Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial

Busshoff J, Datta RR, Bruns T, Kleinert R, Morgenstern B, Pfister D, Chiapponi C, Fuchs HF, Thomas M, Gietzelt C, Hedergott A, et al. (2021)
Surgical Endoscopy.

Zeitschriftenaufsatz | E-Veröff. vor dem Druck | Englisch
 
Download
Es wurden keine Dateien hochgeladen. Nur Publikationsnachweis!
Autor*in
Busshoff, Jana; Datta, Rabi R.; Bruns, Thomas; Kleinert, RobertUniBi; Morgenstern, Bernd; Pfister, David; Chiapponi, Costanza; Fuchs, Hans F.; Thomas, Michael; Gietzelt, Caroline; Hedergott, Andrea; Moeller, Desdemona
Alle
Abstract / Bemerkung
Background The use of 3D technique compared to high-resolution 2D-4K-display technique has been shown to optimize spatial orientation and surgical performance in laparoscopic surgery. Since women make up an increasing amount of medical students and surgeons, this study was designed to investigate whether one gender has a greater benefit from using a 3D compared to a 4K-display system. Methods In a randomized cross-over trial, the surgical performance of male and female medical students (MS), non-board certified surgeons (NBCS), and board certified surgeons (BCS) was compared using 3D- vs. 4K-display technique at a minimally invasive training parkour with multiple surgical tasks and repetitions. Results 128 participants (56 women, 72 men) were included. Overall parkour time in seconds was 3D vs. 4K for all women 770.7 +/- 31.9 vs. 1068.1 +/- 50.0 (p < 0.001) and all men 664.5 +/- 19.9 vs. 889.7 +/- 31.2 (p < 0.001). Regarding overall mistakes, participants tend to commit less mistakes while using the 3D-vision system, showing 10.2 +/- 1.1 vs. 13.3 +/- 1.3 (p = 0.005) for all women and 9.6 +/- 0.7 vs. 12.2 +/- 1.0 (p = 0.001) for all men. The benefit of using a 3D system, measured by the difference in seconds, was for women 297.3 +/- 41.8 (27.84%) vs. 225.2 +/- 23.3 (25.31%) for men (p = 0.005). This can be confirmed in the MS group with 327.6 +/- 65.5 (35.82%) vs. 249.8 +/- 33.7 (32.12%), p = 0.041 and in the NBCS group 359 +/- 52.4 (28.25%) vs. 198.2 +/- 54.2 (18.62%), p = 0.003. There was no significant difference in the BCS group. Conclusion 3D laparoscopic display technique optimizes surgical performance compared to the 2D-4K technique for both women and men. The greatest 3D benefit was found for women with less surgical experience. As a possible result of surgical education, this gender specific difference disappears with higher grade of experience. Using a 3D-vision system could facilitate surgical apprenticeship, especially for women.
Stichworte
Gender; Laparoscopic surgery; Medical education; 3D laparoscopy
Erscheinungsjahr
2021
Zeitschriftentitel
Surgical Endoscopy
ISSN
0930-2794
eISSN
1432-2218
Page URI
https://pub.uni-bielefeld.de/record/2959494

Zitieren

Busshoff J, Datta RR, Bruns T, et al. Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial. Surgical Endoscopy. 2021.
Busshoff, J., Datta, R. R., Bruns, T., Kleinert, R., Morgenstern, B., Pfister, D., Chiapponi, C., et al. (2021). Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial. Surgical Endoscopy. https://doi.org/10.1007/s00464-021-08785-4
Busshoff, J., Datta, R. R., Bruns, T., Kleinert, R., Morgenstern, B., Pfister, D., Chiapponi, C., Fuchs, H. F., Thomas, M., Gietzelt, C., et al. (2021). Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial. Surgical Endoscopy.
Busshoff, J., et al., 2021. Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial. Surgical Endoscopy.
J. Busshoff, et al., “Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial”, Surgical Endoscopy, 2021.
Busshoff, J., Datta, R.R., Bruns, T., Kleinert, R., Morgenstern, B., Pfister, D., Chiapponi, C., Fuchs, H.F., Thomas, M., Gietzelt, C., Hedergott, A., Moeller, D., Hellmich, M., Bruns, C.J., Stippel, D.L., Wahba, R.: Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial. Surgical Endoscopy. (2021).
Busshoff, Jana, Datta, Rabi R., Bruns, Thomas, Kleinert, Robert, Morgenstern, Bernd, Pfister, David, Chiapponi, Costanza, Fuchs, Hans F., Thomas, Michael, Gietzelt, Caroline, Hedergott, Andrea, Moeller, Desdemona, Hellmich, Martin, Bruns, Christiane J., Stippel, Dirk L., and Wahba, Roger. “Gender benefit in laparoscopic surgical performance using a 3D-display system: data from a randomized cross-over trial”. Surgical Endoscopy (2021).

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 34750707
PubMed | Europe PMC

Suchen in

Google Scholar