Journal of minimally invasive surgery最新文献

{"title":"Laparoscopic right posterior sectionectomy for a large hepatocellular carcinoma close to inferior vena cava.","authors":"Santhosh Anand,&nbsp;Loganathan Jayapal,&nbsp;Siddhesh Suresh Tasgaonkar Ema,&nbsp;Jainudeen Khalander Abdul Jameel,&nbsp;Prasanna Kumar Reddy","doi":"10.7602/jmis.2023.26.3.162","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.162","url":null,"abstract":"<p><p>Approximately 20% of hepatocellular carcinomas (HCC) occur in noncirrhotic livers. Resection may be considered for patients with HCC, provided sufficient future liver remnant is available, regardless of the tumor size. Tumors located posteriorly near the right hepatic vein (RHV), or inferior vena cava can be managed through anterior or caudal approaches. RHV is typically conserved during right posterior sectionectomy. When a large posteriorly placed tumor causes chronic compression on RHV, the right anterior section drainage is redirected preferentially to the middle hepatic vein. The division of RHV in such instances does not cause congestion of segments 8 and 5. The technical complexity of laparoscopic right posterior sectionectomy arises from the large transection surface, positioned horizontally. We describe in this multimedia article, a case of large HCC in segments 6 and 7, which was successfully treated using laparoscopic anatomic right posterior sectionectomy.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/23/jmis-26-3-162.PMC10505367.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do we all agree that the future of pancreaticoduodenectomy lies in how effectively we use robots?","authors":"Jae Hoon Lee","doi":"10.7602/jmis.2023.26.3.110","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.110","url":null,"abstract":"The penetration of minimally invasive pancreaticoduodenectomy (MIPD) has been low due to the technically demanding surgical dissection, many anastomotic procedures needed, and the lack of confidence regarding the additional benefits from the minimally invasive approach compared to the conventional open approach [1]. However, retrospective series and randomized trials have reported some key advantages of MIPD, which include a decrease in intraoperative blood loss, wound complications, and postoperative pain, in addition to a shorter length of stay compared with the open pancreaticoduodenectomy (PD) [2–4]. Since robotic PD (RPD) surgery was first performed in 2003, the development of robotic platforms and the accumulation of surgical experience has meant that RPD has led to a gradual increase of adoption RPD [5]. However, no large comparative studies have been performed for RPD and laparoscopic PD (LPD), even though only a limited number of institutions perform MIPD [6]. There are two main adopters for the robotic platform in PD depending on the preference of the surgeons. Indeed, surgeons who began their MIPD journey using laparoscopy tend to prefer a hybrid approach of laparoscopic resection and robotic reconstruction, whereas other surgeons prefer a full robotic approach. There are a multitude of reasons why some surgeons prefer a hybrid approach: (1) Familiarity with the surgical devices and the operative field is a critical factor in proficient and efficacious procedures for MIPD surgeons. (2) The availability of multi-fire","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"110-111"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/06/b9/jmis-26-3-110.PMC10505360.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study.","authors":"Jung-Min Bae,&nbsp;Chang-Yeon Jung,&nbsp;Keesang Yoo,&nbsp;Hak-Jae Lee,&nbsp;Suk-Kyung Hong,&nbsp;Sungyeon Yoo,&nbsp;Yun Tae Jung,&nbsp;Eun Young Kim,&nbsp;Min Jung Ko,&nbsp;Ho-Gyun Shin","doi":"10.7602/jmis.2023.26.3.112","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.112","url":null,"abstract":"<p><strong>Purpose: </strong>Laparoscopic surgery is a choice in several emergency settings. However, there has been no nationwide study or survey that has compared the clinical use of laparoscopic emergency surgery (LES) versus open abdominal emergency surgery (OES) in Korea. Therefore, we examined the state of LES across multiple centers in Korea and further compared this data with the global state based on published reports.</p><p><strong>Methods: </strong>Data of 2,122 patients who received abdominal emergency surgery between 2014 and 2019 in three hospitals in Korea were collected and retrospectively analyzed. Several clinical factors were investigated and analyzed.</p><p><strong>Results: </strong>Of the patients, 1,280 (60.3%) were in the OES group and 842 (39.7%) were in the LES group. The most commonly operated organ in OES was the small bowel (25.8%), whereas that for LES was the appendix. In appendectomy and cholecystectomy, 93.7% and 88.0% were in the LES group. In small bowel surgery, gastric surgery, and large bowel surgery, 89.4%, 92.0%, and 79.1% were in the OES group. The severity-related factors of patient status demonstrated statistically significant limiting factors of selection between LES and OES.