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：

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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.	中華醫學會外科學分會內分泌外科學組, 中華醫學會外科學分會腹腔鏡與內鏡外科學組, 中華醫學會外科學分會胃腸外科學組, 等. 中國肥胖病外科治療指南(2007). 中國實用外科雜志, 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.	鄭民華. 腹腔鏡技術的現狀與展望. 中國實用外科雜志, 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.	黃昌明, 林建賢. 3D 腹腔鏡胃癌根治術的優勢與技術. 中華普外科手術學雜志(電子版), 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.	張鵬, 鄭成竹, Alfonso Torquati, 等. 美國減重代謝外科現狀及與我國異同. 中國實用外科雜志, 2014, 34 (11): 1094-1096.
16.	中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會. 中國肥胖和 2 型糖尿病外科治療指南(2014). 中國實用外科雜志, 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.	中華醫學會外科學分會, 中華醫學會外科學分會腹腔鏡與內鏡外科學組. 3D 腹腔鏡手術技術專家共識(2015). 中國實用外科雜志, 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, 閆文貌. 胃后動脈在代謝手術規范化操作中的意義. 中華肥胖與代謝病電子雜志, 2016, 2(3): 161-163.
25.	王錫山. 3D 腹腔鏡技術在微創外科中的現狀與思考. 中華結直腸疾病電子雜志, 2014, 3(3): 177-179.
26.	姚宏偉, 陳寧, 連玉貴. 3D 完全腹腔鏡根治性全胃切除術消化道重建方式的選擇. 中華普外科手術學雜志(電子版), 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. 中華醫學會外科學分會內分泌外科學組, 中華醫學會外科學分會腹腔鏡與內鏡外科學組, 中華醫學會外科學分會胃腸外科學組, 等. 中國肥胖病外科治療指南(2007). 中國實用外科雜志, 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. 鄭民華. 腹腔鏡技術的現狀與展望. 中國實用外科雜志, 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. 黃昌明, 林建賢. 3D 腹腔鏡胃癌根治術的優勢與技術. 中華普外科手術學雜志(電子版), 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. 張鵬, 鄭成竹, Alfonso Torquati, 等. 美國減重代謝外科現狀及與我國異同. 中國實用外科雜志, 2014, 34 (11): 1094-1096.
16. 中國醫師協會外科醫師分會肥胖和糖尿病外科醫師委員會. 中國肥胖和 2 型糖尿病外科治療指南(2014). 中國實用外科雜志, 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. 中華醫學會外科學分會, 中華醫學會外科學分會腹腔鏡與內鏡外科學組. 3D 腹腔鏡手術技術專家共識(2015). 中國實用外科雜志, 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, 閆文貌. 胃后動脈在代謝手術規范化操作中的意義. 中華肥胖與代謝病電子雜志, 2016, 2(3): 161-163.
25. 王錫山. 3D 腹腔鏡技術在微創外科中的現狀與思考. 中華結直腸疾病電子雜志, 2014, 3(3): 177-179.
26. 姚宏偉, 陳寧, 連玉貴. 3D 完全腹腔鏡根治性全胃切除術消化道重建方式的選擇. 中華普外科手術學雜志(電子版), 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．.

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Application of three-dimensional video techniques in laparoscopic bariatric surgery

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