Evidence map›Paper›PMID 42128958›Full record

Trial reportSurgical endoscopy2026

Impact of acute sleep deprivation on laparoscopic performance: a prospective, randomized crossover trial.

Jean-Paul Bereuter, Alexa Fries, Isabell Grummt, Mark Enrik Geissler, Rona Berit Geissler, Sofia Schmidt, Nathalie Buck, Juliane Weiß, Grit Krause-Jüttler, Jürgen Weitz and 3 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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
0cells of the map it votes in
0citing 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

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

13 authors.

Jean-Paul Bereuter *Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany. jean-paul.bereuter@ukdd.de.ORCID http://orcid.org/0009-0003-2981-1448
Alexa Fries *Department of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Isabell GrummtDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Mark Enrik GeisslerDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Rona Berit GeisslerDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Sofia SchmidtDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Nathalie BuckDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Juliane WeißDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Grit Krause-JüttlerDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Jürgen WeitzDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Marius DistlerDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Florian OehmeDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.
Felix von BechtolsheimDepartment of Visceral, Thoracic and Vascular Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany.

Funding

Centre for Tactile Internet with Human-in-the-Loop EXC 2050/1 - Project ID 390696704Foster Project ID 054-2023
6 · The paper itself

Abstract

introductionDuring night shifts, surgeons experience prolonged periods without sleep, which might impact their laparoscopic performance. Therefore, this study aimed to elucidate the effects of sleep deprivation on tissue handling and motion parameters during laparoscopic surgery.

methodsA total of 55 medical students and 20 surgeons participated in this single-center, prospective, randomized crossover trial. All students underwent standardized laparoscopic training until they reached proficiency. Afterward, all participants performed three different laparoscopic tasks twice, once sleep-deprived in the middle of the night and once well rested. Endpoints were tissue handling, defined by force exertion, instrument motion, task time, and error rate.

resultsSleep-deprived students and surgeons demonstrated a significantly lower mean force exertion but only in one task, respectively. Sleep-deprived students showed a significant slower speed of the non-dominant hand in all tasks. Surgeons were significantly slower with their dominant hand in all tasks and produced a significant shorter path length and smaller motion volume. In two of the tasks, the task completion time of sleep-deprived surgeons was significantly higher compared to the control. There was no difference regarding the occurrence of errors in both cohorts. In subgroup analysis comparing tired vs. less tired participants, both very tired students and surgeons showed a tendency, in part significant, toward higher force exertion.

conclusionsProlonged periods of sleep deprivation appear to have an overall effect on laparoscopic skills regarding instrument motion. There is also an alteration of tissue-handling skills in terms of force exertion among very tired students and surgeons.

Indexed as

Clinical CompetenceLaparoscopySleep DeprivationAdultCross-Over StudiesFemaleHumansMaleProspective StudiesStudents, MedicalYoung AdultLaparoscopic skill analysisMinimally invasive surgerySleep deprivation

Identifiers

PMID42128958
PMCPMC13368893

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.