3D laparoscopic partial nephrectomy in Australia: a pilot study
Date
2017
Authors
Mare, A
Haxhimolla, Hodo
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley-Blackwell Publishing Ltd
Abstract
Introduction and Objectives: Laparoscopic
partial nephrectomy is a technically
challenging procedure and important limitations
with conventional laparoscopy
include spatial orientation and depth perception.
Three-dimensional (3D) video
display has been introduced with robotic
surgery, however the higher initial investment
and associated running costs accompanying
robotic technology makes it not
cost-effective in certain centres. We developed
a pilot study to compare the clinical
outcomes of 3D laparoscopic partial
nephrectomy with conventional twodimensional
(2D) laparoscopic partial
nephrectomy by a single surgeon in the
ACT. The aim of this study was to assess
whether 3D nephron-sparing laparoscopic
surgery has better intraoperative and oncological
outcomes compared to conventional
2D nephron-sparing laparoscopic
surgery.
Methods: Retrospective review of all consecutive
patients who underwent laparoscopic
partial nephrectomy since the
introduction of a 3D video system at
National Capital Private Hospital in 2012
under a single surgeon (HH). Clinical outcomes
measured were the length of hospital
stay, total operative time, blood transfusion,
positive surgical margins and tumour margin
clearance. These outcomes were measured
for those patients that underwent 3D
laparoscopic partial nephrectomy (LPN)
and compared to historical data by the
110 © 2017 The Authors
BJU International © 2017 BJU International | 119, Supplement 2, 82--118
110 Poster Abstracts
same surgeon for patients that underwent
conventional 2D LPN over the preceding
4 years. Statistical analysis of the data with
chi-square and Fisher’s exact test was performed
with SPSS v.23.0.
Results: 22 patients were included in 3D
laparoscopic partial nephrectomy (LPN)
cohort with 17 patients included in the 2D
LPN cohort.
Conclusions: 3D laparoscopic partial
nephrectomy is non-inferior to conventional
2D laparoscopic partial nephrectomy
in our pilot study. The application
of 3D technology in a training setting to
decrease the learning curve for inexperienced
laparoscopic surgeons is worth
investigating.
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BJU International
Type
Conference poster
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Free Access via publisher website
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Restricted until
2099-12-31
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