Comparison of two-dimensional high-definition, ultra high-definition and three-dimensional endovision systems: an ex-vivo randomised study.
2D HD
3D HD
4K HD
Endovision system
Laparoscopy
Surg-TLX
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
09
06
2020
accepted:
14
09
2020
pubmed:
23
9
2020
medline:
25
2
2023
entrez:
22
9
2020
Statut:
ppublish
Résumé
Two-dimensional high-definition (2D HD) endovision system is preferred for laparoscopic surgery. Recently, new generation three-dimensional (3D) HD and ultra-HD (4K) endovision systems are introduced to improve the safety and efficacy of laparoscopic surgery. There is limited evidence on superiority of one technology over the others. This experimental trial was designed to evaluate 2D HD, 3D HD and 4K HD endovision systems in performance of standardized tasks. This was a randomized, cross-over experimental study. Twenty-one surgical residents who were exposed to laparoscopic surgery were enrolled. Participants were randomly assigned into three groups. Each group performed standardised tasks i.e. peg transfer, precision cutting, navigating in space and intra-corporeal suturing using 2D HD, 4K HD and 3D HD endovision systems on a box trainer. Procedures were recorded as 2D HD videos and analysed later. Participant's perceived workload was assessed using Surg-TLX questionnaire. Primary endpoints were execution time in seconds and error score. Secondary endpoint was workload assessment. The 3D HD had shorter execution time compared to 2D HD and 4K HD in all tasks except precision cutting (p = 0.004, 0.03, 0.001, 0.001 and p = 0.002, 0.191, 0.006, 0.005 in peg transfer, precision cutting, navigating in space and intra-corporeal suturing respectively). The 4K HD was significantly faster than 2D HD only in navigating in space task (p = 0.002). The error score between 3D HD and 4K HD were comparable in all tasks. The 2D HD had significantly more error scores compared to 4K HD, 3D HD in peg transfer task (p = 0.005, 0.014, respectively). 3D HD had significantly less workload than 2D HD and 4K HD in most of the dimensions of Surg-TLX CONCLUSIONS: 3D HD endovision system in comparison to 2D HD and 4K HD, may lead to faster execution without compromising safety of a task and is associated with less workload.
Sections du résumé
BACKGROUND
Two-dimensional high-definition (2D HD) endovision system is preferred for laparoscopic surgery. Recently, new generation three-dimensional (3D) HD and ultra-HD (4K) endovision systems are introduced to improve the safety and efficacy of laparoscopic surgery. There is limited evidence on superiority of one technology over the others. This experimental trial was designed to evaluate 2D HD, 3D HD and 4K HD endovision systems in performance of standardized tasks.
METHODS
This was a randomized, cross-over experimental study. Twenty-one surgical residents who were exposed to laparoscopic surgery were enrolled. Participants were randomly assigned into three groups. Each group performed standardised tasks i.e. peg transfer, precision cutting, navigating in space and intra-corporeal suturing using 2D HD, 4K HD and 3D HD endovision systems on a box trainer. Procedures were recorded as 2D HD videos and analysed later. Participant's perceived workload was assessed using Surg-TLX questionnaire. Primary endpoints were execution time in seconds and error score. Secondary endpoint was workload assessment.
RESULTS
The 3D HD had shorter execution time compared to 2D HD and 4K HD in all tasks except precision cutting (p = 0.004, 0.03, 0.001, 0.001 and p = 0.002, 0.191, 0.006, 0.005 in peg transfer, precision cutting, navigating in space and intra-corporeal suturing respectively). The 4K HD was significantly faster than 2D HD only in navigating in space task (p = 0.002). The error score between 3D HD and 4K HD were comparable in all tasks. The 2D HD had significantly more error scores compared to 4K HD, 3D HD in peg transfer task (p = 0.005, 0.014, respectively). 3D HD had significantly less workload than 2D HD and 4K HD in most of the dimensions of Surg-TLX CONCLUSIONS: 3D HD endovision system in comparison to 2D HD and 4K HD, may lead to faster execution without compromising safety of a task and is associated with less workload.
Identifiants
pubmed: 32959182
doi: 10.1007/s00464-020-07980-z
pii: 10.1007/s00464-020-07980-z
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
5328-5337Informations de copyright
© 2020. Springer Science+Business Media, LLC, part of Springer Nature.
