Evidence map›Paper›PMID 41784717›Full record

ArticleAnnals of surgical oncology2026

Sealer and Moisture-Based Approach (SAMBA) Hepatectomy Technique for Robotic Parenchymal Transection.

Emrullah Birgin, Nuh N Rahbari

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2026. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Emrullah BirginDepartment of General and Visceral Surgery, Ulm University Hospital, Ulm, Germany. emrullah.birgin@uniklinik-ulm.de.
Nuh N RahbariDepartment of General and Visceral Surgery, Ulm University Hospital, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic sealing devices, such as SynchroSeal and Vessel Sealer Extend, have shown that parenchymal transection is possible without using laparoscopic instruments Finotti (Hepatobiliary Surg Nutr. 12:56-68, 2023), Palucci (J Robot Surg 19(1):36, 2024), Birgin (Lancet Reg Health Eur 43, 2024). However, there is still a need for detailed procedural guidance to ensure that these techniques can be applied effectively and consistently.

methodsWe describe the Sealer and Moisture-Based Approach (SAMBA) hepatectomy technique a standardized purely robotic approach for hepatic parenchymal transection that combines robotic vessel-sealing tools with targeted saline irrigation. Between February 2021 and October 2024, a total of 72 consecutive robotic hepatectomies were performed using the SAMBA hepatectomy technique at Ulm University Hospital.

resultsThe Da Vinci Xi-system was used for all hepatectomies. Parenchymal transection was performed with the SynchroSeal in 55 and the Vessel Sealer Extend in 17 cases. Of these, 27 resections were nonanatomical, and 45 resections were anatomical hepatectomies with a median operative time of 174 minutes (interquartile range [IQR] 134-236), and blood loss of 200 mL (IQR 100-400). No cases of posthepatectomy hemorrhage or mortality were observed within 90 days after surgery.

conclusionsSAMBA hepatectomy technique is an effective method for robotic liver parenchymal transection. Incorporating moisture during sealing improves tissue handling, minimizes carbonization, and enhances visualization. Prospective studies are warranted to compare the SAMBA technique with other techniques of parenchymal transection.

Indexed as

Blood Loss, SurgicalHepatectomyLiver NeoplasmsRobotic Surgical ProceduresAgedFemaleHumansMaleMiddle AgedOperative TimePrognosisMinimally invasive hepatectomyParenchymal transectionRrobotic liver resectionSynchroSealVesselSealer

Identifiers

PMID41784717
PMCPMC13179241

What Socratic holds

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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 Socratic graph.