Laparoscopic surgery in 3D improves results and surgeon convenience in sleeve gastrectomy for morbid obesity

• Published in: Langenbeck's archives of surgery Vol. 407; no. 8; pp. 3333 - 3340
• Main Authors: Martínez-Ubieto, Fernando, Aragón-Benedí, Cristian, Barranco-Dominguez, Ignacio, Tardós-Ascaso, Lucía, Jiménez-Bernadó, Teresa, Pascual-Bellosta, Ana, Ramírez-Rodriguez, José Manuel, Martínez-Ubieto, Javier
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2022
• Subjects: Abdominal Surgery; Cardiac Surgery; General Surgery; Medicine; Medicine & Public Health; Thoracic Surgery; Traumatic Surgery; Vascular Surgery; Gastric sleeve; Vertical gastrectomy; Laparoscopy; 3D image; Bariatric surgery
• ISSN: 1435-2451; 1435-2443; 1435-2451
• DOI: 10.1007/s00423-022-02681-8

Purpose 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.