl":"https://doi.org/10.1007/s11701-025-02503-1","url":null,"abstract":"<p><p>The use of a closed staple height of less than 3.5 mm in right colon resections remains poorly defined, with limited comparative data against the traditionally used 3.5 mm staplers. To compare rates of anastomotic bleeding and other complications between two staple heights (2.5 mm, white cartridge versus 3.5 mm, blue cartridge) used for intracorporeal isoperistaltic ileocolic anastomosis in robotic right hemicolectomies. This is a retrospective study. The investigation is based on data from a tertiary care center. All patients who underwent a robotic right hemicolectomy or robotic extended right hemicolectomy with an intracorporeal isoperistaltic ileocolic anastomosis for dysplasia or cancer from August 2018 to February 2024. The primary outcome was the anastomotic bleeding rate. A total of 120 patients were included of which 64 patients (53.3%) were female. Group 1 comprised of 52 patients (43.3%) in whom white cartridges were used for ileocolic anastomosis, and group 2 had 68 patients (56.6%) for whom a blue cartridge was used either for the resection of the colon, creation of the anastomosis, or both. A total of 14 patients (11.6%) had anastomotic bleeding. This was managed conservatively with hemodynamic monitoring and blood transfusions in 13 patients (93%), and one patient required a lower endoscopy. The incidence of anastomotic bleeding was almost twice as high in group 2 at 14.7% compared to only 7.6% in group 1 (p = 0.23). No anastomotic leaks were observed in this study. The retrospective nature of the study and inclusion of a single specialized center. The use of staplers with reduced staple height while performing robotic right colon resections may reduce the incidence of bleeding complications without an increase in rates of other complications. Further investigation with large-scale and randomized patient populations is warranted to validate these findings.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"327"},"PeriodicalIF":2.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498395","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: Evaluating the quality of online resources for patient education on robotic esophagectomy.","authors":"Susheian Kelly, Rajika Jindani, Sophia Yanis, Noor Habboosh, Priyanka Parmar, Jorge Humberto Rodriguez-Quintero, Tamar Nobel, Marc Vimolratana, Neel Chudgar, Brendon Stiles","doi":"10.1007/s11701-025-02452-9","DOIUrl":"10.1007/s11701-025-02452-9","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"324"},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486625","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":"Assessment of face and content validity of performance metrics for basic robotic surgery skills PBP curriculum: a J-ERUS/YAU consensus on dry-lab training models.","authors":"Gabriele Sorce, Marco Paciotti, Christoph Würnschimmel, Mike Wenzel, Carlo Andrea Bravi, Ruben De Groote, Paolo Dell'Oglio, Fabrizio Di Maida, Stefano Tappero, Marcio Covas Moschovas, Federico Piramide, Filippo Turri, Iulia Andras, Danny Darlington Carbin Joseph, Ahmed Eraky, Nikolaos Liakos, Anthony Gallagher, Domenico Veneziano, Ton Brouwers, Evangelos Liatzikos, Giorgio Ivan Russo, Alberto Breda, Alessandro Larcher","doi":"10.1007/s11701-025-02413-2","DOIUrl":"https://doi.org/10.1007/s11701-025-02413-2","url":null,"abstract":"<p><p>The increasing use of robotic systems in urologic surgery necessitates standardized training curricula to ensure novice surgeons acquire essential skills. This study developed and validated performance metrics for two dry-lab models-a proficiency-based progression (PBP)-based orange model for dissection, suturing, and knot-tying and a catheter-balloon model for vesicourethral anastomosis. An international expert group from the Young Academic Urologists Robotics and the European Robotic Urology Section utilized a Delphi-based consensus process to develop and refine procedural steps, errors, and critical errors for the two models. The orange model simulated dissection, suturing, and knot-tying, while the catheter-balloon model simulated vesicourethral anastomosis during radical prostatectomy. The Delphi rounds ensured > 80% agreement on steps and critical and non-critical errors for each task, refining the models' performance metrics to maximize their educational value. Consensus was achieved on the performance metrics for both models. For the orange model, the procedure was divided into three steps-dissection, suturing, and knot-tying-identifying nine, 13, and five non-critical errors, respectively, with three critical errors recognized. The catheter-balloon model included two steps-suturing and knot-tying-identifying 13 and five non-critical errors, respectively, with three critical errors recognized, including anastomosis leakage. The developed performance metrics for the orange and catheter-balloon models offer a structured and accessible approach to training novice surgeons in essential robotic surgical skills. These models can be easily integrated into various training settings and form a core component of a PBP curriculum, ensuring the safe and effective training of future robotic surgeons.