</p><p><strong>Conclusion: </strong>Although our study has several limitations, compared to the LES data from other countries, the general LES state was similar in appendectomies, cholecystectomies, and small bowel surgeries. However, in gastric and colorectal surgeries, the LES state was different from those of other countries. This study demonstrated the LES state and limiting factors of selection between LES and OES in various operated organs. Further studies are required to analyze these differences and the various limiting factors.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"112-120"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/85/jmis-26-3-112.PMC10505370.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early outcomes of robotic transabdominal preperitoneal inguinal hernia repair: a retrospective single-institution study in Korea.","authors":"Sungwoo Jung,&nbsp;Jin Ho Lee,&nbsp;Hyung Soon Lee","doi":"10.7602/jmis.2023.26.3.128","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.128","url":null,"abstract":"<p><strong>Purpose: </strong>Robotic hernia repair has increased in popularity since the introduction of da Vinci robots (Intuitive Surgical). However, we lack quantitative analyses of its potential benefits. Herein, we report our initial experience with robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair.</p><p><strong>Methods: </strong>We retrospectively reviewed the data from patients who underwent R-TAPP inguinal hernia repair with a prosthetic mesh using the da Vinci platform. Data on patient characteristics and surgical outcomes were also collected.</p><p><strong>Results: </strong>Twenty-one patients (including 20 male patients [95.2%]) with a mean age of 54.1 ±16.4 years and body mass index of 23.8 ± 1.9 kg/m² underwent R-TAPP inguinal hernia repair. Bilateral hernia repair was performed in two patients (9.5%), and six patients (28.5%) with scrotal hernia underwent R-TAPP hernia repair. A sigmoid colon sliding hernia was present in three patients (14.3%). The mean operation and console times were 91.8 ± 20.4 minutes and 154.5 ± 26.2 minutes, and 61.4 ± 16.9 minutes and 128.0 ± 25.5 minutes for unilateral and bilateral inguinal hernia, respectively. Spermatic vessel injury was identified intraoperatively in one patient. Two minor postoperative complications, postoperative ileus, and wound seroma were reported. The mean duration of hospitalization was 3.8 ± 0.9 days. No recurrence or conversion to open surgery was required.</p><p><strong>Conclusion: </strong>Our findings suggest that R-TAPP inguinal hernia repair is safe and feasible. Its cost-effectiveness, optimal procedural steps, and indications for a robotic approach require further investigation.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"128-133"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/b2/jmis-26-3-128.PMC10505366.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Directed acyclic graphs for clinical research: a tutorial.","authors":"Sangmin Byeon,&nbsp;Woojoo Lee","doi":"10.7602/jmis.2023.26.3.97","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.97","url":null,"abstract":"<p><p>Directed acyclic graphs (DAGs) are useful tools for visualizing the hypothesized causal structures in an intuitive way and selecting relevant confounders in causal inference. However, in spite of their increasing use in clinical and surgical research, the causal graphs might also be misused by a lack of understanding of the central principles. In this article, we aim to introduce the basic terminology and fundamental rules of DAGs, and DAGitty, a user-friendly program that easily displays DAGs. Specifically, we describe how to determine variables that should or should not be adjusted based on the backdoor criterion with examples. In addition, the occurrence of the various types of biases is discussed with caveats, including the problem caused by the traditional approach using <i>p</i>-values for confounder selection. Moreover, a detailed guide to DAGitty is provided with practical examples regarding minimally invasive surgery. Essentially, the primary benefit of DAGs is to aid researchers in clarifying the research questions and the corresponding designs based on the domain knowledge. With these strengths, we propose that the use of DAGs may contribute to rigorous research designs, and lead to transparency and reproducibility in research on minimally invasive surgery.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"97-107"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/93/jmis-26-3-97.PMC10505364.