Application of three-dimensional video techniques in laparoscopic bariatric surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Yingxu , FANG Denghua ,  LIU Tianxi

The First Department of Hepatobiliary Surgery, The Second People’s Hospital of Qujing City, Qujing, Yunan 655000, P. R. China;

Corresponding author：

LIU Tianxi, Email: 31765270@qq.com

Keywords：

3D laparoscope; 2D laparoscope; laparoscopic bariatric surgery

DOI：

10.7507/1007-9424.201703034

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore application value of three-dimensional (3D) laparoscopic visualization during bariatric surgery. Methods From January 2015 to May 2017, 64 patients underwent laparoscopic bariatric surgery in our department were included. Among these cases, 19 patients underwent 3D laparoscopic sleeve gastrectomy, and 21 patients underwent two-dimensional (2D) laparoscopic sleeve gastrectomy. Thirteen patients underwent 3D laparoscopic Roux-en-Y gastric bypass, and 11 patients underwent 2D laparoscopic Roux-en-Y gastric bypass. The total operative time, the digestive tract reconstruction time, the intraoperative blood loss, the postoperative hospitalization stay, and the operative complications were analyzed statistically. Results The laparoscopic bariatric surgery were performed successfully in all the 64 patients, no case was converted to the laparotomy, and no 3D laparoscopy was converted to the 2D laparoscopy. The suture time of the gastric incisal margin was shorter and the intraoperative blood loss was less with the 3D laparoscopic sleeve gastrectomy as compared with the 2D laparoscopic sleeve gastrectomy (P<0.05), but the total operative time and the postoperative hospitalization stay had no significant differences and none of postoperative complications happened between these two modes (P>0.05). The total operative time, the time to make gastric pouch, the time of the gastro-jejunal anastomosis or jejunum-jejunum anastomosis, and the intraoperative blood loss with the 3D laparoscopic Roux-en-Y gastric bypass were significantly less than those with the 2D laparoscopic Roux-en-Y gastric bypass (P<0.05), but the postoperative hospitalization stay had no significant difference between these two modes (P>0.05). Conclusion Pre-liminary results of limited cases in this study shows that 3D laparoscope could provide 3D stereoscopic visualization, which facilitateto clearly identify anatomical structures, and be helpful to complex operations, and then might reduce operating time, both physicians and patients could benefit from it.

Citation： LI Yingxu, FANG Denghua, LIU Tianxi. Application of three-dimensional video techniques in laparoscopic bariatric surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(9): 1106-1111. doi: 10.7507/1007-9424.201703034 Copy

