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3D vs 2D Laparoscopic Surgery: Comparative assessment

Sergio Rojas, MD, Emina Pasic, MD, Raul Ameneyro, MD, Anuar F Simon, Cris Gomez. Hospital Angeles Puebla

MATERIAL: We compared 50 consecutive cases using 3D laparoscopic surgery versus 50 cases of 2D conventional laparoscopic surgery from january to june 2017. All surgical procedures were performed by experienced laparoscopic surgeons using 3D (EinsteinVision system) and HD conventional laparoscopic optic.3D-Laparoscopic surgery offers the depth perception of the surgical field that is lost with the conventional  (2D) laparoscopic surgery, and in many series is reported to be better in terms of surgical performance.

Outcome measures was operation time, surgical performance, blood looses, complications and surgeon satisfaction with the procedure.

RESULTS: Cholecystectomy was the most frequent surgery performed with 19 cases (38%); hernia surgery 12 cases( 24%); fundoplication 6 cases(12%), appendectomy 4 cases (8%), left colon excison with colo-rectal anastomosis 3  cases(6%), and other  6 cases (12%) wich included ovarian cyst excision, liver biopsy, prostatectomy and pediatric surgery. We compared each 3D procedure with a standard laparoscopy case performed by the same surgeon during the time of the study. 3D vs 2D surgical procedures outcome measures are shown in Table 1.            

We found better results in operation time, surgical performance and less blood looses in favor of three-dimensional laparoscopy.( < 0.05)

CONCLUSION: 3D laparoscopy reduces operation time related to better performance during the procedure. Depth perception facilitates dissection, intracorporeal knotting , mesh placement and colo-rectal anastomosis. Surgeons reported better surgical performance and comfort during 3D laparoscopy; there were any reported side effects such as headache or dizziness.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 84729

Program Number: P511

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

364

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