Trial reportAnnals of biomedical engineering2018
Robotic Surgery Improves Technical Performance and Enhances Prefrontal Activation During High Temporal Demand.
Trial report in Annals of biomedical engineering, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 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
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- The application of fNIRS in studies on occupational workload: a systematic review.Frontiers in public health · 2025Pooled it
- Using neuroimaging to assess brain activity and areas associated with surgical skills: a systematic review.Surgical endoscopy · 2024Pooled it
- Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.The British journal of surgery · 2024Pooled it
- Neuroenhancement of surgeons during robotic suturing.Surgical endoscopy · 2022Trial
- Acetabular-only robot-assisted total hip arthroplasty is associated with lower surgeon stress index and perceived workload than conventional total hip arthroplasty: a prospective comparative cohort study.Arthroplasty (London, England) · 2026Article
- The evaluation of cognitive workload associated with indocyanine green fluorescence angiography in colorectal surgery.Surgical endoscopy · 2026Article
- Frontal brain activity assessment during basic life support skill acquisition and transfer in serious game based learning environments.PloS one · 2026Article
- Surgeons' physiological parameters and surgical performance: a systematic scoping review.Patient safety in surgery · 2025Review
- The Impact of Minimally Invasive Surgical Modality and Task Complexity on Cognitive Workload: An fNIRS Study.Brain sciences · 2025Article
- Physical and mental demand during direct anterior total hip arthroplasty: Comparison of robotic-assisted and conventional techniques.Journal of orthopaedics · 2025Article
- Technical Skills Assessment in Robotic Surgery: A Review of Recent Methods.Methodist DeBakey cardiovascular journal · 2025Review
- Cognitive ergonomics and robotic surgery.Journal of robotic surgery · 2024Review
- The stress for surgeons: exploring stress entities with the robotic senhance surgical system.Journal of robotic surgery · 2024Article
- Assessment of learning in simulator-based arthroscopy training with the diagnostic arthroscopy skill score (DASS) and neurophysiological measures.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Demographic and practice patterns among minimally invasive surgery fellowship graduates.Surgical endoscopy · 2023Article
- Construct Validity of a Novel Assessment System for Laparoscopic Suture Accuracy Based on Stereoscopy.World journal of surgery · 2023Article
- Optical neuroimaging and neurostimulation in surgical training and assessment: A state-of-the-art review.Frontiers in neuroergonomics · 2023Review
- Unpacking the Broad Landscape of Intraoperative Stressors for Clinical Personnel: A Mixed-Methods Systematic Review.Journal of multidisciplinary healthcare · 2023Review
- Next in Surgical Data Science: Autonomous Non-Technical Skill Assessment in Minimally Invasive Surgery Training.Journal of clinical medicine · 2022Article
- [Influence of the COVID-19 pandemic on robotic visceral surgery in Germany].Chirurgie (Heidelberg, Germany) · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Robotic surgery may improve technical performance and reduce mental demands compared to laparoscopic surgery. However, no studies have directly compared the impact of robotic and laparoscopic techniques on surgeons' brain function. This study aimed to assess the effect of the operative platform (robotic surgery or conventional laparoscopy) on prefrontal cortical activation during a suturing task performed under temporal demand. Eight surgeons (mean age ± SD = 34.5 ± 2.9 years, male:female ratio = 7:1) performed an intracorporeal suturing task in a self-paced manner and under a 2 min time restriction using conventional laparoscopic and robotic techniques. Prefrontal activation was assessed using near-infrared spectroscopy, subjective workload was captured using SURG-TLX questionnaires, and a continuous heart rate monitor measured systemic stress responses. Task progression scores (au), error scores (au), leak volumes (mL) and knot tensile strengths (N) provided objective assessment of technical performance. Under time pressure, robotic suturing led to improved technical performance (median task progression score: laparoscopic suturing = 4.5 vs. robotic suturing = 5.0; z = - 2.107, p = 0.035; median error score: laparoscopic suturing = 3.0 mm vs. robotic suturing = 2.1 mm; z = - 2.488, p = 0.013). Compared to laparoscopic suturing, greater prefrontal activation was identified in seven channels located primarily in lateral prefrontal regions. These results suggest that robotic surgery improves performance during high workload conditions and is associated with enhanced activation in regions of attention, concentration and task engagement.
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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.