A Randomized Prospective Study Comparing Acquisition of Laparoscopic Skills in Three‐Dimensional (3D) vs. Two‐Dimensional (2D) Laparoscopy

Alaraimi, B.; Bakbak, W. El; Sarker, Shah-Jalal; Makkiyah, S.; Almarzouq, Ahmad; Goriparthi, Richie; Bouhelal, Amina; Quan, Vincent; Patel, Bijendra

doi:10.1007/s00268-014-2674-0

Cited by 118 publications

(78 citation statements)

References 31 publications

(60 reference statements)

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“…Most of these studies have been conducted using an experimental surgical model [19,25]. A recent review reported a lower rate (63% of the trials) of errors with the use of 3D system [9,26]. Storz P. et al [25] concluded that the use of 3D might be of minor importance in simple tasks, but it can increased task efficiency when performing difficult surgical tasks.…”

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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“…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%

“…[18,19] Because of the previously experienced side effects while using 3D vision systems, i.e., a degraded viewing condition from poor image resolution, the requirement to wear uncomfortable glasses, and the system's high costs compared with 2D equipment, this technology may be less preferred. [10][11][12][13][14][15][16][17][18][19][20] The most important limitation of conventional laparoscopy is the lack of a sense of depth because of a 2D flat view of the surgical field. 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.…”

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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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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“…In two recent randomized prospective studies, 3D laparoscopy was shown to have a significant reduction of operative time and number of repetitive errors and improved accuracy of laparoscopic skills in novices [2,3] . It is also shown to reduce the learning curve of complex laparoscopic tasks on a prospective study [3].…”

Section: Discussionmentioning

confidence: 99%

Three dimensional laparoscopy – maiden experience during an adrenalectomy in Sri Lanka

Wijesurendere¹,

Nagenthiram²,

Gamage³

2017

Sri Lanka j Surg

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22mid axillary line were used as working ports. All surgeons wore 3D glasses. Gerota's fascia was opened over the left edge of the mass with hook-diathermy. IVC was identified and the right adrenal vein was clipped and divided. The tumour was mobilized off the IVC completely. Numerous arteries supplying the gland were cauterized and the gland was dissected free after opening the fascial fold laterally. Key words:Three dimensional laparoscopy; adrenalectomy Abstract:We describe our maiden experience of laparoscopic right adrenalectomy using three dimensional vision systems experiencing several advantages as a team experienced in laparoscopic adrenalectomy in Sri Lanka.

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A Randomized Prospective Study Comparing Acquisition of Laparoscopic Skills in Three‐Dimensional (3D) vs. Two‐Dimensional (2D) Laparoscopy

Abstract: Stereoscopic vision improved accuracy in laparoscopic skills for novices, which was manifested in reduced numbers of repetitions and errors. However, it does not affect the global performance time across all tasks.

Cited by 118 publications

References 31 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

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

Three dimensional laparoscopy – maiden experience during an adrenalectomy in Sri Lanka

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