Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis

Background: The technology in the field of laparoscopy is rapidly evolving and is primarily focussed on increasing the quality of image and depth perception in the form of 4K and three-dimensional (3D) technology. There has been no conclusion yet regarding the better technology. Methods: A systemati...

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Main Authors: Vitish Singla, Hemanga K Bhattacharjee, Ekansh Gupta, Deepti Singh, Ashwani K Mishra, Dalim Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=2;spage=167;epage=175;aulast=Singla
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author Vitish Singla
Hemanga K Bhattacharjee
Ekansh Gupta
Deepti Singh
Ashwani K Mishra
Dalim Kumar
author_facet Vitish Singla
Hemanga K Bhattacharjee
Ekansh Gupta
Deepti Singh
Ashwani K Mishra
Dalim Kumar
author_sort Vitish Singla
collection DOAJ
description Background: The technology in the field of laparoscopy is rapidly evolving and is primarily focussed on increasing the quality of image and depth perception in the form of 4K and three-dimensional (3D) technology. There has been no conclusion yet regarding the better technology. Methods: A systematic search was performed independently by two authors across MEDLINE, Google Scholar and Embase using the PRISMA guidelines. All randomised control trials comparing 3D and 4K technologies were included. Meta-analysis was conducted using random-effects statistics for time taken for different tasks across the studies. Results: The search strategy revealed a total of 1835 articles, out of which nine studies were included. Three studies showed no superiority of 3D over 4K, while the remaining six did. Meta-analysis for the time taken for peg transfer favoured 3D over 4K (overall effect: Z = 2.12; P = 0.03). Forest plots for time taken for suturing (Z = 1.3; P = 0.19) and knot tying (Z = 1.7; P = 0.09) also favoured 3D over 4K; the results however were statistically insignificant. Path length was reported by two studies and was found to be lesser in the 3D group. Two studies measured the workload by NASA/Surg-TLX score, which was lower in the 3D group. Visual side effects were found to be higher in the 3D group. Conclusion: 3D technology is likely to result in a shorter operative time and better efficiency of movement as compared to the 4K technology by the virtue of its better depth perception.
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spelling doaj.art-49fae622a4df440eaf7295e0ee1e68e62022-12-22T02:33:50ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212022-01-0118216717510.4103/jmas.jmas_122_21Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysisVitish SinglaHemanga K BhattacharjeeEkansh GuptaDeepti SinghAshwani K MishraDalim KumarBackground: The technology in the field of laparoscopy is rapidly evolving and is primarily focussed on increasing the quality of image and depth perception in the form of 4K and three-dimensional (3D) technology. There has been no conclusion yet regarding the better technology. Methods: A systematic search was performed independently by two authors across MEDLINE, Google Scholar and Embase using the PRISMA guidelines. All randomised control trials comparing 3D and 4K technologies were included. Meta-analysis was conducted using random-effects statistics for time taken for different tasks across the studies. Results: The search strategy revealed a total of 1835 articles, out of which nine studies were included. Three studies showed no superiority of 3D over 4K, while the remaining six did. Meta-analysis for the time taken for peg transfer favoured 3D over 4K (overall effect: Z = 2.12; P = 0.03). Forest plots for time taken for suturing (Z = 1.3; P = 0.19) and knot tying (Z = 1.7; P = 0.09) also favoured 3D over 4K; the results however were statistically insignificant. Path length was reported by two studies and was found to be lesser in the 3D group. Two studies measured the workload by NASA/Surg-TLX score, which was lower in the 3D group. Visual side effects were found to be higher in the 3D group. Conclusion: 3D technology is likely to result in a shorter operative time and better efficiency of movement as compared to the 4K technology by the virtue of its better depth perception.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=2;spage=167;epage=175;aulast=Singla4k hdlaparoscopythree-dimensional hd
spellingShingle Vitish Singla
Hemanga K Bhattacharjee
Ekansh Gupta
Deepti Singh
Ashwani K Mishra
Dalim Kumar
Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis
Journal of Minimal Access Surgery
4k hd
laparoscopy
three-dimensional hd
title Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis
title_full Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis
title_fullStr Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis
title_full_unstemmed Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis
title_short Performance of three-dimensional and ultra-high-definition (4K) technology in laparoscopic surgery: A systematic review and meta-analysis
title_sort performance of three dimensional and ultra high definition 4k technology in laparoscopic surgery a systematic review and meta analysis
topic 4k hd
laparoscopy
three-dimensional hd
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=2;spage=167;epage=175;aulast=Singla
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