Références
Pierre SA, Ferrandino MN, Simmons WN, Fernandez C, Zhong P, Albala DM, Preminger GM (2009) High definition laparoscopy: objective assessment of performance characteristics and comparison with standard laparoscopy. J Endourol 23:523–528
doi: 10.1089/end.2008.0277
Ukai K, Howarth PA (2008) Visual fatigue caused by viewing stereoscopic motion images: Background, theories, and observations. Displays 29:106–116
doi: 10.1016/j.displa.2007.09.004
Storz P, Buess GF, Kunert W, Kirschniak A (2012) 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surg Endosc 26:1454–1460
doi: 10.1007/s00464-011-2055-9
Wagner M, Mayer BFB, Bodenstedt S, Stemmer K, Fereydooni A, Speidel S, Dillmann R, Nickel F, Fischer L, Kenngott HG (2018) Computer-assisted 3D bowel length measurement for quantitative laparoscopy. Surg Endosc 32:4052–4061
doi: 10.1007/s00464-018-6135-y
Sakata S, Grove PM, Hill A, Watson MO, Stevenson ARL (2017) Impact of simulated three-dimensional perception on precision of depth judgements, technical performance and perceived workload in laparoscopy. Br J Surg 104:1097–1106
doi: 10.1002/bjs.10528
Usta TA, Ozkaynak A (2015) Kovalak E (2015) An assessment of the new generation three-dimensional high definition laparoscopic vision system on surgical skills: a randomized prospective study. Surg Endosc 28:2305–2313
doi: 10.1007/s00464-014-3949-0
Mashiach R, Mezhybovsky V (2014) Three-dimensional imaging improves surgical skill performance in a laparoscopic test model for both experienced and novice laparoscopic surgeons. Surg Endosc 28:3489–3493
doi: 10.1007/s00464-014-3635-2
Tanagho YS, Andriole GL, Paradis AG, Madison KM, Sandhu GS, Varela JE, Benway BM (2012) 2D versus 3D visualization: impact on laparoscopic proficiency using the fundamentals of laparoscopic surgery skill set. J Laparoendosc Adv Surg Technol 22:865–870
doi: 10.1089/lap.2012.0220
Guanà R, Ferrero L, Garofalo S, Cerrina A, Cussa D, Arezzo A, Schleef J (2017) Skills comparison in pediatric residents using a 2-dimensional versus a 3-dimensional high-definition camera in a pediatric laparoscopic simulator. J Surg Educ 74:644–649
doi: 10.1016/j.jsurg.2016.12.002
Schoenthaler M, Schnell D, Wilhelm K, Schlager D, Adams F, Hein S, Wetterauer U, Miernik A (2016) Stereoscopic (3D ) versus monoscopic (2D ) laparoscopy: comparative study of performance using advanced HD optical systems in a surgical simulator model. World J Urol 34:471–477
doi: 10.1007/s00345-015-1660-y
Padin EM, Santos RS, Fernández SG, Jimenez AB, Fernández SE, Dacosta EC, Duran AR, Rial MA, Sanchez ID (2017) Impact of three-dimensional laparoscopy in a bariatric surgery program : influence in the learning curve. Obes Surg 27:2552–2556
doi: 10.1007/s11695-017-2687-5
Kozlov Y, Kovalkov K, Nowogilov V (2016) 3D laparoscopy in neonates and infants. J Laparoendosc Adv Surg Tech 26:1021–1027
doi: 10.1089/lap.2016.0155
Hoffman DM, Girshick AR, Banks MS (2015) Vergence—accommodation con fl icts hinder visual performance and cause visual fatigue. J Vis 8:1–30
Vilaça J, Pinto JP, Fernandes S, Costa P, Pinto JC, Leão P (2017) Comparative study of 2D and 3D optical imaging systems: laparoendoscopic single-site surgery in an ex vivo model. Surg Innov 24:598–604
doi: 10.1177/1553350617728160
Arezzo A, Vettoretto N, Francis NK, Bonino MA, Curtis NJ, Amparore D, Arolfo S, Barberio M, Boni L, Brodie R, Bouvy N, Cassinotti E, Carus T, Checcucci E, Custers P, Diana M, Jansen M, Jaspers J, Marom G, Momose K, Müller-Stich BP, Nakajima K, Nickel F, Perretta S, Porpiglia F, Sánchez-Margallo F, Sánchez-Margallo JA, Schijven M, Silecchia G, Passera R, Mintz Y (2019) The use of 3D laparoscopic imaging systems in surgery: EAES consensus development conference 2018. Surg Endosc 33:3251–3274
doi: 10.1007/s00464-018-06612-x
Abdelrahman M, Belramman A, Salem R, Patel B (2018) Acquiring basic and advanced laparoscopic skills in novices using two-dimensional (2D), three-dimensional (3D) and ultra-high definition (4K) vision systems: a randomized control study. Int J Surg 53:333–338
