Evidence map›Paper›PMID 37971390›Full record

ArticleUrology research & practice2023

How Safe Are the Laparoscopic and Robotic Graspers? Evaluation of the Novel Avatera Robotic Surgical System: An Acute In Vivo Study on a Porcine Model.

Vasileios Tatanis, Anastasios Natsos, Arman Tsaturyan, Athanasios Vagionis, Angelis Peteinaris, Solon Faitatziadis, Kristiana Gkeka, Konstantinos Pagonis, Mohammed Obaidat, Eirini Anaplioti and 5 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology research & practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 2 countries.

Vasileios TatanisDepartment of Urology, University of Patras, Patras, Greece.
Anastasios NatsosDepartment of Urology, University of Patras, Patras, Greece.
Arman TsaturyanDepartment of Urology, University of Patras, Patras, Greece; Department of Urology, Erebouni Medical Center, Yerevan, Armenia.
Athanasios VagionisDepartment of Urology, University of Patras, Patras, Greece.
Angelis PeteinarisDepartment of Urology, University of Patras, Patras, Greece.
Solon FaitatziadisDepartment of Urology, University of Patras, Patras, Greece.
Kristiana GkekaDepartment of Urology, University of Patras, Patras, Greece.
Konstantinos PagonisDepartment of Urology, University of Patras, Patras, Greece.
Mohammed ObaidatDepartment of Urology, University of Patras, Patras, Greece.
Eirini AnapliotiDepartment of Urology, University of Patras, Patras, Greece.
Dimitra KoumoundourouDepartment of Pathology, University Hospital of Patras, Patras, Greece.
Vassiliki BravouDepartment of Pathology, University Hospital of Patras, Patras, Greece.
Theofanis VrettosDepartment of Anesthesiology and ICU, University of Patras, Patras, Greece.
Panagiotis KallidonisDepartment of Urology, University of Patras, Patras, Greece.
Evangelos LiatsikosDepartment of Urology, University of Patras, Patras, Greece; Department of Urology, Medical University of Vienna, Vienna, Austria.
University of Patras · GRGeneral University Hospital of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the tissue injury caused by the force applied by the roboticassisted graspers of avatera robotic surgical system on bowel tissue.

methodsAn experimental in vivo porcine model with 1 pig was conducted. After a standard transperitoneal setup of the avatera robotic surgical system, different laparoscopic and robotic graspers were used on the bowel with maximum force applied each time. Robotic atraumatic grasper, laparoscopic right angle grasper, laparoscopic curved grasper, and laparoscopic atraumatic grasper were used. After using all graspers, the pig was sacrificed. The bowel segments were resected and sent for histological analysis.

resultsThe pathologist reported that all the graspers caused signs of acute inflammation without any irreversible damage or signs compatible with ischemia of the tissue. No significant difference in histology was observed between the graspers.

conclusionNo permanent damage was caused by graspers, except for acute, reversible inflammation. Concluding, the avatera grasper could be safe to use on bowel segments, independent of the applied pressure.

Identifiers

PMID37971390
PMCPMC10765195
OpenAlexW4388729566

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.