Trial reportLangenbeck's archives of surgery2024
Robotic assisted surgery reduces ergonomic risk during minimally invasive colorectal resection: the VOLCANO randomised controlled trial.
Trial report in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05262296 (A Single Blinded Randomised Controlled Trial Comparing the Ergonomics of Laparoscopic and Versius Robotic Assisted Colorectal Surgery), which is not on this map. Cited by 19 papers, 2 of them syntheses 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.
A Single Blinded Randomised Controlled Trial Comparing the Ergonomics of Laparoscopic and Versius Robotic Assisted Colorectal Surgery
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Technology-enhanced training in basic robotic surgical skills: a systematic review.Journal of robotic surgery · 2026Pooled it
- Evaluating safety and quality of robotic-assisted gastric cancer surgery: meta-analysis and meta-regression.BJS open · 2025Pooled it
- Evaluation of ergonomics using the DEXTERSurgical endoscopy · 2026Trial
- Robotic Surgery in Australasian Gynaecology: Results of a 2025 Cross-Sectional Survey.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Beyond robotic platforms: artificial intelligence and the emergence of intelligent surgical ecosystems in colorectal surgery.Journal of robotic surgery · 2026Review
- Initial experience with the MIZZO ENDO 4000 robotic surgical system: a prospective, single-center, multi-specialty study.Journal of robotic surgery · 2026Article
- Medicolegal aspects of robotic-assisted surgery: litigation trends, complication risks, and human factors interventions.Journal of robotic surgery · 2026Review
- How robotic platforms have expanded the boundaries of minimally invasive surgery: a narrative review.Journal of robotic surgery · 2026Review
- Comparative Outcomes of Minimally Invasive Surgical Approaches on Patient Recovery: A Systematic Review.Cureus · 2026Review
- Global Evolution of Robotic Colorectal Surgery: Lessons from Hong Kong's Innovation and Implementation.Cancers · 2026Review
- Beyond multiport DaVinci®: a closer look at less commonly used robotic systems in resectional colorectal surgery.Journal of robotic surgery · 2026Review
- Critical analysis on the assessment of ergonomics in robotic surgery: A scoping review.Journal of robotic surgery · 2026Article
- Ergonomic evaluation of the Senhance® robotic system in minimally invasive gynecologic procedures versus conventional laparoscopy: an exploratory study focusing on surgeon's muscle activity.Archives of gynecology and obstetrics · 2026Article
- Ergonomic advantages of the open console system in robotic colorectal resection: reduced musculoskeletal strain with preserved technical performance - a post hoc analysis of a randomized controlled trial.International journal of surgery (London, England) · 2026Article
- Feasibility and early outcomes of robotic sacrocolpopexy with the VersiusFacts, views & vision in ObGyn · 2025Article
- Ergonomic strain of robotic-assisted versus laparoscopic inguinal hernia repair (ESRALI)-a crossover trial.Surgical endoscopy · 2025Observational
- Correlation Study and Predictive Modelling of Ergonomic Parameters in Robotic-Assisted Laparoscopic Surgery.Sensors (Basel, Switzerland) · 2024Article
- A review of ergonomic positions to improve musculoskeletal distress in hepatobiliary pancreatic surgeons according to open, laparoscopic, and robotic surgeries.Annals of hepato-biliary-pancreatic surgery · 2024Review
- Total Mesorectal Excision with New Robotic Platforms: A Scoping Review.Journal of clinical medicine · 2024Article
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMinimally invasive surgery benefits patients but poor operating ergonomics causes musculoskeletal injuries in surgeons. This randomised controlled trial aims to assess whether robotic-assisted surgery with the open-console Versius® system can reduce surgeons' ergonomic risks during major colorectal resections.
methodsProspectively registered at ClinicalTrials.gov (NCT05262296) in March 2022. Adult patients requiring a minimally invasive colorectal resection were potentially eligible. Photographs taken at 2-min intervals were analysed using the objective Rapid Entire Body Assessment (REBA) posture analysis scale to calculate intraoperative surgeon ergonomic risk. Secondary outcomes included team communication (Oxford NOTECHS II), surgeon cognitive strain (modified NASA-TLX scale), and clinical outcomes.
resultsSixty patients were randomised in a 2:1 ratio (40 robot, 20 laparoscopic). Mean age was 65yrs and 34 (57%) were male. Body Mass Index did not differ between the 2 groups (overall mean 29.0 ± 5) and there were equal proportions of left and right-colonic resections. REBA was significantly lower in the robotic arm (median robot REBA score 3 vs lap REBA 5 [p < 0.001]), equating to an injury risk category drop from "medium" to "low risk". There were no significant differences in team communication, operative duration, or patient outcomes. Surgeon cognitive strain was lower in robotic cases (mean robot 32.4 ± 10.3 vs lap 45.6 ± 14.3 [p < 0.001]).
conclusionsThis trial demonstrates that robotic surgery with an open-console system reduces ergonomic risk scores and cognitive strain during colorectal resections, with no apparent detriment to team communication. This may therefore be a safe & feasible solution to the increasing problem of work-related musculoskeletal injuries in 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.