Oncotarget

Research Papers:

3D laparoscopic surgery: a prospective clinical trial

Antonino Agrusa _, Giuseppe Di Buono, Salvatore Buscemi, Gaspare Cucinella, Giorgio Romano and Gaspare Gulotta

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Oncotarget. 2018; 9:17325-17333. https://doi.org/10.18632/oncotarget.24669

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Abstract

Antonino Agrusa1, Giuseppe Di Buono1, Salvatore Buscemi1, Gaspare Cucinella2, Giorgio Romano1 and Gaspare Gulotta1

1Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy

2Department of Obstetrics and Gynecology, University of Palermo, Palermo, Italy

Correspondence to:

Antonino Agrusa, email: [email protected]

Keywords: 3D laparoscopy; 2D laparoscopy; laparoscopic surgery; laparoscopic abdominal surgery; three-dimensional vision

Received: January 03, 2018     Accepted: February 27, 2018     Published: April 03, 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.


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