Three-Dimensional Against 2-Dimensional Laparoscopic Colectomy for Right-sided Colon Cancer

Tao, Kaixiong; Liu, Xinghua; Deng, Meizhou; Shi, Wenjia; Gao, Jinbo

doi:10.1097/sle.0000000000000281

Cited by 31 publications

(12 citation statements)

References 18 publications

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“…The screening process lead to full-text evaluation of 12 studies. Finally, five retrospective comparative studies and one RCT met the predefined criteria and were included in the review (9,(19)(20)(21)(22)(23). Three studies were conducted in China, one in Korea, one in Italy and one in the UK.…”

Section: Resultsmentioning

confidence: 99%

Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis

Pantalos

Patsouras

Spartalis

et al. 2019

In Vivo

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Background/Aim: Three-dimensional (3D) laparoscopy is being steadily adopted instead of twodimensional (2D) for various procedures. Our aim was to compare the outcomes between 2D and 3D laparoscopic procedures for colorectal cancer in order to ascertain the safety, efficacy and potential advantages of 3D imaging systems. Materials and Methods: A systematic database search was conducted in March 2019. Comparative studies reporting clinical outcomes between patients undergoing elective colorectal procedures using either 2D or 3D laparoscopic equipment were eligible. Results: Six studies were selected, including 614 patients in total. Minor reduction in operative time, similar blood loss and increased number of harvested lymph nodes was noted for the 3D group. There was no difference for conversion to open surgery, time to flatus, postoperative hospital stay or postoperative complications. Conclusion: 3D Laparoscopic surgery for colorectal cancer may result in reduction of operative time and higher lymph node yields, leading to improved survival.

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Section: Resultsmentioning

confidence: 99%

Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis

Pantalos

Patsouras

Spartalis

et al. 2019

In Vivo

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“…This was echoed by another retrospective study by Aykan et al which demonstrated less blood loss in 3D laparoscopic radical prostatectomy (138 vs. 102 mL, P<0.001) (18). However, similar finding was not seen in studies involving other surgical procedures (17,23,24).…”

Section: Clinical Trials On Operative Outcomesmentioning

confidence: 92%

“…With regard to postoperative complication, hospital stay and operative mortality, the current literature did not show any difference between 2D and 3D laparoscopic procedures (17,21,23). For example, Velayutham et al compared 3D and 2D laparoscopic hepatectomy and demonstrated similar complication rates: bile leak (P>0.999), postoperative ascites (P>0.999) and respiratory complications (P=0.544) (24).…”

Section: Clinical Trials On Operative Outcomesmentioning

confidence: 92%

Three-dimensional laparoscopy: is it as good as it looks?—a review of the literature

Yim¹,

Lo²,

Lau³

et al. 2017

Ann. Laparosc. Endosc. Surg.

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Technological advancement has benefited minimal invasive surgery substantially. In terms of enhanced operative vision, three-dimensional (3D) laparoscopy provides binocular depth perception, which was absent in the past with the conventional two-dimensional (2D) laparoscopy. There have been a number of studies comparing the use of 2D and 3D laparoscopy over the years and they were reviewed in this article. Essentially, 3D laparoscopy resulted in better performance time and lower error rates with specific tasks in experimental settings, and this was seen in surgeons across different levels of experience. The advantage in terms of operative and clinical outcome was equivocal, with some studies demonstrated faster operating time and less blood loss while others showing similar results. Long-term results in this aspect are scarce. Despite these, surgeons appeared to prefer 3D laparoscopy to the conventional 2D imaging system. Nevertheless, there are still questions to be answered and the role of 3D laparoscopy can be better defined with evidence from future studies.

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“…Hence, the aim of this study was to determine whether a difference exists on the ability to retrieve 12+ nodes in elective colon cancer colectomies performed open versus laparoscopic. We determined that there are greater odds of retrieving more than 12 LNs with open approach compared to laparoscopic. Additional research is needed to further investigate the specific factors influencing the ability to retrieve an adequate number of LNs, such as viewing angles provided with an open approach versus laparoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies achieved greater than 12 LNs using various procedures, such as laparoscopic complete mesocolic excision (CME), open CME, CME with complete vascular ligation, laparoscopic radical LN dissection including non-regional LNs, robotic surgery, intra-and extracorporeal laparoscopic surgery, single-and multi-port laparoscopic surgery, 2D versus 3D laparoscopic surgery and even a multidisciplinary approach [4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic colectomies associated with decreased retrieval of 12 or more lymph nodes compared to open in elective colon cancer surgery

Puckett

Mitchell

Pham

2019

ecancer

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Background: Colorectal cancer is the third most commonly diagnosed cancer worldwide. Lymph node (LN) retrieval is a key factor for pathologic staging and prognosis of colorectal cancer. Increase in number of LNs removal suggests improvement in tumour clearance and decrease in metastatic spread. Studies have suggested that excising 12 or more LNs during colectomy in patients with colon cancer is associated with improved survival. To date, there have been no studies to determine whether minimally invasive surgery affects the ability to retrieve 12+ LNs in elective colon cancer surgery. Therefore, we elected to determine whether a difference exists on the ability to retrieve 12+ nodes in elective colon cancer colectomies performed open versus laparoscopic. Methods:The National Surgical Quality Improvement Program (NSQIP) Procedure Specific Colectomy database was analysed for the year 2014-2015. Inclusion criteria were colon cancer (ICD-9 Code 153.9), age greater than 18 years. Exclusion criteria were missing data. Data abstracted included patient demographics, type of operation performed and number of LNs retrieved. The patients were categorised based on their elective colon cancer colectomies such as laparoscopic or open. Binary logistic regression was used to identify confounding variables in the retrieval of 12+ LNs. Results:After accounting for missing cases, a total of 18,792 patients with a diagnosis of colon cancer were analysed. Twelve or more LNs were retrieved in 88% (16,538) of patients, Among them, 2,516 patients underwent laparoscopic colectomy and 5,284 patients underwent open colectomy. The difference was not statistically significant for the average number of LNs retrieved among both the groups. Open operative approach compared to the laparoscopic approach was associated with 15% greater odds of retrieval of >12 LNs (OR 1.148; 95% CI (1.035-1.272); p = 0.008). Conclusion:The majority of colectomies such as open or laparoscopic are able to retrieve 12 or more LNs. However, there are greater odds of retrieving more than 12 LNs with the open approach compared to the laparoscopic approach. By allowing for more LN retrieval, open colectomies suggest improvement in tumour clearance and decrease metastatic spread. Additional research is needed to further investigate the specific factors influencing the ability to retrieve an adequate number of LNs, such as viewing angles provided with an open approach versus laparoscopic approach.

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Three-Dimensional Against 2-Dimensional Laparoscopic Colectomy for Right-sided Colon Cancer

Abstract: 3D laparoscopy appears to reduce the performance time of laparoscopic colectomy when compared with 2D laparoscopy. Further studies are required to address the role of the 3D vision system in laparoscopic colectomy.

Cited by 31 publications

References 18 publications

Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis

Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis

Three-dimensional laparoscopy: is it as good as it looks?—a review of the literature

Laparoscopic colectomies associated with decreased retrieval of 12 or more lymph nodes compared to open in elective colon cancer surgery

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