Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System

Byrn, John C.; Schluender, Stefanie; Divino, Celia M.; Conrad, John; Gurland, Brooke; Shlasko, Edward; Szold, Amir

doi:10.1016/j.amjsurg.2006.06.042

Cited by 157 publications

(99 citation statements)

References 12 publications

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“…Thus, laparoscopic hysterectomy was less preferred over the years. Previous studies did not reveal any significant benefits of laparoscopic hysterectomy when compared with VH; [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] however, most of these studies are outdated and as the TLH experience increases among gynecologists, the superiority of VH when compared with laparoscopic hysterectomy is slowly changing over time. [26] In a small sample size study conducted in Germany in 2007, it was observed that TLH takes longer compared with VH; however, it reduces the postoperative hospitalization duration and analgesic usage.…”

Section: Discussionmentioning

confidence: 97%

“…Surgeons are forced to rely on monocular vision to understand the 3D sense of open surgery; however, even the most experienced surgeons may face difficulties while performing complex surgical tasks such as tissue dissection and suturing under only 2D visualization. [21] The currently available 3D visualization systems may improve the ability of the surgeons to perform complex surgical tasks in minimally invasive surgeries. With the recently developed high-definition characteristics of 3D laparoscopic vision system, clearer and sharper images can be obtained; however, the high cost and adaptation difficulties encountered by experienced surgeons in switching from 2D to 3D vision seems to prevent the widespread use of 3D laparoscopic systems.…”

mentioning

confidence: 99%

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Vaginal Hysterectomy Versus Two-dimensional and Three-Dimensional Total Laparoscopic Hysterectomy in Women With Benign Uterine Diseases

Bayramoglu

Tepe

2017

EJMO

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H ysterectomy is the oldest and commonly performed gynecological procedure. [1] It is the second most frequent gynecological operation after the cesarean section. [2,3] Importantly, uterus removal (excluding malignancies) is performed because of fibroids, bleeding irregularities, endometrial hyperplasia or cervical dysplasia, endometriosis, and prolapse. [1] Hysterectomies have been traditionally performed by laparotomy or vaginally. However, with recent advances in technology, laparoscopic equipment, and training, hysterectomies are being increasingly performed by laparoscopy.[4] As a consequence, a reduction of 38% in abdominal hysterectomy was observed in Western countries, with an increase in laparoscopic and vaginal surgeries. [2,5] With the worldwide increase of laparoscopic procedures, it is necessary for gynecological surgeons to publish and share their techniques, successes, complications, and recommendations to avoid possible adverse outcomes. [4] In cases whereObjectives: This study aimed to compare the outcomes of vaginal hysterectomy (VH) and two-and three-dimensional total laparoscopic hysterectomy (2D TLH, 3D TLH) in women with benign uterine diseases. Methods: A retrospective, randomized study was conducted at the Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital between 2010 and 2012. Overall, 99 women underwent VH, 68 underwent 2D TLH, and 41 underwent 3D TLH. Patients' ages, parities, uterine weights, pre-and postoperative hemoglobin (Hb) and hematocrit (Htc) values, operating times, complication rates, and hospitalization duration were compared. Results: A statistically significant difference was found among the groups in terms of patients' ages, parities, uterine weights, operating times, and hospitalization duration (p<0.05). Patients who underwent 3D TLH were younger and had lesser parities, greater uterine weights, and shorter operating times. The hospitalization duration was similar between the 2D and 3D TLH groups (average, 2 days; min, 1 day; and max, 8-10 days); however, it was shorter than the VH group (average, 3 days; min, 3 days; and max, 8 days). No statistically significant difference was observed among the groups in terms of the pre-and postoperative Hb/Htc values and complication rates (p>0.05). Conclusion: VH still remains the preferred procedure for patients with uterine prolapse and patients who require pelvic repair. 3D TLH offers quick operation with less complication rates and morbidity and reduces the hospitalization duration. Because of more favorable outcomes, we presume that 3D TLH may replace 2D TLH in the near future.

