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Three-dimensional endoscopy: The future of nasoendoscopic training
Robert Bickerton1, Abdul-Karim Nassimizadeh2, Shahzada Ahmed2
1Department of Anatomy, Birmingham, United Kingdom.
The Laryngoscope
|January 11, 2019
Summary
Three-dimensional (3D) endoscopy significantly improves surgical training for novices. This technology was faster and led to fewer errors compared to two-dimensional (2D) endoscopy, with most users preferring 3D.
Area of Science:
- Surgical Technology
- Medical Education
Background:
- Three-dimensional (3D) endoscopy offers real-time depth perception, an emerging capability in surgical procedures.
- While its potential in surgical training is recognized, objective outcome data remain limited.
Purpose of the Study:
- To objectively compare the effectiveness of two-dimensional (2D) versus 3D high-definition endoscopes.
- To evaluate novice users' performance with both 2D and 3D endoscopic technologies.
Main Methods:
- A prospective, randomized crossover study involving 92 novice medical students.
- Participants completed validated tasks using both 2D and 3D high-definition endoscopes in a box trainer.
- Performance metrics included time taken, error rates, and subjective user preference.
Main Results:
- 3D endoscopy was significantly faster (78 vs. 95 seconds, P = .004) than 2D endoscopy.
- Error rates were significantly lower with 3D technology (3 vs. 5 errors per task, P < .001).
- A majority of participants (69%) expressed a preference for the 3D endoscope.
Conclusions:
- 3D high-definition endoscopy shows promise as a valuable tool for training future endoscopic surgeons.
- Further investigation in a clinical setting is warranted to validate these findings.
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