Comparison of laparoscopic gastrectomy with 3-D/HD and 2-D/4 K camera system for gastric cancer: a prospective randomized control study
- PMID: 34458930
- DOI: 10.1007/s00423-021-02302-w
Comparison of laparoscopic gastrectomy with 3-D/HD and 2-D/4 K camera system for gastric cancer: a prospective randomized control study
Abstract
Purpose: We conducted a prospective clinical control study to identify the best imaging technology among three-dimensional (3-D) high-definition (HD) stereovision and two-dimensional (2-D) ultra-high-resolution (4 K) technology and confirm their effects on surgical outcomes of laparoscopic gastrectomy for gastric cancer.
Methods: From April 2018 to August 2019, 50 patients were randomly classified into two groups based on the imaging technology (3-D/HD group = 25, 2-D/4 K = 25). After excluding eight patients based on laparoscopic findings, 42 patients were analyzed (3-D/HD group = 21, 2-D/4 K = 21). The primary endpoint was the operative time; the secondary endpoints were blood loss, postoperative infectious complications, and postoperative hospital stay.
Results: The patients' backgrounds were similar (sex, age, body mass index [BMI], stage, procedure, and extent of lymph node dissection). There were no significant differences in operative time (252 vs. 238 min, P = 0.70), total blood loss, postoperative infectious complications, and postoperative hospital stay between the two groups. However, video analysis of surgeries revealed a significantly shortened median operative time (18 vs. 25 min, P = 0.04) in the suturing step with 3-D/HD; the median number of camera cleaning procedures during suprapancreatic lymph node dissection was significantly lower with 2-D/4 K than with 3-D/HD (n = 4.4 vs. 2.8, P = 0.02).
Conclusion: 3-D/HD and 2-D/4 K laparoscopic radical gastrectomies provide similar surgical outcomes. However, the 3-D monitor reduces suturing time during reconstruction, while the 4 K monitor reduces the number of camera cleaning procedures during lymphadenectomy.
Trial registration: Registered in the University Hospital Medical Information Network Clinical Trials Registry (identification number 000029227).
Keywords: 2-D/4 K laparoscopy; 3-D/HD laparoscopy; Gastric cancer; Laparoscopic gastrectomy.
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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References
-
- Kanaji S, Suzuki S, Harada H, Nishi M, Yamamoto M, Matsuda T, Oshikiri T, Nakamura T, Fujino Y, Tominaga M, Kakeji Y (2017) Comparison of two- and three-dimensional display for performance of laparoscopic total gastrectomy for gastric cancer. Langenbecks Arch Surg 402:493–500. https://doi.org/10.1007/s00423-017-1574-9 - DOI - PubMed
-
- 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 (2018) The learning effect of using stereoscopic vision in the early phase of laparoscopic surgical training for novices. Surg Endosc 32:582–588. https://doi.org/10.1007/s00464-017-5654-2 - DOI - PubMed
-
- 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. https://doi.org/10.1007/s00464-019-06958-w - DOI - PubMed
-
- Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240:205–213. https://doi.org/10.1097/01.sla.0000133083.54934.ae - DOI - PubMed - PMC
-
- Japanese Gastric Cancer Association (2020) Japanese gastric cancer treatment guidelines 2018 (5th edition). Gastric Cancer 24:1–21. https://doi.org/10.1007/s10120-020-01042-y - DOI - PMC
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