Arch Gynecol Obstet DOI 10.1007/s00404-014-3253-1

General Gynecology

Comparison of 3‑dimensional versus 2‑dimensional laparoscopic vision system in total laparoscopic hysterectomy: a retrospective study Taner A. Usta · Tolga Karacan · M. Murat  Naki · Aysel Calık · Lale Turkgeldi · Volkan Kasimogullari 

Received: 27 November 2013 / Accepted: 11 April 2014 © Springer-Verlag Berlin Heidelberg 2014

Abstract  Purpose  We compare the results of total laparoscopic hysterectomy (TLH) operations conducted using standard 2-D and 3-D high definition laparoscopic vision systems and discuss the findings with regard to the recent literature. Methods  Data from 147 patients who underwent TLH operations with 2-D or 3-D high definition laparoscopic vision systems in Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital, during 2 year period between December 2010 and December 2012, were reviewed retrospectively. TLH operations were divided into two groups as those performed using 2-D, and those performed using 3-D high definition laparoscopic vision systems. Results A statistically significant difference was found between the two groups in the operation times (p  = 0.037  0.05). The operation time among obese patients was significantly shorter in those T. A. Usta · A. Calık · V. Kasimogullari  Department of Obstetrics and Gynecology, Bagcilar Education and Research Hospital, Bagcilar, 34200 Istanbul, Turkey e-mail: [email protected] T. Karacan (*) · L. Turkgeldi  Department of Obstetrics and Gynecology, Kanuni Education and Research Hospital, Halkali, Istanbul, Turkey e-mail: [email protected] M. M. Naki  Department of Obstetrics and Gynecology, Liv Hospital, Istanbul, Turkey

in the 3-D laparoscopy group than those in the 2-D group (p = 0.041 25 kg/m2) patients was significantly lower in the 3-D group. Recent literature indicates that 3-D laparoscopy techniques need to be utilized more often and a higher number of ex vivo and in vivo studies have to be conducted. Furthermore, we believe the prevalant problems encountered during 3D LVS can be overcome by the development of real-time vision devices and the appropriate training of laparoscopists. The new-generation 3-D HD LVS will be helpful for the surgeon in laparoscopy. The developing technology and improved 3-D imaging systems have the potential to shorten the learning curve, and reduce the operating time while performing the procedure for laparoscopic surgeons. And in the near future, it will not be a surprise to see 2-D imaging being replaced by 3D HD imaging system in laparoscopic surgery. Conflict of interest None.

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Comparison of 3-dimensional versus 2-dimensional laparoscopic vision system in total laparoscopic hysterectomy: a retrospective study.

We compare the results of total laparoscopic hysterectomy (TLH) operations conducted using standard 2-D and 3-D high definition laparoscopic vision sy...
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