3-Dimensional (3D) laparoscopy improves operating time in small spaces without impact on hemodynamics and psychomental stress parameters of the surgeon

Xu, Feng; Morandi, Anna; Boehne, Martin; Imvised, Tawan; Ure, Benno M.; Kuebler, Joachim F.; Lacher, Martin

doi:10.1007/s00464-015-4083-3

Cited by 51 publications

(41 citation statements)

References 29 publications

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“…This vision system allows to obtain a better visualization in deep and small spaces like adrenal loggia and in particular during adrenal vein isolation [23,24]. The surgical team stressed this concept in the results of questionnaire and reported subjectively more accurate performance.…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional (3D) versus two-dimensional (2D) laparoscopic adrenalectomy: A case-control study

Agrusa

Buono

Chianetta

et al. 2016

International Journal of Surgery

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a b s t r a c tIntroduction: Laparoscopic adrenalectomy is today considered the gold standard of treatment for adrenal tumors. The development of high definition cameras does not eliminate the major limitation of twodimensional (2D) laparoscopy: lack of depth perception and loss of spatial orientation. Treedimensional (3D) HD laparoscopy was developed as an alternative to conventional 2D laparoscopy. Methods: We report our experience with use of 3D vision system for laparoscopic adrenalectomy. Between January 2009 and March 2015 we performed a total of 52 laparoscopic adrenalectomies. In this case-control study we considered 13 laparoscopic adrenalectomies performed with three-dimensional (3D) vision system as case group. The last 26 procedures made with two-dimensional (2D) HD laparoscopic system represented the control group. We considered primary end-points: operative time, intraoperative complications and conversion rate. We evaluated also quality of depth perception and surgical strain. Results: Although the operative time for the entire surgical procedure was shorter in 3D group, there were no significant differences. The surgeon experienced better depth perception with 3D system and subjectively reported less strain using 3D vision system. Residents and medical students confirmed these data on surgical outcome. Conclusion: 3D system vision does not seem to influence the operative time of laparoscopic adrenalectomy performed by experienced surgeon because the surgical technique request simple tasks. We obtain the better visualization in depth perception with effect on surgical precision. Comparative studies are necessary to verify if 3D can reduce perioperative complication with similar operative time.

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Section: Discussionmentioning

confidence: 99%

Three-dimensional (3D) versus two-dimensional (2D) laparoscopic adrenalectomy: A case-control study

Agrusa

Buono

Chianetta

et al. 2016

International Journal of Surgery

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“…14 For surgeons, the transition from 2D to 3D laparoscopy is rapid. 9,15,21,25 There are no randomized studies comparing 3D with 2D esophageal cancer surgery. This study describes our first series of patients treated with 3D thoracolaparoscopic esophagectomies.…”

Section: Discussionmentioning

confidence: 99%

First Experience with Three-Dimensional Thoracolaparoscopy in Esophageal Cancer Surgery

Kaaij

Sandick

Peet

et al. 2016

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…During neurosurgical procedures in clinical studies, no significant differences in procedure duration or tumour resection were found, while depth perception, spatial orientation, identification of anatomical relations and critical structures subjectively improved with the use of 3D endoscopy . In a laboratory setting, 3D endoscopy decreased the time to task completion in both laparoscopic and neurosurgery procedures . Both expert and novice endoscopic surgeons benefit from 3D visualisation, although various studies suggest a specific benefit for inexperienced surgeons .…”

Section: Introductionmentioning

confidence: 96%

“…15 In a laboratory setting, 3D endoscopy decreased the time to task completion in both laparoscopic and neurosurgery procedures. 11,12,14,[17][18][19][20][21][22] Both expert and novice endoscopic surgeons benefit from 3D visualisation, 15 although various studies suggest a specific benefit for inexperienced surgeons. 12,14,23 This can be explained by experienced surgeons already having acquired the ability to effectively translate 2D visual information to 3D perception of the surgical field, thereby reducing the additional value of 3D endoscopy.…”

Section: Introductionmentioning

confidence: 99%

The effect of three‐dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design

Dam

Helder

Laan

et al. 2020

Clinical Otolaryngology

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Objectives Endoscopic imaging techniques and endoscopic endonasal surgery (EES) expertise have evolved rapidly. Only few studies have assessed the effect of three‐dimensional (3D) endoscopy on endoscopic sinus surgery (ESS). The present study aimed to objectively and subjectively assess the additional value of 3D high‐definition (HD) endoscopy in ESS. Design A randomized crossover study of endoscopic surgery performance, using five ESS tasks of varying complexity, performed on Thiel embalmed human specimens. Setting Simulated surgical environment. Participants Thirty participants, inexperienced in ESS. Main outcome measures Performance was assessed using video imaging, surgical navigation and questionnaires. Main outcome measures were as follows: efficiency (defined by time to task completion), distance covered inside the nose, average velocity towards target, accuracy (measured by error rate), and subjective assessment of endoscope characteristics. Results During ESS tasks, both efficiency and accuracy did not differ significantly between 2D HD and 3D HD endoscopy. Subjectively, imaging characteristics of the 3D HD endoscope were rated significantly better. Conclusions ESS performance of inexperienced participants was not significantly improved by the use of 3D HD endoscopy during ESS tasks, although imaging characteristics of the 3D HD endoscope were rated significantly better. Surgical field characteristics and surgical techniques are likely to influence any additional value of 3D HD endoscopy.

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3-Dimensional (3D) laparoscopy improves operating time in small spaces without impact on hemodynamics and psychomental stress parameters of the surgeon

Abstract: 3D laparoscopy in small spaces is associated with a significant shorter operating time. It induces no additional physical or psychomental stress in surgeons naive to 3D imaging. 3D may therefore facilitate minimal invasive surgery in neonates and infants.

Cited by 51 publications

References 29 publications

Three-dimensional (3D) versus two-dimensional (2D) laparoscopic adrenalectomy: A case-control study

Three-dimensional (3D) versus two-dimensional (2D) laparoscopic adrenalectomy: A case-control study

First Experience with Three-Dimensional Thoracolaparoscopy in Esophageal Cancer Surgery

The effect of three‐dimensional visualisation on performance in endoscopic sinus surgery: A clinical training study using surgical navigation for movement analysis in a randomised crossover design

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