| Objective:To evaluate the advantages of three-dimensional (3D) laparoscopy and compare its significance with conventional two-dimensional (2D) laparoscopy in term of operative performance and clinical assessment during laparoscopic (radical) hysterectomy with pelvic lymphadenectomy in management of gynecologic malignant tumor.Methods:A total of 38 consecutive patients underwent laparoscopic radical hysterectomy for early cervical cancer and 17 patients underwent laparoscopic hysterectomy for endometrial carcinoma by the experienced laparoscopic surgeon between 08/2013 and 10/2014. In cervical cancer patients, the 18 patients operated with the 3D system (3D group) were compared with 20 patients operated with 2D system (2D group). In endometrial carcinoma patients, the 7 patients operated with the 3D system (3D group) were compared with 10 patients operated with 2D system (2D group).Demographic data, clinical and surgical parameters were evaluated. An end-of-operation questionnaire was administered regarding subjective perception of 3D laparoscopy system.Results:All surgeries were completed successfully, with consistently positive assessment by surgeons. There were no significant differences regarding duration of surgery, blood loss, pelvic nodes retrieved, incidence of complications, hospital stay, the recovery time of bowel, abdominal drainage fluid and hospitalization costs(P> 0.05). The clinical assessment revealed that three-dimensional full-HD visualisation is comfortable and improves spatial orientation and hand-to-eye coordination. The majority of the surgeons stated they would prefer a three-dimensional system to a conventional two-dimensional device.Conclusion:Three-dimensional laparoscopy is safe, feasible and comfortable, has obvious advantage in spatial location and the sense of depth, with no additional economic burden. To duration of surgery, hospital stay, and complication rates are comparable to a conventional 2D laparoscopy. This new technology is worth promoting. |
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