2022
DOI: 10.1111/jog.15524
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Three‐dimensional vs two‐dimensional endoscopic approach in urogynecology: A retrospective cohort study of laparoscopic sacrocolpopexy

Abstract: The gold standard to treat an apical pelvic organ prolapse is the abdominal route via a sacrocolpopexy, which is also reproduced by laparoscopic route. A laparoscopic sacrocolpopexy however, requires surgical expertise. Threedimensional (3D) laparoscopy has been developed to overcome the lack of depth perception, that is a known disadvantage of conventional two-dimensional (2D) laparoscopy. This procedure can accelerate the learning curve and optimize the intra-, peri-, and postoperative outcomes. This study a… Show more

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Cited by 4 publications
(2 citation statements)
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“…It was concluded that 3D laparoscopy is useful for beginning surgeons and facilitates the learning process [ 43 ]. A study by Degirmenci et al showed that in the case of 3D laparoscopy performed for complex urogynecological pathologies, a shorter operating time and a smaller amount of blood loss were found than in the case of 2D laparoscopy [ 44 ].…”
Section: Discussionmentioning
confidence: 99%
“…It was concluded that 3D laparoscopy is useful for beginning surgeons and facilitates the learning process [ 43 ]. A study by Degirmenci et al showed that in the case of 3D laparoscopy performed for complex urogynecological pathologies, a shorter operating time and a smaller amount of blood loss were found than in the case of 2D laparoscopy [ 44 ].…”
Section: Discussionmentioning
confidence: 99%
“…These drawbacks lie in the loss of depth perception when using a 2D endoscope, an unstable video camera when it is held manually, limited dexterity, counterintuitive and limited movement of LAP surgical instruments (due to the enforced fixation by the trocars and no deflection at the tip), the fulcrum effect, and very poor ergonomics for the surgeon and their assistants over extensive operation time [44,45]. Innovation in endoscopic systems such as high-resolution 3D cameras enabling better exposure and anatomical mapping of the operating space has recently further improved surgical performance during LAP [46][47][48]. Surgeons can now navigate anatomical structures with greater clarity, leading to improved outcomes and reduced operation times.…”
Section: Equivalence Of Ras and Lap In Technology Adoption Challenges...mentioning
confidence: 99%