ArticleJournal of robotic surgery2020
Experience implication in subjective surgical ergonomics comparison between laparoscopic and robot-assisted surgeries.
Article in Journal of robotic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 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.
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Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- A systematic review of ergonomic and muscular strain in surgeons comparing robotic to laparoscopic approaches.Journal of robotic surgery · 2025Pooled it
- Robotic surgery versus Laparoscopic surgery for anti-reflux and hiatal hernia surgery: a short-term outcomes and cost systematic literature review and meta-analysis.Langenbeck's archives of surgery · 2024Pooled it
- Should All Minimal Access Surgery Be Robot-Assisted? A Systematic Review into the Musculoskeletal and Cognitive Demands of Laparoscopic and Robot-Assisted Laparoscopic Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 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
- Using wearable technology for Posture Regulation to Improve Surgical Ergonomics in the paediatric operating room: the UPRISE trial: a pilot study.Surgical endoscopy · 2024Trial
- Surgeons' Perception Questionnaire on Robotics (SPQR): development and preliminary validation of a surgeon-reported instrument for robotic surgery.Journal of robotic surgery · 2026Article
- Initial experience with the MIZZO ENDO 4000 robotic surgical system: a prospective, single-center, multi-specialty study.Journal of robotic surgery · 2026Article
- Assessment methods for surgeons' ergonomics in the operating room: a scoping review.Surgical endoscopy · 2026Article
- Practice of ergonomics in laparoscopic gynecological surgeries and its effects on surgeons in a low-middle income country.Scientific reports · 2025Article
- Current status of robot-assisted surgery implementation in endometriosis centers: an international multicentric cross-sectional study.Archives of gynecology and obstetrics · 2025Article
- Objective Assessment of Ergonomics and Performance of Thoracic Surgeons During Real-Life Anatomical Robotic Pulmonary Resections.Interdisciplinary cardiovascular and thoracic surgery · 2025Observational
- Body mass index should be considered as an indicator for laparoscopic surgery or robot-assisted surgery selection in patients with hiatal hernia.Journal of thoracic disease · 2025Article
- Characterization of biomechanical risk factors during endoscopic submucosal dissection: Ergonomic pilot study.Endoscopy international open · 2025Article
- Cognitive ergonomics and robotic surgery.Journal of robotic surgery · 2024Review
- Soft tissue surgical robot for minimally invasive surgery: a review.Biomedical engineering letters · 2023Review
- Review
- Save our surgeons (SOS) - an explorative comparison of surgeons' muscular and cardiovascular demands, posture, perceived workload and discomfort during robotic vs. laparoscopic surgery.Archives of gynecology and obstetrics · 2023Article
- Robotic Anxiety-Parents' Perception of Robot-Assisted Pediatric Surgery.Children (Basel, Switzerland) · 2022Article
- Surgeons' workload assessment during indocyanine-assisted deep endometriosis surgery using the surgery task load index: The impact of the learning curve.Frontiers in surgery · 2022Article
- Use of Robotics in Surgical Treatment of Non-small Cell Lung Cancer.Current treatment options in oncology · 2020Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLaparoscopic surgery (LS) may lead to musculoskeletal disorders (MSDs) and an increase in physical and mental workloads to the surgeon. Robot-assisted surgery (RAS) should improve the ergonomy of the surgeon. This study assesses the experience influence in surgical ergonomics between LS and RAS.
methodsLS and RAS lasting more than 60 min of effective operative time were compared. During the surgical procedure, the physical discomfort was evaluated using the Borg scale. At the end, the mental workload was evaluated using the NASA-TLX index. After global analysis, the experienced and young surgeons were assessed.
results88 RAS and 82 LS were evaluated. During LS, the physical discomfort was significantly higher in all segments, and the pain increased significantly during the procedure in all segments compared to that evaluated in the RAS (p < 0.05). Forearms and the back were the most painful. The young surgeons did not display any improvement in the physical ergonomics of the RAS compared to the LS. Concerning the mental ergonomics, the overall workload and performance were significantly greater during the LS compared to the RAS (p < 0.05). For the young surgeons, the overall workload, the effort, the mental and the physical demands were greater during LS (p < 0.05). For the experienced surgeons, the physical demand was lower during the RAS compared to the LS (p < 0.05). However, the experienced surgeons expressed a feeling of greater performance after the LS (p < 0.01). RAS significantly reduces the onset of MSDs compared to LS, especially for the experienced surgeons.
conclusionRAS significantly reduces the onset of MSDs compared to LS, especially for the experienced 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.