Evidence map›Paper›PMID 40606573›Full record

ArticleJPRAS open2025

Can robotic assistance mitigate the negative impact of sleep deprivation on surgical performance in microsurgical tasks?

Helena Frieberg, Olof Engström, Anna Nilsson, Villiam Vejbrink Kildal, Maria Mani

Abstract read
In one paragraph

Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Helena FriebergDepartment of Surgery, Section of Plastic and Maxillofacial Surgery, Uppsala University, Uppsala, Sweden.
Olof EngströmDepartment of Surgery, Section of Plastic and Maxillofacial Surgery, Uppsala University, Uppsala, Sweden.
Anna NilssonDepartment of Surgery, Section of Plastic and Maxillofacial Surgery, Uppsala University, Uppsala, Sweden.
Villiam Vejbrink KildalDepartment of Clinical Science and Education, Section of Anesthesiology and Intensive Care, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Maria ManiDepartment of Surgery, Section of Plastic and Maxillofacial Surgery, Uppsala University, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Robotic surgery has expanded across various surgical disciplines, and although its application in microsurgery remains relatively novel, it has shown promise in a variety of microsurgical procedures. This study investigates how surgeons' preoperative levels of sleep and stress influence perceived workload during manual and robot-assisted anastomoses in a laboratory setting. Methods: Seventeen participants with varying degrees of surgical experience performed a total of 149 anastomoses reporting pre-anastomosis sleep quality and stress levels as well as experienced workload factors during anastomosis such as perceived effort, frustration, and overall sense of performance. Results: Poor sleep quality increases the perceived exertion when performing manual anastomoses ( Conclusion: Robot-assisted surgery may mitigate the negative impact of sleep deprivation on subjective workload during microsurgical anastomoses. The impact of sleep and stress on surgical performance, including anastomosis completion times and patency, requires further investigation.

Indexed as

Lymphatic surgeryMicrosurgeryRobot-assisted surgeryRobotic surgerySupramicrosurgerySurgical performance

Identifiers

PMID40606573
PMCPMC12221471

What OpenQuestion holds

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Registered trials

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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.