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"325"},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486623","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":"Critical insights on surgical outcomes of robotic hysterectomy for large uterus weighing more than 1000 g: a retrospective study from a high-volume center.","authors":"Maryam Amjad, Zain Ul Haq Mian, Ifrah Urooj, Fatima Irfan","doi":"10.1007/s11701-025-02507-x","DOIUrl":"https://doi.org/10.1007/s11701-025-02507-x","url":null,"abstract":"","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"326"},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486626","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":"Comparative surgical outcomes of single port SP1098 vs multiport Xi platforms for benign hysterectomy using the validated comprehensive complication index.","authors":"Evrim Erdemoglu, Francesca I Galasso, Jamal Mourad, Kristina Butler, Javier Magrina, Johnny Yi","doi":"10.1007/s11701-025-02499-8","DOIUrl":"https://doi.org/10.1007/s11701-025-02499-8","url":null,"abstract":"<p><strong>Background: </strong>There is limited published data evaluating the safety of the da-Vinci-SP1098 platform and only a few utilize the Clavien-Dindo Classification (CDC). Comprehensive complication index (CCI) is developed to overcome the restrictions of the CDC. We aimed to compare the perioperative outcomes of hysterectomy for benign disease with the da-Vinci-SP1098 platform (SPORT-SP-H) with the multiport-XI-hysterectomy (MP-Xi-H).</p><p><strong>Methods: </strong>We conducted a retrospective cohort study incorporating a total of 96 patients at a tertiary academic center. Parameters included demographic features, Charlson comorbidity index, Surgical APGAR, indications, and concurrent procedures. Perioperative outcomes included CCI score, CDC grade, length of operation, estimated blood loss, intraoperative complications, length of stay, and conversion rate, sequelae, failure to cure, reoperation and emergency department visit within 1 month. Univariate and multivariate analysis for CCI, CDC and operation duration was undertaken.</p><p><strong>Results: </strong>Demographic factors were similar. Charlson's comorbidity index (B = 1.43, 95% CI 0.17-2.6, p = 0.02) was found to be the only independent predictor of CCI in the multivariate analysis. There were no grade IV or higher CDC postoperative complications. Except CDC grade I, all were similar between the cohorts. Operation time was significantly longer in SPORT-SP-H (178, r 85-258) compared to MP-Xi-H (123.5, r 74-218, p < 0.0001). Length of hospital stay and other parameters were comparable between the groups (p > 0.05). Independent predictors of longer operation time were SPORT-SP-H, uterine weight and concurrent procedures.</p><p><strong>Conclusions: </strong>SPORT-SP-Hysterectomy (SP1098) appears to be an alternative to multiport robotic hysterectomy but with a longer operating time. Morbidity is related to surgical complexity and patient comorbidities rather than the robotic platform.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"323"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486624","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":"Neurovascular structure-adjacent frozen-section examination vs. standard robot-assisted radical prostatectomy: a systematic review and meta-analysis of two-arm comparative studies on functional and oncological outcomes.","authors":"Tingxuan Lv, Xiaowan Chen, Xiaoyan Zhang, Bolin Yuan, Baolin Zhang, Long Wang, Xiurui Han","doi":"10.1007/s11701-025-02486-z","DOIUrl":"10.1007/s11701-025-02486-z","url":null,"abstract":"<p><p>The precise balance between nerve preservation and tumor control during robot-assisted prostatectomy remains a clinical challenge. The NeuroSAFE technique can guide secondary resection through intraoperative real-time frozen pathology, but its overall value for perioperative safety and oncological and functional prognosis is still a matter of debate. The objective of this study was to carry out a systematic evaluation of the impact of NeuroSAFE technology on perioperative safety and functional and oncological outcomes. In accordance with the PRISMA guidelines, a comprehensive search of the PubMed, Web of Science, and Cochrane Library databases was conducted, with a cutoff date of April 2025. NeuroSAFE technology was comprehensively evaluated from the perspectives of oncology, functionality, and perioperative safety. This meta-analysis included 14 studies (2 randomized controlled trials, 12 non-randomized studies; sample size = 26,442), in which a total of 14,458 patients underwent NeuroSAFE robot-assisted radical prostatectomy (RARP) and 11,984 patients underwent standard RARP. NeuroSAFE significantly reduced the rate of positive surgical margins (OR: 0.59, 95% CI: 0.59-0.87, p < 0.001) and the PSA persistence rate (OR: 0.52, 95% CI: 0.05-5.64, p < 0.05) while also reducing the 2-year biochemical