101135 20230210140618.0 doi 10.9738/INTSURG-D-14-00287.1 sideral 122998 ART-2015-122998 eng Martínez Ubieto, Fernando Three-dimensional laparoscopic sleeve gastrectomy: improved patient safety and surgeon convenience 2015 Access copy available to the general public Unrestricted One of the aims of laparoscopic surgery is to improve upon the results obtained by open surgery. This clearly appears to have been achieved in bariatric surgery. Two-dimensional (2-D) systems have been used to date, though new 3-dimensional (3-D) technologies have been introduced in an attempt to improve surgeon vision and thus increase the safety of the surgical techniques. Sixty obese patients underwent sleeve gastrectomy using a device equipped with 3-D optics allowing surgery to be viewed by the surgeon in 3 dimensions by using a specific monitor and wearing appropriate glasses. The mean patient age was 48.1 years. The mean weight was 114 kg (range, 92–172), with a mean body mass index (BMI) of 44 ± 5.21 kg/m2. All surgeries were performed using the 3-D system, with a mean surgical time of 71 ± 49.6 minutes and a mean hospital stay of 3.0 ± 1.2 days. Only 1 intraoperative complication was recorded: retroperitoneal bleeding on insertion of the optical trocar. Over a mean follow-up period of 12 months, the mean body weight of the patients was 88 kg (range, 71–121), with a BMI of 30.56 ± 3.98 kg/m2 and a percentage excess weight loss of 68.14% ± 7.89%. There was clear improvement of both the blood pressure and glucose levels. Three-dimensional sleeve gastrectomy is safe, viable, and fully reproducible compared with 2-D surgery, improving visualization of the surgical field, safety, and surgeon convenience. Randomized studies involving larger patient samples are needed for the comparison of results info:eu-repo/semantics/openAccess by-nc http://creativecommons.org/licenses/by-nc/3.0/es/ 0.5 2015 SURGERY 184 / 200 = 0.92 2015 Q4 T3 0.3 2015 Surgery 2015 Q3 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Jiménez Bernadó, Teresa Universidad de Zaragoza (orcid)0000-0002-6314-551X Martínez Ubieto, Javier Universidad de Zaragoza (orcid)0000-0003-2462-1904 Cabrerizo, Antonio Pascual Bellosta, Ana Muñoz Rodríguez, Luis Jiménez Bernadó, Alfredo 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1004 090 Universidad de Zaragoza Dpto. Cirugía,Ginecol.Obstetr. Área Cirugía 100, 6 (2015), 1134-7 Int. surg. International surgery 0020-8868 97136 http://zaguan.unizar.es/record/101135/files/texto_completo.pdf Versión publicada 1825201 http://zaguan.unizar.es/record/101135/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:101135 articulos driver 2023-02-10-14:00:28 ARTICLE