Two-dimensional (2-D) vs. three-dimensional (3-D) laparoscopic right hemicolectomy with intracorporeal anastomosis for c
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and Other Interventional Techniques
2020 SAGES ORAL
Two‑dimensional (2‑D) vs. three‑dimensional (3‑D) laparoscopic right hemicolectomy with intracorporeal anastomosis for colon cancer: comparison of short‑term results Giuseppe Portale1 · Sabrina Pedon1 · Luca Benacchio2 · Chiara Cipollari1 · Valentino Fiscon1 Received: 17 March 2020 / Accepted: 9 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background There are few reports comparing safety and efficacy of 2-D and 3-D video technology in laparoscopic right hemicolectomy. The aim of the study was to assess the short-term results of laparoscopic right hemicolectomy (LHR) with intracorporeal anastomosis with 2-D/3-D video in patients with right colon cancer. Methods Data from 239 patients undergoing LRH for cancer in a 14-year period (June 2005–January 2020) were prospectively collected. Surgical procedures were performed by two expert laparoscopic surgeons. Results One hundred and fourteen patients were included in the study: 55 (48.2%) operated with 2-D and 59 (51.8%) with 3-D video. Tumor site and postoperative stage distribution were similar. Mean operative time was comparable in the two groups (159.0 ± 48.8 min vs. 17.06 ± 36.0 min, p = ns, group 2-D and 3-D, respectively). Group 3-D patients had a similar percentage of associated procedures (44.1% vs. 29.1%, p = ns). Intraoperative complications were nil in both groups, while postoperative complications were similar (30.9% 2-D vs 25.4% 3-D, p = ns). The mean number of lymph nodes retrieved was similar in group 3-D (26.0 ± 14.6 vs. 22.9 ± 9.3, p = ns) and the length of stay was comparable in 3-D and 2-D patients (8.4 ± 2.6 vs. 9.1 ± 3.3 days, respectively, p = ns). Conclusions Laparoscopic 3-D vision is as equally effective as 2-D vision in LRH with intracorporeal anastomosis, with a similar proportion of associated procedures and number of lymph nodes retrieved in the same operative time. Further prospective larger randomized studies are necessary to verify if LRH with 3-D video can reduce postoperative complications, compared to 2-D video.
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00464-020-07977-8) contains supplementary material, which is available to authorized users. * Giuseppe Portale [email protected] 1
Department of General Surgery, Azienda Euganea ULSS 6, Via Casa di Ricovero, 40, 35013 Cittadella, Italy
Department of Epidemiology, Azienda Euganea ULSS 6, Padua, Italy
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Keywords Colon cancer · Laparoscopy · Three-dimensional · Two-dimensional · Stereopsis · Morbidity · Mortality Since the first report of successful laparoscopic colectomy, principles of laparoscopic surgery have been extensively applied to colorectal diseases for over 25 years now. The equivalence of short-term (morbidity and mortality) and long-term (survival) results, compared to open surgery, have been clearly demonstrated for colon cancer, al
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