Department of Public Health, University of Naples Federico II, Via Pansini 5, 80131, Naples, Italy.
Department of General Surgery, Transplantation and Gastroenterology, Federico II University Hospital, Via Pansini 5, 80131, Naples, Italy.
Obes Surg. 2024 Jun;34(6):2177-2185. doi: 10.1007/s11695-024-07222-4. Epub 2024 Apr 17.
Three-dimensional (3D) laparoscopy has several advantages in gastrointestinal surgery. This systematic review determined whether similar benefits exist for bariatric surgical procedures by systematically searching the MEDLINE, Embase, and Scopus databases. Six studies including 629 patients who underwent 2D (386) and 3D (243) laparoscopic bariatric surgeries were selected. Operative time was significantly shorter in patients undergoing 3D laparoscopic gastric bypass (pooled standardized mean difference [SMD] 1.19, 95% confidence interval [CI] 2.22-0.15). Similarly, a shorter hospital stay was detected both during sleeve gastrectomy (SMD 0.42, 95% CI 0.70-0.13) and gastric bypass (SMD 0.39, 95% CI 0.64-0.14) with 3D laparoscopy. The study showed the potential benefit of 3D imaging in preventing intra- and postoperative complications. Despite the limited evidence, surgeons may benefit from 3D laparoscopy during bariatric surgery.
三维（3D）腹腔镜在胃肠外科中有诸多优势。本系统评价通过系统检索 MEDLINE、Embase 和 Scopus 数据库，旨在确定 3D 腹腔镜是否对减重手术也具有类似的益处。共纳入了 6 项研究，包括 629 例行 2D（386 例）和 3D（243 例）腹腔镜减重手术的患者。行 3D 腹腔镜胃旁路术的患者手术时间显著缩短（汇总标准化均数差 [SMD] 1.19，95%置信区间 [CI] 2.22-0.15）。同样，在袖状胃切除术（SMD 0.42，95%CI 0.70-0.13）和胃旁路术（SMD 0.39，95%CI 0.64-0.14）中，3D 腹腔镜也可缩短住院时间。该研究显示了 3D 成像在预防术中及术后并发症方面的潜在益处。尽管证据有限，但 3D 腹腔镜可能有益于减重手术。
