Evidence map›Paper›PMID 41326724›Full record

ArticleSurgical endoscopy2026

Objective assessment of stress and surgical performance during simulated robot-assisted laparoscopic surgery.

Manuel J Pérez-Salazar, Juan A Sánchez-Margallo, Francisco M Sánchez-Margallo

Abstract read
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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Manuel J Pérez-SalazarBioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Juan A Sánchez-MargalloBioengineering and Health Technologies Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain. jasanchez@ccmijesususon.com.ORCID 0000-0002-0100-2695
Francisco M Sánchez-MargalloScientific Direction, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMIS techniques achieved in the last decades have improved the quality of interventions and patient recovery, although there are still doubts about how they affect surgeons' health. This study aims to analyze the relationship between surgeon physiological and subjective stress parameters during laparoscopic and robot-assisted laparoscopic surgery (RALS) and the quality of surgical performance by means of wearable technology.

methodsThis study was conducted in a simulation environment with tasks involving hand-eye coordination and technical surgical skills. Sixteen surgeons from three different surgical disciplines participated in this study using both a conventional laparoscopic technique and the Versius® robotic platform for RALS. Two wearable sensors were used to analyze surgeons' physiological stress, as well as a subjective questionnaire for stress assessment during surgical practice (SURG-TLX).

resultsThe results of the data analysis showed that stress experienced was reduced in RALS when compared to conventional laparoscopy, and with it the percentage of errors committed. Novice surgeons performed better in most parameters compared to experienced microsurgeons.

conclusionSurgeons without previous experience in laparoscopic surgery showed an improvement in their stress and surgical performance when using robot-assisted surgery.

Indexed as

Clinical CompetenceLaparoscopyOccupational StressRobotic Surgical ProceduresStress, PhysiologicalSurgeonsAdultFemaleHumansMaleSimulation TrainingWearable Electronic DevicesECGEDALaparoscopic surgeryRALSStressSurgical practice

Identifiers

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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.