Comparison of the clinical effectiveness of 3D and 2D imaging systems for laparoscopic radical cystectomy with pelvic lymph node dissection

Tang, Feng; Qi, Lin; Jiang, Hui Chuan; Tong, Shi Yu; Li, Yuan

doi:10.1177/0300060515621445

Cited by 21 publications

(8 citation statements)

References 19 publications

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“…For the operator, there was also reduced stress in the upper arms and eyes and a lower risk of headaches [3]. Similar results were reported for cystectomy, with reduced operative times due to the increased definition of tissues [6]. It therefore appears that 3D laparoscopy could gradually replace 2D techniques in urological surgery.…”

Section: Discussionsupporting

confidence: 52%

Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case

Gamé

Binhazzaa

Soulié

et al. 2017

International Journal of Surgery Case Reports

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IntroductionTwo-dimensional laparoscopy for living donor nephrectomy is the current standard of care. We report the first case of three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction.Presentation of caseThe procedure was performed in a 66-year-old woman donating his left kidney to her son with the HD S 3D column (Karl Storz, Tuttlingen, Germany). Preoperative computed tomography showed one left renal artery. The warm ischemic time was 2 min 20 s and the operative time was 200 min. There was no loss of blood and no intraoperative or postoperative complications.DiscussionThis report demonstrates the feasibility of using 3D laparoscopy which allows for a more in-depth vision, greater overall definition of planes, better accuracy of dissection and reduced operative times, for nephrectomy with vaginal extraction for kidney donation.ConclusionThree-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction is feasible and could become a new standard.

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Section: Discussionsupporting

confidence: 52%

Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case

Gamé

Binhazzaa

Soulié

et al. 2017

International Journal of Surgery Case Reports

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“…Author's name, publication year, study design, study characteristics, and quality assessment of all the studies are summarized in Table 1 . Of these, four studies 17 , 20 , 23 , 27 were excluded from the meta-analysis (one adrenalectomy study, one ureterolithotomy study, and one cystectomy study were excluded because there were no similar studies to compare with since we designed our study to compare studies addressing similar procedures, and the fourth study about pyeloplasty was excluded due to lack of a standard deviation parameter for meta-analysis comparison). The remaining 13 studies (3 randomized and 10 observational) containing 548 patients operated on with a 2D laparoscopic system and 449 patients operated on with a 3D laparoscopic system were divided into three groups according to surgical type.…”

Section: Resultsmentioning

confidence: 99%

“… 38 However, other investigators failed to find any significant difference between 2D and 3D laparoscopic surgeries concerning total surgical expenses. 27 , 28 On the other hand, discomfort, nausea, dizziness, and eye strains are among the reported limitations associated with the old generation of the 3D laparoscopic system. 39 However, the new 3D high-definition generations did not show any of the above limitations compared with the 2D laparoscopic system.…”

Section: Discussionmentioning

confidence: 99%

Two-Dimensional Versus Three-Dimensional Laparoscopic Systems in Urology: A Systematic Review and Meta-Analysis

