Observational studySurgical endoscopy2025
Minimally invasive Distal Pancreatectomy eRgonOMic analysis - the DP-ROM trial: An explorative, prospective, observational, cohort study trial.
Observational study in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robot-assisted versus laparoscopic surgery for rectal cancer: a systematic review and meta-analysis of randomised trials with GRADE certainty rating.Surgical endoscopy · 2026Pooled it
- Configurational Setup for Fully Robotic Distal Pancreatectomy with Splenectomy Using Hugo™ RAS and Ligasure™ RAS Maryland: First Case Report (With Video).Journal of clinical medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMinimally invasive distal pancreatectomy (DP) improves patient outcomes but also introduces significant ergonomic challenges for surgeons. This study quantitatively compares the ergonomic stress and mental workload associated with laparoscopic versus robot-assisted DP.
methodsAn exploratory, prospective, observational cohort trial was conducted with two experienced pancreatic surgeons performing 20 DPs (10 laparoscopic using IMAGE1 S Rubina and 10 robot-assisted using da Vinci® Si platform). Ergonomic stress was assessed using stabilometric analysis, kinematic pelvic movement analysis, ocular examinations, cortisol level monitoring, and the NASA Task Load Index (NASA-TLX).
resultsRobot-assisted DP demonstrated superior ergonomic performance, with reduced physical and mental demands compared to laparoscopic DP. Stabilometric tests indicated significantly greater postural stability during robot-assisted surgery, characterized by lower variance in body oscillations. Kinematic analyses confirmed smoother pelvic movements in robot-assisted procedures, suggesting reduced physical fatigue. Visual strain was markedly higher during laparoscopic surgery, likely due to prolonged screen exposure. The NASA-TLX indicated significantly lower overall workload scores for robot-assisted DP (35.3 ± 19.5) compared to laparoscopic DP (50.7 ± 21.7, p = 0.04). Cortisol analyses consistently showed elevated stress levels in the laparoscopic group compared to the robotic group, reinforcing the finding of greater physiological stress in the laparoscopic setting.
conclusionRobot-assisted DP significantly reduces ergonomic stress, visual strain, and cognitive workload compared to laparoscopic DP. However, it also introduces specific ergonomic challenges, particularly involving neck and trapezius muscle strain. Future studies should investigate ergonomic modifications to further optimize surgeon well-being and performance during robot-assisted pancreatic procedures.
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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.