Automated intracorporeal tool exchange with the Symphera multi-tool prototype: a crossover evaluation of efficiency and surgeon workload in a porcine laparoscopic model
Conventional laparoscopic instrument exchange requires repeated trocar withdrawal, redirecting surgeon gaze and disrupting operative flow. The Symphera system enables intracorporeal tool-tip switching, but its impact on procedural efficiency, visual attention, and workload has not been evaluated in a controlled setting...