Three-dimensional (3D) visualization provides better outcome than two-dimensional (2D) visualization in single-port laparoscopic distal gastrectomy: a propensity-matched analysis
- 1 March 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Langenbecks Archives Of Surgery
- Vol. 406 (2), 473-478
- https://doi.org/10.1007/s00423-020-01952-6
Abstract
Purpose There are currently no reports on the application of three-dimensional (3D) vision to single-incision laparoscopic surgery. This study compared 3D vision to the previous two-dimensional (2D) system in single-incision laparoscopic distal gastrectomy (SIDG). Methods Medical charts of 179 gastric cancer patients who underwent SIDG from February 2014 to December 2017 were retrospectively reviewed. Patients were grouped into either a 2D group or 3D group depending on the type of camera that was used. All operations were performed using a flexible camera (Olympus, Japan). Operative data and postoperative outcome were analyzed. Results There were 90 patients in the 2D group and 89 patients in the 3D group. No differences were found in terms of the age, body mass index, staging, and other demographics of the patients. Operative time was significantly faster in the 3D group (115.6 +/- 34.0 vs. 129.4 +/- 38.5 min,p = 0.012), and estimated blood loss (EBL) was less in the 3D group (20.7 +/- 30.0 vs. 35.1 +/- 56.0 ml,p = 0.034). Patients in the 3D group were able to start a small fluid diet earlier (2.5, range 1-6 vs. 3.0, range 2-8 postoperative days,p = 0.006) and were discharged faster (5.4, range 3-12 vs. 6.2, range 4-24 postoperative days,p = 0.024). There was no statistical difference between early and late complications. Conclusion The use of the 3D camera shortened operative time with possible clinical benefits for patients undergoing SIDG.Funding Information
- Seoul National University Hospital (14-2014-036)
This publication has 27 references indexed in Scilit:
- Three-dimensional Stereoscopic Visualization Shortens Operative Time in Laparoscopic Gastrectomy for Gastric CancerScientific Reports, 2019
- Early experience and learning curve of solo single-incision distal gastrectomy for gastric cancer: a review of consecutive 100 casesSurgical Endoscopy, 2019
- Three‐Dimensional Versus Two‐Dimensional Video‐Assisted Endoscopic Surgery: A Meta‐analysis of Clinical DataWorld Journal of Surgery, 2018
- The effect on surgical skills of expert surgeons using 3D/HD and 2D/4K resolution monitors in laparoscopic phantom tasksSurgical Endoscopy, 2018
- Comparison of 3D laparoscopic gastrectomy with a 2D procedure for gastric cancer: A phase 3 randomized controlled trialSurgery, 2017
- Can 3D imaging really help the surgeon perform laparoscopic gastric surgery?Annals of Laparoscopic and Endoscopic Surgery, 2017
- Comparison of two- and three-dimensional display for performance of laparoscopic total gastrectomy for gastric cancerLangenbecks Archiv für Chirurgie, 2017
- Three-dimensional laparoscopy: a step toward advanced surgical navigationSurgical Endoscopy, 2012
- Comparison of two- and three-dimensional camera systems in laparoscopic performance: a novel 3D system with one cameraSurgical Endoscopy, 2009
- The effect of a second-generation 3D endoscope on the laparoscopic precision of novices and experienced surgeonsSurgical Endoscopy, 1999