Trial reportScientific reports2023
Microsurgical robotic system enables the performance of microvascular anastomoses: a randomized in vivo preclinical trial.
Trial report in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotics in facial plastic surgery: a systematic review and meta-analysis of the latest trends and innovations.Journal of robotic surgery · 2026Pooled it
- The emerging role of robotics in plastic and reconstructive surgery: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- LNVA for treating secondary lymphedema: A systematic review.JPRAS open · 2026Review
- Expanding the Role of Robot-assisted Microsurgery: Implementation, Challenges, and Outlook From a High-volume Tertiary Care Center.Plastic and reconstructive surgery. Global open · 2026Article
- In vivo microsurgical training with the symaniJournal of robotic surgery · 2026Article
- Global research trends and thematic evolution in robotic microsurgery and supermicrosurgery: a bibliometric and visualisation study.Journal of robotic surgery · 2026Review
- Cooperative integrated surgical robots for high-performance targeted therapies.Innovation (Cambridge (Mass.)) · 2026Review
- International evidence-based recommendations for point-of-care lung ultrasound : 2025 focused update of the 2012 recommendations.Intensive care medicine · 2026Article
- Bridging the Gap between Microsurgery and Supermicrosurgery: A Rat Study for 0.3 mm Vascular Anastomosis Comparing Robotic-assisted vs. Conventional Approach.Journal of reconstructive microsurgery · 2026Article
- Facial Nerve Repair Using a Microsurgical Robot System: A Preclinical Study Using a Rat Model.Plastic and reconstructive surgery. Global open · 2026Article
- Microvascular Anastomoses and Beyond: Exploring the Role of Robotic Systems in Microneurosurgery.Journal of robotic surgery · 2026Review
- Hybrid Reconstruction in Head and Neck Surgery: Integration of Virtual Planning, Navigation, and Robotic Microsurgery.Journal of clinical medicine · 2026Review
- Real-time digital assistance improves surgeon efficiency and autonomy in robotic microvascular anastomosis: a pilot feasibility study.Journal of robotic surgery · 2026Article
- Further Validating the Robotic Microsurgery Platform through Preclinical Studies on Rat Femoral Artery and Vein.Journal of reconstructive microsurgery · 2025Article
- Robotic-assisted Supermicrosurgery in Plastic Surgery: A Systematic Literature Review.Plastic and reconstructive surgery. Global open · 2025Article
- Perception and Reality of Robotic Microsurgery: A Cross-sectional Comparative User and Nonuser Survey Study.Plastic and reconstructive surgery. Global open · 2025Article
- Feasibility study to evaluate the MMI Symani robotic system for microsurgical techniques in an in-vitro circulation model.Journal of vascular surgery cases and innovative techniques · 2025Article
- Clinical experience in open robotic-assisted microsurgery: user consensus of the European Federation of Societies for Microsurgery.Journal of robotic surgery · 2025Article
- Dual robotic surgery: Da Vinci SPJournal of robotic surgery · 2025Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Technical advances in microsurgery have enabled complex oncological reconstructions by performing free tissue transfers, nerve and lymphatic reconstructions. However, the manual abilities required to perform microsurgery can be affected by human fatigue and physiological tremor resulting in tissue damage and compromised outcomes. Robotic assistance has the potential to overcome issues of manual microsurgery by improving clinical value and anastomoses' outcomes. The Symani Surgical System, a robotic platform designed for microsurgery, was used in this in-vivo preclinical study using a rat animal model. The tests included anastomoses on veins and arteries performed by microsurgeons manually and robotically, with the latter approach using Symani. The anastomoses were assessed for patency, histopathology, and execution time. Patency results confirmed that the robotic and manual techniques for venous and arterial anastomoses were equivalent after anastomosis, however, the time to perform the anastomosis was longer with the use of the robot (p < 0.0001). Histological analysis showed less total average host reaction score at the anastomotic site in robotic anastomosis for both veins and arteries. This study demonstrates the equivalence of vessel patency after microsurgical anastomoses with the robotic system and with manual technique. Furthermore, robotic anastomosis has proven to be slightly superior to manual anastomosis in terms of decreased tissue damage, as shown by histological analysis.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.