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Comparison of 2D versus 3D in the Basic Single Incision Laparoscopy Training. A Randomized Controlled Trial.

Oleksii Potapov, Sergii Kosiukhno, Oleksandr Kalashnikov

    Chirurgia (Bucharest, Romania : 1990)
    |March 11, 2022
    PubMed
    Summary

    Three-dimensional (3D) laparoscopy training offers advantages over standard 2D training for single incision laparoscopic surgery (SILS) novices. Participants in the 3D group demonstrated improved task completion times and fewer errors in key surgical skills.

    Keywords:
    3DlaparoscopySIESminimallyinvasivesurgerysingleincisionlaparoscopicsurgerysurgicaltraining

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    Area of Science:

    • Minimally Invasive Surgery
    • Surgical Education Technology
    • Laparoscopic Techniques

    Background:

    • Single incision laparoscopic surgery (SILS) presents significant technical challenges for surgeons.
    • Advanced visualization tools like 3D laparoscopy may enhance surgical training outcomes.
    • Comparing 2D and 3D laparoscopy is crucial for optimizing novice training protocols.

    Purpose of the Study:

    • To evaluate the short-term efficacy of 3D versus 2D laparoscopy training for SILS.
    • To compare skill acquisition and performance metrics between novice surgeons trained in 2D and 3D environments.

    Main Methods:

    • Forty surgical novices without prior SILS experience were recruited.
    • Participants were randomly assigned to undergo training using either 2D or 3D laparoscopic systems.
    • Performance was assessed through standardized tasks including polypropylene ball transfer, needle grasping, and intracorporeal knot tying.

    Main Results:

    • The 3D group completed the ball transfer task significantly faster (p=0.007).
    • Novices in the 2D group made significantly more errors during the needle grasping task (p=0.033).
    • The 3D training group showed a significantly higher probability of successfully completing intracorporeal knot tying (p=0.02).

    Conclusions:

    • 3D laparoscopy training appears to provide a distinct advantage over 2D for fundamental SILS skills.
    • Enhanced depth perception and spatial understanding in 3D may contribute to improved surgical performance.
    • 3D technology holds promise for accelerating proficiency in complex minimally invasive procedures.