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Three-dimensional Versus Two-dimensional Laparoscopic Bariatric Surgery: A Systematic Review and Meta-analysis.
Roberto Peltrini1, Maria Danila Esposito2, Daniela Pacella2
1Department of Public Health, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy. roberto.peltrini@gmail.com.
Obesity Surgery
|April 17, 2024
Summary
Three-dimensional (3D) laparoscopy may reduce operative time and hospital stays for bariatric surgery patients. This review suggests 3D imaging offers potential benefits in preventing complications during these procedures.
Area of Science:
- Minimally invasive surgery
- Surgical technology
- Bariatric surgery outcomes
Background:
- Gastrointestinal surgery increasingly utilizes three-dimensional (3D) laparoscopy.
- The application and benefits of 3D laparoscopy in bariatric surgery remain under investigation.
- Evidence for 3D laparoscopy's impact on bariatric procedures requires systematic evaluation.
Approach:
- A systematic review was conducted using MEDLINE, Embase, and Scopus databases.
- Six studies comprising 629 patients (386 2D, 243 3D) undergoing laparoscopic bariatric surgery were analyzed.
- Data on operative time, hospital stay, and complications were pooled and compared between 2D and 3D laparoscopy.
Key Points:
- 3D laparoscopy was associated with significantly shorter operative times for gastric bypass procedures (SMD 1.19).
- Patients undergoing 3D laparoscopic sleeve gastrectomy and gastric bypass experienced shorter hospital stays (SMD 0.42 and 0.39, respectively).
- 3D imaging shows potential for reducing intra- and postoperative complications in bariatric surgery.
Conclusions:
- Despite limited evidence, 3D laparoscopy demonstrates potential advantages in bariatric surgery.
- Shorter operative times and hospital stays are key benefits observed with 3D laparoscopic techniques.
- Further research is warranted to fully establish the role of 3D laparoscopy in optimizing bariatric surgical outcomes.
