Zhang Xiang, Zhu Danni, Li Wenbo, Hu Hanling, Nie Zetong, Guo Haoxin, Wang Zhaoxiong, Li Xiaorong, Hu Bojie
Department of Ophthalmology, Eye Institute, Tianjin Medical University Eye Hospital, Tianjin Medical University Eye Institute, Tianjin, China.
Front Med (Lausanne). 2023 Oct 2;10:1246936. doi: 10.3389/fmed.2023.1246936. eCollection 2023.
This study aimed to investigate the safety and efficacy of three-dimensional (3D) surgical video systems for proliferative diabetic retinopathy (PDR).
This retrospective clinical case study included 30 patients (30 eyes) with PDR. Patients were divided into two groups: one underwent surgery using a 3D surgical video system (14 cases, 14 eyes), while the other underwent traditional microscope surgery (16 cases, 16 eyes). Safety and efficacy were assessed through predetermined surgical parameters, including surgical duration, intraoperative membrane removal rate, and occurrences during intraoperative and postoperative phases.
Our study revealed noteworthy differences in various aspects between the 3D surgical video system group and the traditional microscope surgery group. Specifically, the mean surgical time was 30.25 ± 14.43 mins in the 3D surgical video system group, while it was 38.56 ± 18.71 mins in the traditional microscope surgery group ( = 0.051). Furthermore, the mean membrane removal time was significantly shorter in the 3D group at 2.53 ± 1.52 mins, as compared to 3.23 ± 1.76 mins in the traditional group ( = 0.042). Importantly, the membrane removal rate also displayed a significant difference, with the 3D group at 0.55 ± 0.07 and the traditional group at 0.41 ± 0.11 ( = 0.018). However, no notable differences were observed between the two groups in terms of intraoperative and postoperative incidences.
The safety and efficacy obtained using the 3D surgical video system in PDR surgery were comparable to those obtained in traditional microscopic surgery.
本研究旨在探讨三维（3D）手术视频系统用于增殖性糖尿病视网膜病变（PDR）的安全性和有效性。
本回顾性临床病例研究纳入了30例（30只眼）PDR患者。患者分为两组：一组使用3D手术视频系统进行手术（14例，14只眼），另一组进行传统显微镜手术（16例，16只眼）。通过预定的手术参数评估安全性和有效性，包括手术时长、术中膜去除率以及术中和术后阶段的发生率。
我们的研究揭示了3D手术视频系统组与传统显微镜手术组在各个方面存在显著差异。具体而言，3D手术视频系统组的平均手术时间为30.25±14.43分钟，而传统显微镜手术组为38.56±18.71分钟（P = 0.051）。此外，3D组的平均膜去除时间明显更短，为2.53±1.52分钟，而传统组为3.23±1.76分钟（P = 0.042）。重要的是，膜去除率也显示出显著差异，3D组为0.55±0.07，传统组为0.41±0.11（P = 0.018）。然而，两组在术中和术后发生率方面未观察到显著差异。
在PDR手术中使用3D手术视频系统获得的安全性和有效性与传统显微手术相当。
