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Three-dimensional laparoscopy vs 2-dimensional laparoscopy with high-definition technology for abdominal surgery: a
Charlotte Fergo1, Jakob Burcharth2, Hans-Christian Pommergaard3
1Center for Perioperative Optimization, Department of Surgery D, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, DK-2730 Herlev, Denmark.
American Journal of Surgery
|November 7, 2016
Summary
Newer generation 3-dimensional (3D) laparoscopy significantly reduces errors and improves performance time compared to 2-dimensional (2D) laparoscopy. Subjective assessments also favor 3D systems, indicating its superiority in surgical procedures.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Medical Imaging
Background:
- Early comparisons of 3D vs. 2D laparoscopy yielded contradictory results.
- Technological limitations in earlier systems may have influenced prior outcomes.
Purpose of the Study:
- To systematically review newer generation 3D laparoscopy versus 2D laparoscopy.
- To evaluate differences in error rates, performance time, and subjective assessments.
Main Methods:
- Systematic review adhering to PRISMA guidelines.
- Inclusion of randomized controlled trials (RCTs) comparing newer 3D and 2D laparoscopy.
- Searches conducted in PubMed, EMBASE, and Cochrane Central Register of Controlled Trials.
Main Results:
- 13 RCTs were included from 643 articles.
- Significant reductions in performance time (69% of trials) and errors (77% of trials) observed with 3D laparoscopy.
- 3D laparoscopy demonstrated superiority or equivalence to 2D laparoscopy in overall performance.
Conclusions:
- Newer generation 3D laparoscopy appears superior to 2D laparoscopy.
- Subjective evaluations consistently favored 3D laparoscopy.
- Further clinical RCTs are needed to confirm these findings.
