ArticleSurgical endoscopy2023
Residents perform better technically, have less stress and workload, and prefer robotic to laparoscopic technique during inanimate simulation.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06525701 (Surgeon Core-strengthening Program as a Modifier for Exertion Associated With Vaginal Surgery), which is not on this map. Cited by 7 papers.
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.
Surgeon Core-strengthening Program as a Modifier for Exertion Associated With Vaginal Surgery: the SCORE Randomized Controlled Trial
Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Robotic training in transplant surgery fellowship: shaping the next generation of transplant surgeons.Journal of robotic surgery · 2026Article
- Critical analysis on the assessment of ergonomics in robotic surgery: A scoping review.Journal of robotic surgery · 2026Article
- Robot-assisted ureteral reimplantation using the KangDuo surgical Robot-01 system: a prospective, single-center, single-arm pilot study.BMC surgery · 2025Article
- Pioneering robotic surgery for complex gynecologic conditions: implementation beyond cancer care.Journal of robotic surgery · 2025Article
- Optimising ergonomics in minimally invasive gynaecological surgery: a comprehensive review and practice recommendations.Facts, views & vision in ObGyn · 2025Article
- Video Review Can Measure Surgical Robotic Skill Development in a Resident Robotic Hernia Curriculum: A Retrospective Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Expanding Robotic-Assisted Surgery in Gynecology Using the Potential of an Advanced Robotic System.Medicina (Kaunas, Lithuania) · 2023Review
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWith the widespread adoption of minimally invasive surgery, there is a growing need for surgical residents to be trained by a procedure-specific curriculum. This study aimed to evaluate the technical performance and feedback of surgical residents undergoing the robotic and laparoscopic hepaticojejunostomy (HJ) and gastrojejunostomy (GJ) biotissue modules.
methodsA total of 23 PGY-3 surgical residents participated in this study and performed the laparoscopic and robotic HJ and GJ drills, which were recorded and scored by two independent graders using the modified objective structured assessment of technical skills (OSATS). After completing each drill, all participants filled out the NASA Task Load Index (NASA-TLX), Borg Exertion Scale, and Edwards Arousal Rating Questionnaire.
resultsTwenty-two (95.7%) residents had already received fundamentals of laparoscopic surgery certification. Eighteen (78.3%) residents had robotic virtual simulation training and the median (range) number of robotic surgery console experience was 4 (0-30). In the HJ comparison of the six OSATS domains, the robotic system was superior in Gentleness (p = 0.031). In the GJ comparison, the robotic system was superior in Time and Motion (p < 0.001), Instrument Handling (p = 0.001), Flow of Operation (p = 0.002), Tissue Exposure (p = 0.013), and Summary (p < 0.001). Participants answered significantly higher demand scores for laparoscopy on all six facets of NASA-TLX for both HJ and GJ (p < 0.05). The Borg Level of Exertion was > 2 points higher for laparoscopic HJ and GJ (p < 0.001). Residents rated more Nervousness and Anxiety for laparoscopic compared to robotic (p < 0.05) HJ and GJ. Additionally, when asked to score preference for robotic and laparoscopic approach in terms of technique and ergonomics, residents scored robot as better (laparoscopy worse) for both HJ and GJ in both domains.
conclusionsThe robotic surgical system provided a more favorable environment for trainees with less mental and physical burden for minimally invasive HJ and GJ curriculum.
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