1.	Schirmer B, Watts SH. Laparoscopic bariatric surgery. Surg Endosc, 2003, 17(12): 1875-1878.
2.	Abdelshehid CS, Eichel L, Lee D, et al. Current trends in urologic laparoscopic surgery. J Endourol, 2005, 19(1): 15-20.
3.	Sinha R, Sundaram M, Raje S, et al. 3D laparoscopy: technique and initial experience in 451 cases. Gynecol Surg, 2013, 10(2): 123-128.
4.	Cicione A, Autorino R, Breda A, et al. Three-dimensional vs standard laparoscopy: comparative assessment using a validated program for laparoscopic urologic skills. Urology, 2013, 82(6): 1444-1450．.
5.	Breitenstein S, Nocito A, Puhan M, et al. Robotic-assisted versus laparoscopic cholecystectomy: outcome and cost analyses of a case-matched control study. Ann Surg, 2008, 247(6): 987-993．.
6.	中华医学会外科学分会内分泌外科学组, 中华医学会外科学分会腹腔镜与内镜外科学组, 中华医学会外科学分会胃肠外科学组, 等. 中国肥胖病外科治疗指南(2007). 中国实用外科杂志, 2007, 27(10): 759-762.
7.	Polychronidis A, Laftsidis P, Bounovas A, et al. Twenty years of laparoscopic cholecystectomy: Philippe Mouret-March 17, 1987. JSLS, 2008, 12(1): 109-111.
8.	郑民华. 腹腔镜技术的现状与展望. 中国实用外科杂志, 2010, 30(3): 164-166.
9.	Bhayani SB, Andriole GL. Three-dimensional (3D) vision: Does it improve laparoscopic skills? An assessment of a 3D Head-Mounted Visualization System. Rev Urol, 2005, 7(4): 211-214.
10.	Mueller MD, Camartin C, Dreher E, et al. Three-dimensional laparoscopy. Gadget or progress? A randomized trial on the efficacy of three-dimensional laparoscopy. Surg Endosc, 1999, 13(5): 469-472.
11.	Kunert W, Storz P, Müller S, et al. 3D in laparoscopy: state of the art. Chirurg, 2013, 84(3): 202-207．.
12.	黄昌明, 林建贤. 3D 腹腔镜胃癌根治术的优势与技术. 中华普外科手术学杂志(电子版), 2016, 10(1): 4-6.
13.	Van Gompel JJ, Tabor MH, Youssef AS, et al. Field of view comparison between two-dimensional and three-dimensional endoscopy. Laryngoscope, 2014, 124(2): 387-390.
14.	Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg, 2015, 25(10): 1822-1832.
15.	张鹏, 郑成竹, Alfonso Torquati, 等. 美国减重代谢外科现状及与我国异同. 中国实用外科杂志, 2014, 34 (11): 1094-1096.
16.	中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 中国肥胖和 2 型糖尿病外科治疗指南(2014). 中国实用外科杂志, 2014, 34(11): 1005-1010.
17.	Kunert W, Storz P, Kirschniak A. For 3D laparoscopy: a step toward advanced surgical navigation: how to get maximum benefit from 3D vision. Surg Endosc, 2013, 27(2): 696-699.
18.	Wagner OJ, Hagen M, Kurmann A, et al. Three-dimensional vision enhances task performance independently of the surgical method. Surg Endosc, 2012, 26(10): 2961-2968．.
19.	Storz P, Buess GF, Kunert W, et al. 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surg Endosc, 2012, 26(5): 1454-1460.
20.	中华医学会外科学分会, 中华医学会外科学分会腹腔镜与内镜外科学组. 3D 腹腔镜手术技术专家共识(2015). 中国实用外科杂志, 2015,35(9): 967-969.
21.	McLachlan G. From 2D to 3D: the future of surgery? Lancet, 2011, 378(9800): 1368.
22.	Wilhelm D, Reiser S, Kohn N, et al. Comparative evaluation of HD 2D/3D laparoscopic monitors and benchmarking to a theoretically ideal 3D pseudodisplay: even well-experienced laparoscopists perform better with 3D. Surg Endosc, 2014, 28(8): 2387-2397．.
23.	Tanagho YS, Andriole GL, Paradis AG, et al. 2D versus 3D visualization: impact on laparoscopic proficiency using the fundamentals of laparoscopic surgery skill set. J Laparoendosc Adv Surg Tech A, 2012, 22(9): 865-870.
24.	白日星, 闫文貌. 胃后动脉在代谢手术规范化操作中的意义. 中华肥胖与代谢病电子杂志, 2016, 2(3): 161-163.
25.	王锡山. 3D 腹腔镜技术在微创外科中的现状与思考. 中华结直肠疾病电子杂志, 2014, 3(3): 177-179.
26.	姚宏伟, 陈宁, 连玉贵. 3D 完全腹腔镜根治性全胃切除术消化道重建方式的选择. 中华普外科手术学杂志(电子版), 2016, 10(1): 10-13.
27.	Buchs NC, Volonte F, Pugin F, et al. Three-dimensional laparoscopy: a step toward advanced surgical navigation. Surg Endosc, 2013, 27(2): 692-693．.

