Evidence map›Paper›PMID 40926158›Full record

ArticleSurgical endoscopy2025

Evaluating the ergonomic aspects of laparoscopic energy devices: combination of a survey and a kinesiologic experiment.

Hee Ju Sohn, Junkyung Song, Yoo Shin Choi, Youngmin Han, Wooil Kwon, Jaebum Park, Jin-Young Jang

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In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Hee Ju Sohn *Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Junkyung Song *Department of Physical Education, Institute of Sports Science, Advanced Institute of Convergence Science, Seoul National University, 71-1, #414, 1 Gwanak-Ro, Gwanak-Gu, Seoul, 08826, South Korea.
Yoo Shin ChoiDepartment of Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.
Youngmin HanDepartment of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Wooil KwonDepartment of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Jaebum Park *Department of Physical Education, Institute of Sports Science, Advanced Institute of Convergence Science, Seoul National University, 71-1, #414, 1 Gwanak-Ro, Gwanak-Gu, Seoul, 08826, South Korea. parkpe95@snu.ac.kr.
Jin-Young Jang *Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. jangjy4@snu.ac.kr.ORCID http://orcid.org/0000-0003-3312-0503

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to evaluate surgeons' ergonomic satisfaction when using laparoscopic energy devices and to investigate how prolonged use affects muscle fatigue and surgical performance.

methodsA two-part study, including a survey and a kinesiologic experiment, was conducted to compare 4 laparoscopic energy devices (D1-D4). Thirty surgeons completed a structured survey assessing ergonomic factors such as device weight, grip strength, handle design, comfort, and trigger location. In parallel, a kinesiologic experiment involving 20 surgeons measured device activation force, surface electromyography (EMG) changes, and targeting accuracy before and after fatigue induction using a standardized protocol.

resultsThe survey revealed significant ergonomic differences among devices. In the kinesiologic study, two devices showed a significant decline in precision and targeting accuracy after fatigue. All but one device demonstrated significant changes in the median frequency (MDF) and integrated EMG (iEMG) of the flexor digitorum superficialis muscle (P < 0.001), indicating muscle fatigue.

conclusionProlonged use of certain laparoscopic energy devices induces muscle fatigue and impairs accuracy. These findings underscore the importance of ergonomic considerations in surgical instrument design to enhance surgeon performance and reduce fatigue-related risks.

Indexed as

ErgonomicsLaparoscopyMuscle FatigueAdultElectromyographyEquipment DesignFemaleHumansMaleMiddle AgedSurgeonsSurveys and QuestionnairesEnergy devicesErgonomicsLaparoscopic surgeryMuscle fatigue

Identifiers

PMID40926158
PMCPMC12618446

What OpenQuestion holds

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Registered trials

None linked

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.