Evidence map›Paper›PMID 40122985›Full record

ArticleScientific reports2025

In vivo evaluation of tissue damage from varying grasping forces using the Saroa surgical system.

Hiroyasu Nakashima, Yuichiro Ueda, Yoko Miyanari, Teruyuki Nishihara, Makoto Hamasaki, Makoto Ohbu, Kenji Kawashima, Hajime Yamakage, So Miyahara, Keita Tokuishi and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Review
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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

13 authors.

Hiroyasu NakashimaDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan. nhs47.nakashima@gmail.com.
Yuichiro UedaDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Yoko MiyanariDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Teruyuki NishiharaRiverfield Inc., Tokyo, Japan.
Makoto HamasakiDepartment of Pathology, Fukuoka University School of Medicine, Fukuoka, Japan.
Makoto OhbuDepartment of Pathology, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Kenji KawashimaDepartment of Information Physics and Computing, School of Information Science and Technology, The University of Tokyo, Tokyo, Japan.
Hajime YamakageDepartment of Medical Statistics, Satista Co., Ltd., Kyoto, Japan.
So MiyaharaDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Keita TokuishiDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Ryuichi WasedaDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Takeshi ShiraishiDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.
Toshihiko SatoDepartment of Thoracic, Breast and Endocrine, and Pediatric Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robot-assisted surgery can help to reduce patient burden and operator stress by enabling precise manipulations with multiple joint motions, but may also cause complications due to the lack of tactile sensation. The Saroa surgical system was developed with a haptic feedback function, and allows operators to adjust grasping forces as desired. In this study, we investigated tissue damage from varying grasping forces using the Saroa surgical system, and assessed the utility of this system. The grasping forceps of the Saroa system were used to grasp the lungs, esophagus, aorta, liver, spleen, small intestine, and large intestine of six beagle dogs with forces of 1, 2, and 3 N for durations of 1, 2, and 4 min. The effects of different grasping forces and durations on tissue damage were histologically evaluated. Histological evaluations showed that grasping force caused tissue damage in the lung and liver, but not the other organs. These results showed the lung and liver were more vulnerable to grasping forces, and exhibited more severe tissue damage at higher forces. These findings suggest that the haptic feedback function of the Saroa system could help to reduce intraoperative organ damage, especially in the fields of lung and liver surgery.

Indexed as

Robotic Surgical ProceduresAnimalsDogsLiverLungGrasping forceHaptic feedbackPneumatic surgical robotTactile sensationTissue damage

Identifiers

PMID40122985
PMCPMC11930990

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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.