Comparison of 2D and 3D Laparoscopy and Skills of Laparoscopic Operations

 

Use Of Robotics and Quality of Surgery

Thus, robotic surgery is an innovative and advanced 3D endo-surgical technology, however, it is necessary to understand what application robotics in those cases where traditional laparoscopic approaches may reach those same clinical results, accompanied smaller costs, put in doubt. In the near future, it remains to be seen whether the use of robotics has helped to improve the quality surgery, or 3D image on the screen to improve the quality laparoscopy.

Use of Simulations is significant choice with Laparoscopic Needle Driver.

Comparison of 2D and 3D Laparoscopy

There is a limited number of studies comparing operations performed using 3D video systems with surgical interventions produced from help conventional 2D devices. Question superiority of 3D laparoscopic systems over 2D systems remains unresolved, although the potential benefits from 3D visualizations Okay known to real time. These Benefits include improved performance due to the appearance of spatial measurements depths And reverse tactile connections, which are absent, respectively, in 2D laparoscopy and robotic surgery.

Qualities Of 3D Laparoscopy

The qualities of 3D laparoscopy were evaluated during the performance Endo-Surgical procedures, but also based on simulation and experimental models. There are a limited number of clinical studies comparing 3D and 2D laparoscopy. Initially, scientific work aimed at studying the benefits and shortcomings of 3D systems, gave conflicting results.

Some from them reported what 3D visualization greatly improves productivity labor of a surgeon, others claimed total equivalence operations and not could demonstrate the superiority of 3D imaging for solving various problems of laparoscopy. but it should be noted that these conclusions were made when working with early-generation 3D systems.

Subsequent clinical comparisons of operations have shown that surgical interventions performed using next-generation 3D systems occupied less time how traditional. This statement was supported by a study by O. Wagner, in which he showed what performance labor surgeon can be increased by 60-70% with using the 3D imaging system. A recent scientific review demonstrated what 3D technology significantly reduces the duration of laparoscopic cholecystectomy.

Results Of Research

Part of the research that showed the superiority of the 3D system was carried out using simulators and experimental surgical models. Comparison of 3D and 2D visualization on the example of simulation models is limited due to the lack of a standardized systems estimates skills in laparoscopic surgery.

Several years back Society of endoscopic gastro-surgeons enterologists has developed a comprehensive program "Fundamentals of Laparoscopic Surgery" (FLS), taking into account didactic and manual skills to assess basic laparoscopic skills. The effectiveness of this programs was confirmed in the course of numerous studies assessing the qualifications and professional training of surgeons in laparoscopy.

Recent studies have shown that 3D visualization speeds up the solution of the main tasks of the FLS program, mainly for more work- tasks and for the acquisition of endo- surgical skills newcomers. Despite on the presented benefit, there are separate reports of negative effects of 3D imaging, which manifest themselves in the form of dizziness and fatigue of the surgeon's eyes.

3D Laparoscopy in Pediatric Surgery

Despite the growth in distribution, 3D laparoscopy till has not found wide application in pediatric surgery, especially in newborns and infants. Most surgeons categorically deny the possibility fulfillment laparoscopic operations in children in 3D, motivating his solution topics what optical systems for 3D laparoscopy have an “impressive” diameter for a small child.

However, the introduction a 3D (Three-Dimensional) telescope through an elastic and pliable navel, used as a “keyhole” for performing a number of trans-umbilical open and laparoscopic operations, allows fully put away scar from abdominal walls. An additional benefit of the enlarged umbilical incision is in volume, what is he may be easily transform in dilated paraumbilical incision, for example, for the production of “hybrid” operations, combining in yourself principles laparoscopic and open surgery.

Scientific publications dedicated to application three-dimensional laparoscopy at children, wear rare character. TO moment training to publication this articles It was known only about one mention applications 3D laparoscopy at children.

Skills Of Laparoscopic Operations

Based on our own scientific results, we inclined approve, what 3D laparoscopy feasible in children and is excellent alternative howl of traditional laparoscopy in the treatment many surgical diseases, including in young patients. In our opinion, some tips that have emerged in the course of accumulating our own experience are important for the initial mastering of the skills of laparoscopic operations in 3D format:

—        all medical monitors have lower brightness in three-dimensional mode, how in mode 2D, Therefore, to improve visibility 3D images operating room should be darkened;

—        if visibility in process fulfillment operations becomes poor, the surgeon should try to increase the brightness of the source Sveta;

—        in case of deterioration of the image, the time from time close left And right eye in separately, to verify pollution one from optical channels And in case need clear his;

—        when an object located too much close to ne- middle lens, in mode 3D image maybe be blurry. For correction violations three-dimensional visualization is needed slightly extract laparo- scope outside or temporarily use mode 2D. So, the use of 3D laparoscopy in pedia trichesky practice starts my history.

Pre- beliefs related to what existing optical systems too much great for children, not have under yourself compelling grounds if take account of the potential of the navel child hide scar after their installation. except Togo, 3D technology has dramatically changed depth perceive- disturbances of the internal organs of the body child, saved niv-tactile feedback, missing at robotic devices, and allowed raise- to develop the skills of talented surgeons.

The main question is whether endo-surgery in 3D format is feasible in children in principle, as well as safe technology in comparison from traditional laparoscopy — found the confirmation at the end of our research.

Conclusion

In the past few years, 3D movies have collected an incredible amount of box office. 3D laparoscopy is also an example of the bold and impressive work of engineers that has dramatically improved the quality of modern surgery. FROM moment his appearance surgeons were delighted this method, and each surgical discipline trying to find for her corresponding role.

On our sight, 3D laparoscopy is one of the promising areas of development children's endo-surgery. Perception depths And Availability reverse _ tactile connections does 3D laparoscopic surgery is more acceptable, safer and more cost effective than traditional 2D laparoscopy and robotic surgery. This quality three-dimensional image format improve the accuracy of manipulations And visual coordination, at the same time accompanied by a reduction in capital and annual costs on the equipment. Costs hope, what the development of 3D optical technologies will overcome some of the shortcomings of modern 3D devices for laparoscopy and improve the level of skill surgeon.

For more information visit our website: www.gerati.com