Dirie

Wang

2018

Journal of Endourology

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Background: Laparoscopy is widely used in the urological field. This systematic review and a meta-analysis were conducted to assess the clinical and surgical efficacy of the three-dimensional (3D) laparoscopic system in comparison with two-dimensional (2D) laparoscopy for treatment of different urological conditions.Methods: Following guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic literature search in Web of Science, PubMed, Cochrane Library, and EMBase was carried out to identify relevant studies published up to May 2018. Articles published in the English language of both randomized and observational studies comparing 3D and 2D laparoscopic systems in urological surgeries were included. Level of evidence and quality assessments of all included studies were conducted. Interested data were extracted for comparison and meta-analysis.Results: Our literature search generated 17 studies comparing 3D and 2D laparoscopic systems in different urological surgeries. Of these, 13 studies containing 548 and 449 patients operated on with 2D and 3D laparoscopic systems, respectively, were included for meta-analysis. These 13 studies were divided into three groups according to surgical type. Group 1: Partial nephrectomy (PN); operative time (p = 0.19), estimated blood loss (EBL) (p = 0.51), dissecting time (p = 0.58), and suturing time (p = 0.28) were not statistically significant between 2D and 3D laparoscopic systems. However, warm ischemia time during PN was significantly shorter during 3D laparoscopy (p < 0.00001). Group 2: Pyeloplasty; this procedure showed no significant difference between the two systems. Group 3: Radical prostatectomy (RP); shorter operative time (p < 0.0001) and lower EBL (p = 0.001) were associated with the 3D laparoscopic system.Conclusion: Three-dimensional laparoscopy mainly improves the depth of perception, leading to better visibility, which is important for some complex urological surgeries such as PN, pyeloplasty, and RP. Based on our findings, 3D laparoscopy seems to provide better clinical and surgical outcomes in some urological procedures compared with conventional 2D laparoscopy.

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“…Interestingly, our results showed that compared with 2D endoscopic displays, 3D endoscopic displays have advantages in terms of LNDs. Feng et al [ 44 ] also reported that 3D stereoscopic imaging reduced both the duration of lymph node dissection and the overall operative time during laparoscopic radical cystectomy with pelvic lymph node dissection. 3D laparoscopic visualization and the associated better image quality play a decisive role in distinguishing anatomical structures, which may be beneficial for dissecting lymph nodes and more complicated surgeries.…”

Section: Discussionmentioning

confidence: 99%

Comparison between 3-dimensional and 2-dimensional endoscopic thyroidectomy for benign and malignant lesions: a meta-analysis

et al. 2021

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Background The use of 3-dimensional (3D) endoscopic thyroidectomy (ET) has been increasing, but its feasibility and safety have not been well documented for thyroidectomy. Hence, to systematically investigate the comparative outcomes during 3D-ET and 2-dimensional (2D) ET for benign and malignant lesions, we conducted this meta-analysis. Methods Based on the PRISMA guidelines, a systematic database search of the PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), and Chinese Wanfang databases was performed. The eligible studies were published in English and Chinese up to October 2020. The major endpoints evaluated were procedure time, blood loss, postoperative drainage, postoperative hospitalization, postoperative complications, total number of lymph node dissections (LNDs), and total cost. Results A total of 15 relevant studies including 1190 patients (583 for 3D-ET and 607 for 2D-ET) compared the application of 3D and 2D laparoscopic systems in thyroid surgery, of which 8 were endoscopic benign thyroidectomy (EBT) and 7 were endoscopic malignant thyroidectomy (EMT). Our meta-analysis indicated that 3D-ET generally had advantages over 2D-ET in terms of procedure time (P = 0.000), blood loss (P = 0.000), postoperative drainage (P = 0.000), postoperative complications (P = 0.000), and LNDs (P = 0.006). However, there were no significant differences between the two systems in terms of total cost (P = 0.245) or postoperative hospitalization (P = 0.068). Subgroup analysis showed consistency of the overall outcomes in each subset, but a shorter postoperative hospitalization in 3D-EBT was revealed. Conclusions Compared to 2D-ET, 3D endoscopic thyroidectomy is an efficient, safe, and reliable method with better depth perception and stereoscopic vision, and an equally satisfactory outcome. More clinical RCTs with long-term follow-up are required to reproduce these promising results.

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Comparison of the clinical effectiveness of 3D and 2D imaging systems for laparoscopic radical cystectomy with pelvic lymph node dissection

Cited by 21 publications

References 19 publications

Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case

Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case

Two-Dimensional Versus Three-Dimensional Laparoscopic Systems in Urology: A Systematic Review and Meta-Analysis

Comparison between 3-dimensional and 2-dimensional endoscopic thyroidectomy for benign and malignant lesions: a meta-analysis

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