Potential of the glasses-free three-dimensional display system in shortening the learning curve of video-assisted endoscopic surgery: a self-controlled ex-vivo study

被引：1

作者：

Liu, Jun ^{[1
,2
,3
]}

Li, Jingpei ^{[1
,2
,3
]}

Wei, Wei ^{[4
]}

Hao, Zhexue ^{[1
,2
,3
]}

Liang, Hengrui ^{[1
,2
,3
]}

Cui, Fei ^{[1
,2
,3
]}

Wang, Wei ^{[1
,2
,3
]}

Huang, Jun ^{[1
,2
,3
]}

Peng, Guilin ^{[1
,2
,3
]}

Huang, Weizhe ^{[1
,2
,3
]}

Wang, Yidong ^{[5
]}

Lai, Fengling ^{[5
]}

He, Kaiming ^{[6
]}

Pan, Qi ^{[7
]}

Xu, Ke ^{[1
,2
,3
]}

Cai, Weipeng ^{[1
,2
,3
]}

Hamblin, Lindsey ^{[1
,2
,3
]}

Liang, Wenhua ^{[1
,2
,3
]}

He, Jianxing ^{[1
,2
,3
]}

机构：

[1] Guangzhou Med Univ, Affiliated Hosp 1, Dept Thorac Surg, 151 Yanjiang Rd, Guangzhou 510120, Guangdong, Peoples R China

[2] GIRH, Guangzhou 510120, Guangdong, Peoples R China

[3] Natl Clin Res Ctr Resp Dis, State Key Lab Resp Dis, Guangzhou 510120, Guangdong, Peoples R China

[4] Huizhou Municipal Cent Hosp, Dept Thorac Surg, Huizhou 516001, Peoples R China

[5] Guangzhou Med Univ, Affiliated Hosp 1, Operat Room, Guangzhou 510120, Guangdong, Peoples R China

[6] Southwest Med Univ, Affiliated Hosp, Dept Thorac Surg, Luzhou 646000, Peoples R China

[7] Guangxi Med Univ, Dept Thorac Surg, Affiliated Tumor Hosp, Nanning 530021, Peoples R China

来源：

ANNALS OF TRANSLATIONAL MEDICINE | 2019年 / 7卷 / 20期

基金：

中国国家自然科学基金;

关键词：

Glasses-free (GF); two-dimensional (2D); three-dimensional (3D); endoscopy; learning curve; LAPAROSCOPY;

D O I：

10.21037/atm.2019.10.01

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: One of the largest challenges in endoscopic surgical training is adapting to a two-dimensional (2D) view. The glasses-free three-dimensional (GF-3D) display system was designed to integrate the merits of both 2D and conventional 3D (C-3D) displays, allowing surgeons to perform video-assisted endoscopic surgery under a stereoscopic view without heavy and cumbersome 3D glasses. Methods: In this study, 15 junior thoracic surgeons were divided to test one routine and one complex task three times each via traditional high-definition 2D (HD-2D) and GF-3D to determine whether there was any advantage when using the GF-3D system to acquire endoscopic skills. The duration, numbers of stitches, and distance between every two stitches were recorded for every procedure. Results: Seven participants were enrolled in the HD-2D group and eight participants were enrolled in the GF-3D group. All 15 participants successfully completed porcine skin continuous suture and tracheal continuous anastomosis procedures three times each. For skin continuous suture, there was no significant difference between the two groups in terms of the learning curve for speed (P=0.683) and accuracy (P=0.556). For tracheal continuous anastomosis, there was a significant difference between the two groups in terms of the learning curve for speed (P=0.001), but no significant difference was observed between the two groups in terms of the learning curve for accuracy (P=0.211). Conclusions: In summary, both HD-2D and GF-3D display systems are efficient for routine and complex endoscopic surgery. With the help of GF-3D, surgeons can acquire new complex endoscopic skills faster than HD-2D and be free from burdensome polarized glasses. More comparative studies in a clinical setting are needed to further explore the feasibility, necessity, and economic aspects of the GF-3D display system.

引用

页数：6