1. Schirmer B, Watts SH. Laparoscopic bariatric surgery. Surg Endosc, 2003, 17(12): 1875-1878.
2. Abdelshehid CS, Eichel L, Lee D, et al. Current trends in urologic laparoscopic surgery. J Endourol, 2005, 19(1): 15-20.
3. Sinha R, Sundaram M, Raje S, et al. 3D laparoscopy: technique and initial experience in 451 cases. Gynecol Surg, 2013, 10(2): 123-128.
4. Cicione A, Autorino R, Breda A, et al. Three-dimensional vs standard laparoscopy: comparative assessment using a validated program for laparoscopic urologic skills. Urology, 2013, 82(6): 1444-1450．.
5. Breitenstein S, Nocito A, Puhan M, et al. Robotic-assisted versus laparoscopic cholecystectomy: outcome and cost analyses of a case-matched control study. Ann Surg, 2008, 247(6): 987-993．.
6. 中华医学会外科学分会内分泌外科学组, 中华医学会外科学分会腹腔镜与内镜外科学组, 中华医学会外科学分会胃肠外科学组, 等. 中国肥胖病外科治疗指南(2007). 中国实用外科杂志, 2007, 27(10): 759-762.
7. Polychronidis A, Laftsidis P, Bounovas A, et al. Twenty years of laparoscopic cholecystectomy: Philippe Mouret-March 17, 1987. JSLS, 2008, 12(1): 109-111.
8. 郑民华. 腹腔镜技术的现状与展望. 中国实用外科杂志, 2010, 30(3): 164-166.
9. Bhayani SB, Andriole GL. Three-dimensional (3D) vision: Does it improve laparoscopic skills? An assessment of a 3D Head-Mounted Visualization System. Rev Urol, 2005, 7(4): 211-214.
10. Mueller MD, Camartin C, Dreher E, et al. Three-dimensional laparoscopy. Gadget or progress? A randomized trial on the efficacy of three-dimensional laparoscopy. Surg Endosc, 1999, 13(5): 469-472.
11. Kunert W, Storz P, Müller S, et al. 3D in laparoscopy: state of the art. Chirurg, 2013, 84(3): 202-207．.
12. 黄昌明, 林建贤. 3D 腹腔镜胃癌根治术的优势与技术. 中华普外科手术学杂志(电子版), 2016, 10(1): 4-6.
13. Van Gompel JJ, Tabor MH, Youssef AS, et al. Field of view comparison between two-dimensional and three-dimensional endoscopy. Laryngoscope, 2014, 124(2): 387-390.
14. Angrisani L, Santonicola A, Iovino P, et al. Bariatric surgery worldwide 2013. Obes Surg, 2015, 25(10): 1822-1832.
15. 张鹏, 郑成竹, Alfonso Torquati, 等. 美国减重代谢外科现状及与我国异同. 中国实用外科杂志, 2014, 34 (11): 1094-1096.
16. 中国医师协会外科医师分会肥胖和糖尿病外科医师委员会. 中国肥胖和 2 型糖尿病外科治疗指南(2014). 中国实用外科杂志, 2014, 34(11): 1005-1010.
17. Kunert W, Storz P, Kirschniak A. For 3D laparoscopy: a step toward advanced surgical navigation: how to get maximum benefit from 3D vision. Surg Endosc, 2013, 27(2): 696-699.
18. Wagner OJ, Hagen M, Kurmann A, et al. Three-dimensional vision enhances task performance independently of the surgical method. Surg Endosc, 2012, 26(10): 2961-2968．.
19. Storz P, Buess GF, Kunert W, et al. 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surg Endosc, 2012, 26(5): 1454-1460.
20. 中华医学会外科学分会, 中华医学会外科学分会腹腔镜与内镜外科学组. 3D 腹腔镜手术技术专家共识(2015). 中国实用外科杂志, 2015,35(9): 967-969.
21. McLachlan G. From 2D to 3D: the future of surgery? Lancet, 2011, 378(9800): 1368.
22. Wilhelm D, Reiser S, Kohn N, et al. Comparative evaluation of HD 2D/3D laparoscopic monitors and benchmarking to a theoretically ideal 3D pseudodisplay: even well-experienced laparoscopists perform better with 3D. Surg Endosc, 2014, 28(8): 2387-2397．.
23. Tanagho YS, Andriole GL, Paradis AG, et al. 2D versus 3D visualization: impact on laparoscopic proficiency using the fundamentals of laparoscopic surgery skill set. J Laparoendosc Adv Surg Tech A, 2012, 22(9): 865-870.
24. 白日星, 闫文貌. 胃后动脉在代谢手术规范化操作中的意义. 中华肥胖与代谢病电子杂志, 2016, 2(3): 161-163.
25. 王锡山. 3D 腹腔镜技术在微创外科中的现状与思考. 中华结直肠疾病电子杂志, 2014, 3(3): 177-179.
26. 姚宏伟, 陈宁, 连玉贵. 3D 完全腹腔镜根治性全胃切除术消化道重建方式的选择. 中华普外科手术学杂志(电子版), 2016, 10(1): 10-13.
27. Buchs NC, Volonte F, Pugin F, et al. Three-dimensional laparoscopy: a step toward advanced surgical navigation. Surg Endosc, 2013, 27(2): 692-693．.

Previous Article
Clinical analysis on 18 cases of retroperitoneal ganglioneuroma
Next Article
Association between a single nucleotide polymorphism in PALB2 rs249954 and breast cancer: a meta-analysis

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of three-dimensional video techniques in laparoscopic bariatric surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content