3D Versus 2D Laparoscopic Ovarian Cystectomy
Comparison of Three-dimension Versus Two-dimension Laparoscopic Ovarian Cystectomy
This is a prospective randomized study involving 80 patients. All participates will be given written information on 3D laparoscopy. They will be randomized according to computer-generated random sequence into two groups, 2D and 3D group. The operation will then be performed either using 2D or 3D laparoscopy. Surgeons are allowed to change to the other type of laparoscopy if difficulty encountered. After the operation, the surgeons will be required to fill in a questionnaire self-evaluating the performance using Global rating scale component of the intraoperative assessment tool (GOALS), any discomfort encountered, any need for change of laparoscopy and their preference on the type of laparoscopy.
The level of complexity of the operation, duration of operation, blood loss and complications will be recorded.
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Yksityiskohtainen kuvaus
Laparoscopy has greatly replaced laparotomy in most gynaecological operations including oncological procedures. Laparoscopic approach is the mainstay for ovarian cystectomy nowadays. However the loss of depth perception and dexterity remains the drawback of laparoscopy. With the development of robotic surgery, the three-dimension vision and presence of "wrist" motion allowed surgeon to perform more complicated operations in sophisticated manner. Expensive instruments and the need for prolonged time of setup restricted the extensive use of it. Having those considerations in mind, three-dimension (3D) laparoscopy is another possible alternative. With the advancement of technology in 3D vision, it may provide better precision especially in perception of depth and spatial orientation. Dizziness, nausea, headache and ocular fatique are occasional side effects in 3D surgery which created concerns of the surgeons.
There have been studies using standardized tasks shown that 3D laparoscopy will improve the performance in surgeon both objectively and subjectively especially when performing complex task. It was suggested to be able to fasten the learning curve for beginners. The operation time was shorter when laparoscopic cholecystectomy was performed using 3D imaging without any major complications encountered.
Yet evidence in the applicability and use in clinical service in gynaecological operations are still inadequate. The investigators would like to evaluate the difference of 2D versus 3D laparoscopic ovarian cystectomy.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
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Hong Kong, Hong Kong
- Department of Obstetrics and Gynaecology, Queen Mary Hospital
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
- Planned for laparoscopic ovarian cystectomy
- Willing and able to participate after the study has been explained
- Those understand either Cantonese, Putonghua or English
Exclusion Criteria:
- essential data are missing from the participants records making it impossible to judge treatment outcome.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: three dimension laparoscopy
This group of patients will have laparoscopic ovarian cystectomy performed using three-dimension laparoscopy.
The procedure will be performed in usual manner.
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Surgery will be performed either with three dimension laparoscopy or two dimension laparoscopy.
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Ei väliintuloa: Two dimension laparoscopy
Two-dimension laparosocpy would be used in this group of patient.
The procedure will be performed in usual manner.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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The Duration of Laparoscopic Ovarian Cystectomy
Aikaikkuna: duration of operation, up to 120 minutes
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The duration of laparoscopic ovarian cystectomy will be recorded.
It is defined as from insertion of primary port insertion till completion of performance of ovarian cystectomy.
The time required for specimen retrieval will not be included.
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duration of operation, up to 120 minutes
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Global Rating Scale Component of the Intraoperative Assessment Tool (GOALS) Score
Aikaikkuna: During the operation, up to 120 minutes
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Surgeons are required to fill in a questionnaire using GOALS.
It involved seven aspects - depth perception, bimanual dexterity, efficiency, tissue handling, autonomy, sharpness and image resolution.
Each aspects scored 0 to 5 with higher the value, better the performance.
The sum of the 7 aspects were used in comparison between groups with a maximum score of 35.
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During the operation, up to 120 minutes
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Number of Surgeons Encountered Side Effects
Aikaikkuna: during the operation, up to 120 minutes
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Dizziness, nausea and ocular fatique are common side effects of 3D laparoscopy.
The number of surgeons experienced discomfort will be reported and any additional discomfort will be recorded.
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during the operation, up to 120 minutes
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Preference of Surgeons
Aikaikkuna: during the operation, up to 120 minutes
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Surgeons need to indicate their preference of 3D or 2D laparoscopy after the surgery.
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during the operation, up to 120 minutes
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Need for Change of Instrument
Aikaikkuna: during the operation, up to 120 minutes
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The surgeons are allowed to switch from 3D laparoscopy to tranditional 2D laparoscopy if deemed necessary by the surgeons.
The reason for switch of instrument will be recorded as well.
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during the operation, up to 120 minutes
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Total Blood Loss During Operation
Aikaikkuna: during the operation, up to 120 minutes
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The total amount of blood loss during operation was recorded.
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during the operation, up to 120 minutes
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Duration of Hospital Stay
Aikaikkuna: Postoperative up to 6 weeks
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The total duration of hospital stay was recorded.
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Postoperative up to 6 weeks
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Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Päätutkija: Man Wa Lui, MBBS, Queen Mary Hospital, The University of Hong Kong
Julkaisuja ja hyödyllisiä linkkejä
Yleiset julkaisut
- Vassiliou MC, Feldman LS, Andrew CG, Bergman S, Leffondre K, Stanbridge D, Fried GM. A global assessment tool for evaluation of intraoperative laparoscopic skills. Am J Surg. 2005 Jul;190(1):107-13. doi: 10.1016/j.amjsurg.2005.04.004.
- Tanagho YS, Andriole GL, Paradis AG, Madison KM, Sandhu GS, Varela JE, Benway BM. 2D versus 3D visualization: impact on laparoscopic proficiency using the fundamentals of laparoscopic surgery skill set. J Laparoendosc Adv Surg Tech A. 2012 Nov;22(9):865-70. doi: 10.1089/lap.2012.0220. Epub 2012 Oct 16.
- Lusch A, Bucur PL, Menhadji AD, Okhunov Z, Liss MA, Perez-Lanzac A, McDougall EM, Landman J. Evaluation of the impact of three-dimensional vision on laparoscopic performance. J Endourol. 2014 Feb;28(2):261-6. doi: 10.1089/end.2013.0344. Epub 2014 Jan 10.
- Cicione A, Autorino R, Breda A, De Sio M, Damiano R, Fusco F, Greco F, Carvalho-Dias E, Mota P, Nogueira C, Pinho P, Mirone V, Correia-Pinto J, Rassweiler J, Lima E. Three-dimensional vs standard laparoscopy: comparative assessment using a validated program for laparoscopic urologic skills. Urology. 2013 Dec;82(6):1444-50. doi: 10.1016/j.urology.2013.07.047. Epub 2013 Oct 2.
- Storz P, Buess GF, Kunert W, Kirschniak A. 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surg Endosc. 2012 May;26(5):1454-60. doi: 10.1007/s00464-011-2055-9. Epub 2011 Dec 17.
- Wagner OJ, Hagen M, Kurmann A, Horgan S, Candinas D, Vorburger SA. Three-dimensional vision enhances task performance independently of the surgical method. Surg Endosc. 2012 Oct;26(10):2961-8. doi: 10.1007/s00464-012-2295-3. Epub 2012 May 12.
- Bilgen K, Ustun M, Karakahya M, Isik S, Sengul S, Cetinkunar S, Kucukpinar TH. Comparison of 3D imaging and 2D imaging for performance time of laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech. 2013 Apr;23(2):180-3. doi: 10.1097/SLE.0b013e3182827e17.
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muut tutkimustunnusnumerot
- UW 14-096
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
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