Effects of the Three-Dimensional Vision System on Surgical Performance, Muscular Fatigue, and Pain During Urologic Laparoscopic Tasks: Results of Objective Assessments and a Mini Questionnaire Survey

Aykan, Serdar; Temiz, Mustafa Zafer; Duymaz, Tomris; Ural, İbrahim Halil; Colakerol, Aykut; Müslümanoğlu, Ahmet Yaser; Semerciöz, Atilla

doi:10.1089/lap.2018.0328

Cited by 3 publications

(11 citation statements)

References 26 publications

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“…12 The most commonly used 3D imaging systems were the Karl Storz FULL HD 3D System (Karl Storz GmbH & Co. KG, Tüttlingen, Germany) [13][14][15][16][17][18][19][20][21] and the Viking 3D HD Laparoscopic Vision System (Viking Systems, Inc., La Jolla, CA). [22][23][24][25][26][27][28][29][30] Additionally, the Einstein Vision 3D (Schoelly-Fibreoptic GMBH, Germany) was used in some studies. 31,32 Others, such as McDougall et al, conducted their studies with the Endolive Stereo Endoscope (Carl Zeiss, Oberkochen, Germany) and the StereoVu Video Laparoscopen (Welch Allyn Surgical Imaging Systems, Skaneateles Falls, NY) systems.…”

Section: Resultsmentioning

confidence: 99%

“…39 On the other hand, more recent studies suggest that 3D systems bring improvements to laparoscopic practice. 13,14,22 Therefore, this topic, which has been discussed since its origins, should be the subject of further research.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, it was reported that surgeons required less time, improving cutting accuracy and average cutting time using 3D imaging systems. 18,22,26,29 Regarding the suturing tasks, such as knot tying, simple suturing or complex suturing, 3D vision improved the surgical performance regardless of the experience of the surgeon. These improvements were mainly in the number of knots, execution time, and accuracy.…”

Section: Discussionmentioning

confidence: 99%

“…The studies generally reported no differences in side effects (headache, nausea, eye strain) when comparing both types of visualization systems 22,26 (Table 3). However, the study from Gómez-Gómez et al described significantly higher incidences of headache and visual distress using the 3D imaging system.…”

Section: Ergonomicsmentioning

confidence: 98%

“…31 In addition, 3D vision shortened the operative time for vesicourethral anastomosis for novices and expert surgeons. 22,35 It was observed that the execution time and the accuracy of linear cutting and suturing, curved cutting and suturing, dorsal vein complex suturing, and vesicourethral anastomosis were improved for novice surgeons using 3D vision. 29…”

Section: Figurementioning

confidence: 99%

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Comparative Study of the Influence of Three-Dimensional Versus Two-Dimensional Urological Laparoscopy on Surgeons' Surgical Performance and Ergonomics: A Systematic Review and Meta-Analysis

Sánchez‐Margallo

Durán-Rey

Pascual

et al. 2021

Journal of Endourology

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Objective: The objective of this study is to compare the use of three-dimensional (3D) vision systems with traditional two-dimensional systems in laparoscopic urological surgery, analyzing the benefits, limitations, and impact of introducing this medical technology with regard to surgical performance and the surgeon's ergonomics. Methods: A systematic review with a structured bibliographic search was conducted in the electronic libraries (PubMed and EMBASE) until August 2019 and with no language restrictions. Studies on 3D visualization technology in laparoscopic urologic surgery, randomized controlled trials, and observational comparative studies were included. Relevant data were extracted and analyzed. Results: A total of 25 articles were obtained, of which 4 were clinical studies with patients, 2 studies were carried out in experimental animal models, and the remaining 19 were conducted in simulated environments. Regarding the European training program in basic laparoscopic urological skills, the results showed no significant differences in execution time using either imaging system. Three-dimensional vision led to a significant reduction in surgery time in pyeloplasty and radical nephrectomy. In addition, there was a reported decrease in blood loss in adrenalectomy, nephron-sparing nephrectomy, radical nephrectomy, simple nephrectomy, and pyeloplasty using 3D vision. Regarding ergonomics, the studies generally described no differences in side effects (headache, nausea, eye strain) when comparing the two types of visualization systems. Surgeons reported reduced workloads and stress with 3D vision than with traditional laparoscopy. Conclusions: Three-dimensional laparoscopic systems essentially advance surgical performance in lessexperienced laparoscopic surgeons. Three-dimensional laparoscopy leads to improvements in surgery time, which is important for specific surgical procedures involving intracorporeal ligatures and sutures. The results achieved on the surgeons' ergonomics showed better depth perception and decreased stress and workloads during 3D vision with no differences in potential side effects.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Ergonomicsmentioning

confidence: 98%

Section: Figurementioning

confidence: 99%

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Comparative Study of the Influence of Three-Dimensional Versus Two-Dimensional Urological Laparoscopy on Surgeons' Surgical Performance and Ergonomics: A Systematic Review and Meta-Analysis

Sánchez‐Margallo

Durán-Rey

Pascual

et al. 2021

Journal of Endourology

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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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Ergonomics of Endoscopic Skull Base Surgery: A Systematic Review

Hanna

Fong

et al. 2021

World Neurosurgery

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Effects of the Three-Dimensional Vision System on Surgical Performance, Muscular Fatigue, and Pain During Urologic Laparoscopic Tasks: Results of Objective Assessments and a Mini Questionnaire Survey

Abstract: 3D technology may be effective for use in urologic laparoscopic training programs of novice surgeons. It may also contribute to the skills of specialists and experts, shortening the surgical time, which may decrease the surgical morbidity.

Cited by 3 publications

References 26 publications

Comparative Study of the Influence of Three-Dimensional Versus Two-Dimensional Urological Laparoscopy on Surgeons' Surgical Performance and Ergonomics: A Systematic Review and Meta-Analysis

Comparative Study of the Influence of Three-Dimensional Versus Two-Dimensional Urological Laparoscopy on Surgeons' Surgical Performance and Ergonomics: A Systematic Review and Meta-Analysis

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

Ergonomics of Endoscopic Skull Base Surgery: A Systematic Review

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