Three-dimensional laparoscopy: Principles and practice

被引:42
作者
Sinha, Rakesh Y. [1 ]
Raje, Shweta R. [1 ]
Rao, Gayatri A. [1 ]
机构
[1] Womens Hosp Med Ctr, Ctr Minimally Invas Gynecol Surg, Bombay, Maharashtra, India
关键词
Gynecological surgery; laparoscopic hysterectomy; laparoscopic myomectomy; minimally invasive; three-dimensional laparoscopy; SURGERY; VISUALIZATION; EXPERIENCE; LAPAROTOMY; ROBOTICS; 2D;
D O I
10.4103/0972-9941.181761
中图分类号
R61 [外科手术学];
学科分类号
摘要
The largest challenge for laparoscopic surgeons is the eye-hand coordination within a three-dimensional (3D) scene observed on a 2D display. The 2D view on flat screen laparoscopy is cerebrally intensive. The loss of binocular vision on a 2D display causes visual misperceptions, mainly loss of depth perception and adds to the surgeon's fatigue. This compromises the safety of laparoscopy. The 3D high-definition view with great depth perception and tactile feedback makes laparoscopic surgery more acceptable, safe and cost-effective. It improves surgical precision and hand-eye coordination, conventional and all straight stick instruments can be used, capital expenditure is less and recurring cost and annual maintenance cost are less. In this article, we have discussed the physics of 3D laparoscopy, principles of depth perception, and the different kinds of 3D systems available for laparoscopy. We have also discussed our experience of using 3D laparoscopy in over 2000 surgeries in the last 4 years.
引用
收藏
页码:165 / 169
页数:5
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