International Journal of Scientific Study

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/157719

Editor-in-Chief: Dr.Swapnil Bumb
ISSN (Print): 2321-6379 (Electronic): 2321-595X

Frequency: Monthly

Language: English

Open Access Peer-reviewed journal

Web site: https://www.ijss-sn.com/

Browse

Browsing International Journal of Scientific Study by Subject "3D technology"

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Role of 3-D1mentional Technology in Laparoscopic Surgery
    (International Research Organization for Life & Health Sciences, 2024-09) Gaud, DK; Ghadge, DS; Thakur, SS.
    Introduction: This study is done to evaluate role of 3-dimentional technology in laparoscopic surgery. Materials and Methods: This is an observational study. Thirty patients selected from patients admitted electively to Sassoon general hospital which are fit for surgery and suitable for laparoscopic procedure after due written informed consent. For example, cholelithiasis, appendicitis, hiatus hernia, rectal prolapse, inguinal hernia, choledocholithiasis, obesity hypersplenism, and idiopathic thrombocytopenic purpura. Thirty patients were operated in a period of 24 months using Olympus 3D laparoscopy system by senior most laparoscopic surgeon with his trained team in our institute. Selected patients were operated and each case was evaluated in terms of age, sex, time required for the procedure, blood loss, and any other complications. After each case, operating surgeon was interrogated with respect to improvement in skill such as endoscopic suturing and experience about depth perception was recorded using Likert scale. Results: In the present study, we operated total 30 cases using 3D technology. Most of the patients are between 21 and 30 years (about 33%) followed by 31–40 (about 30%) years age group. In the present study, about 60% patients (n718) are male while 40% are female (n = 12 we found that time required for the procedure has significantly decreased using 3D system. More than 213rd cases required less time for operation. Average time required for cholecystectomy in the present study was 27.86 min (standard time is 30 min). While average time required for appendectomy was 23 min (standard time being 25 min.). Average time required for lap fundoplication in the present study is 65 min (standard time is 90 min). Average time required for lap splenectomy in the present study is 110 min (standard time being 120 min). In the present study, average time required for lap rectopexy is 60 min (while standard time being 90 min). Average time required for lap choledochoduodenostomy, in the present study, is 120 min (standard time being 150 min). Whereas in the present study, average time required for lap sleeve gastrostomy is 80 min (standard time being 120 min. In present study, only intraoperative complication was seen in only one case, that is, of salpingectomy where injury to blood vessel has occurred that resulted in blood loss of about 500 cc. Eventually bleeding has been controlled using bipolar and rest of the procedure was uneventful, that is, intraoperative complications are significantly reduced. In the present study, surgeon has noticed significant improvement in skills such as end suturing and knotting in all cases. In the present study, we interrogated the surgeons about depth perception using 3D system after each case. Conclusion: On the basis of results, conclusions are made as – Surgeon found improved depth perception. Thus 3–0 improves depth perception and thereby improves surgical performance of the surgeon. Time required for the procedure was significantly decreased as compared to standard more so ever in advanced laparoscopy cases. Thus, 3–0 significantly decreases time required for the procedure. Blood loss was found in significantly less number cases. Thus, 3–0 technology helps in minimizing blood loss. Intraoperative complications were found in only one case in the present study. Thus, 3–0 technology helps in minimizing intraoperative complications. Surgeon found improvement in skills such as endosuturing and intracorporeal knotting. Thus, 3D improves skills of surgeon. All these features of 3–0 collectively help to improve perioperative outcome and decreased hospital stay of patient.