Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study - Report - MDSpire

Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study

  • By

  • Yasuhiro Ishiyama

  • Yasumitsu Hirano

  • Sohei Akuta

  • Yume Minagawa

  • Akihito Nakanishi

  • Yusuke Nishi

  • Hisashi Hayashi

  • Takatsugu Fujii

  • Hirofumi Sugita

  • Chikashi Hiranuma

  • June 10, 2026

  • 0 min

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Clinical Report: Evaluating Surgeon Workload During Supervised Robotic Colorectal Surgery

Overview

This study evaluates surgeon workload during robotic colorectal surgery, comparing JSES-certified surgeons with junior surgeons under supervision.

Background

Robot-assisted surgery (RAS) is increasingly utilized in colorectal cancer treatment due to its precision and minimally invasive nature. Understanding surgeon workload is critical, as excessive stress can impact performance and patient safety. This study addresses the gap in knowledge regarding the feasibility of RAS performed by less-experienced surgeons.

Data Highlights

GroupCases
JSES-certified surgeons94
Junior surgeons101

Key Findings

  • Surgeon workload was assessed using the Surgical-TLX six-domain scores.
  • Junior surgeons performed fewer than 10 robot-assisted colorectal procedures as primary operators.
  • All junior surgeries were conducted under direct supervision of JSES-certified surgeons.
  • Operative time, blood loss, and postoperative complications were evaluated as secondary outcomes.
  • Structured training frameworks were applied consistently across junior cases.

Clinical Implications

The study underscores the necessity of structured supervision for junior surgeons in robotic colorectal surgery to ensure patient safety and optimal outcomes. Understanding workload differences can inform training programs and improve surgical education.

Conclusion

This research contributes to the understanding of surgeon workload in robotic colorectal surgery, emphasizing the need for effective training and supervision for junior surgeons.

Related Resources & Content

  1. Hamamoto et al., Surgical Endoscopy, 2023 -- Evaluating Surgeon Workload During Supervised Robotic Colorectal Surgery
  2. NICE, Guidance, 2025 -- Overview | Colorectal cancer
  3. NCCN, PubMed, 2024 -- NCCN Guidelines® Insights: Rectal Cancer, Version 3.2024
  4. ACPGBI, Wiley Online Library, 2025 -- ACPGBI position statement on robotic‐assisted colorectal surgical training
  5. Assessing Workload Distribution Among Surgical Team Members: Opportunities for Improved Equilibrium?
  6. Creation and Assessment of a Measure for Surgical Workload: The Surgery Task Load Index (SURG-TLX)
  7. Surgical Endoscopy — Ergonomic Evaluation of Minimally Invasive Distal Pancreatectomy: Insights from the DP-ROM Prospective Observational Cohort Study
  8. Surgical Endoscopy — Comparative Analysis of Physical Demands in Open Surgery, Robot-Assisted Surgery, and Non-Surgical Activities for Surgeons
  9. Assessing Workload Distribution Among Surgical Team Members
  10. Creation and Assessment of a Measure for Surgical Workload
  11. Robotic vs Laparoscopic Surgery for Middle and Low Rectal Cancer
  12. Overview | Colorectal cancer | Guidance | NICE
  13. NCCN Guidelines® Insights: Rectal Cancer, Version 3.2024 - PubMed
  14. ACPGBI position statement on robotic‐assisted colorectal surgical training - Evans - 2025 - Colorectal Disease - Wiley Online Library
  15. Resection quality and oncologic outcomes after robotic versus laparoscopic total mesorectal excision for mid and low rectal cancer: a systematic review and meta-analysis of randomised trials | Journal of Robotic Surgery | Springer Nature Link
  16. Robotic versus laparoscopic TME for rectal cancer: meta-analysis of pathological quality indicators - PubMed
  17. Robotic assisted surgery reduces ergonomic risk during minimally invasive colorectal resection: the VOLCANO randomised controlled trial - PMC
  18. Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study | Surgical Endoscopy | Springer Nature Link
  19. Validation of the French SURG-TLX: A reliable and task-sensitive tool for assessing surgical workload - ScienceDirect

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