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Review ArticleReviewsR

Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis

GEORGE PANTALOS, DIMITRIOS PATSOURAS, ELEFTHERIOS SPARTALIS, DIMITRIOS DIMITROULIS, GERASIMOS TSOUROUFLIS and NIKOLAOS NIKITEAS
In Vivo January 2020, 34 (1) 11-21; DOI: https://doi.org/10.21873/invivo.11740
GEORGE PANTALOS
1Second Department of Pediatric Surgery, P. & A. Kyriakou Hospital, Athens, Greece
2Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
3Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece
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  • For correspondence: gpantalos{at}gmail.com
DIMITRIOS PATSOURAS
2Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
3Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece
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ELEFTHERIOS SPARTALIS
2Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
3Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece
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DIMITRIOS DIMITROULIS
3Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece
4Second Department of Propaedeutic Surgery, Laiko General Hospital, University of Athens Medical School, Athens, Greece
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GERASIMOS TSOUROUFLIS
2Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
3Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece
4Second Department of Propaedeutic Surgery, Laiko General Hospital, University of Athens Medical School, Athens, Greece
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NIKOLAOS NIKITEAS
2Laboratory of Experimental Surgery and Surgical Research, University of Athens Medical School, Athens, Greece
3Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece
4Second Department of Propaedeutic Surgery, Laiko General Hospital, University of Athens Medical School, Athens, Greece
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Abstract

Background/Aim: Three-dimensional (3D) laparoscopy is being steadily adopted instead of two-dimensional (2D) for various procedures. Our aim was to compare the outcomes between 2D and 3D laparoscopic procedures for colorectal cancer in order to ascertain the safety, efficacy and potential advantages of 3D imaging systems. Materials and Methods: A systematic database search was conducted in March 2019. Comparative studies reporting clinical outcomes between patients undergoing elective colorectal procedures using either 2D or 3D laparoscopic equipment were eligible. Results: Six studies were selected, including 614 patients in total. Minor reduction in operative time, similar blood loss and increased number of harvested lymph nodes was noted for the 3D group. There was no difference for conversion to open surgery, time to flatus, postoperative hospital stay or postoperative complications. Conclusion: 3D Laparoscopic surgery for colorectal cancer may result in reduction of operative time and higher lymph node yields, leading to improved survival.

  • Three-dimensional
  • two-dimensional
  • 3D laparoscopy
  • laparoscopic surgery
  • colon cancer
  • rectal cancer
  • colorectal cancer
  • review
  • Received September 27, 2019.
  • Revision received October 11, 2019.
  • Accepted October 21, 2019.
  • Copyright © 2020 The Author(s). Published by the International Institute of Anticancer Research.
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Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis
GEORGE PANTALOS, DIMITRIOS PATSOURAS, ELEFTHERIOS SPARTALIS, DIMITRIOS DIMITROULIS, GERASIMOS TSOUROUFLIS, NIKOLAOS NIKITEAS
In Vivo Jan 2020, 34 (1) 11-21; DOI: 10.21873/invivo.11740

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Three-dimensional Versus Two-dimensional Laparoscopic Surgery for Colorectal Cancer: Systematic Review and Meta-analysis
GEORGE PANTALOS, DIMITRIOS PATSOURAS, ELEFTHERIOS SPARTALIS, DIMITRIOS DIMITROULIS, GERASIMOS TSOUROUFLIS, NIKOLAOS NIKITEAS
In Vivo Jan 2020, 34 (1) 11-21; DOI: 10.21873/invivo.11740
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Keywords

  • three-dimensional
  • two-dimensional
  • 3D Laparoscopy
  • laparoscopic surgery
  • colon cancer
  • Rectal cancer
  • colorectal cancer
  • review
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