000119972 001__ 119972
000119972 005__ 20240111111740.0
000119972 0247_ $$2doi$$a10.1007/s00423-022-02681-8
000119972 0248_ $$2sideral$$a130746
000119972 037__ $$aART-2022-130746
000119972 041__ $$aeng
000119972 100__ $$aMartínez-Ubieto, Fernando
000119972 245__ $$aLaparoscopic surgery in 3D improves results and surgeon convenience in sleeve gastrectomy for morbid obesity
000119972 260__ $$c2022
000119972 5060_ $$aAccess copy available to the general public$$fUnrestricted
000119972 5203_ $$aPurpose
Advanced laparoscopic procedures are still challenging. One critical issue is the lack of stereoscopic vision. The aim of this surgical study is to evaluate whether 3D vision offers any advantages for surgical performance over 2D vision during sleeve gastrectomy for morbid obesity using a laparoscopic system that allows changing between 2D and 3D optics.
Methods
A total of 78 patients were analyzed, with 37 in the 2D group and 41 in the 3D group. Performance time, hospital stay, complications, and early outcomes were collected. To assess the quality of the 2D and 3D techniques, visual analog scales from 0 to 10 were designed, and image quality, depth of field, precision in performing tasks, and general ergonomics were measured.
Results
According to the vision system used, the mean duration of surgery was 85 ± 16.8 min for patients operated on with the 2D system and 69 ± 16.9 min for those operated on with the 3D system. There were no significant differences between the overall percentages of complications according to the type of vision used. However, postoperative complications were more severe in the 2D laparoscopy group. The average length of stay was shorter for patients in the 3D group. Regarding the differences perceived by the surgeon, the depth of field and the precision of tasks were better in the 3D vision group.
Conclusion
The 3D system provided greater depth perception and precision in more complex tasks, enabling safer surgery. This led to a reduction in the operative time and hospital stay. Moreover, the severity of complications was less.
000119972 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000119972 592__ $$a0.721$$b2022
000119972 593__ $$aSurgery$$c2022$$dQ1
000119972 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000119972 700__ $$aAragón-Benedí, Cristian
000119972 700__ $$aBarranco-Dominguez, Ignacio
000119972 700__ $$aTardós-Ascaso, Lucía
000119972 700__ $$0(orcid)0000-0002-6314-551X$$aJiménez-Bernadó, Teresa$$uUniversidad de Zaragoza
000119972 700__ $$aPascual-Bellosta, Ana
000119972 700__ $$0(orcid)0000-0001-7964-1166$$aRamírez-Rodriguez, José Manuel$$uUniversidad de Zaragoza
000119972 700__ $$0(orcid)0000-0003-2462-1904$$aMartínez-Ubieto, Javier$$uUniversidad de Zaragoza
000119972 700__ $$aResearch Group in Anesthesia, Resuscitation, Perioperative Medicine of Aragón Health Research Institute (IIS Aragón)
000119972 700__ $$aOrtega-Lucea, Sonia
000119972 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000119972 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000119972 773__ $$g407 (2022), 3333-3340$$tLangenbeck's Archives of Surgery$$x1435-2451
000119972 8564_ $$s563778$$uhttps://zaguan.unizar.es/record/119972/files/texto_completo.pdf$$yVersión publicada
000119972 8564_ $$s2499487$$uhttps://zaguan.unizar.es/record/119972/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000119972 909CO $$ooai:zaguan.unizar.es:119972$$particulos$$pdriver
000119972 951__ $$a2024-01-11-11:00:59
000119972 980__ $$aARTICLE