Ann Hepatobiliary Pancreat Surg.  2019 Nov;23(4):339-343. 10.14701/ahbps.2019.23.4.339.

A retrospective single-center study comparing clinical outcomes of 3-dimensional and 2-dimensional laparoscopic cholecystectomy in acute cholecystitis

Affiliations
  • 1Department of Surgery, National Medical Center, Seoul, Korea. spark479@unitel.co.kr

Abstract

BACKGROUNDS/AIMS
Laparoscopic cholecystectomy (LC) has become widely used and preferred standard treatment for gallbladder (GB) disease in many countries. In this study, we aimed to compare the overall clinical outcomes of 3-dimensional (3D) LC system with those of the 2D LC method.
METHODS
We retrospectively analyzed patients who underwent LC for acute cholecystitis between January 2010 and March 2019 at the National Medical Center in Korea. We entered them into 3D LC (group A) and 2D LC (group B) groups. We used Olympus CLV-190 laparoscopic device with dual lenses, capable of displaying both 3D and 2D images. Postoperative variables considered for evaluating between-group differences in clinical outcomes included diet resumption period after surgery, postoperative hospital length-of-stay, outpatient department follow-up period, surgical time, and postoperative surgery-related complications (blood loss and open conversion).
RESULTS
We analyzed 278 acute cholecystitis patients (Group A, n=116; Group B, n=162). Compared to group B, group A had a significantly reduced surgical time and postoperative hospital stay. Although underlying diseases and abdominal surgical history were more prevalent in the 3D LC group, no significant between-group differences in blood loss and open conversion rate were observed.
CONCLUSIONS
The 3D imaging system offered many advantages over 2D LC, including reduced surgical time and shorter postoperative hospital stay; therefore, it has significance in reducing hospital costs.

Keyword

3D laparoscopic cholecystectomy; 2D laparoscopic cholecystectomy; Acute cholecystitis; Gallbladder

MeSH Terms

Cholecystectomy, Laparoscopic*
Cholecystitis, Acute*
Diet
Follow-Up Studies
Gallbladder
Hospital Costs
Humans
Korea
Length of Stay
Methods
Operative Time
Outpatients
Retrospective Studies*
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