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Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over
Jana Busshoff1,2, Rabi R Datta1, Thomas Bruns1
1Department of General, Visceral, Cancer and Transplantation Surgery, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Joseph-Stelzmann-Straße 9, 50931, Cologne, Germany.
Surgical Endoscopy
|November 9, 2021
Summary
Three-dimensional (3D) laparoscopic display technology significantly enhances surgical performance for both male and female surgeons compared to 2D-4K displays. This 3D benefit is most pronounced in women with less surgical experience, aiding their training.
Area of Science:
- Minimally Invasive Surgery
- Surgical Education
- Medical Technology
Background:
- High-resolution 2D-4K displays are standard in laparoscopic surgery.
- 3D displays offer improved spatial orientation and surgical performance.
- Women constitute a growing percentage of medical students and surgeons.
Purpose of the Study:
- To investigate gender-specific benefits of 3D versus 4K display systems in laparoscopic surgery.
- To compare surgical performance across different experience levels (medical students, non-board certified surgeons, board certified surgeons).
Main Methods:
- A randomized cross-over trial design was employed.
- Participants performed surgical tasks on a minimally invasive training parkour.
- Surgical performance was evaluated using 3D and 4K display techniques.
Main Results:
- Both men and women showed significantly improved performance with 3D displays (reduced time and fewer errors).
- Women demonstrated a greater percentage improvement with 3D displays compared to men (27.84% vs. 25.31%).
- The most significant 3D benefit was observed in female medical students and non-board certified surgeons.
Conclusions:
- 3D laparoscopic display technology enhances surgical performance for all genders.
- The advantage of 3D displays is more pronounced in female surgeons with less experience.
- 3D vision systems can facilitate surgical apprenticeship, particularly for women.

