Comparison of Short-Term Outcomes Using Three-Dimensional and Two-Dimensional Laparoscopic Gastrectomy for Gastric Cancer
- Authors
- Lee, Yoontaek; Lee, Chang Min; Jang, You Jin; Park, Sungsoo; Park, Seong-Heum; Mok, Young-Jae; Kim, Jong-Han
- Issue Date
- 1-7월-2019
- Publisher
- MARY ANN LIEBERT, INC
- Keywords
- laparoscopic gastrectomy; gastric cancer; 3D laparoscopy; 2D laparoscopy
- Citation
- JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.29, no.7, pp.886 - 890
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
- Volume
- 29
- Number
- 7
- Start Page
- 886
- End Page
- 890
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/64187
- DOI
- 10.1089/lap.2018.0765
- ISSN
- 1092-6429
- Abstract
- Introduction: This study investigated the oncological and technical advantages of three-dimensional (3D) versus two-dimensional (2D) laparoscopic gastric cancer surgery. Materials and Methods: This study included 68 gastric cancer patients who had undergone laparoscopic distal gastrectomy at Korea University Ansan Hospital (3D group, n = 34; 2D group, n = 34). The surgical outcomes and duration of each phase were compared between the groups. Results: The total operative time with 3D laparoscopy was significantly shorter than with 2D laparoscopy (227.8 +/- 39.0 versus 249.6 +/- 45.3 minutes; P = .037). There were no significant differences between the groups in the number of gauze pads used, time to first postoperative flatus, and number of harvested lymph nodes (2.0 [1.0-2.0] versus 2.0 [1.0-2.0]; P = .692; 4.0 [4.0-4.0] versus 4.0 [4.0-4.0] days; P = .196; 40.8 +/- 16.6 versus 44.0 +/- 15.7; P = .412, respectively). The time from omentectomy to right gastric artery ligation and the duration of the reconstruction phase were shorter with 3D than with 2D laparoscopy (62.6 +/- 14.5 versus 71.9 +/- 18.8 minutes; P = .027; 32.3 +/- 7.6 versus 47.7 +/- 16.8 minutes; P < .001). Conclusion: In a procedure requiring spatial perception, the operative time was shortened by introducing 3D laparoscopy. Despite the anticipation of a better view for lymph node dissection, the 3D image showed no advantage. Further study may be required by novice surgeons.
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