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Endoscopic training-is the future three-dimensional?

Abdul Nassimizadeh1, S M Zaidi1, Mohammad Nassimizadeh2

  • 1From the Department of Otorhinolaryngology Birmingham UK.

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|November 10, 2018
PubMed
Summary
This summary is machine-generated.

Three-dimensional (3D) endoscopy enhances stereopsis in endoscopic surgery, offering improved depth perception and image quality for novice surgeons. This technology shows potential for tailored surgical training programs.

Keywords:
Endoscopeendoscopic surgical procedurepituitaryskull basesurgerythree‐dimensionaltranssphenoidal

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Area of Science:

  • Surgical Technology
  • Medical Imaging
  • Ophthalmology

Background:

  • Endoscopic surgery traditionally lacks binocular vision, a key disadvantage compared to direct surgical procedures.
  • Three-dimensional (3D) endoscopy has emerged as a promising solution to restore stereopsis in minimally invasive procedures.

Purpose of the Study:

  • To evaluate the impact of 3D endoscopy on surgical performance and perception in novice surgeons.
  • To compare the efficacy of 2D versus 3D endoscopy in a simulated surgical environment.

Main Methods:

  • A prospective randomized study involving junior doctors with limited endoscopic experience.
  • Utilized standardized training models to collect objective and subjective data comparing 2D and 3D endoscopes.
  • Employed Wilcoxon's, Mann-Whitney, Kendall's tau, and Fisher's exact tests for statistical analysis.

Main Results:

  • A minor 2% reduction in the field of vision was observed with 3D endoscopy.
  • Significant improvements were noted in depth perception, reduced past-pointing errors, and enhanced image quality.
  • Novice surgeons demonstrated better performance with 3D endoscopic technology.

Conclusions:

  • 3D endoscopy offers measurable benefits for inexperienced surgeons using an endoscopic endonasal approach.
  • The findings suggest that 3D technology can be integrated into surgical training curricula to enhance skill acquisition.
  • Future surgical training may be tailored based on the advantages offered by 3D endoscopic systems.