Evidence map›Paper›PMID 40676320›Full record

ArticleJournal of robotic surgery2025

Pencil cleaning technique for robotic liver parenchymal transection: a step further to systematization beyond the microfracture-coagulation method.

Jordi Navinés-López, Fernando Pardo Aranda, Manel Cremades Pérez, Alba Zárate Pinedo, Sara Sentí Farrarons, Victoria Lucas Guerrero, Francisco Espin Álvarez, Esteban Cugat Andorrà

Abstract read
In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Jordi Navinés-LópezAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain. Jorge.Navines@uab.cat.ORCID http://orcid.org/0000-0003-0805-3863
Fernando Pardo ArandaAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-1365-4244
Manel Cremades PérezAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0001-8155-546X
Alba Zárate PinedoAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0001-6917-850X
Sara Sentí FarraronsAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0003-4504-2610
Victoria Lucas GuerreroAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0001-5307-7595
Francisco Espin ÁlvarezAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-0759-736X
Esteban Cugat AndorràAutonomous University of Barcelona, Hospital Universitari Germans Trias i Pujol de Badalona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9572-6036

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic liver resections based on Laennec's capsule pedicular driven dissection is a challenging surgical procedure, because of the intrinsic relationship between the liver parenchyma and the main intrahepatic vessels. The absence of anatomical landmarks and the frailty of the fine vascular structures requires broad experience, anatomical knowledge and refined technical skills to successfully perform such a procedure. As robotic platforms do no offer the standard laparoscopic advanced tools for liver resection, real robotic approach has been proposed as a default technique for the liver parenchymal transection, precise robotic anatomical and parenchymal-sparing liver resection, and pedicle driven dissection, like the microfracture-coagulation method. A more specific refinement of the real robotic approach, similar to the pencil cleaning process, useful in very careful deep dissections, is defined towards the standardization of the real robotic approach in advanced liver surgery. The rationale of the method, its indications and tips and tricks are described in detail.

Indexed as

HepatectomyLiverRobotic Surgical ProceduresDissectionHumansLaparoscopyLiver parenchymal transectionLiver surgeryMicrofracture-coagulationPedicle driven approachPencil cleaningReal robotic approachRobotic liver surgery

Identifiers

PMID40676320
PMCPMC12270959

What OpenQuestion holds

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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.