• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

3D Imaging in Laparoscopy: Improving Training and Skill Acquisition for Junior Trainess

Yuk Man Kan, MB, ChB, FRCSedin, FRCSgensurg, Chin Li Lee, MBBS, MRCS, Wei Keat Cheah, MBBS, FRCS, Choon Sheong Seow, MBBS, FRCSgensurg, Daniel E Tan, MBBS, FRCS, Jonathan S Foo, MBBS, MRCS

Department of General Surgery, Alexandra Hospital, Singapore

Introduction:
Conventional laparoscopic camera consists of a 2-Dimensional (2D) system and although there is improvement in graphics from high definition (HD) system, there is still a lack of depth and spatial perception. There is much training needed to master laparoscopic techniques as there is a need to interpret secondary spatial cues such as shadow and motion parallax. 3-Dimensional (3D) systems may potentially improve laparoscopic training by eliminating the need to overcome the loss of stereoscopic vision. Given the limiting working hours by Accreditation Council on Graduate Medical Education (ACGME), 3D system may potentially reduce time and improve the laparoscopic skills training of residents. The aim of our study is to assess the benefit of 3D system in the training of laparoscopic skills.

Methods & Procedure
This was a prospective study involving 20 individuals performing pre-determined laparoscopic task in a box trainer (JnJ TASKIT) under 2D or 3D imaging with the 3D TIPCAM1 Karl Storz Laparoscopic Stack. Volunteers were recruited according to their laparoscopic experience/expertise and allocated into 4 groups, each with 5 participants (1) No previous experience/exposure”, (2) Novice, (3) Intermediate & (4) Advance. The tasks were sugar stacking, beads stacking, transferring beads, rubber band placement and beads to string. The time taken to complete each task and the number of errors (pass-pointing and dropping of objects) were recorded. For the Advanced group, they were required to perform an extra task of laparoscopic suturing – this was assessed using a validated 29-points scoring system. All the tasks were performed initially in 2D then 3D and then 3D to 2D with at least a 24 hour washout period between the assessments. Results were analyzed using student’s T-test and Wilcoxan Signed Rank test (StatsDirect Software).

Results:

Table of p valves for 3D v’s 2D for time taken to complete task (Wilcoxan Signed Rank Test)

Sugar Stacking Beads Stacking Transferring Beads Rubber Band Placement Beads to String Suturing
All Combined 0.07 <0.01* <0.01* <0.01* <0.01* x
No Experience 0.06 0.13 0.04* <0.01* 0.49 x
Novice 0.11 <0.01* 0.05* 0.06 0.05* x
Intermediate 0.70 0.27 0.23 <0.01* <0.01*
Advance 0.91 0.43 0.85 0.63 0.65 >0.99

Suturing “29 Point” Scores (3D v’s 2D) p>0.5

Conclusion:
The stereoscopic advantage of 3D imaging in laparoscopy avails itself in those who are in training by improving co-ordination, spatial awareness and timing in comparison to the traditional 2D imaging. However, in surgeons who have already obtained proficiency in advance laparoscopic procedures, 3D imaging does not confer any advantages as demonstrated in our study. Technology will advance and improve. 3D laparoscopy can reduce the time needed and steepens the learning curve for laparoscopic training and hence will be beneficial for the training of junior residents.


Session: Poster Presentation

Program Number: P392

986

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons