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3D laparoscopic surgery: a prospective clinical trial
- Source :
- Oncotarget
- Publication Year :
- 2018
- Publisher :
- Impact Journals LLC, 2018.
-
Abstract
- Since it's introduction, laparoscopic surgery represented a real revolution in clinical practice. The use of a new generation three-dimensional (3D) HD laparoscopic system can be considered a favorable "hybrid" made by combining two different elements: feasibility and diffusion of laparoscopy and improved quality of vision. In this study we report our clinical experience with use of three-dimensional (3D) HD vision system for laparoscopic surgery. Between 2013 and 2017 a prospective cohort study was conducted at the University Hospital of Palermo. We considered 163 patients underwent to laparoscopic three-dimensional (3D) HD surgery for various indications. This 3D-group was compared to a retrospective-prospective control group of patients who underwent the same surgical procedures. Considerating specific surgical procedures there is no significant difference in term of age and gender. The analysis of all the groups of diseases shows that the laparoscopic procedures performed with 3D technology have a shorter mean operative time than comparable 2D procedures when we consider surgery that require complex tasks. The use of 3D laparoscopic technology is an extraordinary innovation in clinical practice, but the instrumentation is still not widespread. Precisely for this reason the studies in literature are few and mainly limited to the evaluation of the surgical skills to the simulator. This study aims to evaluate the actual benefits of the 3D laparoscopic system integrating it in clinical practice. The three-dimensional view allows advanced performance in particular conditions, such as small and deep spaces and promotes performing complex surgical laparoscopic procedures.
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
2D laparoscopy
3D laparoscopy
Laparoscopic abdominal surgery
Three-dimensional vision
Oncology
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Medicine
Prospective cohort study
Laparoscopy
three-dimensional vision
medicine.diagnostic_test
business.industry
General surgery
Significant difference
University hospital
laparoscopic surgery
Clinical trial
laparoscopic abdominal surgery
030220 oncology & carcinogenesis
Quality of vision
Operative time
030211 gastroenterology & hepatology
business
Research Paper
Subjects
Details
- Language :
- English
- ISSN :
- 19492553
- Volume :
- 9
- Issue :
- 25
- Database :
- OpenAIRE
- Journal :
- Oncotarget
- Accession number :
- edsair.doi.dedup.....0e66642d6fa97497c56383eb88c162b7