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

Vaginal Hysterectomy Versus Two-dimensional and Three-Dimensional Total Laparoscopic Hysterectomy in Women With Benign Uterine Diseases

Bayramoglu

Tepe

2017

EJMO

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“…Various reports in the existing literature have already shown that stereoscopic vision decreases surgery time and increases accuracy for the surgeon behind the console of the Da Vinci robot. [3][4][5][6][7][8][9][10] However, to the best of our knowledge to date, there is little or no published evidence illustrating the impact of using a 3-D auxiliary monitor for the assistant(s) at the operating table during robot-assisted laparoscopy (RAL). For the assistant(s), these facilities are not currently widely available, although it seems some 3-D auxiliary monitor systems are beginning to emerge on the market.…”

Section: Introductionmentioning

confidence: 99%

Improved depth perception with three-dimensional auxiliary display and computer generated three-dimensional panoramic overviews in robot-assisted laparoscopy

et al. 2014

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Abstract.In comparison to open surgery, endoscopic surgery offers impaired depth perception and narrower field-of-view. To improve depth perception, the Da Vinci robot offers three-dimensional (3-D) video on the console for the surgeon but not for assistants, although both must collaborate. We improved the shared perception of the whole surgical team by connecting live 3-D monitors to all three available Da Vinci generations, probed user experience after two years by questionnaire, and compared time measurements of a predefined complex interaction task performed with a 3-D monitor versus two-dimensional. Additionally, we investigated whether the complex mental task of reconstructing a 3-D overview from an endoscopic video can be performed by a computer and shared among users. During the study, 925 robot-assisted laparoscopic procedures were performed in three hospitals, including prostatectomies, cystectomies, and nephrectomies. Thirty-one users participated in our questionnaire. Eighty-four percent preferred 3-D monitors and 100% reported spatial-perception improvement. All participating urologists indicated quicker performance of tasks requiring delicate collaboration (e.g., clip placement) when assistants used 3-D monitors. Eighteen users participated in a timing experiment during a delicate cooperation task in vitro. Teamwork was significantly (40%) faster with the 3-D monitor. Computer-generated 3-D reconstructions from recordings offered very wide interactive panoramas with educational value, although the present embodiment is vulnerable to movement artifacts.

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“…In the experienced group, the total manipulation time decreased significantly from the first to the third sessions only for 3-D vision; significant differences were not observed for 2-D or glassless 3-D vision. 5,6 and robotic 7 systems. The present study showed for the first time that 3-D vision improved the efficacy of the surgical skill of participants in the test models, designed to simulate assistant surgeons' maneuvers in robotic surgery.…”

Section: -D or Glassless 3-d Vision In Each Experimental Sessionmentioning

confidence: 99%

Dry box training with three‐dimensional vision for the assistant surgeon in robot‐assisted urological surgery

et al. 2013

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Abstract:We analyzed whether three-dimensional vision, practice or previous laparoscopic experience improves the surgical performance of the bedside assistant during robot-assisted surgery. Six experienced laparoscopic surgeons and 15 novices carried out three skills drills imitating an assistant's maneuvers in robot-assisted surgery, and times for completing the tasks were recorded. Both the novice and experienced groups showed significantly shorter manipulation times for each drill with three-dimensional vision compared with two-dimensional or glassless three-dimensional vision. The experienced group showed significantly shorter manipulation times than the novice group for all types of vision. A significant improvement was observed 14 out of 18 times in the novice group, but only one out of 18 times in the experienced group. We can conclude that the use of three-dimensional visualization facilitates the performance of the assistant surgeon, especially if a novice, during robot-assisted surgery. Laparoscopic experience also improves the performance, whereas training is beneficial for novice assistant surgeons before carrying out actual operations.

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Three-dimensional imaging improves surgical performance for both novice and experienced operators using the da Vinci Robot System

Cited by 157 publications

References 12 publications

Vaginal Hysterectomy Versus Two-dimensional and Three-Dimensional Total Laparoscopic Hysterectomy in Women With Benign Uterine Diseases

Vaginal Hysterectomy Versus Two-dimensional and Three-Dimensional Total Laparoscopic Hysterectomy in Women With Benign Uterine Diseases

Improved depth perception with three-dimensional auxiliary display and computer generated three-dimensional panoramic overviews in robot-assisted laparoscopy

Dry box training with three‐dimensional vision for the assistant surgeon in robot‐assisted urological surgery

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