The use of 3D laparoscopic imaging systems in surgery: EAES consensus development conference 2018

被引：88

作者：

Arezzo, Alberto ^{[1
]}

Vettoretto, Nereo ^{[2
]}

Francis, Nader K. ^{[3
]}

Bonino, Marco Augusto ^{[1
]}

Curtis, Nathan J. ^{[3
,4
]}

Amparore, Daniele ^{[5
]}

Arolfo, Simone ^{[1
]}

Barberio, Manuel ^{[6
]}

Boni, Luigi ^{[7
]}

Brodie, Ronit ^{[8
]}

Bouvy, Nicole ^{[9
]}

Cassinotti, Elisa ^{[7
]}

Carus, Thomas ^{[10
]}

Checcucci, Enrico ^{[5
]}

Custers, Petra ^{[9
]}

Diana, Michele ^{[6
]}

Jansen, Marilou ^{[11
]}

Jaspers, Joris ^{[12
]}

Marom, Gadi ^{[8
]}

Momose, Kota ^{[13
]}

Mueller-Stich, Beat P. ^{[14
]}

Nakajima, Kyokazu ^{[13
]}

Nickel, Felix ^{[14
]}

Perretta, Silvana ^{[6
]}

Porpiglia, Francesco ^{[5
]}

Sanchez-Margallo, Francisco ^{[15
]}

Sanchez-Margallo, Juan A. ^{[15
]}

Schijven, Marlies ^{[11
]}

Silecchia, Gianfranco ^{[16
]}

Passera, Roberto ^{[1
]}

Mintz, Yoav ^{[8
]}

机构：

[1] Univ Torino, Dept Surg Sci, Corso Dogliotti 14, I-10126 Turin, Italy

[2] ASST Spedali Civili Brescia, Montichiari Surg, Montichiari, Italy

[3] Yeovil Dist Hosp NHS Fdn Trust, Dept Gen Surg, Higher Kingston, Yeovil, England

[4] Imperial Coll London, St Marys Hosp, Dept Surg & Canc, London, England

[5] San Luigi Gonzaga Hosp, Div Urol, ESUT Res Grp, Turin, Italy

[6] Res Inst Digest Canc, IRCAD, Strasbourg, France

[7] Univ Milan, Policlin Hosp, Dept Surg, Fdn IRCCS Ca Granda, Milan, Italy

[8] Hadassah Hebrew Univ, Med Ctr, Dept Surg, Jerusalem, Israel

[9] Maastricht Univ, Med Ctr, Dept Surg, Maastricht, Netherlands

[10] Asklepios Westklinikum Hamburg, Ctr Minimally Invas Surg, Dept Surg, Hamburg, Germany

[11] Acad Med Ctr Amsterdam, Dept Surg, Amsterdam, Netherlands

[12] Univ Med Ctr Utrecht, Dept Med Technol & Clin Phys, Utrecht, Netherlands

[13] Osaka Univ, Grad Sch Med, Dept Gastroenterol Surg, Suita, Osaka, Japan

[14] Univ Heidelberg Hosp, General Visceraland Transplant Surg, Heidelberg, Germany

[15] Jesus Uson Minimally Invas Surg Ctr, Caceres, Spain

[16] Sapienza Univ Rome, Dept Med Surg Sci & Biotechnol, Fac Pharm & Med, Rome, Italy

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2019年 / 33卷 / 10期

关键词：

3D laparoscopy; 3D vision; Three-dimensional; Imaging; Laparoscopic; Consensus; HEAD-MOUNTED DISPLAY; 3-DIMENSIONAL VISION; SURGICAL PERFORMANCE; LEARNING-CURVE; 2-DIMENSIONAL LAPAROSCOPY; QUANTITATIVE-EVALUATION; CONTROLLED-TRIAL; OPERATING TIME; 2D; IMPACT;

D O I：

10.1007/s00464-018-06612-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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], I-2 96%)). A significant reduction in complications was observed when 3D systems were used (RR 0.75, [95 CI% 0.60-0.94], I-2 0%) particularly for cases involving laparoscopic suturing (RR 0.57 [95% CI 0.35-0.90], I-2 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).

引用

页码：3251 / 3274

页数：24

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