Acquiring basic and advanced laparoscopic skills in novices using two-dimensional (2D), three-dimensional (3D) and ultra-high definition (4K) vision systems: A randomized control study

Abdelrahman, Maha; Belramman, Amjad; Salem, Rany M.; Patel, Bijendra

doi:10.1016/j.ijsu.2018.03.080

Cited by 38 publications

(31 citation statements)

References 14 publications

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“…Cutting edge technologies like 4K ultra HD allow the surgeon to be even more minimally invasive. Abderlahman et al reported on the importance of the quality of 4K ultra HD images in reducing mistakes in structure identification 1 . Moreover, during left sided colorectal laparoscopic procedures, a precise visualization of the autonomic nerves is related to a better preservation of the genitourinary function.…”

Section: Discussionmentioning

confidence: 99%

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4K ultra HD technology reduces operative time and intraoperative blood loss in colorectal laparoscopic surgery

Mari¹,

Crippa

Achilli

et al. 2020

F1000Res

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Background: HD systems are routinely used in laparoscopic surgery, 4K ultra HD monitors are mainly available within specialized, high-volume laparoscopic centers. The higher resolution of 4K ultra HD video could upgrade the surgical performance improving intraoperative and post-operative outcomes. Methods: We performed a retrospective comparative analysis of intraoperative parameters and post-operative outcomes in a cohort of patients operated on for elective laparoscopic procedures for colo-rectal cancer during two different time frames: 2017 procedures performed using the Visera Elite full HD technology (® Olympus America, Medical) and the 2018 procedures performed the Visera 4K Ultra HD System (® Olympus America, Medical). Results: There was a statistically significant reduction in operative time in patients operated on with the 4K ultra HD technology compared to HD technology (p < 0.05). Intraoperative blood loss was significantly reduced in patients operated in 2018 (p < 0.05). There were no statistically significant differences in complication rate and postoperative outcomes between the two groups.

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Section: Discussionmentioning

confidence: 99%

“…Laparoscopic surgery provides several intra-and post-operative advantages such as improved cosmesis, less post-operative pain and faster recovery compared to open surgery 1 . The development of new technologies has allowed laparoscopic surgery to become faster and safer.…”

Section: Introductionmentioning

confidence: 99%

4K ultra HD technology reduces operative time and intraoperative blood loss in colorectal laparoscopic surgery

Mari¹,

Crippa

Achilli

et al. 2020

F1000Res

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“…Six parameters were collected for analysis (suture time, thread length, accuracy of needle entry, stability of the knot, tissue integrity and tightness of the tissue), and the suture time was used for sample size calculation. Accoring to a similar research [ 10 ], a calculation with the width of the 95% confidence interval and an alpha level of 0.05 was performed, indicating that a minimum of 18 participants were required in each group to show a significant difference. The data are presented as the mean ± SD.…”

Section: Methodsmentioning

confidence: 99%

Application of multidirectional stitching technology in a laparoscopic suturing instructional program: a randomized controlled trial

Zhao

Chen

et al. 2020

BMC Med Educ

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Background: Surgeon suturing technology plays a pivotal role in patient recovery after laparoscopic surgery. Intracorporal suturing and knot tying in minimally invasive surgery are particularly challenging and represent a key skill for advanced procedures. In this study, we compared the application of multidirectional stitching technology with application of the traditional method in a laparoscopic suturing instructional program. Methods: We selected forty residents within two years of graduation to assess the specialized teaching of laparoscopic suturing with laparoscopic simulators. The forty students were randomly divided into two groups, a control group and an experimental group, with twenty students in each group. The control group was scheduled to learn the traditional suture method, and the experimental group applied multidirectional stitching technology. The grades for suturing time, thread length, accuracy of needle entry, stability of the knot, tissue integrity, and tightness of the tissue before and after the training program were calculated. Results: There was no significant difference between the two groups before the learning intervention. After the program, both groups significantly improved in each subject. There were significant differences between the control group and the experimental group in suture time (P = 0.001), accuracy of needle entry and exit (P = 0.035), and whether the suture tissue had cracks (P = 0.030). However, the two groups showed non-significant differences in thread length (P = 0.093), stablity of the knot (P = 0.241), or tightness of the tissue (P = 0.367). Conclusions: Multidirectional stitching technology improves the efficiency and effectiveness of traditional laparoscopic suture instructional programs. It might be a practicable, novel training method for acquiring proficiency in manual laparoscopic skills in a training setting.

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“…The new laparoscopic platforms together with the new generation of optics allow exceeding the limits of the two-dimensional (2D) view. Abdelrahman et al [61] reported that three-dimensional (3D) optics with ultrahigh definition 4k allow a faster learning curve. This experimental evidence was confirmed by Currò et al [62] , who concluded that the 3D vision improves the depth of perception, which is especially useful in performing an IA, and it also produces less physical strain to the surgeon.…”

Section: Three-dimensional Versus Two-dimensional View In Lrcmentioning

confidence: 99%

Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review

Moroni¹,

Payá‐Llorente²,

Lauka³

et al. 2019

MIS

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Robotic-assisted abdominal surgery was introduced with the aim of overcoming the drawbacks of the conventional laparoscopic approach. The present narrative review focuses on the comparison between laparoscopic and roboticassisted approaches for right colectomy (RC) regarding short-and long-term outcomes, costs, and learning curve.The main technical aspects related to the use of robotic assistance for this specific procedure are further discussed.Minimally invasive RC is considered technically challenging due to the particularities of the right and middle colic vascular anatomy. Robotic RC is not yet widespread due to its high cost and longer operating time. However, its use may result in advantages regarding short-term clinical outcomes, and it facilitates the acquisition of basic surgical skills by speeding up the learning curve of minimally invasive colorectal surgery.

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Acquiring basic and advanced laparoscopic skills in novices using two-dimensional (2D), three-dimensional (3D) and ultra-high definition (4K) vision systems: A randomized control study

Cited by 38 publications

References 14 publications

4K ultra HD technology reduces operative time and intraoperative blood loss in colorectal laparoscopic surgery

4K ultra HD technology reduces operative time and intraoperative blood loss in colorectal laparoscopic surgery

Application of multidirectional stitching technology in a laparoscopic suturing instructional program: a randomized controlled trial

Minimally invasive right colectomy - from conventional laparoscopic resection to robotic-assisted surgery: a narrative review

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