doi: 10.1016/j.ijsu.2018.03.080
Harada H, Kanaji S, Hasegawa H, Yamamoto M, Matsuda Y, Yamashita K, Matsuda T, Oshikiri T, Sumi Y, Nakamura T, Suzuki S, Kakeji Y (2018) The effect on surgical skills of expert surgeons using 3D/HD and 2D/4K resolution monitors in laparoscopic phantom tasks. Surg Endosc 32:4228–4234
doi: 10.1007/s00464-018-6169-1
Kanaji S, Watanabe R, Mascagni P, Trauzettel F, Urade T, Longo F, Guerriero L, Perretta S, Dallemagne B, Kakeji Y, Marescaux J (2019) Three-dimensional imaging improved the laparoscopic performance of inexperienced operators: a prospective trial. Surg Endosc. https://doi.org/10.1007/s00464-019-07308-6
doi: 10.1007/s00464-019-07308-6
pubmed: 31811456
Dunstan M, Smith R, Schwab K, Scala A, Gatenby P, Whyte M, Rockall T, Jourdan I (2020) Is 3D faster and safer than 4K laparoscopic cholecystectomy? A randomised-controlled trial. Surg Endosc 34:1729–1735
doi: 10.1007/s00464-019-06958-w
Wilson MR, Poolton JM, Malhotra N, Ngo K, Bright E, Masters RSW (2011) Development and validation of a surgical workload measure: the surgery task load index (SURG-TLX). World J Surg 35:1961–1969
doi: 10.1007/s00268-011-1141-4
Ashraf A, Collins D, Whelan M, Sullivan RO, Balfe P (2015) enhances surgical skills acquisition in standardised laparoscopic tasks: a before and after study. Int J Surg 14:12–16
doi: 10.1016/j.ijsu.2014.12.020
Harada H, Kanaji S, Nishi M, Otake Y, Hasegawa H, Yamamoto M, Matsuda Y, Yamashita K, Matsuda T, Oshikiri T, Sumi Y, Nakamura T, Suzuki S, Sato Y, Kakeji Y (2017) The learning effect of using stereoscopic vision in the early phase of laparoscopic surgical training for novices. Surg Endosc 32:582–588
doi: 10.1007/s00464-017-5654-2
Ajao MO, Larsen CR, Manoucheri E, Goggins ER, Rask MT, Cox MKB, Mushinski A, Gu X, Cohen SL, Rudnicki M, Einarsson JI (2020) Two-dimensional (2D) versus three-dimensional (3D) laparoscopy for vaginal cuff closure by surgeons-in-training: a randomized controlled trial. Surg Endosc 34:1237–1243
doi: 10.1007/s00464-019-06886-9
Zundel S, Lehnick D, Heyne-Pietschmann M, Trück M, Szavay P (2019) A suggestion on how to compare 2d and 3d laparoscopy: a qualitative analysis of the literature and randomized pilot study. J Laparoendosc Adv Surg Tech 29:114–120
doi: 10.1089/lap.2018.0164
Mistry M, Roach VA, Wilson TD (2013) Application of stereoscopic visualization on surgical skill acquisition in novices. J Surg Educ 70:563–570
doi: 10.1016/j.jsurg.2013.04.006
Yu D, Dural C, Morrow MMB, Yang L, Collins JW, Hallbeck S (2017) Intraoperative workload in robotic surgery assessed by wearable motion tracking sensors and questionnaires. Surg Endosc 31(2):877–886
doi: 10.1007/s00464-016-5047-y
Koppatz HE, Harju JI, Sirén JE, Mentula PJ, Scheinin TM, Sallinen VJ (2019) Three-dimensional versus two-dimensional high-definition laparoscopy in transabdominal preperitoneal inguinal hernia repair: a prospective randomized controlled study. Surg Endosc. https://doi.org/10.1007/s00464-019-07266-z
doi: 10.1007/s00464-019-07266-z
pubmed: 31754852
pmcid: 7572346
Anania G, Agresta F, Artioli E et al (2019) Laparoscopic right hemicolectomy: the SICE (Società Italiana di Chirurgia Endoscopica e Nuove Tecnologie) network prospective trial on 1225 cases comparing intra corporeal versus extra corporeal ileo-colic side-to-side anastomosis. Surg Endosc. https://doi.org/10.1007/s00464-019-07255-2
doi: 10.1007/s00464-019-07255-2
pubmed: 31741153
pmcid: 7853029
Fergo C, Burcharth J, Pommergaard HC, Rosenberg J (2016) Age is highly associated with stereo blindness among surgeons: a cross-sectional study. Surg Endosc 30:4889–4894
doi: 10.1007/s00464-016-4826-9
Bansal VK, Raveendran R, Misra MC, Bhattacharjee HK, Krishna A, Kumar S (2014) A prospective randomized controlled blinded study to evaluate the effect of short-term focused training program in laparoscopy on operating room performance of surgery residents (CTRI /2012/11/003113). J Surg Educ 71(1):52–60
doi: 10.1016/j.jsurg.2013.06.012