Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials
Objective:. To assess the added value of 3-dimensional (3D) vision, including high definition (HD) technology, in laparoscopic surgery in terms of surgeon preference and clinical outcome. Background:. The use of 3D vision in laparoscopic surgery has been suggested to improve surgical performance. Ho...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-06-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000415 |
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| author | Rawin Amiri, BSc Maurice J. W. Zwart, PhD Leia R. Jones, BSc Mohammad Abu Hilal, PhD, FRCS Harrie P. Beerlage, PhD, FEBU Mark I. van Berge Henegouwen, PhD Wytze W. Lameris, PhD Willem A. Bemelman, PhD Marc G. Besselink, MD, MSc, PhD |
| author_facet | Rawin Amiri, BSc Maurice J. W. Zwart, PhD Leia R. Jones, BSc Mohammad Abu Hilal, PhD, FRCS Harrie P. Beerlage, PhD, FEBU Mark I. van Berge Henegouwen, PhD Wytze W. Lameris, PhD Willem A. Bemelman, PhD Marc G. Besselink, MD, MSc, PhD |
| author_sort | Rawin Amiri, BSc |
| collection | DOAJ |
| description | Objective:. To assess the added value of 3-dimensional (3D) vision, including high definition (HD) technology, in laparoscopic surgery in terms of surgeon preference and clinical outcome.
Background:. The use of 3D vision in laparoscopic surgery has been suggested to improve surgical performance. However, the added value of 3D vision remains unclear as a systematic review of randomized controlled trials (RCTs) comparing 3D vision including HD technology in laparoscopic surgery is currently lacking.
Methods:. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines with a literature search up to May 2023 using PubMed and Embase (PROSPERO, CRD42021290426). We included RCTs comparing 3D versus 2-dimensional (2D) vision in laparoscopic surgery. The primary outcome was operative time. Meta-analyses were performed using the random effects model to estimate the pooled effect size expressed in standard mean difference (SMD) with corresponding 95% confidence intervals (CIs). The level of evidence and quality was assessed according to the Cochrane risk of bias tool.
Results:. Overall, 25 RCTs with 3003 patients were included. Operative time was reduced by 3D vision (−8.0%; SMD, −0.22; 95% CI, −0.37 to −0.06; P = 0.007; n = 3003; 24 studies; I2 = 75%) compared to 2D vision. This benefit was mostly seen in bariatric surgery (−16.3%; 95% CI, −1.28 to −0.21; P = 0.006; 2 studies; n = 58; I2 = 0%) and general surgery (−6.7%; 95% CI, −0.34 to −0.01; P = 0.036; 9 studies; n = 1056; I2 = 41%). Blood loss was nonsignificantly reduced by 3D vision (SMD, −0.33; 95% CI, −0.68 to 0.017; P = 0.060; n = 1830; I2 = 92%). No differences in the rates of morbidity (14.9% vs 13.5%, P = 0.644), mortality (0% vs 0%), conversion (0.8% vs 0.9%, P = 0.898), and hospital stay (9.6 vs 10.5 days, P = 0.078) were found between 3D and 2D vision. In 15 RCTs that reported on surgeon preference, 13 (87%) reported that the majority of surgeons favored 3D vision.
Conclusions:. Across 25 RCTs, this systematic review and meta-analysis demonstrated shorter operative time with 3D vision in laparoscopic surgery, without differences in other outcomes. The majority of surgeons participating in the RCTs reported in favor of 3D vision. |
| format | Article |
| id | doaj-art-010ce3585d1d401c877117d9ed4a8697 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-010ce3585d1d401c877117d9ed4a86972025-01-24T09:18:39ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-06-0152e41510.1097/AS9.0000000000000415202406000-00017Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized TrialsRawin Amiri, BSc0Maurice J. W. Zwart, PhD1Leia R. Jones, BSc2Mohammad Abu Hilal, PhD, FRCS3Harrie P. Beerlage, PhD, FEBU4Mark I. van Berge Henegouwen, PhD5Wytze W. Lameris, PhD6Willem A. Bemelman, PhD7Marc G. Besselink, MD, MSc, PhD8* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands‡ Department of Surgery, Istituto Fondazione Poliambulanza, Brescia, Italy† Cancer Center Amsterdam, Netherlands* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, Netherlands* From the Department of Surgery, Amsterdam UMC, Location University of Amsterdam, Amsterdam, NetherlandsObjective:. To assess the added value of 3-dimensional (3D) vision, including high definition (HD) technology, in laparoscopic surgery in terms of surgeon preference and clinical outcome. Background:. The use of 3D vision in laparoscopic surgery has been suggested to improve surgical performance. However, the added value of 3D vision remains unclear as a systematic review of randomized controlled trials (RCTs) comparing 3D vision including HD technology in laparoscopic surgery is currently lacking. Methods:. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines with a literature search up to May 2023 using PubMed and Embase (PROSPERO, CRD42021290426). We included RCTs comparing 3D versus 2-dimensional (2D) vision in laparoscopic surgery. The primary outcome was operative time. Meta-analyses were performed using the random effects model to estimate the pooled effect size expressed in standard mean difference (SMD) with corresponding 95% confidence intervals (CIs). The level of evidence and quality was assessed according to the Cochrane risk of bias tool. Results:. Overall, 25 RCTs with 3003 patients were included. Operative time was reduced by 3D vision (−8.0%; SMD, −0.22; 95% CI, −0.37 to −0.06; P = 0.007; n = 3003; 24 studies; I2 = 75%) compared to 2D vision. This benefit was mostly seen in bariatric surgery (−16.3%; 95% CI, −1.28 to −0.21; P = 0.006; 2 studies; n = 58; I2 = 0%) and general surgery (−6.7%; 95% CI, −0.34 to −0.01; P = 0.036; 9 studies; n = 1056; I2 = 41%). Blood loss was nonsignificantly reduced by 3D vision (SMD, −0.33; 95% CI, −0.68 to 0.017; P = 0.060; n = 1830; I2 = 92%). No differences in the rates of morbidity (14.9% vs 13.5%, P = 0.644), mortality (0% vs 0%), conversion (0.8% vs 0.9%, P = 0.898), and hospital stay (9.6 vs 10.5 days, P = 0.078) were found between 3D and 2D vision. In 15 RCTs that reported on surgeon preference, 13 (87%) reported that the majority of surgeons favored 3D vision. Conclusions:. Across 25 RCTs, this systematic review and meta-analysis demonstrated shorter operative time with 3D vision in laparoscopic surgery, without differences in other outcomes. The majority of surgeons participating in the RCTs reported in favor of 3D vision.http://journals.lww.com/10.1097/AS9.0000000000000415 |
| spellingShingle | Rawin Amiri, BSc Maurice J. W. Zwart, PhD Leia R. Jones, BSc Mohammad Abu Hilal, PhD, FRCS Harrie P. Beerlage, PhD, FEBU Mark I. van Berge Henegouwen, PhD Wytze W. Lameris, PhD Willem A. Bemelman, PhD Marc G. Besselink, MD, MSc, PhD Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials Annals of Surgery Open |
| title | Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials |
| title_full | Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials |
| title_fullStr | Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials |
| title_full_unstemmed | Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials |
| title_short | Surgeon Preference and Clinical Outcome of 3D Vision Compared to 2D Vision in Laparoscopic Surgery: Systematic Review and Meta-Analysis of Randomized Trials |
| title_sort | surgeon preference and clinical outcome of 3d vision compared to 2d vision in laparoscopic surgery systematic review and meta analysis of randomized trials |
| url | http://journals.lww.com/10.1097/AS9.0000000000000415 |
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