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Validation and Verification of Three-dimensional Systems in Laparoscopic Distal Pancreatectomy.

Authors
  • Jun, Eunsung1, 2
  • Alshahrani, Abdulwahab A1
  • Song, Ki Byung1
  • Hwang, Dae Wook1
  • Lee, Jae Hoon1
  • Shin, Sang Hyun1
  • Lee, Young-Joo1
  • Kim, Song Cheol3
  • 1 Division of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. , (North Korea)
  • 2 Department of Convergence Medicine, Asan Institute for Life Sciences, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Republic of Korea. , (North Korea)
  • 3 Division of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea [email protected] , (North Korea)
Type
Published Article
Journal
Anticancer Research
Publisher
International Institute of Anticancer Research
Publication Date
Feb 01, 2019
Volume
39
Issue
2
Pages
867–874
Identifiers
DOI: 10.21873/anticanres.13187
PMID: 30711969
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The three-dimensional (3D) visualization system has been introduced for the technical improvement of laparoscopic surgery, but clinical evidence for its usefulness is lacking. This study aimed to evaluate the usefulness of a 3D system in laparoscopic surgery. Between 2015 and 2016, a randomized controlled trial was performed on 61 patients who underwent laparoscopic distal pancreatectomy. The primary outcome was the shortening of operative time. The hospital course, number of technical errors, and clinicians' subjective scores were compared as secondary outcome. There were no significant differences in operative times, hospital course and technical errors. However, depth perception was significantly improved and physical demand was reduced in the 3D group. These advantages became clearer in the later period of the study, with longer operative times, and in spleen-preserving procedures. Subjective scoring through 3D systems was significantly superior, which might lead to better surgical performance in difficult cases. Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

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