recurrence rate (OR: 0.81, 95% CI: 0.45-1.45). The functional outcomes revealed that NeuroSAFE demonstrated superiority in preserving the neurovascular bundle (OR: 3.86, 95% CI: 1.56-9.58, p < 0.001) and improving postoperative erectile function (OR: 2.40, 95% CI: 1.65-3.50, p < 0.05) but no significant advantage in urinary control (OR: 1.49, 95% CI: 1.07-2.09, p > 0.05). During the perioperative period, NeuroSAFE prolonged the surgical time (mean difference: + 22.84 min, p < 0.001) but did not increase the incidence of serious adverse events (3% vs. 3% SAEs). Rare complications included, among other events, one death due to cecal rupture. Our meta-analysis confirmed that the NeuroSAFE technique offers advantages over standard RARP in terms of tumor control, functional preservation, and nerve preservation rates without increasing the incidence of severe postoperative adverse events. Although this technique prolongs the surgical time, its overall advantages are evident. Its long-term efficacy and safety require validation through multicenter, large-sample randomized controlled trials.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"321"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477316","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":"Introducing Senhance robotic totally extraperitoneal (TEP) hernioplasty: initial experiences, learning curve, and mid-term outcomes from a single center.","authors":"Kuan Chong Ng, Shi-Wei Huang, Yu-Wen Huang, Lun-Hsiang Yuan","doi":"10.1007/s11701-025-02500-4","DOIUrl":"https://doi.org/10.1007/s11701-025-02500-4","url":null,"abstract":"<p><p>Laparoscopic totally extraperitoneal (TEP) inguinal hernioplasty offers less pain and faster recovery than open repair, but it is technically demanding. The Senhance surgical system integrates eye-tracking, haptic feedback, and reusable instruments; however, robust clinical data in TEP remain limited. Between January 2019 and July 2023, we prospectively enrolled 109 adults who underwent Senhance-assisted TEP (S-TEP) at a single center; 57 retrospective laparoscopic TEP (L-TEP) served as an operative-time benchmark. Patients with prior pelvic-malignancy surgery, ascites, peritoneal dialysis, emergency surgeries, or general anesthesia intolerance were excluded. Patient demographics, hernia type, operative time, 30-day complications, pain scores, length of stay, recurrence, and chronic pain were recorded systematically. We used cumulative-sum (CUSUM) analysis to assess the learning curve, and compare the operative-time with L-TEP after overlap weighing balance. All S-TEP procedures were completed robotically without conversions or intra-operative complications. CUSUM revealed a three-phase learning curve, reaching proficiency after ≈50 cases as mean operative time fell from 145 ± 32 min to 93 ± 18 min (p < 0.001). Thirty-day morbidity was 6.4%, mainly early seroma or hematoma. At a median 50-month follow-up, recurrence and chronic pain rates were 0.9 and 1.8%, respectively. Weighted analysis showed that operative time in the mature S-TEP phase matched L-TEP. S-TEP is feasible and safe for inguinal hernioplasty, achieving favorable mid-term outcomes comparable to laparoscopic standards after a learning curve of roughly 50 cases. Further validation through larger, multicenter studies are warranted.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"322"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486627","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 nasogastric tube in robotic thoracic surgery: lower gastrointestinal risk without added respiratory risk.","authors":"Sara Volpi, Akshay Patel, Giulia Fabbri, Alex Smith, Federico Femia, George Christodoulides, Craig Johnstone, Tom Routledge, Andrea Bille","doi":"10.1007/s11701-025-02458-3","DOIUrl":"10.1007/s11701-025-02458-3","url":null,"abstract":"<p><p>Gastrointestinal (GI) complications are a leading cause of postoperative morbidity in thoracic surgery patients. Robotic thoracic surgery, with CO2 insufflation, may heighten GI risks, such as ileus or bowel obstruction. Intraoperative nasogastric tube (iNGT) use has the potential to mitigate these risks by reducing gastric content and preventing aspiration. This retrospective study evaluated the impact of iNGT on postoperative GI and respiratory complications in 718 patients undergoing robotic anatomical lung resections from 2017 to 2022. Patients were divided into iNGT (n = 450) and non-iNGT (n = 268) groups. GI complications were significantly lower in the iNGT group (1.8 vs. 10%, p < 0.0001), with an adjusted odds ratio of 5.85 for non-iNGT patients. No significant difference was observed in respiratory complications (19.3 vs. 18.6%, p = 0.82). These findings suggest that iNGT reduces GI complications without increasing respiratory risks, supporting its selective use in robotic thoracic surgery.</p>","PeriodicalId":47616,"journal":{"name":"Journal of Robotic Surgery","volume":"19 1","pages":"316"},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477315","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}