SynthesisSurgical endoscopy2017
Musculoskeletal pain among surgeons performing minimally invasive surgery: a systematic review.
Synthesis in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled 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.
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
36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Robotic versus laparoscopic left colectomy: a systematic review and meta-analysis.International journal of colorectal disease · 2022Pooled it
- Are Surgeons Working Smarter or Harder? A Systematic Review Comparing the Physical and Mental Demands of Robotic and Laparoscopic or Open Surgery.World journal of surgery · 2021Pooled it
- Self-reported prevalence of injury and discomfort experienced by surgeons performing traditional and robot-assisted laparoscopic surgery: a meta-analysis demonstrating the value of RALS for surgeons.Surgical endoscopy · 2020Pooled it
- Muscle activation during traditional laparoscopic surgery compared with robot-assisted laparoscopic surgery: a meta-analysis.Surgical endoscopy · 2020Pooled it
- Evidence of Workplace Interventions-A Systematic Review of Systematic Reviews.International journal of environmental research and public health · 2019Pooled it
- Influence of surgical start time on the quality of surgery for middle and low rectal cancer: a post hoc analysis of the real trial.International journal of surgery (London, England) · 2025Trial
- Robotic assisted surgery reduces ergonomic risk during minimally invasive colorectal resection: the VOLCANO randomised controlled trial.Langenbeck's archives of surgery · 2024Trial
- Can a Wireless Full-HD Head Mounted Display System Improve Knee Arthroscopy Performance? - A Randomized Study Using a Knee Simulator.Surgical innovation · 2023Trial
- Ergonomics and performance of using prismatic loupes in simulated surgical tasks among surgeons - a randomized controlled, cross-over trial.Frontiers in public health · 2023Trial
- Ergonomic impact of closed-console (Da Vinci Xi) versus open-console (Hugo RAS) robotic systems: an ex vivo randomized crossover controlled trial.Surgical endoscopy · 2026Article
- Critical analysis on the assessment of ergonomics in robotic surgery: A scoping review.Journal of robotic surgery · 2026Article
- Practice of ergonomics in laparoscopic gynecological surgeries and its effects on surgeons in a low-middle income country.Scientific reports · 2025Article
- Sex-based differences in musculoskeletal pain among surgeons: an international survey.Surgical endoscopy · 2025Article
- Ergonomic strain of robotic-assisted versus laparoscopic inguinal hernia repair (ESRALI)-a crossover trial.Surgical endoscopy · 2025Observational
- Physical and mental effects of different radical prostatectomy techniques on urologic surgeons.PeerJ · 2025Article
- Analysis of KangDuo-SR-1500 and KangDuo-SR-2000 robotic partial nephrectomy from an operative and ergonomic perspective: a prospective controlled study in porcine models.Journal of robotic surgery · 2024Article
- Ergonomics in the operating room and surgical training: a survey on the Italian scenario.Frontiers in public health · 2024Article
- Ergonomics appraisals in operating rooms.Clinics (Sao Paulo, Brazil) · 2024Article
- Muscle fatigue and physical discomfort reported by surgeons performing robotic-assisted surgery: a multinational survey.Journal of robotic surgery · 2023Article
- Musculoskeletal injuries in cross-speciality surgeons: a survey of UK-based doctors.Journal of robotic surgery · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMusculoskeletal pain is the most common occupational disease in Europe. Surgeons with awkward and static working postures are no exception. Robotic-assisted laparoscopy has been postulated to be superior to conventional laparoscopy regarding the ergonomic strain for surgeons. In this review, we aimed to systematically evaluate the existing literature comparing the two surgical modalities.
methodsA systematic literature search was employed in PubMed, Embase and Cochrane Library in spring 2015. Inclusion criteria were as follows: English language, full text available, original data, and comparative data on surgeons' physical workload with robotic-assisted laparoscopy and conventional laparoscopy. Studies only describing a single surgical modality were excluded. We applied the checklist, STrengthening the Reporting of OBservational studies in Epidemiology (STROBE), to assess the quality of reporting of the included studies. Semi-quantitative comparisons were made.
resultsIn total, 2685 records were screened and 15 articles were included in the analysis. All studies were observational with sample sizes ranging from one single surgeon to 250 questionnaire responses. None of the studies fully fulfilled the criteria of STROBE, with an average score of 13 (range 10-16) out of 18. DISCUSSION: Results, mainly self-reported measures, suggest that robotic-assisted laparoscopy is less strenuous compared with conventional laparoscopy. However, results are limited by the large methodological heterogeneity and a high risk of bias. We advocate for further high-quality exposure studies to assess the potential ergonomic deficits related to different minimally invasive surgical techniques. In addition, future intervention studies should evaluate possible means to alleviate and prevent musculoskeletal pain among surgeons.
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Registered trials
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.