ArticleJournal of gynecologic oncology2017
Does a robotic surgery approach offer optimal ergonomics to gynecologic surgeons?: a comprehensive ergonomics survey study in gynecologic robotic surgery.
Article in Journal of gynecologic oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- Redefining surgical ergonomics: a systematic review of ergonomic outcomes in robotic urological surgery.Journal of robotic surgery · 2025Pooled it
- Robotic Surgery from a Gynaecological Oncology Perspective: A Global Gynaecological Oncology Surgical Outcomes Collaborative Led Study (GO SOAR3).Diseases (Basel, Switzerland) · 2025Article
- Skill assessment based on clutch use in cross-platform robot-assisted surgery.Surgical endoscopy · 2024Article
- The Combination of Laparoscopic and Robotic Surgery: First Experience with the Dexter Robotic System™ in Visceral Surgery.Life (Basel, Switzerland) · 2024Article
- Expanding Robotic-Assisted Surgery in Gynecology Using the Potential of an Advanced Robotic System.Medicina (Kaunas, Lithuania) · 2023Review
- Clinical implementation of the Versius robotic surgical system in visceral surgery-A single centre experience and review of the first 175 patients.Surgical endoscopy · 2023Article
- The burden of performing minimal access surgery: ergonomics survey results from 462 surgeons across Germany, the UK and the USA.Journal of robotic surgery · 2022Article
- Leader manipulator with hand rest function for microsurgery.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022Article
- Surgical ergonomics for urologists: a practical guide.Nature reviews. Urology · 2021Review
- The early surgical period in robotic radical hysterectomy is related to the recurrence after surgery in stage IB cervical cancer.International journal of medical sciences · 2021Article
- Manipulation of a master manipulator with a combined-grip-handle of pinch and power grips.The international journal of medical robotics + computer assisted surgery : MRCAS · 2020Article
- Experience implication in subjective surgical ergonomics comparison between laparoscopic and robot-assisted surgeries.Journal of robotic surgery · 2020Article
- Let's create facts not perceptions!Indian journal of urology : IJU : journal of the Urological Society of IndiaArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo better understand the ergonomics associated with robotic surgery including physical discomfort and symptoms, factors influencing symptom reporting, and robotic surgery systems components recommended to be improved.
methodsThe anonymous survey included 20 questions regarding demographics, systems, ergonomics, and physical symptoms and was completed by experienced robotic surgeons online through American Association of Gynecologic Laparoscopists (AAGL) and Society of Robotic Surgery (SRS).
resultsThere were 289 (260 gynecology, 22 gynecology-oncology, and 7 urogynecology) gynecologic surgeon respondents regularly practicing robotic surgery. Statistical data analysis was performed using the t-test, χ² test, and logistic regression. One hundred fifty-six surgeons (54.0%) reported experiencing physical symptoms or discomfort. Participants with higher robotic case volume reported significantly lower physical symptom report rates (p<0.05). Gynecologists who felt highly confident about managing ergonomic settings not only acknowledged that the adjustments were helpful for better ergonomics but also reported a lower physical symptom rate (p<0.05). In minimizing their symptoms, surgeons changed ergonomic settings (32.7%), took a break (33.3%) or simply ignored the problem (34%). Fingers and neck were the most common body parts with symptoms. Eye symptom complaints were significantly decreased with the Si robot (p<0.05). The most common robotic system components to be improved for better ergonomics were microphone/speaker, pedal design, and finger clutch.
conclusionMore than half of participants reported physical symptoms which were found to be primarily associated with confidence in managing ergonomic settings and familiarity with the system depending on the volume of robotic cases. Optimal guidelines and education on managing ergonomic settings should be implemented to maximize the ergonomic benefits of robotic surgery.
Indexed as
Identifiers
What OpenQuestion holds
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.