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Comparative Analysis of Three-Versus Two-dimensional Imaging in Laparoscopic Cholecystectomy
Asta Tauriainen1,2, Fausto Biancari3,4,5, Tuomas Tauriainen6,7,8
1Department of Surgery, Kuopio University Hospital and University of Eastern Finland, Kuopio, Finland.
World Journal of Surgery
|January 21, 2021
Summary
Three-dimensional (3D) imaging significantly reduced biliary tract injuries during laparoscopic cholecystectomy compared to two-dimensional (2D) imaging. This benefit was particularly noted in acute cholecystitis cases, suggesting 3D imaging enhances surgical safety.
Area of Science:
- Surgical Technology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Three-dimensional (3D) imaging is proposed to enhance laparoscopic surgery skills.
- Its impact on patient outcomes in laparoscopic cholecystectomy requires investigation.
Purpose of the Study:
- To evaluate if 3D imaging improves outcomes in laparoscopic cholecystectomy.
- Specifically, to compare rates of biliary tract injury, conversion to open surgery, and procedure duration between 2D and 3D imaging.
Main Methods:
- A comparative study involving 241 patients undergoing laparoscopic cholecystectomy.
- Patients were divided into two groups: 2D imaging (n=111) and 3D imaging (n=130).
- Data collected included biliary tract injury, conversion rates, and operative time.
Main Results:
- The overall incidence of biliary tract injury was 2.1%.
- 2D imaging was associated with a significantly higher risk of biliary tract injury (4.7%) compared to 3D imaging (0%, p=0.026).
- This finding was also significant in acute cholecystitis cases operated by senior surgeons (10.0% in 2D vs. 0% in 3D, p=0.037).
- Conversion rates and procedure durations were comparable between the 2D and 3D groups.
Conclusions:
- 3D imaging is associated with a reduced risk of intraoperative biliary tract injury during laparoscopic cholecystectomy.
- The benefit of 3D imaging is particularly evident in cases of acute cholecystitis.