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic multiple sigmoid and rectal mucosa skinning in a multicentric deep infiltrating bowel endometriotic nodules: a case report.","authors":"Giorgia Gaia,&nbsp;Margarita Afonina,&nbsp;Maria Chiara Sighinolfi,&nbsp;Giampaolo Formisano,&nbsp;Paolo Pietro Bianchi,&nbsp;Anna Maria Marconi","doi":"10.7602/jmis.2023.26.3.146","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.146","url":null,"abstract":"<p><p>Endometriosis is a benign gynecological disease characterized by the presence of endometrial tissue outside the uterus. The eradication of non-gynecological localizations represents the real surgical challenge. A 29-year-old woman underwent robotic surgery with the Da Vinci system (Intuitive Surgical Inc.) for a diagnosis of stage IV deep endometriosis. The patient presented with 5 cm left ovarian endometrioma, an infiltration of the left posterior parametrium, and bilateral ureteral endometriosis. Once inside the pelvic cavity, deep intestinal infiltrating endometriosis implants were confirmed as triple, multicentric, and multifocal lesions, affected distal sigmoid, rectosigmoid junction, and upper rectum. An expert multiple excision, sparing the intestinal mucosa, was performed. To our knowledge, this is the first description of a multiple robotic shaving of multicentric endometriotic intestinal lesions. After the surgery, a normal diet was quickly restored, accelerating the recovery of the physiological peristalsis and the overall recovery time.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"146-150"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/27/14/jmis-26-3-146.PMC10505363.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic-assisted versus laparoscopic paraesophageal hernia repair: a systematic review and meta-analysis.","authors":"Symeonidou Elissavet,&nbsp;Gkoutziotis Ioannis,&nbsp;Petras Panagiotis,&nbsp;Mpallas Konstantinos,&nbsp;Kamparoudis Apostolos","doi":"10.7602/jmis.2023.26.3.134","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.134","url":null,"abstract":"<p><strong>Purpose: </strong>The robotic approach offers improved visualization and maneuverability for surgeons. This systematic review aims to compare the outcomes of robotic-assisted and conventional laparoscopic approaches for paraesophageal hernia repair, specifically examining postoperative complications, operative time, hospital stay, and recurrence.</p><p><strong>Methods: </strong>A systematic review including thorough research through PubMed, Scopus, and Cochrane, was performed and only comparative studies were included. Studies concerning other types of hiatal hernias or children were excluded. A meta-analysis was conducted to compare overall postoperative complications, hospital stay, and operation time.</p><p><strong>Results: </strong>Ten comparative studies, with 186,259 participants in total, were included in the meta-analysis, but unfortunately, not all of them reported all the outcomes under question. It appeared that there is no statistically significant difference between the conventional laparoscopic and the robotic-assisted approach, regarding the overall postoperative complication rate (odds ratio [OR], 0.56, 95% confidence interval [CI], 0.28-1.11), the mean operation time (t = 1.41; 95% CI, -0.15-0.52; <i>p</i> = 0.22), and the hospital length of stay (t = -1.54; degree of freedom = 8; 95% CI, -0.53-0.11; <i>p</i> = 0.16). Only two studies reported evidence concerning the recurrence rates.</p><p><strong>Conclusion: </strong>Overall, the robotic-assisted method did not demonstrate superiority over conventional laparoscopic paraesophageal hiatal hernia repair in terms of postoperative complications, operation time, or hospital stay. However, some studies focused on cost and patient characteristics of each group. Further comparative and randomized control studies with longer follow-up periods are needed for more accurate conclusions on short- and long-term outcomes.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"134-145"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/a5/jmis-26-3-134.PMC10505365.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10306678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The feasibility of robotic inguinal henia repair in Korea.","authors":"Sung Il Choi","doi":"10.7602/jmis.2023.26.3.108","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.108","url":null,"abstract":"Laparoscopic inguinal hernia repair is a standard surgical procedure in Korea and worldwide. In the early 1990s, laparoscopic surgery with various types of mesh in the preperitoneal space was introduced [1]. The benefits of this minimally invasive surgery include reduced wound complications, shorter hospital stays, less reported pain, and earlier functional recovery [2,3]. Transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) approaches are representative procedures of laparoscopic surgery for inguinal hernias and have been endorsed in minimally invasive hernia repairs [4,5]. Despite these advantages and published guidelines, laparoscopic inguinal