Esther Mariño Padin1, Raquel Sánchez Santos2,3, Sonia González Fernández4, Antonia Brox Jimenez4, Sergio Estevez Fernández4, Ester Carrera Dacosta4, Agata Rial Duran4, Maria Artime Rial4, Ivan Dominguez Sanchez4. 1. Servicio de Cirugía General y Digestiva, Complejo Hospitalario Universitario de Pontevedra Instituto de Investigación, Sanitaria Galicia Sur, Pontevedra, Spain. 2. Servicio de Cirugía General y Digestiva, Complejo Hospitalario Universitario de Pontevedra Instituto de Investigación, Sanitaria Galicia Sur, Pontevedra, Spain. raquelsanchezsantos@gmail.com. 3. Jefe de Servicio de Cirugía General y Digestiva, Complejo Hospitalario de Pontevedra, Carretera de Mourente s/n, 36071, Pontevedra, Spain. raquelsanchezsantos@gmail.com. 4. Servicio de Cirugía General y Digestiva Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
Abstract
INTRODUCTION: 3D laparoscopy allows the surgeon to regain the sense of depth and improve accuracy. The aim of the study was to assess the impact of 3D in bariatric surgery. PATIENTS AND METHODS: A retrospective cohort study was conducted. All our patients who underwent bariatric surgery (sleeve gastrectomy (SG) or gastric bypass (GB)) between 2013 and 2016 were included. We compared 3D laparoscopy cohort and 2D laparoscopy cohort. Variables are as follows: age, sex, DM, hypertension, surgeon experience, and type of intervention. Comparisons of operative time, hospital stay, conversion, complications, reoperation, and exitus are completed. RESULTS: Three hundred twelve consecutive patients were included. 56.9% of patients underwent GB and 43.1% SG. Global complications were 3.2% (fistula 2.5%, hemoperitoneum 0.3%, others 0.4%). One hundred four procedures were performed in the 3D cohort and 208 in the 2D cohort. The 2D cohort and 3D cohort were similar regarding the following: percentage of GB vs SG, age, gender, learning curve, diabetes mellitus 2, hypertension, and sleep apnea. The operating time and hospital stay were significantly reduced in the 3D cohort (144.07 ± 58.07 vs 172.11 ± 76.11 min and 5.12 ± 9.6 vs 7.7 ± 13.2 days. It was the same when we stratified the sample by type of surgery or experience of the surgeon. Complications were reduced in the 3D cohort in the surgeries performed by novice surgeons (10.2 vs 1.8%, p = 0.034). CONCLUSIONS: The use of 3D laparoscopy in bariatric surgery in our center has helped reducing the operating time and hospital stay, and improving the safety of the surgery, either in GB or SG, being equally favorable in novice or more experienced surgeons.
INTRODUCTION: 3D laparoscopy allows the surgeon to regain the sense of depth and improve accuracy. The aim of the study was to assess the impact of 3D in bariatric surgery. PATIENTS AND METHODS: A retrospective cohort study was conducted. All our patients who underwent bariatric surgery (sleeve gastrectomy (SG) or gastric bypass (GB)) between 2013 and 2016 were included. We compared 3D laparoscopy cohort and 2D laparoscopy cohort. Variables are as follows: age, sex, DM, hypertension, surgeon experience, and type of intervention. Comparisons of operative time, hospital stay, conversion, complications, reoperation, and exitus are completed. RESULTS: Three hundred twelve consecutive patients were included. 56.9% of patients underwent GB and 43.1% SG. Global complications were 3.2% (fistula 2.5%, hemoperitoneum 0.3%, others 0.4%). One hundred four procedures were performed in the 3D cohort and 208 in the 2D cohort. The 2D cohort and 3D cohort were similar regarding the following: percentage of GB vs SG, age, gender, learning curve, diabetes mellitus 2, hypertension, and sleep apnea. The operating time and hospital stay were significantly reduced in the 3D cohort (144.07 ± 58.07 vs 172.11 ± 76.11 min and 5.12 ± 9.6 vs 7.7 ± 13.2 days. It was the same when we stratified the sample by type of surgery or experience of the surgeon. Complications were reduced in the 3D cohort in the surgeries performed by novice surgeons (10.2 vs 1.8%, p = 0.034). CONCLUSIONS: The use of 3D laparoscopy in bariatric surgery in our center has helped reducing the operating time and hospital stay, and improving the safety of the surgery, either in GB or SG, being equally favorable in novice or more experienced surgeons.
Authors: B Alaraimi; W El Bakbak; S Sarker; S Makkiyah; A Al-Marzouq; R Goriparthi; A Bouhelal; V Quan; B Patel Journal: World J Surg Date: 2014-11 Impact factor: 3.352
Authors: D Wilhelm; S Reiser; N Kohn; M Witte; U Leiner; L Mühlbach; D Ruschin; W Reiner; H Feussner Journal: Surg Endosc Date: 2014-03-21 Impact factor: 4.584
Authors: Fernando Martínez-Ubieto; Teresa Jiménez-Bernadó; Javier Martínez-Ubieto; Antonio Cabrerizo; Ana Pascual-Bellosta; Luis Muñoz-Rodriguez; Alfredo Jiménez-Bernadó Journal: Int Surg Date: 2015-06
Authors: Alberto Arezzo; Nereo Vettoretto; Nader K Francis; Marco Augusto Bonino; Nathan J Curtis; Daniele Amparore; Simone Arolfo; Manuel Barberio; Luigi Boni; Ronit Brodie; Nicole Bouvy; Elisa Cassinotti; Thomas Carus; Enrico Checcucci; Petra Custers; Michele Diana; Marilou Jansen; Joris Jaspers; Gadi Marom; Kota Momose; Beat P Müller-Stich; Kyokazu Nakajima; Felix Nickel; Silvana Perretta; Francesco Porpiglia; Francisco Sánchez-Margallo; Juan A Sánchez-Margallo; Marlies Schijven; Gianfranco Silecchia; Roberto Passera; Yoav Mintz Journal: Surg Endosc Date: 2018-12-04 Impact factor: 4.584