3D Laparoscopy - Help or Hype: Initial Experience of A Tertiary Health Centre

Sahu, Diwakar; Mathew, Mittu John; Reddy, Prasanna Kumar

doi:10.7860/jcdr/2014/8234.4543

Cited by 33 publications

(2 citation statements)

References 8 publications

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“…Regarding the average duration of the surgical intervention, many studies coincide in a reduction of the procedure time using 3D technology when compared to 2D laparoscopy in various types of surgery [14][15][16][17]. In the study by Costa et al in 2021 in colonic surgery [16], the most frequent surgery performed in the world showed a significantly lower anastomotic time (16.9 ± 2.3 min vs. 19.6 ± 2.9 min) in the 3D group compared to the 2D group.…”

Section: Surgical Time Between 3d and 2d Techniquementioning

confidence: 99%

Laparoscopic surgery in 3D improves results and surgeon convenience in sleeve gastrectomy for morbid obesity

Martínez-Ubieto¹,

Aragón-Benedí

Barranco-Dominguez³

et al. 2022

Langenbecks Arch Surg

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Purpose Advanced laparoscopic procedures are still challenging. One critical issue is the lack of stereoscopic vision. The aim of this surgical study is to evaluate whether 3D vision offers any advantages for surgical performance over 2D vision during sleeve gastrectomy for morbid obesity using a laparoscopic system that allows changing between 2D and 3D optics. Methods A total of 78 patients were analyzed, with 37 in the 2D group and 41 in the 3D group. Performance time, hospital stay, complications, and early outcomes were collected. To assess the quality of the 2D and 3D techniques, visual analog scales from 0 to 10 were designed, and image quality, depth of field, precision in performing tasks, and general ergonomics were measured. Results According to the vision system used, the mean duration of surgery was 85 ± 16.8 min for patients operated on with the 2D system and 69 ± 16.9 min for those operated on with the 3D system. There were no significant differences between the overall percentages of complications according to the type of vision used. However, postoperative complications were more severe in the 2D laparoscopy group. The average length of stay was shorter for patients in the 3D group. Regarding the differences perceived by the surgeon, the depth of field and the precision of tasks were better in the 3D vision group. Conclusion The 3D system provided greater depth perception and precision in more complex tasks, enabling safer surgery. This led to a reduction in the operative time and hospital stay. Moreover, the severity of complications was less.

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Section: Surgical Time Between 3d and 2d Techniquementioning

confidence: 99%

Laparoscopic surgery in 3D improves results and surgeon convenience in sleeve gastrectomy for morbid obesity

Martínez-Ubieto¹,

Aragón-Benedí

Barranco-Dominguez³

et al. 2022

Langenbecks Arch Surg

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“…On the other hand, other recent studies have successfully shown improved performances of experienced surgeons when 3D imaging was used. [19][20][21] Thus, we postulate that a more truly 3D training model could accelerate learning and skills acquisition.…”

Section: Introductionmentioning

confidence: 98%

Face and construct validation study of novel 3D peg transfer models for training and evaluation of laparoscopic skills in two-dimensional and three-dimensional laparoscopic surgery

Morawala¹,

Alaraimi²,

Galloso³

et al. 2019

J Surg Simul

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Background: Fundamentals in Laparoscopic Surgery (FLS) is widely used in practice for skill acquisition and objective assessments. The peg transfer model enables trainees to acquire basic laparoscopic skills. We structured three different three-dimensional (3D) peg transfer models with various heights and depths to replicate 3D laparoscopic anatomy. Before implementing any simulation model in a laparoscopy curriculum, it is important to determine its validity. Aim: To establish face and construct validity of novel 3D peg transfer models in two-dimensional (2D) and 3D visual systems for training and evaluation of laparoscopic skills in novices using the McGill inanimate system. Methods: Three peg transfer 3D models were designed with different peg heights and depths using wooden blocks from the popular game "Jenga". Ten novices, ten intermediates and ten experts were recruited. They performed three repetitions of peg transfer on each model using 3D and 2D visual modalities. Performance time, error and total score were measured. Multiple comparison (post hoc Bonferroni) tests were used to compare the data (mean value of total time, total errors and total score) for each group. All participants completed a six-question post-test questionnaire (face validity) for 2D and 3D viewing modalities. Results: When novices were compared with intermediates and experts using 2D and 3D visual systems, there were statistically significant differences (P50.001) in the total score and performance time for all models with the exception of model 2 in 2D. We were unable to show any significant difference in total score and performance time when intermediates were compared with experts with any of the three models, in either the 2D or the 3D visual modality. All models were highly rated in both visual modalities. Conclusion: Three models were developed for improving laparoscopic surgical skills. Face validity and construct validity were demonstrated by measuring significant differences in improvement of performance time and lower total score when novices were compared with intermediates and experts in both 2D and 3D visual modalities. We recommend using models 1 and 3 for simulation training in both visual modalities, and this could replace the current relatively "flat" 2D models of the FLS training course to shorten the learning curve for acquiring surgical skills.

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Comparison of short-term surgical outcome between 3D and 2D laparoscopy surgery for gastrointestinal cancer: a systematic review and meta-analysis

Zhao

Mei

et al. 2020

Langenbecks Arch Surg

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3D Laparoscopy - Help or Hype: Initial Experience of A Tertiary Health Centre

Abstract: Introduction: To evaluate the advantages of 3D laparoscopy and compare its significance with conventional 2D laparoscopy during various operative procedures.

Cited by 33 publications

References 8 publications

Laparoscopic surgery in 3D improves results and surgeon convenience in sleeve gastrectomy for morbid obesity

Laparoscopic surgery in 3D improves results and surgeon convenience in sleeve gastrectomy for morbid obesity

Face and construct validation study of novel 3D peg transfer models for training and evaluation of laparoscopic skills in two-dimensional and three-dimensional laparoscopic surgery

Comparison of short-term surgical outcome between 3D and 2D laparoscopy surgery for gastrointestinal cancer: a systematic review and meta-analysis

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