TY - JOUR
T1 - The use of 3D laparoscopic imaging systems in surgery
T2 - EAES consensus development conference 2018
AU - Arezzo, Alberto
AU - Vettoretto, Nereo
AU - Francis, Nader K.
AU - Bonino, Marco Augusto
AU - Curtis, Nathan J.
AU - Amparore, Daniele
AU - Arolfo, Simone
AU - Barberio, Manuel
AU - Boni, Luigi
AU - Brodie, Ronit
AU - Bouvy, Nicole
AU - Cassinotti, Elisa
AU - Carus, Thomas
AU - Checcucci, Enrico
AU - Custers, Petra
AU - Diana, Michele
AU - Jansen, Marilou
AU - Jaspers, Joris
AU - Marom, Gadi
AU - Momose, Kota
AU - Müller-Stich, Beat P.
AU - Nakajima, Kyokazu
AU - Nickel, Felix
AU - Perretta, Silvana
AU - Porpiglia, Francesco
AU - Sánchez-Margallo, Francisco
AU - Sánchez-Margallo, Juan A.
AU - Schijven, Marlies
AU - Silecchia, Gianfranco
AU - Passera, Roberto
AU - Mintz, Yoav
N1 - Funding Information:
This project was supported and funded by the EAES.
Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/10/15
Y1 - 2019/10/15
N2 - Background: The use of 3D laparoscopic systems is expanding. The European Association of Endoscopic Surgery (EAES) initiated a consensus development conference with the aim of creating evidence-based statements and recommendations for the surgical community. Methods: Systematic reviews of the PubMed and Embase libraries were performed to identify evidence on potential benefits of 3D on clinical practice and patient outcomes. Statements and recommendations were prepared and unanimously agreed by an international surgical and engineering expert panel which were presented and voted at the EAES annual congress, London, May 2018. Results: 9967 abstracts were screened with 138 articles included. 18 statements and two recommendations were generated and approved. 3D significantly shortened operative time (mean difference 11 min (8% [95% CI 20.29–1.72], I2 96%)). A significant reduction in complications was observed when 3D systems were used (RR 0.75, [95 CI% 0.60–0.94], I2 0%) particularly for cases involving laparoscopic suturing (RR 0.57 [95% CI 0.35–0.90], I2 0%). In 69 box trainer or simulator studies, 64% concluded trainees were significant faster and 62% performed fewer errors when using 3D. Conclusion: We recommend the use of 3D vision in laparoscopy to reduce the operative time (grade of recommendation: low). Future robust clinical research is required to specifically investigate the potential benefit of 3D laparoscopy system on complication rates (grade of recommendation: high).
AB - Background: The use of 3D laparoscopic systems is expanding. The European Association of Endoscopic Surgery (EAES) initiated a consensus development conference with the aim of creating evidence-based statements and recommendations for the surgical community. Methods: Systematic reviews of the PubMed and Embase libraries were performed to identify evidence on potential benefits of 3D on clinical practice and patient outcomes. Statements and recommendations were prepared and unanimously agreed by an international surgical and engineering expert panel which were presented and voted at the EAES annual congress, London, May 2018. Results: 9967 abstracts were screened with 138 articles included. 18 statements and two recommendations were generated and approved. 3D significantly shortened operative time (mean difference 11 min (8% [95% CI 20.29–1.72], I2 96%)). A significant reduction in complications was observed when 3D systems were used (RR 0.75, [95 CI% 0.60–0.94], I2 0%) particularly for cases involving laparoscopic suturing (RR 0.57 [95% CI 0.35–0.90], I2 0%). In 69 box trainer or simulator studies, 64% concluded trainees were significant faster and 62% performed fewer errors when using 3D. Conclusion: We recommend the use of 3D vision in laparoscopy to reduce the operative time (grade of recommendation: low). Future robust clinical research is required to specifically investigate the potential benefit of 3D laparoscopy system on complication rates (grade of recommendation: high).
KW - 3D laparoscopy
KW - 3D vision
KW - Consensus
KW - Imaging
KW - Laparoscopic
KW - Three-dimensional
UR - http://www.scopus.com/inward/record.url?scp=85057947634&partnerID=8YFLogxK
U2 - 10.1007/s00464-018-06612-x
DO - 10.1007/s00464-018-06612-x
M3 - Article
C2 - 30515610
AN - SCOPUS:85057947634
SN - 0930-2794
VL - 33
SP - 3251
EP - 3274
JO - Surgical Endoscopy
JF - Surgical Endoscopy
IS - 10
ER -