hernia repair surgeries have plateaued, with the number of cases remaining flat for years [6]. Some surgeons have not adopted laparoscopic inguinal hernia repair as their procedure of choice. Reasons include the learning curve required for the advanced laparoscopic technique and the different surgical anatomy compared to open hernia repairs. The peritoneal closure suture technique is also more difficult in the TAPP procedures. Robotic technology offers enhanced visualization and superior dexterity and precision, like wristed instruments for performing minimally invasive operations [7]. In Korea, the performance of robotic inguinal hernia repairs began just a few years ago. A relatively small number of patients have been studied, and there is a debate about the feasibility and advantages of robotic inguinal hernia repair. In this article, Jung et al. [8] showed acceptable short-term results in terms of postoperative complications. However, operation times were longer than open or laparoscopic surgery, and no information was gathered about postoperative pain scores, hospital costs, or patient satisfaction [8]. Khoraki et al. [9] published hospital costs comparing laparoscopic versus robotic inguinal hernia surgery. They concluded that the hospital costs of laparoscopic inguinal hernia repairs were significantly higher than those of robotic inguinal hernia repairs. A large prospective randomized study comparing robotic and laparoscopic surgery is needed to determine the feasibility, patients’ satisfaction, surgeons’ satisfaction, safety, and hernia recurrence of both techniques.","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"108-109"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/6a/jmis-26-3-108.PMC10505361.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic central pancreatectomy: a surgical technique.","authors":"Eui Hyuk Chong,&nbsp;Jae Young Jang,&nbsp;Sung Hoon Choi","doi":"10.7602/jmis.2023.26.3.155","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.155","url":null,"abstract":"<p><p>Robotic central pancreatectomy has not been widely performed because of its rare indications, technical difficulties, and concern about the high complication rate. We reviewed six robotic central pancreatectomy cases between May 2016 and June 2021 at a single institution. This multimedia article aims to introduce our technique of robotic central pancreatectomy with perioperative and follow-up outcomes. All patients experienced biochemical leakage of postoperative pancreatic fistula, except in one with a grade B pancreatic fistula, which resulted in a pseudocyst formation and was successfully managed by endoscopic internal drainage. All patients achieved completely negative resection margins. There was no new-onset diabetes mellitus or recurrence during the median follow-up period of 13.5 months (range, 10-74 months). With an acceptable complication rate and the preservation of pancreatic function, robotic central pancreatectomy could be a good surgical option for patients with benign and borderline malignant tumors of the pancreatic neck or proximal body.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"155-161"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/df/jmis-26-3-155.PMC10505369.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10307023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open injury, robotic repair-moving ahead! Total robotic Roux-en-Y hepaticojejunostomy for post-open cholecystectomy Bismuth type 2 biliary stricture using indocyanine green dye.","authors":"Kaushal Singh Rathore,&nbsp;Peeyush Varshney,&nbsp;Subhash Chandra Soni,&nbsp;Vaibhav Kumar Varshney,&nbsp;Selvakumar B,&nbsp;Lokesh Agarwal,&nbsp;Chhagan Lal Birda","doi":"10.7602/jmis.2023.26.3.151","DOIUrl":"https://doi.org/10.7602/jmis.2023.26.3.151","url":null,"abstract":"<p><p>Hepaticojejunostomy is currently the best treatment for post-cholecystectomy biliary strictures. Laparoscopic repair has not gained popularity due to difficult reconstruction. We present case of 43-year-old-female with Bismuth type 2 stricture following laparoscopic converted open cholecystectomy with bile duct injury done elsewhere. Position was modified Llyod-Davis position and four 8-mm robotic ports (including camera) and 12-mm assistant port were placed. The procedure included noticeable steps such as adhesiolysis, identification of gallbladder fossa, identification of common hepatic duct, lowering of hilar plate etc. Operating and console time were 420 and 350 minutes and blood loss was 100 mL. Patient was discharged on postoperative day 4. Robotic repair (hepaticojejunostomy) of biliary tract stricture after cholecystectomy is safe and feasible with good outcomes.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"26 3","pages":"151-154"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/b4/jmis-26-3-151.PMC10505368.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}