Article Text

Download PDFPDF

2022-RA-1350-ESGO Robotic compared to laparoscopic ergonomics in patients with gynecological cancer
  1. Myriam Gracia1,
  2. Ignacio Zapardiel1,
  3. Miguel Angel Herráiz2,
  4. Javier Garcia2,
  5. Marr Ramirez2,
  6. Monica Bellon2 and
  7. Pluvio Coronado2
  1. 1La Paz University Hospital, Madrid, Spain
  2. 2Clinico San Carlos University Hospital, madrid, Spain


Introduction/Background Robotic surgery has advantages over laparoscopic surgery, including 3D vision, greater precision, articulated instruments, improvement of the surgical field and ergonomics.The aim of this study is to evaluate if robotic surgery improves ergonomic in different surgical procedures compared to laparoscopic surgery in gynecological cancer.

Methodology Comparative study between robotic and laparoscopic surgery carried out in a tertiary hospital from 2007 to 2019. Data from a survey completed by surgeons after each surgical procedure for gynecological cancer were analyzed. Patients operated were diagnosed of endometrial, ovarian or cervical carcinoma.The survey evaluated ergonomics parameters with scores between 1 and 10 in both surgical approaches in different surgical procedures.Surgical procedures were grouped according technical difficulty: hysterectomy with double adnexectomy, hysterectomy with lymphadenectomy (pelvic or pelvic and para-aortic), radical hysterectomy and para-aortic lymphadenectomy.Basic demographic characteristic and ergonomics were compared between both approaches.

Results A total of 534 surveys were collected, 347 in the robotic group and 187 in conventional laparoscopic group.Patients in the robotic surgery group had a higher BMI, greater morbidity and therefore higher ASA scores.No differences were observed between robotic and laparoscopic surgery groups regarding the question related to the degree of difficulty of the surgery perceived by the surgeon (p=0.151).The group of robotic surgery obtained lower scores on questions related to fatigue (Robotic 3.2 vs Laparoscopic 5.5), comfort (Robotic 9.1 vs Laparoscopic 6.4), and limb (Robotic 1.3 vs Laparoscopic 4.4) and back pain (Robotic 1.8 vs Laparoscopic 4.3). Statistically significant differences were observed in questions related to the surgeon’s fatigue (p=0.000), the degree of comfort (p=0.000) and limb or back pain (p=0.000).

Conclusion Robotic surgery improves the ergonomics of surgery for gynecological cancer patients in different surgical procedures with several degrees of difficulty.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.