Journal
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
Volume 18, Issue 4, Pages 611-616Publisher
SPRINGER
DOI: 10.1007/s00464-003-9017-9
Keywords
robotics; laparoscopy; three-dimensional visualization; surgical performance
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Background: Previous studies have failed to establish clear advantages for the use of stereoscopic visualization systems in minimal-access surgery. The aim of this study was to objectively assess whether stereoscopic visualization improves performance on bench models using the da Vinci robotic system. Methods: Eleven surgeons carried Out a series of four tasks. Positional data streamed from the da Vinci system was analyzed by means of a previously validated custom-designed software-package. An independent blinded observer scored errors. Statistical analysis included the Wilcoxon signed rank test. A p<0.05 was deemed significant. Results: We found significant improvements in all tasks and for all parameters (p<0.05). In addition, a significantly lower number of errors was scored using the stereoscopic mode as compared to the standard two-dimensional image (p<0.001). Conclusion: Robotic-assisted performance on bench models is more efficient and accurate using stereoscopic visualization.
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