Laparoscopic surgery underwent great improvements during the last few years. This review aims to compare the performance of Trainee Surgeons using 2D versus 3D/4 K laparoscopy. A systematic review of the literature was done on Pubmed, Embase, Cochrane’s Library and Scopus. The following words and key phrases have been searched: “Two-dimensional vision”, “Three-dimensional vision”, “2D and 3D laparoscopy”, “Trainee surgeons”. This systematic review was reported according to the PRISMA statement 2020. PROSPERO registration No. CRD42022328045. Twenty-two randomized controlled trials (RCTs) and two observational studies were included in the systematic review. Two trials were carried out in a clinical setting, and twenty-two trials were performed in a simulated setting. In studies involving the use of a box trainer, the number of errors in the 2D laparoscopic group was signifcantly higher than in the 3D laparoscopic group during the performance of FLS skill tasks: peg transfer (MD: -0.82; 95% CI − 1.17 to − 0.47; p<0.00001), cutting (MD: − 1.09; 95% CI − 1.50 to − 0.69 p<0.00001), suturing (MD: − 0.48; 95% CI − 0.83 to − 0.13 p=0.007), However, in clinical studies, there was no signifcant diference in the time taken for laparoscopic total hysterectomy (MD: 8.71; 95% CI − 13.55 to 30.98; p=0.44) and vaginal cuf closure (MD: 2.00; 95% CI − 0.72 to − 4.72; p=0.15) between 2D group and 3D group. 3D laparoscopy facilitates learning for novice surgeons and shows improvements in their laparoscopic performance.
Three‑dimensional vision versus two‑dimensional vision on laparoscopic performance of trainee surgeons: a systematic review and meta‑analysis
G. Scutiero;Cristina Taliento;G. Bernardi;E. Santi;F. Fanfani;G. Scambia;P. Greco;
2023
Abstract
Laparoscopic surgery underwent great improvements during the last few years. This review aims to compare the performance of Trainee Surgeons using 2D versus 3D/4 K laparoscopy. A systematic review of the literature was done on Pubmed, Embase, Cochrane’s Library and Scopus. The following words and key phrases have been searched: “Two-dimensional vision”, “Three-dimensional vision”, “2D and 3D laparoscopy”, “Trainee surgeons”. This systematic review was reported according to the PRISMA statement 2020. PROSPERO registration No. CRD42022328045. Twenty-two randomized controlled trials (RCTs) and two observational studies were included in the systematic review. Two trials were carried out in a clinical setting, and twenty-two trials were performed in a simulated setting. In studies involving the use of a box trainer, the number of errors in the 2D laparoscopic group was signifcantly higher than in the 3D laparoscopic group during the performance of FLS skill tasks: peg transfer (MD: -0.82; 95% CI − 1.17 to − 0.47; p<0.00001), cutting (MD: − 1.09; 95% CI − 1.50 to − 0.69 p<0.00001), suturing (MD: − 0.48; 95% CI − 0.83 to − 0.13 p=0.007), However, in clinical studies, there was no signifcant diference in the time taken for laparoscopic total hysterectomy (MD: 8.71; 95% CI − 13.55 to 30.98; p=0.44) and vaginal cuf closure (MD: 2.00; 95% CI − 0.72 to − 4.72; p=0.15) between 2D group and 3D group. 3D laparoscopy facilitates learning for novice surgeons and shows improvements in their laparoscopic performance.I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
